Multistate Performance Improvement Project Strengthening our Quality Programs in our Rural Hospitals

1
Multistate Performance Improvement
ProjectStrengthening our Quality Programs in
our Rural Hospitals
2
Participating States

• Alaska
• Arizona
• Kansas
• Oklahoma
• New Mexico
• Virginia
• Wyoming

3
Project Purpose

• To help our small rural hospitals develop
  quality programs that will assist them in
  surviving the challenges that will come with the
  emerging era of intolerance in ways tailored to
  the unique needs of their settings.

4
Project Goals

• Streamlining compliance-related activities to
  promote success while consuming minimal resources
• Assuring Medicare Conditions of Participation
  survey readiness
• Strengthening quality improvement activities to
  promote sustainable and timely improvement
• Streamlining quality related activities for
  greater efficiency and effectiveness
• Strengthening systems such as utilization review,
  infection control, credentialing, privileging,
  medical staff bylaws, policies and procedures,
  leadership development and board education
• Participating in benchmarking activities to
  establish baseline performance and promote
  learning through the sharing
• of best practices
• Establishing strong systems for strategically
  managing the hospitals future

5
Project Activities

• Survey readiness
• On-site consultation
• Training webinars
• Resource library
• Benchmarking with peer group
• Telephone and internet support

6
Project Timeline
7
QUALITY INITIATIVESARIZONA FLEX PROGRAM

• Alison Hughes, MPA, Flex Program, Az RHO
• HRSA Grantee Partnership Meeting
• Washington, D.C. September, 2009

Hopi Country, July, 2009 Photo by Alison
7
8
Quality Initiatives

• Performance Improvement Summit for Critical
  Access Hospital CEOs and CFOs.
• Rural Trauma Team Development.
• Mock Site Reviews.
• Targeted trainings and Webinars.
• Multi-State Quality Improvement Project.
• EMS First Responder manager training and budget
  training.

8
9
Arizona Critical Access Hospital CEOs, CFOs and
other staff members gather for 2009 Performance
Improvement Summit. Phoenix, June, 2009
9
10
10
Phoenix Police on Break July 2009 Photo by Alison
11
ARIZONA CAH-RELATED FIRST RESPONDERS RECEIVE
BUDGET TRAINING, 2008
Photo by Alison
11
12

• INTRODUCING THE MULTI-STATE PROJECT TO ARIZONA
  CRITICAL ACCESS HOSPITALS

12
13

• Introducing the Multi-State Project to the CEOs
• Teleconferences with consultant
• Teleconferences with Kansas Hospital Association
  online Quality Health Indicators project and
  interested critical access hospitals.
• Contract negotiations. The need for MOAs with
  participating hospitals.
• Flex Staff site visits to critical access
  hospitals with Darlene Bainbridge for
  consultations.

13
14

• Webinar Involvement
• In-person Quality Managers meeting.
• Ongoing tele-consultations on identified needs.
• Swing bed policies
• Observation bed policies
• Personnel management challenges
• Useful tools for Quality Managers
• Quality calendar concept
• End-of-year assessment underway.

14
15
Introducing the Multi-State Project to Hospital
personnel in Willcox, Arizona. Photo by Alison.
15
16
Quality Managers attend in-person training
program July, 2008, Phoenix, AZ. Darlene
Bainbridge, trainer. Photo by Alison.
16
17
Lessons Learned

• Chief Executive Officer buy-in and personal
  engagement impacts success.
• Flex staff engagement impacts success.
• The importance of Memoranda of Agreement with the
  participating hospitals, prior to participation.

17
18
Navajo Land, Arizona July, 2009 Photo by
Alison END
18
19
QUALITY INITIATIVESOKLAHOMA FLEX PROGRAM
Val Schott, Flex Program, OK RHO HRSA Grantee
Partnership Meeting Washington, D.C. September,
2009
Hopi Country, July, 2009 Photo by Alison
19
20
Quality Initiatives

• Multi-State Quality Improvement Project
• Community assessments
• Annual rural health conference
• QIO Quality Initiative
• EMS First Responder development

20
21
21
22
22
23
Stronger quality programs are critical to the
future of our rural hospitals
23
24

• Five Critical Outcomes
• Patient satisfaction that drives loyalty to our
  rural hospitals
• New patient acquisition
• Patient retention
• Patient profitability
• Market domination

24
25

• Critical Activities
• Teleconferences with consultant
• Participation in Quality Health Indicators
  project
• Flex Staff site visits to critical access
  hospitals with Darlene Bainbridge for
  consultations.
• Internet and telephone support
• Resource library
• Partnership building with Oklahoma Hospital
  Association and QIO

25
26

• Lessons Learned
• Need to keep it simple
• It is not a lack of desire that hurts our
  hospitals, its a lack of knowledge and resources
• This works best when we all work together

26