partnering with firefighters to prevent hospital readmissions · partnering with firefighters to...
TRANSCRIPT
8/9/2016
1
Partnering with Firefighters to Prevent Hospital Readmissions
Ben Anderson, RN, BSN
Manager of Care Integration
Park Nicollet Methodist Hospital
August 11, 2016
2
Session objectives
• Describe an innovative approach to preventing readmissions using firefighters to conduct post-discharge firefighter visits
• Discuss data and outcomes from the hospital/firefighter partnership
• Identify how the firefighter visit addresses the triple aim and enhances patient and community resilience
8/9/2016
2
Firefighter Visit ProgramPartnership of Park Nicollet and Fire Departments in Eden Prairie, Hopkins, Minneapolis, Minnetonka and
St. Louis Park
Unaware of red flags
Unaware of red flags
Confusion with Medication changes
Confusion with Medication changes
Inadequate ResourcesInadequate Resources
Misunderstanding specific orders or therapies from Specialty Doctors
Misunderstanding specific orders or therapies from Specialty Doctors
READMISSION
8/9/2016
3
Patients are most at risk for readmission within the first 24
hours post‐discharge
Nearly 1 in 5 Medicare patients
are readmitted within a month of discharge
Fire departments approached Park Nicollet, stating around 70% of their calls are now medical– with many
patients right out of the hospital.
•Do you REALLY need to call 911?
8/9/2016
4
OUR PLAN:More
expansive follow up
Connecting available resources
Prevent readmission
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
8/9/2016
5
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
8/9/2016
6
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
8/9/2016
7
8/9/2016
8
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
8/9/2016
9
Patient Admitted to Methodist
PN Care Team is notified of patients
eligibility in program
Firefighter Coordinator
visits patient to seek consent
Patient engages and consent is
received
Patient transitions to
home
Firefighter Visit the day after discharge
ensures safe transition
8/9/2016
10
Identification for potential resource
referral
Gone over with the patient
8/9/2016
11
Significance of Firefighter Visit
Who are the patients?
AgeYoungest:
3 months
Oldest: 102
Average: 68
Gender
40% males
60% females
Totals
HRR patients:
158
TOTAL VISITS: 766
8/9/2016
12
Firefighter Visit DataAverages
• Number of calls to schedule= 1.3
• Cycle time of visit= 23 Minutes
Times
• Range 0900‐2000
• Average timeframe for visit is 11:00 to 13:00
PEAT Score
• Range: 19‐38
• Average: 34
Fire Fighter Visit Outcome Data
Patients matched to needed resources
766 VisitsUsual patient is female, 68 years of age
“I would recommend a firefighter visit to my family and friends”99% agree/strongly
agree
Follow up appointment review was ranked as the most helpful aspect
of the visit
25126
2231
4511
2924
50
0 50 100 150
Referred to a food…
Medication Follow‐…
Contacted Adult…
Initiated 911
Not Home
8/9/2016
13
Fire Fighter Visit Impact on Readmissions
3.2% lower readmission rateWhen a patient has a FFV
Age groups benefitting the most from the visit50‐60 and 81‐90
With > 10% reduction
For males, the readmission rate was14.51% lower
Questions?
8/9/2016
14
Contact info
• Ben Anderson, RN, BSN, Manager of Care Integration, Park Nicollet Methodist Hospital
Thank You!
8/9/2016
15
29
Contact the Lake Superior Quality Innovation Network
Michigan: MPROKatie Brown
248-465-7385
Minnesota: Stratis HealthJanelle Shearer
952-853-8553
Wisconsin: MetaStarNatalie Friess
(608) 441-8281
This material was prepared in part by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MN-C3-16-162 080916