April 28, 2011


Current Research & News
 HRET-Led Project Reduces Central Line Blood Stream Infections by 35 Percent
 HRET Invites Feedback on HRET/HPOE Guides 
 HRET, ISMP, and AHA Launch 2011 Assessment of Medication Safety  

Upcoming Events & Annoucements
 Addressing Disparities in Hospital Readmissions, an April 28 HPOE Webinar
 Commonwealth Fund Webinar on Reducing Hospital Readmissions
 Sponsorship Opportunities Available for July 17 TRUST Award Honoring Atul Gawande
 Health Forum/AHA Leadership Summit Learning Series
  

Recent Articles & Publications
 HPOE Releases New Guide on Reducing Preventable Mortality
 A New Kind of Reform: Population Health, in H&HN Daily 
 Free Article in April Edition of Health Services Research 
 Improving Health Equity through Data Collection and Use: A Guide for Hospital Leaders

Careers at HRET
 HRET Seeks Research Specialist, Director of Programs and Partnership Development

In Case You Missed It...
 Addressing the Safety and Financial Impact of Drug Shortages on Hospitals

  

HRET-Led Project Reduces Central Line Blood Stream Infections by 35 Percent

 

An interim report released earlier this month by the Agency for Healthcare Research and Quality (AHRQ) shows a 35 percent reduction in central line-associated blood stream infections (CLABSI) among adult intensive care units from over 350 hospitals that are participating in the national On the CUSP: Stop BSI project. CLABSI rates dropped from an average of 1.8 infections per 1,000 central line days to an average of 1.17 infections per 1,000 central line days in units within the first 22 states that participated in the project. “The encouraging results so far demonstrate the value of well-coordinated and evidence-based national improvement efforts,” said HRET President Maulik Joshi, DrPH. The project is led by HRET through a contract with AHRQ and in partnership with the Johns Hopkins University Quality and Safety Research Group and the Keystone Center for Patient Safety and Quality of the Michigan Health and Hospital Association. For more information about the project, visit http://www.onthecuspstophai.org/.

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HRET Invites Feedback on HRET/HPOE Guides

HRET/HPOE is seeking user feedback on recently released guides and reports and invites you to complete a brief survey on the usefulness of material covered in these resources. All survey responses are anonymous, and feedback will help HRET/HPOE to improve future products and services. The survey consists of seven questions and takes no more than 10 minutes to complete. Those who choose to submit their email address at the end of the survey will be eligible for a drawing for a $50 Amazon gift card, which will be provided to one respondent at random. For more information and to complete the survey, visit http://www.surveymonkey.com/s/GM6ZK8M. To access any HRET/HPOE guides, visit http://www.hpoe.org/.

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HRET, ISMP, and AHA Launch 2011 Assessment of Medication Safety

The Institute for Safe Medication Practices (ISMP), in partnership with HRET and AHA, recently launched the 2011 ISMP Medication Safety Self Assessment® for hospitals. The assessment is being distributed electronically to hospitals and health systems across the country to help them review and improve their safety practices, as well as help track and encourage national progress in medication safety. Previous ISMP Medication Safety Self Assessments were conducted in 2000 and 2004, and findings from those assessments helped in the development of targeted educational resources, such as the Pathways for Medication Safety® tools. The 2011 reassessment is being made possible through a grant from the Commonwealth Fund. The assessment will document the progress of U.S. hospitals during the last five years of intense national attention to medication safety and identify the impact of new challenges that have arisen since 2004, such as drug and staffing shortages, shrinking reimbursement systems, and the application of new technology. For more information, visit http://www.ismp.org/.

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Addressing Disparities in Hospital Readmissions, an April 28 HPOE Webinar

Recent research reveals that minorities are more likely to be readmitted for several conditions, including congestive heart failure and pneumonia, than their white counterparts. Hospitals are now devising system-wide initiatives to prevent readmissions, but a one-size-fits-all approach is unlikely to address disparities in this area. Specific strategies will be necessary to improve quality of care to diverse populations and prevent avoidable readmission. Join HRET on April 28 for a free webinar presenting the latest evidence on racial/ethnic disparities in hospital readmission rates and innovative strategies to address and prevent them, with a particular focus on multicultural and minority populations. This webinar, a collaboration between HRET and the Disparities Solutions Center at Massachusetts General Hospital, will provide the latest information on disparities interventions and findings from important disparities research. Advanced registration is required for this webinar. Click here to register, or contact hpoe@aha.org for more details.

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Commonwealth Fund Webinar on Reducing Hospital Readmissions

Join the Commonwealth Fund next Friday, May 6 at 1 p.m. ET for a free webinar on community-based approaches to reducing hospital readmissions. Presenters include Eric Coleman, MD, MPH, of the University of Colorado Health Sciences Center, who will discuss how hospitals, skilled nursing facilities, home health agencies, community providers, and others can provide continuous, coordinated care. Garry MacKenzie, MD of McKay-Dee Hospital Center in Ogden, Utah, will provide real-world examples of how the hospital has partnered with community providers to keep tabs on patients after discharge and keep them from being readmitted. Janice Fitzgerald, RN, of Baystate Medical Center in Springfield, Massachusetts will discuss Baystate's creation of care teams to oversee smooth and safe care transitions. Commonwealth Fund Vice President of Quality Improvement and Efficiency Anne-Marie Audet, MD, MSc will moderate. Click here to register for this free event.

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Sponsorship Opportunities Available for July 17 TRUST Award Honoring Atul Gawande

Sponsorship opportunities are available for the 2011 TRUST Award honoring Dr. Atul Gawande. Established in 2003, the TRUST Award honors individuals who have exhibited visionary leadership in the health care field and who symbolize HRET’s mission of leveraging research and education to make a dramatic impact in policy and practice. Dr. Gawande is being recognized for his innovations in safe surgery practices and for his remarkable influence in raising awareness of health care quality and cost issues among both consumers and providers. For more information, and to learn more about the event on July 17th in San Diego during the Health Forum/AHA Leadership Summit, visit http://www.hret.org/trust/index.shtml, or contact Jennifer Shaw at jshaw@aha.org.

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Health Forum/AHA Leadership Summit Learning Series

In the new era of health care reform, hospitals are being rewarded for demonstrating value through various care delivery models such as medical homes, accountable care organizations, and bundled payments. The new Health Forum/AHA Leadership Summit Learning Series on Implementing Delivery System Transformation is designed to help hospital leaders understand how new care delivery and payment models lead to delivery system transformation. The series includes four one-hour web seminars with nationally recognized experts, a self-assessment on your organization’s progress toward care integration and coordination, registration to the Health Forum/AHA Leadership Summit, including a pre-Summit workshop, and more. To register for the Health Forum/AHA Leadership Summit Learning Series, please visit http://www.hpoe.org/ or contact Natasha Goburdhun, HRET Vice President of Systems Innovation, at ngoburdhun@aha.org or (312) 422-2613.

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HPOE Releases New Guide on Reducing Preventable Mortality

Hospital leaders work hard every day to provide their patients with high quality care that is free of injury and harm. While most hospital deaths are not due to failures in care delivery, many deaths are preventable. Hospitals in Pursuit of Excellence (HPOE) has released the Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality, the latest in its series of guides and toolkits designed to assist hospital leaders in improving quality and performance. This guide supports the American Hospital Association’s strategic performance commitment on eliminating preventable mortality that is included in the 2011-13 AHA Strategic Plan. It outlines eight steps hospital and health system leaders should consider when thinking about ways to reduce preventable mortality. Click here to download a copy of this latest HPOE guide.

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A New Kind of Reform: Population Health, in H&HN Daily

In the current era of health reform implementation, there can be a temptation to wait for a “silver bullet” that will quickly fix the multiple systems issues at the heart of challenges in balancing health care cost and quality. While there are no silver bullets, population health is a promising, systems-based approach to improving health on a wide scale, writes Valerie Pracilio, MPH, former Patient Safety Leadership Fellow and project manager for quality improvement at the Jefferson School of Population Health at Thomas Jefferson University, in a recent H&HN Daily article, “A New Kind of Reform: Population Health.” Pracilio writes, “Population health reveals patterns and connections within and among multiple systems… These patterns and connections inform strategies by accounting for the characteristics of the population—including common health issues and the environment in which they live—while addressing needs.” Click here to access the complete article. Visit http://www.hpoe.org/ for more information on the Patient Safety Leadership Fellowship.

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Free Article in April Edition of Health Services Research

In this free HSR article from Paul J. Sharek, Gareth Parry, et al. the focus is on an assessment of the performance characteristics of the Institute for Healthcare Improvement Global Trigger Tool (GTT) and to determine its reliability for tracking local and national adverse event rates. The study concluded that the high specificity, moderate sensitivity, and favorable interrater and intrarater reliability of the GTT make it an appropriate for tracking local and national adverse event rates. The strong performance of hospital-based reviewers supports their use in future studies. To read the full article click here.

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Improving Health Equity through Data Collection and Use: A Guide for Hospital Leaders

The new HRET report Improving Health Equity through Data Collection AND Use: A Guide for Hospital Leaders, uses exploratory interviews with three hospitals and a review of the literature to identify key strategies hospitals have adopted to streamline the data collection process. Some of the key strategies include engaging senior leadership, defining goals for data collection, and combining disparities data collection with existing reporting requirements. An accompanying review of the literature highlighted several approaches for using the patient data collected by hospitals, such as using an equity scorecard to report organizational performance, informing and customizing language translation services provided, and reviewing performance indicators such as length of stay, admissions, and avoidable readmissions among others. To meet the needs of their diverse populations, hospitals and health systems need to bridge the gap between collecting meaningful patient data and reviewing the data to identify inequities in health care provision and utilization, and to implement simple yet effective interventions to improve care for patients. Click here to download the guide. Click here to view the video on H&HN Daily.

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HRET Seeks Research Specialist, Director of Programs and Partnership Development

HRET is currently seeking a Research Specialist to provide assistance and programmatic support for HRET projects and plan and execute communication and research development activities. The incumbent will work with internal and external partners and with HRET research staff on logistical, administrative, and communication functions on multiple projects. HRET is also seeking a Director of Programs and Partnership Development, who will provide innovative and substantial support in furthering the AHA National Equity of Care strategy. This position will be responsible for building strong relationships with internal and external partners to support the development, implementation, and evaluation of the major priorities outlined in the AHA Equity of Care strategy. Click here for more information about career opportunities at HRET.

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Addressing the Safety and Financial Impact of Drug Shortages on Hospitals

Drug shortages are having a significant effect on patient safety and hospital bottom lines. A recent HPOE webinar explored the national and international drug shortage crisis and introduced a new tool to help hospitals maintain and improve quality standards. A panel of experts discussed why an unprecedented level of drug shortages is occurring, the ramifications of shortages within hospitals, how clinicians and organizations are reacting, and what is being done to help address the situation—including the introduction of new federal legislation. The 2011 ISMP Medication Safety Self Assessment®, soon to be launched by the Institute for Safe Medication Practices (ISMP) in collaboration with HRET and AHA, is designed to help hospitals and health systems review and improve their safety practices and measure their progress in medication safety, including dealing with issues such as drug shortages. Click here to access the free archived webinar or contact hpoe@aha.org with questions.

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Editor: Jenna Rabideaux [jrabideaux@aha.org]
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