The Michigan Value Collaborative

Helping Michigan hospitals achieve their best possible patient outcomes at the lowest reasonable cost

Tag: MI hospitals (page 1 of 3)

McLaren- Lansing: Using Change as an Opportunity for Optimizing Palliative Care

Kim Hecksel

McLaren- Lansing Palliative Care nurses from left to right: Kim, RN, Paula, CNP and Carol, RN

Although the palliative care program at McLaren- Lansing has been around for about a decade, health care organizations are constantly changing and evolving to meet patient and family needs. The MVC Coordinating Center had the opportunity to speak to the team of case managers and nurses from McLaren- Lansing to hear about the different successes and barriers to palliative care at this facility. One distinct characteristic of this palliative care program is that patients and families are seen by and interact with consistent faces, rather than different clinicians, each time they visit. McLaren uses this consistency as leverage through transitions of care, especially at a time when clinician duties and health organizations are constantly changing.

The palliative care program at McLaren- Lansing also keeps up with the constant changes in health care by utilizing different online resources. One resource available to hospitals interested in palliative care programs is the Center to Advance Palliative Care (CAPC). CAPC offers a platform to help provide different health care organizations across the nation the tools and resources needed to advance palliative care programs in their respective institutions. For example, some CAPC resources help palliative care teams set up and develop a business plan for their respective palliative care programs. CAPC resources are helping guide the McLaren- Lansing team in creating a business model that illustrates the financial impact of a palliative care program on the health system. For more information on CAPC and the resources they can provide, visit www.capc.org.

The palliative care team also looks at the big picture of the care provided to patients and consequently putting together different pieces of information to ultimately develop a course of treatment that best meets the needs of the patients and the family involved. One of the barriers McLaren- Lansing has with their palliative care program is working with patients, family members and other health care providers on understanding the value of palliative care and what it really offers. When met with this resistance, the palliative care team works in different ways on learning about and discussing the care plan and goal setting to find the right format for communication and understanding a diverse patient population. For example, the palliative care team engages with physicians one-on-one and attends presentations on the benefits of palliative care to better understand and work with patients and their families about their diagnosis and individualized care plan. Taking advantage of different resources available, such as CAPC, and instilling a strong support system among the palliative care team and liaising teams are factors that aid in instituting a successful palliative care program.

If you are interested in learning more about the palliative care program at McLaren- Lansing, please feel free to reach out to Deby (debevans@med.umich.edu) or Abeer (abeery@med.umich.edu) for more information and contact.

How Michigan can be the best in CHF readmissions

Deby Evans

Deb Evans is the MVC Site Engagement Manager

Last November, the Michigan Value Collaborative (MVC) launched its goal to work together to be number one in the country for CHF readmissions. MVC hospitals have shared best practices and challenges with one another through workgroups, toolkits and blogs to collaboratively meet this goal.  In addition to learning from one another, there is information to be gained in how hospitals outside of Michigan are addressing readmissions.

A report from the Commonwealth Fund titled “Reducing Hospital Readmissions: Lessons from Top-Performing Hospitals” identified quality improvement strategies implemented with measurable impacts on reducing readmissions. One of the hospitals studied is in Utah, which currently has the lowest CHF readmission rate in the nation according to CMS Hospital Compare.  According to the study, successful quality improvement strategies included incorporating evidence-based practice into daily protocols, standardizing procedures along with information gathering, providing feedback and supporting clinical decisions through electronic information systems.

Specific initiatives underway include:

Providing clinically excellent patient care with a focus on patient safety. Doing this leads to a fall in readmission rates, improvement in quality measures and savings are realized as a byproduct.

Using information technologies as tools that improve quality, integrate care and ease patient transitions.

Early involvement of case management and discharge planning.

Targeting high risk patients and ensuring frequent communication across the whole care team.

Teaching patients and families how to manage their conditions.

Maintaining a life-line with high risk patients after discharge.

Aligning the efforts of hospital and community providers to ease transitions across care settings.

The authors noted that hospital environments played a role in each facility’s ability to reduce admissions. Specifically, the success of the initiatives were influenced by policy environment, local health care markets, association with an integrated health system and the priorities set by hospital leaders.

Many of the programs implemented by the top performing hospitals are similar to initiatives discussed by the MVC CHF readmission workgroup. For more information on the workgroup or toolkit, please contact Deby (debevans@med.umich.edu ) or Abeer (abeery@med.umich.edu ).

Read the full article here http://www.emergingrnleader.com/wp-content/uploads/2012/08/1473_SilowCarroll_readmissions_synthesis_web_version2.pdf

 

 

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