“working to improve the patient experience”

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“Working to Improve the Patient Experience” Agenda: · Welcome, Introductions and Expectations · Midpoint Evaluation Results for Quality Network · HCAHPS Metrics Report · Best Practices—The HCAHPS Handbook (Included in your package) · Discussion: Quality Improvement Projects Arizona Critical Access Hospital Quality Network Arizona Rural Hospital Flexibility Program

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“Working to Improve the Patient Experience”

Agenda:

· Welcome, Introductions and Expectations

· Midpoint Evaluation Results for Quality Network

· HCAHPS Metrics Report

· Best Practices—The HCAHPS Handbook (Included in your package)

· Discussion: Quality Improvement Projects

Arizona Critical Access Hospital Quality Network

Arizona Rural Hospital Flexibility Program

Midpoint Evaluation Results

Purpose: Collect information about participant satisfaction with the Quality Network. Response: 9 / 14 hospitals (64%). Summary Observations: • High turnover of professional staff • Hospitals plan and organize different QI programs • Location of meetings is major barrier • Carondelet Holy Cross ED project webinar highly rated

HCAHPS Reported by Hospitals

Established Reporting New to HCAHPS Reporting Unknown

Carondelet Holy Cross Benson Hospital Hopi Health Care Center

Cobre Valley Reg. Medical Ctr. Hu Hu Kam Memorial Hospital Little Colorado Medical Center

Copper Queen Comm. Hospital Northern Cochise Com. Hospital Parker Indian Health Center

Page Hospital White Mountain Reg. Med. Ctr. Sage Memorial Hospital

Wickenburg Comm. Hospital Southeast Arizona Medical Ctr.

HCAHPS Vendors

• HealthStream (3)

• Professional Research Consultants (PRC) (3)

• Press Ganey (1)

• Communications for Research (CFR) (1)

• Picker (1)

kk HCAHPS Metrics

Abstracted from Hospital Compare (December 2012, Bullock)

* Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess

hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Copper Queen Community Hospital *

Page Hospital

Cobre Valley Regional Medical Center **

Arizona Average

Carondelet Holy Cross

% Patients who reported that their nurses "Always" communicated well.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Carondelet Holy Cross

Copper Queen Community Hospital *

Cobre Valley Regional Medical Center **

Page Hospital

Arizona Average

% Patients who reported that their doctors "Always" communicated well.

HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Page Hospital

Copper Queen Community Hospital *

Carondelet Holy Cross

Cobre Valley Regional MedicalCenter **

Arizona Average

% Patients who reported that they "Always" received help as soon as they wanted.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Cobre Valley Regional Medical Center **

Arizona Average

Carondelet Holy Cross

Page Hospital

Copper Queen Community Hospital *

% Patients who reported that their pain was "Always" well controlled.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Cobre Valley Regional Medical Center **

Copper Queen Community Hospital *

Carondelet Holy Cross

Page Hospital

Arizona Average

% Patients who reported that staff "Always" explained about medicines before giving it to them.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Page Hospital

Copper Queen Community Hospital *

Carondelet Holy Cross

Arizona Average

Cobre Valley Regional Medical Center **

% Patients who reported that their room and bathroom were "Always" clean.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Page Hospital

Carondelet Holy Cross

Arizona Average

Cobre Valley Regional Medical Center **

Copper Queen Community Hospital *

% Patients who reported that the area around their room was "Always" quiet at night.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Page Hospital

Cobre Valley Regional Medical Center **

Arizona Average

Carondelet Holy Cross

Copper Queen Community Hospital *

% Patients at each hospital who reported that YES, they were given information about what to

do during their recovery at home.

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Arizona Average

Cobre Valley Regional Medical Center **

Page Hospital

Copper Queen Community Hospital *

Carondelet Holy Cross

% Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest).

kk HCAHPS Metrics Cont...

Abstracted from Hospital Compare (December 2012, Bullock) * Fewer than 100 patients completed the HCAHPS survey. Use scores with caution, as number of surveys may be too low to reliably assess hospital performance. ** There were discrepancies in the data collection process.

0 20 40 60 80 100

Arizona Average

Copper Queen Community Hospital *

Page Hospital

Cobre Valley Regional Medical Center **

Carondelet Holy Cross

% Patients who reported YES, they would definitely recommend the hospital.

Poll on member preferences

• Achievement: Increased participation in HCAHPS

• Goal: Implement a pt. satisfaction QI project – New or existing QI project

– Collaborate, share information

• Outcome: Improve patient experience – Track progress using patient satisfaction metrics

– Document achievements / challenges

– Peer support available

– Technical assistance available (AZ-Flex $$$)

AZ-CAH Quality Improvement Projects

• January 15, 2013: (12 noon, Live Stream details coming) “Quality and Safety Measures for Health.”

Andreas Theodorou, M.D, Director,

University of Arizona Medical Center, Quality and Safety

• Feb, 2013: AZ-CAH Quality Network Workshop

• March – August, 2013: webinars (3) Workshops (1)

• Team STEPPS training opportunity

• Hospital Engagement Networks

Upcoming Events

Thank You! Enjoy a wonderful & safe holiday season.

Arizona Rural Hospital Flexibility Program This webinar is made possible through funding provided by the Health Resources and Service

Administration, Office of Rural Health Policy, Medicare Rural Hospital Flexibility Program