shifting your quality improvement into high gear: using rapid cycle improvement to impact quality...
TRANSCRIPT
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Shifting Your Quality Improvement into High Gear: Using Rapid Cycle Improvement to
Impact Quality OutcomesCindy Sun, MSN, RN, COS-C
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Objectives
After today’s session, the participant will be able to: Explain rapid-cycle improvement and describe how it
aligns with current HHA goals List steps towards implementing PDSA in own HHA Access the HHQI tools and resources for reference
and to support individual PDSA cycle
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Connection to Quality
QualityHH Star CoP
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Quality of Patient Care Star Ratings
Summary of Current Performance Measures
Process Measures Outcome MeasuresImprovement of:
Timely Initiation of Care Ambulation
Drug Education on all Meds Bed Transferring
Influenza Immunization Bathing
Pain Interfering with Activity
Shortness of Breath
Acute Care Hospitalization (ACH)
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Conditions of Participation (CoP)
Data-driven quality assessment and performance improvement (QAPI) program
Start Now and achieve sustainability by the time the CoP is released
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Data-Driven Quality Improvement
HHQI Data Reports
HH Compare
CASPER
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Model for Improvement
What?
What are we trying to improve?
When?
How will we know the improvement has occurred?
Changes?
What changes can we make that will REALLY result in improvement?
Pave Your Path Webinar Series: http://www.homehealthquality.org/Webinars/Pave-Your-Path-Webinars.aspx
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Rapid Cycle-Improvement: PDSA
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“The Domestic Lean Goddess”
Short video demonstrating the use of the PDSA Cycle related to getting the family out the door on time in the morning
Available on the HHQI website at: www.HomeHealthQuality.org/Webinars/Pave-Your-Path-Webinar-Series
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Sustainability and Spread
Organizational Culture Community Partners Resources
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Home Health Quality Improvement (HHQI) National Campaign
Goal: Improve the quality of care home health patients
receive
Special Project funded by Centers for Medicare &
Medicaid Services
Free evidence-based tools and resource
Many networking opportunities
with 12,000+ participants
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www.HomeHealthQuality.org
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HHQI Rapid Cycle Improvement Resources
Pave Your Path Webinar Series: Designing a Systematic Approach to Quality Improvement– Institute of Healthcare Improvement– 4-part series focusing on IHI’s Model for Improvement
• Includes PDSA (Rapid Cycle Improvement)
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Self-Management
PDSA ChecklistThe model for improvement, with Plan-Do-Study-Act (PDSA) cycles, provides a framework for testing changes to improve patient self-management.
Learn about the PDSA model:CHAMP presentation, handouts, and worksheet
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Medication Management
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Underserved Population Templates
Health Literacy Small HHA
hospitalization
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Interpretation of HHQI Data Reports
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HHQI Data Access
Individualized reports:– Acute Care Hospitalization– Oral Medication Management– Immunizations– Cardiovascular
OASIS-based (raw & risk-adjusted) Securely delivered online Updated monthly Historical trends
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Best Practice Intervention Packages (BPIPs)
Topics– Cardiovascular Health– Immunization– Underserved Population– Acute Care Hospitalization– Oral Medication
Management– Disease Management– Fall Prevention– Cross Settings
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Potential ACH Problems / Barriers Identified in Data?Not using a Hospital Risk Assessment?
Hospital Risk AssessmentPatient Self-Hospitalization Assessment
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Other Problems/Barriers with ACH Data?
Hospitalizations resulting from exacerbated chronic diseases?
Zone & Stop Light Tools
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Available Zone Tools
Fundamentals of Reducing Acute Care Hospitalizations BPIP – ZONE Tools– COPD– Depression– Diabetes– Heart Disease– Heart Failure– High Blood Pressure – Urinary Catheter
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Communication Challenges? Are your triage logs indicating patients are not
calling agency before going to hospitalCall Me First Posters
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Medication Reconciliation
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Medication Adherence
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Video BPIPs
Video BPIPs– Short patient and clinician
videos – Supplement education
using multimedia– Perfect for patient
education
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No Inglés?
Spanish translations– Many tools and patient resources
Patient Video BPIP subtitles
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HHQI University
Monthly educational opportunities
Free CE opportunity for RNs
Great way to share best practices for improving patient outcomes
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Questions?
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Thank You!
Contact Info:HHQI: [email protected]
Cindy Sun: [email protected]
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health
and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-060515C