The Michigan Value Collaborative

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

Tag: workgroups (page 1 of 3)

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

 

 

How to reduce unnecessary SNF utilization from MVC and MARCQI’s Joint Replacement Workgroup

Deby Evans

Deb Evans is the MVC Site Engagement Manager

Hospital members from the Michigan Value Collaborative (MVC) and the Michigan Arthroplasty Registry Collaborative Quality Improvement (MARCQI) met in a series of two workgroups discussing how to combat unnecessary skilled nursing facility (SNF) admissions following both hip and knee replacement surgery. The primary goals of these workgroups were to identify root causes and initiatives preventing a SNF admission in which the stay provided no value to the patients. At the April MVC semiannual meeting, attendees heard briefly about how participating hospitals designed their initiatives and measured their results.  A comprehensive toolkit will be available later this week to all MVC members summarizing the robust discussions and innovative ways to reduce unnecessary SNF use.

 

 

You must be a MVC participant to download the toolkit, which will be posted on the data registry (https://mvc.arbormetrix.com/Registry/login ) under the Resources section by Friday, May 19th .  You may also email debevans@med.umich.edu and request a copy.

Older posts