copyright ©2011 georgia hospital association medicare beneficiary quality improvement project...

Copyright ©2011 Georgia Hospital Association

Medicare Beneficiary Quality Improvement Project (MBQIP)

Emergency Department Transfer Communication Measure

Hospital Reporting Update10 March 2015


BackgroundThe Office of Rural Health Policy (ORHP) created the Medicare Beneficiary Quality Improvement Project (MBQIP) as a Flex Grant Program activity within the core area of quality improvement.

• The primary goal of this project is for CAHs to implement quality improvement initiatives to improve their patient care and operations.

• MBQIP provides Flex funding to support Critical Access Hospitals (CAH) with technical assistance and national benchmarks to improve health care outcomes.

• CAHs opting to participate are requested to report a specific set of annual measures determined by ORHP timeline and measures and engage in quality improvement projects to benefit patient care.


Objectives• MBQIP Phase 3 Reporting Timeline

• Data collection and reporting Tools update

• Data submission

• Resources


MBQIP phase 3

• Pharmacist CPOE or Verification of Medication Orders within 24 hours (patient safety)

• Emergency Department Patient Transfer Communication

(care transitions)


Seamless Care: Safe patient transitions between facilities

Ensuring appropriate and timely care beyond organizational silos is essential to transforming health care.


ED Transfer Communication Measure

• Critical Access Hosptials (CAH) serve an important care transition role of stabilize-and-transfer

• Lack of standardized measures and benchmarking to help evaluate this role.



• 2003: Expert panel convened by the University of Minnesota Rural Health Research Center and Stratis Health

• 2013-2014: CMS Innovation Project• September 2013 Endorsed by National Quality

Forum• October 1 2014: Data Collection Nationally for

Phase 3 MBQIP.



• http://www.qualitymeasures.ahrq.gov/compare/index.aspx

http://www.qualitymeasures.ahrq.gov/compare/index.aspx




Population and sampling


ED Transfer Communication Measures:

– Administrative communication– Patient information– Vital signs– Medication information– Physician information– Nurse information– Procedures and tests



Overall Performance measureNumerator: # of patients transferred to another healthcare facility whose medical record documentation indicated that all of the patient elements were communicated in an appropriate timeframe.

Denominator: # All transfers from ED to another health care facility


Resources


Data Submission via Novi SurveyReporting

CAH

GHASORH

ORHP

Medications Order Dates Data Submission Deadline

First Quarter, 2015: January 1 – March 31 April 15 2015

Second Quarter, 2015: April 1 – June 30 July 15 2015

Third Quarter, 2015 July 1 – September 30 October 15 2015

Fourth Quarter, 2015: October 1 – December 31 January 15 2016


EDTC Hospital Data Collection


Launch Tool

• Demonstration


Submitting Data to GHA


Reporting Options

• Preferred method: Generate the numerator and denominator from this report and enter into NOVI

• Alternate method: continue to use paper abstraction tool and manually generate numerator and denominator and enter into NOVI


Resources for Improvement


Questions


GHA Contact Information

Kathy McGowan, Vice President of Quality & [email protected] 770-249-4519Joyce Reid, Vice President of Community Health [email protected] 770-249-4545Lisa Carhuff, Quality Improvement/Patient Safety [email protected] 770-249-4553

mailto:[email protected]



copyright ©2011 georgia hospital association medicare beneficiary quality improvement project...

Documents

patient care

transferring hospital

receiving hospital

georgia hospital associationas

mbqip program

mbqip measure

quality improvement

seamless care