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  • WIHI: The Ground Game of the Partnership for Patients
    Director Patient Safety Organization PSO Ascension Health Deborah Morris Nadzam PhD RN BB FAAN Project Director JCR Partnership for Patients Hospital Engagement Network Katherine Luther RN MPM Vice President Institute for Healthcare Improvement Libby Hoy Founder and Chief Executive Officer Patient Family Centered Care Partners Long Beach CA When it comes to patient safety and reducing harm one of the biggest challenges US hospitals face day to day is how to maintain a relentless focus on everything that needs to be improved and worked on simultaneously Building reliable systems engaging leaders insisting on a team based culture and ensuring that staff has the necessary improvement skills have become essential underpinnings at every organization So has joining up with something larger to keep the pressure on commit to stretch goals and benefit from coaching and continuous learning The Partnership for Patients launched by the US Centers for Medicare Medicaid Services CMS in April 2011 is attempting to be that something larger for some 3 700 hospitals that have signed on to reduce nine hospital acquired conditions by 40 and hospital readmissions by 20 by December 2013 What does this sprint look like from the vantage point of the 26 Hospital Engagement Networks HENS that form the backbone of the initiative On this WIHI we check in with two HENS Ascension Health and Joint Commission Resources Inc Ann Hendrich and Deborah Nadzam are our invaluable informants along with Libby Hoy who s playing a crucial role embedding patient engagement into every hospital s safety work IHI s Kathy Luther also shares her perspective on what we re learning about reducing harm from this ambitious initiative At one level the Partnership for Patients is about doing all the right things to protect patients from a list of hospital acquired conditions and avoidable readmissions But as you ll find out on this WIHI if the improvements are going to be lasting hearts and minds have to change too Listen to the Audio Broadcast Silverlight web part for playing Audio and Video files Documents Documents WIHI Resources WIHI Slides WIHI Chat Average Content Rating 0 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last WIHI New Tools and Thinking for Shared Decision Making January 28 2016 If you work in primary care today odds are good that you re seeing patients with multiple chronic conditions Even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health the best laid plans often fall apart WIHI Harnessing

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/WIHITheGroundGameofthePartnershipforPatients.aspx (2016-02-01)
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  • All
    greater coordination of care improvement in care transitions and mitigation of risks that leave patients vulnerable to readmission WIHI The Ground Game of the Partnership for Patients June 27 2013 Two Partnership for Patients Hospital Engagement Networks Ascension Health and Joint Commission Resources Inc discuss their work to embed patient engagement into every hospital s safety work and to reduce hospital acquired conditions and readmissions Enhancing the Effectiveness Effectiveness of Follow Up Phone Calls to Improve Transitions in Care Three Decision Points This study used a nonsystematic review of the literature focused on the use of telephone follow up to improve postdischarge processes and reduce avoidable readmissions and examined use of such calls among organizations participating in the STate Action on Avoidable Rehospitalizations STAAR initiative Storyboards from IHI s 24th Annual National Forum on Quality Improvement in Health Care Storyboards of quality improvement work on display at the 24th Annual National Forum on Quality Improvement in Health Care in December 2012 are freely available for all registered IHI org users to view Storyboards from IHI 14th Annual International Summit on Improving Patient Care in the Office Practice and the Community Storyboards of improvement work on display at IHI s 14th Annual International Summit on Improving Patient Care in the Office Practice and the Community are freely available for all registered IHI org users to view STAAR Issue Brief The Effect of Medicare Readmissions Penalties on Hospitals Efforts to Reduce Readmissions To understand the impact of the Medicare financial penalties for hospitals that have higher than expected rates of 30 day readmissions for select conditions this Issue Brief synthesizes perspectives from leaders of state hospital associations quality improvement organizations and hospitals representing a range of performance and experiences in readmissions and their reduction Targeting Patient Transitions to Reduce Readmissions The transition that takes a patient from the hospital to their home or another care setting marks a pivotal care moment Zeroing in on what happens during this critical juncture with the support of IHI s STAAR initiative has helped the Ohio Hospital Association make significant progress in its aim to reduce hospital readmissions by 20 percent within two years Recasting Readmissions by Placing the Hospital Role in Community Context The authors suggest that it is advantageous to view readmissions within a broader systems and community context that effectively engages all stakeholders to cooperatively improve outcomes Reducing Avoidable Rehospitalizations Getting Started with Creating an Ideal Transition from Hospital to Home This video will review the steps to getting started on creating an ideal transition home for patients and families being discharged from the hospital as part of overall efforts to reduce avoidable rehospitalizations IHI s Approach to Reducing Avoidable Rehospitalizations This video will make the case for reducing avoidable rehospitalizations by creating a more patient centered ideal transition home WIHI Reality Knocks with Reducing Hospital Readmissions November 15 2012 This WIHI convenes important leaders and thinkers to talk about promising ideas and strategies for reducing avoidable hospital readmissions and improving care coordination

    Original URL path: http://www.ihi.org/resources/pages/ViewAll.aspx?FilterField2=IHI_x0020_Topic&FilterValue2=4d236ba3-cab6-4dd5-a1fc-0f593e0675b9&Filter2ChainingOperator=And&TargetWebPath=/resources&orb=Created (2016-02-01)
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  • Optimizing Patient Flow: Moving Patients Smoothly Through Acute Care Settings
    include reducing waits for inpatient admission through emergency departments achieving timely and efficient transfer of patients from the intensive care unit and the post anesthesia care unit PACU to medical surgical units and improving flow from the inpatient setting to long term care facilities While few hospital areas are designed to achieve optimal flow of patients the emergency department intensive care unit and operating rooms and their related pre and post care areas tend to be major bottlenecks because they are non interchangeable resources Reducing delays and unclogging bottlenecks depends on assessing and improving flow between and among these departments and throughout the entire system rather than in isolated departments IHI believes that the key to improving flow lies in reducing process variation that impacts flow While some variability is normal other variation is not and should be eliminated Hospitals working with IHI have tested a range of changes to reduce process variation and improve flow These changes are described in this white paper Documents Documents IHI Optimizing Patient Flow White Paper Average Content Rating 4 users Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments by Peter Kortvel 11 5 2015 10 08 55 AM Thanks for the paper very helpful This presentation with 7 ways to improve patient flow might help to http www slideshare net Locatible 7 ways to improve patient flow with rtls loading Did you find this user comment useful people found this user comment useful Report This by Rajat Dhameja 2 3 2015 12 07 24 AM Among the many white papers this highlights the importance of optimizing patient flow which ties into revenue cycle leveraging from six sigma and lean principles Thanks for the articles loading Did you find this user comment useful people found this user comment useful Report This by Hariharan Rajanbabu 12 11 2014 2 46 30 PM Great article Superb hints loading Did you find this user comment useful people found this user comment useful Report This by Seema Punjani 10 21 2014 11 25 33 PM very helpful loading Did you find this user comment useful people found this user comment useful Report This by Jolene Kobe 7 25 2014 4 55 29 PM I am adapting this to an L D MB setting I think there are things we can use in regards to scheduled inductions and discharges on the MB unit loading Did you find this user comment useful people found this user comment useful Report This by Eden Magana 7 5 2012 7 44 43 AM I think determination of appropriateness of patient care and services will help in the improvement of the patient flow too loading Did you find this user comment useful people found this user comment useful Report This Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful

    Original URL path: http://www.ihi.org/resources/Pages/IHIWhitePapers/OptimizingPatientFlowMovingPatientsSmoothlyThroughAcuteCareSettings.aspx (2016-02-01)
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  • Improving the Reliability of Health Care
    the Reliability of Health Care IHI Innovation Series white paper Boston Institute for Healthcare Improvement 2004 Available on www IHI org IHI s Innovation Series white papers were developed to further our mission of improving the quality and value of health care The findings and tools in these reports provide you with an opportunity to understand and evaluate the issues and begin testing changes that can help your organization make breakthrough improvements Reliability principles methods of evaluating calculating and improving the overall reliability of a complex system have been used effectively in industries such as manufacturing to improve both safety and the rate at which a system consistently produces appropriate outcomes The Institute for Healthcare Improvement IHI believes that applying reliability principles to health care has the potential to help reduce defects in care or care processes increase the consistency with which appropriate care is delivered and improve patient outcomes IHI is working with a group of hospitals to apply reliability principles to care processes These hospitals are using a three step model for applying principles of reliability to health care systems Prevent failure a breakdown in operations or functions Identify and Mitigate failure Redesign the process based on the critical failures identified This IHI white paper offers specific strategies for each step in the model as well as a template based on this model for increasing reliability of care for heart failure HF patients Documents Documents IHI Improving the Reliability of Health Care White Paper Average Content Rating 1 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments by Roberta Mori 7 14 2012 4 43 10 PM Great article I fully agree with the process around reliability building in systems and over lap to ensure process and protocols are followed Standard evidence orders for care with options for documented opt out loading Did you find this user comment useful people found this user comment useful Report This Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last Profiles in Improvement Jennifer Lenoci Edwards RN MPH IHI Director Patient Safety In this profile Jennifer Lenoci Edwards IHI Director of Patient Safety talks about the experiences that shaped her passion and dedication to improving safety and the current focus of IHI s work in patient safety which includes safety across the continuum of care engaging patients in safety efforts and supporting health care teams in improving system reliability and enhancing their joy in work Conversation Ready A Framework for Improving End of Life Care This white paper presents a framework built on five core principles to help organizations begin the process of becoming

    Original URL path: http://www.ihi.org/resources/Pages/IHIWhitePapers/ImprovingtheReliabilityofHealthCare.aspx (2016-02-01)
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  • Approaches to Training Faculty at Academic Medical Centers to Ensure That Clinical Trainees Become Effective Improvers: IHI 90-Day R&D Final Summary Report
    Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide Approaches to Training Faculty at Academic Medical Centers to Ensure That Clinical Trainees Become Effective Improvers IHI 90 Day R D Final Summary Report Page Content IHI 90 Day R D Project Final Summary Report Approaches to Training Faculty at Academic Medical Centers to Ensure That Clinical Trainees Become Effective Improvers Cambridge MA Institute for Healthcare Improvement October 2011 The purpose of this IHI 90 day R D project is to assist academic medical centers AMCs and graduate medical education GME programs to become aligned and capable in quality and safety programming The project focused on a comprehensive multifaceted scan that included an extensive literature review expert interviews a site visit and a review of GME quality and safety curricula all of which informed the development of a driver diagram and logic model Documents Documents View report Average Content Rating 1 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last WIHI What Students in the Health Professions Can Do for You and Improvement September 17 2015 When you imagine the legions of quality improvers around the globe working hard to transform health and health care does your picture include students WIHI From Here to CLER Graduate Medical Education and the Clinical Learning Environment Review CLER September 24

    Original URL path: http://www.ihi.org/resources/Pages/Publications/TrainingFacultyatAMCsIHI90DayRDProject.aspx (2016-02-01)
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  • WIHI: Gaining Ground: Quality Improvement and US Medical Residency
    Professor Department of Medicine Weill Cornell Medical College Clinical Lead for Research and Development IHI James Moses MD MPH Pediatric Director of Quality and Safety Boston Medical Center Academic Advisor IHI Open School for Health Professions Residency training in the US has long had the reputation of a rite of passage a period when grueling hours on busy hospital floors are spent converting four years of medical school and some clinical exposure into real time accountability for real patients who have sometimes serious and life threatening medical conditions However a changing health care system now demands that residents develop the skills not just to diagnose and treat patients who are ill but to protect them from harm and to reduce their chances of being readmitted Residents need to know about managing chronic conditions and how to help patients lead healthier lives These new goals present newly minted MDs and those who train them with new challenges among them the need to work in teams and communicate with everyone including patients and families more effectively the need to sleep after long hours on the job and to honor the requirement to take the time and time off to do so the need to engage in effective handoffs to other providers and to help coordinate care across multiple health care settings It s a tall order for the nation s complex system of training doctors and aligning what happens in residency programs with the ambitions of quality improvement is at an early stage Why is this the case What can be done to accelerate reforms Where are promising new models starting to emerge This WIHI takes up these questions and more with three outstanding guests who are directly helping to hasten the transformation of residency training in the US Drs Don Goldmann Kedar Mate and James Moses are working with multiple organizations including the Accreditation Council for Graduate Medical Education ACGME to better identify what s needed including building greater capacity among faculty in residency programs to teach and model improvement skills Dr Goldmann has a strong understanding of the structural barriers that must be addressed to make this possible Dr Mate has a unique and important view on the intersection between residency training and the growing field of hospital medicine as well as innovations emerging from primary care practices on their way to becoming patient centered medical homes Dr Moses has been instrumental in shaping the offerings of the IHI Open School for Health Professions to ensure they re relevant and accessible to today s residents Read the IHI 90 Day R D Project report related to this topic Listen to the Audio Broadcast Silverlight web part for playing Audio and Video files Documents Documents WIHI Resources WIHI Slides WIHI Chat Average Content Rating 0 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments Show More Comments Loading You are about to report a violation of our Terms of

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/WIHIGainingGroundQIandUSMedicalResidency.aspx (2016-02-01)
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  • Healthy Employees, Lower Premiums and Costs
    and health plans have a new shared aim of collaboratively working together to improve the health of employees and reduce health care costs By redefining the expectations of each sector in the system without overrelying on any one relationship we can alter the dynamic of competing interests to identify and capture cost reduction opportunities and build capacity among employers employees health plans and providers Documents Documents View article Average Content Rating 2 users Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments by kristin sasseen 4 18 2013 3 10 38 PM I think you might want to recognize other ways to have healthy employees like referring them to free preventive health programs like WIC and promoting breastfeeding Not breastfeeding is a risk for both mother and baby Higher exclusive BF rates will reduce health costs and improve health for mothers and their children our future workforce loading Did you find this user comment useful people found this user comment useful Report This Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last Healthy Shelby A Triple Aim Improvement Story This Triple Aim improvement story examines the work of the Healthy Shelby Initiative in Tennessee a community pursuing a regional focus to improve population health by linking public health hospitals health care providers social service providers academic institutions the faith community local government and funders to work together to tackle some of the county

    Original URL path: http://www.ihi.org/resources/Pages/Publications/HealthyEmployeesLowerPremiumsCosts.aspx (2016-02-01)
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  • An Early Look at a Four-State Initiative to Reduce Avoidable Hospital Readmissions
    to Reduce Avoidable Hospital Readmissions Page Content Boutwell AE Bihrle Johnson M Rutherford P et al An early look at a four state initiative to reduce avoidable hospital readmissions Health Affairs 2011 Jul 30 7 1272 1280 Improving transitions in care and reducing avoidable rehospitalizations require engaging providers across organizational and service line boundaries The STate Action on Avoidable Rehospitalizations initiative STAAR aims to reduce rates of avoidable rehospitalization in Massachusetts Michigan Ohio and Washington by mobilizing state level leadership to improve care transitions Two years into its four year cycle the initiative has so far been successful in aligning numerous complementary initiatives within a state developing statewide rehospitalization data reports and mobilizing a sizable number of hospitals to work on reducing rehospitalizations View article abstract Featured Content first last How to Guide Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations This How to Guide is designed to support hospital based teams and their community partners in codesigning and reliably implementing improved care processes to ensure that patients who have been discharged from the hospital have an ideal transition to the next setting of care with the related goal of reducing avoidable readmissions WIHI Breaking the Cycle of Readmissions May 7 2009 For a significant number of patients readmission to the hospital happens all too frequently for costly reasons that could be better anticipated and avoided There are ways to reduce readmissions even in a notoriously fragmented health care system WIHI Reducing Readmissions Restoring Revenues Making Good Care Count October 7 2010 This WIHI discusses why it s critically important to make the financial impact of reducing readmissions a living breathing part of your quality agenda Also discussed is the STAAR initiative which is working with a courageous group of hospitals that are learning how to

    Original URL path: http://www.ihi.org/resources/Pages/Publications/AnEarlyLookFourStateInitiativetoReduceAvoidableReadmissions.aspx (2016-02-01)
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