AHA/HRET Hospital Engagement Network
The Centers for Medicare and Medicaid Services awarded HRET a two-year contract to support the Partnership for Patients campaign. HRET is leading a Hospital Engagement Network (HEN) to adopt best practices with the goal of reducing inpatient harm by 40 percent and readmissions by 20 percent. The AHA/HRET HEN represents 31 state hospital associations composed of nearly 1,600 hospitals. In 2012, there were numerous successes from the AHA/HRET HEN’s efforts. For example, the Oklahoma Hospital Association trained 34 new Improvement Leader Fellows and decreased early elective deliveries by 65 percent. The Florida Hospital Association created online learning modules focused on quality improvement training, where participants earn continuing education units for completing the assessment after the course. Finally, the Agency for Healthcare Research and Quality has shown a 40 percent reduction in catheter-associated urinary tract infections (CAUTI) in participating hospitals in the CAUTI initiative.
CUSP: Stop HAI
[Description] The Agency for Healthcare Research and Quality (AHRQ) project On the CUSP: Stop HAI is focused on reducing the number central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI). Closing out 2012, On the CUSP: Stop BSI leaders and teams continue to work closely with their state to review and sustain their success. A National Collaborative meeting was held in Chicago on BSI, which explored the elements of running a national collaborative through didactic sessions and interactive exercises. On the CUSP: Stop CAUTI was expanded nationwide with 20 more states have joined the initiative and launched a new website.
NEED AHRQ CAUTI REPORT
Employee Health Benefits Survey
[Description] Findings from the 2011 survey, conducted from January through May 2011, highlight employers' experiences with several previously implemented provisions of the 2010 health reform law and increases in the average annual single and family premiums for health insurance. In 2011, premiums for family health coverage increased nine percent from last year; since 2001, family premiums have increased 113 percent. The 2011 survey finds a continued increase in enrollment in consumer-driven, high-deductible plans. The share of covered workers enrolled in high-deductible health plans doubled over the past two years, from eight percent in 2009 to 17 percent in 2011.
Equity of Care
To assist health care leaders, HRET developed a website on Equity of Care that provides free resources to improve the quality of care for every patient. Resources include best practices, case studies and National Collaborative efforts. HRET released a survey on the diversity and disparity of care issue. Commissioned in 2011 by the Institute for Diversity in Health Management, HRET conducted a national survey to determine the actions that hospitals are taking to reduce care disparities. Overall, the survey results showed advancements in the three core elements to increase the collection of race, ethnicity and language preference data; increase cultural competency training for clinicians and support staff; and increase diversity in governance and management. HRET will focus on creating milestones for the initiative built within a timeline for the core elements. These milestones will guide the work of the initiative and measure the success of the program. In 2013, HRET hopes to release the milestones and timeline
The Agency for Healthcare Research and Quality (AHRQ) has awarded a two-year contract to the Health Research & Educational Trust (HRET) and its partners, the University of Michigan, Kidney Epidemiology and Cost Center (UM-KECC), and the Renal Network of the Upper Midwest, Inc. (ESRD Network 11) to develop and use resources that will reduce infections in dialysis facilities. Efforts in 2012 surrounded the recruitment of facilities from Network 6 and 11to participate in the program.