Making a Difference in Patient Care
Success Depends on Engaged Hospitals
A partnership of the Healthcare Association of New York State
and the Greater New York Hospital Association
NYS PARTNERSHIP FOR PATIENTS
National Vision
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Strong, Public Leadership Commitments
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“Raise the Floor”
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Vanguard hospitals seek to define and eliminate all-cause harm and
preventable readmissions on an extremely ambitious timeframe.
Smooth Transitions Between Care Settings
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Every hospital adopts and completely implements a set of evidencebased interventions.
“Raise the Bar”
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The Boards of all “Partnership” hospitals publicly embrace the aims of the
initiative and remove barriers to progress.
Hospitals, communities, patients, and families will devote new attention
to making sure that transitions out of the hospital are well coordinated.
NYS PARTNERSHIP FOR PATIENTS
Better Health, Better Care, Lower Costs
by December 2013
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Eliminate Preventable Inpatient Harm
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Improve Care Transitions
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Reduce preventable readmissions by 20%
Lower Costs
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Reduce hospital-acquired conditions by 40%
1.8 million fewer injuries
60,000 lives saved
Save $35 billion nationally
NYS PARTNERSHIP FOR PATIENTS
Why Hospitals Need to Get Involved in the
Partnership for Patients
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Nationwide initiative aimed at breakthrough
improvements in quality and cost
Most comprehensive quality improvement initiative
in American history
Nearly all of New York hospitals are participating
Goal is to prevent patients from experiencing harm
while in the hospital and increase successful
transition for patients to their home or to other care
settings
NYS PARTNERSHIP FOR PATIENTS
NYS Partnership for Patients (NYSPFP)
Joint Partnership of HANYS and GNYHA designed to:
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Leverage experience implementing quality improvement programs
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Effect comprehensive, rapid, sustainable change across the state
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Hands-on approach to better health, better care, and lower costs
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NYS PARTNERSHIP FOR PATIENTS
NYSPFP Clinical Domains
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Clinical Focus Areas
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Catheter-associated urinary tract infections
Central line-associated blood stream infections
Surgical site infections
Ventilator-associated pneumonia
Obstetrical adverse events
Adverse drug events
Pressure ulcers
Injuries from falls
Venous thromboembolism
Preventable Readmissions
Culture and Leadership
NYS PARTNERSHIP FOR PATIENTS
What Does NYSPFP Provide to Hospitals?
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Approaches built from current clinical evidence-base
Organizational assessment tools regarding culture
and readiness for change
Content and implementation support
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Tool kits and education
Data and analytics
TeamSTEPPS training in communications
Access to training from national experts and opportunities
to share and learn best practices
NYS PARTNERSHIP FOR PATIENTS
What Does NYSPFP Provide? (Cont’d)
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Individualized support
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Web-based content continually updated
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Assign regional project managers and data/analytic
resources
Access information and tools best aligned with each
organization’s needs
NYS PARTNERSHIP FOR PATIENTS
NYSPFP: Alignment-Integration
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Alignment
with
NYSDOH
Quality
Agenda
• NYS Hospital Quality Initiative
• DOH Medical Home
• DOH Quality Priorities and MRT policy
(e.g. OB, infections)
Federal
Implications
• Medicare Penalties for HACs/Readmits
• Value-based Purchasing
• CMS Quality Measures
NYS PARTNERSHIP FOR PATIENTS
Engaging Hospitals in NYS
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More than 170 NYS hospitals are participating in
NYSPFP.
NYS PARTNERSHIP FOR PATIENTS
New York State Partnership for Patients
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The eleven focus areas are organized into five domains:
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The purpose of the domains is to group implementation
of the evidence-based bundles and care practices in a
manner that recognizes:
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Culture and Leadership
Nursing-Centered Initiatives
Infection Prevention Initiatives
Obstetric Safety
Preventable Readmissions
How patient care is provided to patients, and
Encourages development of a fully integrated organizational approach for
quality improvement
NYS PARTNERSHIP FOR PATIENTS
NYSPFP: Inspiring Change through Culture & Leadership
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Building Culture & Leadership
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A multi-pronged strategy that is designed to:
Engage leaders
Provide new
information and
assessments
Help leaders
enhance
organizational
safety culture
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Stimulate broader
adoption of
executive safety
practices
Provide
opportunities to
listen and hear the
“patient’s voice”
NYS PARTNERSHIP FOR PATIENTS
Why NYSPFP Needs to Succeed in my Hospital
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Pride and Mission
Providing high-quality patient care is the most important
mission of our hospital and our staff.
Our reputation in the community rests on the quality of
our patient care.
Staff supports a hospital that enables them to provide
the best possible care for their patients.
High-quality care attracts and retains the best staff.
Build a new foundation for value-based purchasing, payfor-performance, and other health care delivery and
financing reforms.
NYS PARTNERSHIP FOR PATIENTS
How Your Participation in the Partnership for
Patients Will Make Our Hospital Better?
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Your active engagement in the Partnership for
Patients sends a strong and clear message that
safety and quality is of the utmost importance.
The Partnership will help us to improve the care
process to incorporate quality controls,
measurements, and communications methods that
have demonstrated success.
The Partnership provides a platform to share our
successes and learn from others.
NYS PARTNERSHIP FOR PATIENTS
CEO Leadership Will Make the Partnership
for Patients a Success
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Our hospital’s future depends on achieving the
highest national standards for patient care.
Appendix
Supplemental Information for a
Physician Audience
A partnership of the Healthcare Association of New York State
and the Greater New York Hospital Association
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NYS PARTNERSHIP FOR PATIENTS
Physician Leadership
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Provide patient care across conditions, providers,
settings, and time to achieve care that is safe,
timely, effective, efficient, equitable, and patientfocused.
Necessary at all levels:
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Organizational
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Clinical Design and Execution
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Departmental & Unit Initiatives
Clinical Integration
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CMO/MEC/CSO
Care delivery process alignment
NYS PARTNERSHIP FOR PATIENTS
Why Physician Leadership is Necessary
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Your impact on caregivers & processes
o Culture of patient-centeredness and patient safety
o Communication
o Patients
o Health system
The “how,” “when,” and “where” of care delivery
o Multidisciplinary teams
o Communication and hand-offs
o Care delivery process alignment
NYS PARTNERSHIP FOR PATIENTS
Physician Leadership: What’s in it for me?
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Finding true satisfaction in work and relationships
o Respect, Recognition, Appreciation
Realization of what it was that brought you to health
care as a career
o Achievement of Triple Aim in all you do
Financial success as reimbursement systems shift
focus to systems of care and value
o Fluency in process improvement and outcomes
NYS PARTNERSHIP FOR PATIENTS
NYSPFP: Physician Leadership
Your thoughts:
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What are you currently doing to support a culture of safety in our hospital?
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What are you currently doing to support reductions in hospital-acquired
conditions and readmissions?
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How might physicians more actively lead in helping our hospital achieve
these important goals?
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What can our hospital do to better support your efforts to provide the best
patient care?
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