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Hospital Quality: A Board Responsibility

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Patient-centered care. More Improvement. Reduce infections. Reduce hospital acquired conditions ... Ambulatory Surgical Center Data. Pricing. Adverse Events ... – PowerPoint PPT presentation

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Title: Hospital Quality: A Board Responsibility


1
Hospital Quality A Board Responsibility
  • Nancy Foster
  • Vice President

2
Community Perspective on Hospital
  • Be there when my family and I need you
  • Protect us from harm
  • Provide the care most likely to lead to the best
    outcome for us
  • Treat us with kindness and respect
  • Engage us in our own care

3
(No Transcript)
4
Reform Harder than it looks
5
Three House Committees Report Bills
House Three Committees Report Bills
  • Education and Labor Committee
  • Ways and Means Committee
  • Energy and Commerce Committee

Senate Two Committees Report Bills
  • Health, Education, Labor, and
  • Pensions Committee
  • Finance Committee

6
(No Transcript)
7
Main Messages for Hospitals
  • More is Needed
  • More Integration
  • Delivery system reform
  • Patient-centered care
  • More Improvement
  • Reduce infections
  • Reduce hospital acquired conditions
  • Reduce avoidable readmissions
  • More Transparency
  • More measures
  • Better communication

8
Aligning Our Efforts
Practice Drives Policy
Policy Drives Practice
9
Why Focus on Performance?
or
10
Main Messages for Hospitals
  • More is Needed
  • More Integration
  • Delivery system reform
  • Patient-centered care
  • More Improvement
  • Reduce infections
  • Reduce hospital acquired conditions
  • Reduce avoidable readmissions
  • More Transparency
  • More measures
  • Better communication

11
More Integration.
  • Stop unwarranted shuffling of patients
  • Better transition patients and their families
    pre- and post-discharge
  • Link information systems to reduce chance of
    error, improve decision-making
  • Align with physicians, post acute care
    settings for bundled payments
  • Align to be accountable care organizations

12
Main Messages for Hospitals
  • More is Needed
  • More Integration
  • Delivery system reform
  • Patient-centered care
  • More Improvement
  • Reduce infections
  • Reduce hospital acquired conditions
  • Reduce avoidable readmissions
  • More Transparency
  • More measures
  • Better communication

13
Safer Care
  • Preventable medical errors
  • 44,000 to 98,000 Americans die each year
  • Eighth leading cause of death in the United
    States
  • Annual cost as much as 29 billion annually
  • IOM conclusion the majority of these problems
    are systemic, not the fault of individual
    providers

14
Sensation in the Popular Press
Not being above the fold priceless.
15
As Board Members
Are you investing resources for safety?
Is safety embedded in daily work?
How strong is your a safety culture?
What projects do you have underway are they
making a difference?
16
30 Day Medicare Readmission Rates
17
Main Messages for Hospitals
  • More is Needed
  • More Integration
  • Delivery system reform
  • Patient-centered care
  • More Improvement
  • Reduce infections
  • Reduce hospital acquired conditions
  • Reduce avoidable readmissions
  • More Transparency
  • More measures
  • Better communication

18
More Transparency
  • Inpatient and Outpatient Quality Data
  • Physician Quality Data
  • Ambulatory Surgical Center Data
  • Pricing
  • Adverse Events
  • Executive Compensation
  • Outcomes
  • Patient Perceptions
  • Information Technology implementation

19
Five Simple Rules for Trustees
  • Recognize improvement is a journey
  • Dont make the journey alone
  • Keep track and know what has been accomplished
  • Dont forget your patients
  • Recognize the power of your interest

20
1. Recognize Improvement is a Journey
21
2. Dont Make the Journey Alone
  • Coalitions and collaborations
  • AHAs and NHHA activities
  • Infections
  • Readmissions
  • Safety
  • IHI, Premier, VHA, professional societies, others

22
3. Keep Track
  • Public data
  • Internal improvement data - Expect reports
  • GOOGLE and Blogs

23
4. Dont Forget Your Patients
Make them partners in the work
24
5. Recognize The Power of Your Interest
  • Hawthorne Effect
  • Ask your questions
  • The Porter Question
  • Tell YOUR Story
  • Data must be set in context to become information

25
THE COMING ERA
What Will Be Expected of Healthcare Organizations?
More Integrated Care Delivery
Better stewardship of Care,
More Transparency on Performance
More Risk Assumed
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