January 28, 2011

Current Research & News
 Atul Gawande, MD, MPH is 2011 TRUST Award Recipient
 HRET Accepting Applications for the 10th Class of the AHA-NPSF Patient Safety Fellowship
 HRET Board Appoints Five New Members
 New Grants Awarded to HRET to Study Delivery System Innovation and Improvement
 Convening Providers and Policy Makers on Innovative Payment and Delivery Models

 HPOE Guides Reach Wide Audience in 2010

Recent Articles & Publications
 A Call to Action: Creating a Culture of Health
 A Guide to Financing Strategies for Hospitals 
 Best Practices to Improve Hand Hygiene 
 HSR Theme Issue on Payment Reform 
 February Issue of HSR 

Atul Gawande, MD, MPH is 2011 TRUST Award Recipient

HRET has selected Atul Gawande, MD, MPH as the recipient of the 2011 TRUST Award. 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 a general and endocrine surgeon at Brigham and Women’s Hospital, Associate Professor at the Harvard School of Public Health and Harvard Medical School, and a staff writer at The New Yorker magazine. “The Selection Committee praised Dr. Gawande for his surgical talents and for being an innovator in driving change through safe practices” said Al Stubblefield, president, Baptist Health Care and chair of the HRET Board of Trustees. “Dr. Gawande’s uniqueness as a writer to connect with the consumer and provider community is just one example of many showcasing his influence in the field.” HRET President Maulik S. Joshi, DrPH said, “Dr. Gawande’s writings on the use of surgical checklists, the costs of health care and health reform, and the overall quality of health care have elevated the social consciousness of these significant issues.” HRET will honor Dr. Gawande at a reception on July 17 in San Diego, CA, during the AHA/Health Forum Leadership Summit. For more information about the Trust Award, please contact Jennifer Shaw at jshaw@aha.org.

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HRET Accepting Applications for the 10th Class of the AHA-NPSF Patient Safety Leadership Fellowship

Space is available in the 2011-2012 AHA-NPSF Patient Safety Leadership Fellowship, co-sponsored by AHA and the National Patient Safety Foundation. Currently entering its 10th anniversary year, the Fellowship is a year-long learning experience for clinical and administrative leaders who are dedicated to improving quality and patient safety. Through a highly participatory learning experience, fellows gain leadership competencies and learn advanced practices in patient safety and quality improvement. Visit http://www.ahafellowships.org/ for details.

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HRET Board Appoints Five New Members

Rhonda Anderson, RN, DNSc, FAAN, FACHE
Chief Executive Officer
Cardon Children’s Medical Center, Banner Health
Dr. Anderson has extensive experience in staff nursing, education, health care management roles, performance measurement, and patient safety.

Mary Blunt
Administrator
Sentara Norfolk General Hospital
Ms. Blunt oversees a 525-bed tertiary care hospital and level I trauma center and previously served as vice president of operations at various Sentara hospitals and president of Sentara Life Care.

T.R. Reid
Author
Mr. Reid has become one of the nation’s best-known reporters through his coverage of global affairs for The Washington Post, his books and documentary films, and his commentaries for National Public Radio.

Michael G. Rock, MD
Chief Medical Officer
Mayo Rochester Hospitals/Mayo Foundation
Michael Rock serves as a consultant to the Department of Orthopedic Surgery at Mayo, is a professor of orthopedics at the College of Medicine, Mayo Clinic, and has teaching/examining privileges in Biomedical Engineering at Mayo Graduate School.

Maryjane Wurth
President
Illinois Hospital Association
Prior to joining IHA in 2009, Ms. Wurth served as chief operating officer of the Healthcare Association of New York State (HANYS) and as president and CEO of HANYS Solutions, a HANYS subsidiary.

All five new Board members start three-year terms in January 2011. Click here for the complete HRET Board roster.

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New Grants Awarded to HRET to Study Delivery System Innovation and Improvement

Dramatic changes to the U.S. health care system are occurring more quickly than ever before thanks to health reform. Through two new projects funded by The Commonwealth Fund, HRET will provide actionable information to hospital and health system leaders that will be critical in coming months. One project will produce a series of at least four data briefs covering topics including the impact of health information technology on quality and efficiency, the impact of population health and other factors on hospitals’ efforts to reduce readmissions, and the relationship between service integration and hospital/health system performance. A second project will survey hospitals and health systems on their readiness to participate in accountable care organizations. The project will survey system leaders on their organizations’ ability to provide integrated care services, enable communication among all providers involved in a patient’s care, and manage financial risk, receive bundled payment, and calculate and distribute shared savings to providers. For more information on these projects, contact Megan McHugh at mmchugh@aha.org.

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Convening Providers and Policy Makers on Innovative Payment and Delivery Models

What are facilitators and challenges to participating in new models of care? Through support from The Commonwealth Fund and in partnership with the American Medical Group Association and the Medical Group Management Association, HRET is engaging providers and policy makers in a dialogue about the design and implementation of innovative health care payment and delivery models. The project will convene an invitational panel of 20-25 representatives of diverse provider organizations, federal agencies, health services research organizations, and health care foundations. The panel will discuss several complex issues, such as incentives for provider participation, partnerships across different types of providers, risk-adjustment of payments, accountability, and quality benchmarks. The project will produce a summary report offering recommendations to the Centers for Medicare & Medicaid Services and other policy makers on the design and implementation of new payment and care delivery models. Click here for more information on the project.

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HPOE Guides Reach Wide Audience in 2010


There were more than 26,000 downloads of Hospitals in Pursuit of Excellence (HPOE) guides in 2010. Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals and the AHA Synthesis Report on Accountable Care Organizations received over 4,500 downloads each, and the Health Care Leader Action Guide to Reduce Avoidable Readmissions received over 6,700 downloads. For more information, and to access these valuable resources, visit http://www.hpoe.org/.

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A Call to Action: Creating a Culture of Health

In a new report, the AHA’s Long-Range Policy Committee issues a call to action for hospitals to be leaders in creating a culture of health. Focusing on the “wellness” pillar of the AHA’s Health For Life roadmap for improving America’s health care system, the report highlights practices that hospitals use with their own employees, examples of promising practices and how-to recommendations to help hospitals continue to be leaders of health in their communities. “Hospitals are closely interwoven with the communities they serve. Therefore it is paramount for hospital and health system employees to be example role models for healthy living and fitness in those same communities,” said AHA Chairman John Bluford, 2010 chair of the committee. The AHA and its American Society for Healthcare Human Resources Administration will host a free webinar on the report Feb. 23. To register, click here.

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A Guide to Financing Strategies for Hospitals

Given economic and industry trends related to the worldwide financial markets, the nation's economy, and U.S. health care reform, access to external capital has become more important than ever for hospitals. Reform and market changes are accelerating hospitals' need for capital to fund physician employment and integration, information technology, facility modernization and expansion, and other initiatives. Successful health care organizations will need to make substantial capital investments in each of these areas. A Guide to Financing Strategies for Hospitals - With Special Consideration for Smaller Hospitals explores strategies that can help hospitals achieve the best possible capital access. While the guide provides considerations related specifically to smaller organizations, such as rural hospitals, critical access hospitals, or stand-alone community hospitals, the strategies are applicable to all health care organizations, including multihospital systems, regional systems, and hospitals that are part of a larger system. Click here to download the guide.

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Best Practices to Improve Hand Hygiene 

HRET has released Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. This report describes how eight leading hospitals used Lean Six Sigma to examine and improve work processes and identify targeted solutions to improve hand hygiene rates. These solutions are part of the Center’s Targeted Solutions Tool (TST), an application available free to all Joint Commission accredited hospitals. Hand hygiene is the first improvement project of the Joint Commission Center for Transforming Healthcare, which is supported by the AHA. For more information, visit http://www.hpoe.org/.

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HSR Theme Issue on Payment Reform 

While hopes are high that innovations connected to health reform legislation will improve health care quality and value, there are still many unknown factors around the best ways to deploy many new reforms. HSR, through support from the Agency for Healthcare Research and Quality, presents a special theme issue on payment reform. The issue explores ways to best design and implement reforms and focuses on four major challenges. Click here for more information and to access the theme issue.

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February Issue of HSR 

The new February issue of HSR features articles on outcomes and quality, nursing homes, high-deductible health plans, insurance coverage, and research methods. The February HSR includes a special issue, Using State-Level Evidence to Inform National Policy: Research from the State Health Access Reform Evaluation (SHARE) Program. For more information, and to access articles, visit http://www.hsr.org/.

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Editor: Jenna Rabideaux [jrabideaux@aha.org]
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