Arizona Partnership for Implementing Patient Safety APIPS

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Arizona Partnership for Implementing Patient
Safety (APIPS)

• June 1, 2005
• Arizona Diabetes Initiative

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Inception with Hospitalist Stakeholders
Taskforcehttp//acute.hsag.com/hospitalists.html

• Arizona Medical Association (ArMA)
• Health Services Advisory Group (HSAG)
• MICA
• Arizona Association for Home Care
• Arizona Hospital Healthcare Association
• Arizona Osteopathic Association
• continued

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continued.

• Arizona College of Emergency Physicians
• Arizona Nurses Association
• Arizona Hospice and Palliative Care Organization
• Blue Cross Blue Shield of Arizona
• Hospitalist Groups
• Arizona statewide Hospital Systems

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Issues

• Prevent the discharge of patients from the
  hospital without appropriate arrangements for
  continued outpatient care.
• Facilitate the transfer of patients from the
  hospital to the outpatient setting in a seamless
  fashion.
• Prevent the occurrences of medical errors and
  patient misunderstanding during this transition
  period.
• Assist the hospitalist in finding an outpatient
  physician to assume patient care.

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• IMMEDIATE CONFIRMATION REQUESTED
• PCP COMMUNICATION FORM ADMISSION
  
  Revised 1/1/04
• Hospitalist Physician ____________________________
  PCP _____________________________________
• Patient Name __________________________________ He
  alth Plan ______________________________
• Date Admitted/Re-admitted ______________________ D
  ate Discharged___________________________
• Admission Diagnosis
• 1. ______________________________________________
  _____________________________________________
• 2. ______________________________________________
  _____________________________________________
• 3. ______________________________________________
  _____________________________________________
• 4. ______________________________________________
  _____________________________________________
• 5. ______________________________________________
  _____________________________________________
• 6. ______________________________________________
  _____________________________________________
• Chronic Medical Problems
• 1. ______________________________________________
  _____________________________________________
• 2. ______________________________________________
  _____________________________________________

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IMMEDIATE ATTENTIONHOSPITAL FOLLOW-UP
PLANS HOSPITALIST - DISCHARGE TRANSITION
FORM Hospitalist Physician _____________________
_______ PCP _____________________________________
Back Line Pager Phone ________________________ B
ack Line Pager Phone ___________________ Patient
/DOB __________________________________ Health
Plan ______________________________ Date
Admitted/Re-admitted ______________________ Date
Discharged___________________________ PCP Called
? Yes ? No PCP Called ?
Yes ? No Discharge Diagnosis 1.
_______________________________________ 7.
_______________________________________________ 2.
_______________________________________ 8.
_______________________________________________ 3.
_______________________________________ 9.
_______________________________________________ 4.
_______________________________________ 10.
_______________________________________________ 5.
_______________________________________ 11.
_______________________________________________ 6.
_______________________________________ 12.
_______________________________________________ C
hronic Medical Problems 1. _____________________
_______________________________________________ 2.
________________________________________________
____________________ 3. _________________________
___________________________________________ 4.
__________________________________________________
__________________ 5. ___________________________
_________________________________________ 6.
__________________________________________________
__________________ Allergies ____________________
__________________
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HOSPITALIST - DISCHARGE TRANSITION FORM CONTINUED
. . . Discharge Medication
Indication Name New Dose
Frequency IndicationPlanDuration Follow up
date _______________________ With
________________________________________________ P
lan of care ____________________________________
_____________________________________________ Foll
ow up concerns___________________________________
_________________________________________ Consulta
nts Involved ? None 1.
__________________________________________________
______________________________________ 2.
__________________________________________________
_______________________________________ 3.
__________________________________________________
_______________________________________ Pertinent
Lab/X-Ray/Procedures Results 1.
__________________________________________________
_______________________________________ 2.________
__________________________________________________
________________________________ 3.
__________________________________________________
_______________________________________ Complicati
ons/Adverse Reaction/etc. 1. ____________________
__________________________________________________
___________________ 2. __________________________
__________________________________________________
_____________ 3. ________________________________
__________________________________________________
_______ See Release on Reverse ______________
_________________________ ______________________
__________________ Signature -
Hospitalist Signature - PCP
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Accomplishments to Date

• Convening and consensus of disparate stakeholders
• Regulatory Opinion
• Algorithm and template Forms
• Web site Development
• Ongoing Professional Education
• Establishment of Society of Hospital Medicine,
  Arizona chapter www.acponline.org
• APIPS Arizona Partnership for Implementing
  Patient Safety (APIPS) foundation

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Arizona Partnership for Implementing Patient
Safety (APIPS)

• http//www.azmedassn.org/

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APIPS Founding Members

• Bruce Bethancourt MD, Chair
• Debbie Nixon
• Anita
  Murcko, MD
• Linda McCoy
• Richard Jones, MD
• Karen Jeselum
• Kevin Driesen
• Don Maxwell, DO
• Amanda Weaver
• Anil Goud, MD
• Mandy Wollmer
• Adda Alexander
• Andrea Smiley
•  

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APIPS Mission (draft)

•  The Arizona Partnership for Implementing Patient
  Safety (APIPS) is an interdisciplinary
  association of health care professionals
  committed to providing a safe health care
  environment for all Arizonans through
  collaborative action.

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Draft Vision Together, consumers and their
health care practitioners will create a healthy
Arizona  

• Health care disciplines communicating effectively
  and working together toward the common goal of
  patient safety.
• Increasing public awareness and improved patient
  safety, outcomes, satisfaction, and trust.
• Improving health care practitioner safety,
  satisfaction, and retention.
• Maximizing scarce health care resources .

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Guiding Principles (draft)

• The work of the Partnership will be
• Ø      Patient-focused
• Ø      Collaborative
• Ø      Realistic
• Ø      Evaluated to assess measurable effects

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Goals (draft)

• To improve patient safety, the quality of health
  care, and health outcomes by
• Ø      Strengthening communication and
  collaboration among health care professionals
• Ø      Providing professional education and
  resource materials
• Ø      Increasing consumer awareness and
  participation in the improvement of patient safety

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Functions(draft)

• Ø      Communication among the health care
  professions
• Ø      Joint planning, action, and problem
  solving
• Ø      Professional education
• Ø      Public awareness and education

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What Can You Do?

• Promote the standardized, timely communication
  and discharge planning amongst providers,
  patient and caregivers
• Support APIPS initiatives
• Medication Reconciliation
• http//acute.hsag.com/flex_051705.asp
• IHI 100,000 Lives Campaign
• http//www.ihi.org/IHI/Programs/Campaign/
• More from ArMA http//www.azmedassn.org/

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Arizona Partnership for Implementing Patient
Safety (APIPS)

• June 1, 2005
• Arizona Diabetes Initiative