readmissions - ashnha · 2020. 5. 19. · ryan hosken, rn director of quality and performance...

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READMISSIONS February 14, 2017

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Page 1: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

READMISSIONSFebruary 14, 2017

Page 2: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

Carolyn Bonner, RNDirector of Highline Health Connections, Highline Home Health, and Highline and St. Francis Sleep Centers in the CHI Franciscan Health System

Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHAPhone: 206-577-1821, Email: [email protected]

Readmissions

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 3: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 4: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

• Advancing equity by identifying and mitigating disparities in care. Disparities within readmissions will be identified based on race, ethnicity, age, and language (or REAL) data.

• Highlighting system-level innovations, including continued education and the dissemination of tools designed to decrease fragmentation and improve care coordination around transitions of care. As well as maintaining support for utilization of the Warm Handover Tool as a means to standardize transitions of care and discharge planning.

• Highlighting individual interventions for high utilizers of care, including the coordination of social support services, medication reconciliation, provider communication, case management, and clinical care planning.

• Aligning with Honoring Choices Pacific Northwest and other organizations that seek to honor patients’ wishes in end-of-life through culture change that includes normalizing advance care planning conversations, documentation, and review of values and goals of care, as well as supporting initiatives to increase identification of health care proxies for individuals who may be unable to communicate in the future.

• Supporting education around sepsis diagnosis, treatment, and innovative care within readmissions.

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 5: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 6: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 7: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 8: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 9: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

WSHA Readmissions Toolkit

Measures/Results: The Washington State Hospital Association and its hospitals have seen a flat trend in readmissions per 1,000 eligible Medicare beneficiaries. This is significant as Washington already has a very low readmission rate, admission rate and average length of stay. This represents 499 fewer patients being readmitted, saving $7.7 million.

From 2011 through 2015 our region has achieved a 27.9% reduction in readmissions per 1,000 eligible Medicare beneficiaries –resulting in 23,459 fewer patients being readmitted, saving $223.8 million.

Transforming the culture of patient care by erasing the borders between conventional hospital care to patient-centered care in the community has enhanced this work.

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 10: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

Areas of Focus in Reducing Readmissions

Patient and Family

Engagement

Individual Innovation

System Innovation

End of Life Care

Social Determinants of

Health

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 11: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

Areas of Focus in Reducing Readmissions

"The analyses upon which this publication is based were performed under Contract Number HHSM-500-2016-00077C entitled, "HospitalImprovement Innovation Network," sponsored by the Centers for Medicare & Medicaid Services, Department of Health and Human Services."

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017

Page 12: READMISSIONS - ASHNHA · 2020. 5. 19. · Ryan Hosken, RN Director of Quality and Performance Improvement, Patient Safety, WSHA Phone: 206-577-1821, Email: ryanh@wsha.org Readmissions

Reducing Preventable Readmissions Through Innovative Home Health Outreach

Presented at WSHA-ASHNHA Partnership for Patients Safe Table – February 14, 2017