academy health research meeting research on healthcare acquired conditions
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Academy Health Research Meeting Research on Healthcare Acquired Conditions. Don Wright, MD, MPH Deputy Assistant Secretary for Healthcare Quality Office of Healthcare Quality Office of the Assistant Secretary for Health U.S. Department of Health and Human Services. - PowerPoint PPT PresentationTRANSCRIPT
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Partnership for Patients Initiative National Healthcare Quality Strategy HHS HAI Initiative
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Objectives:o Keep patients from getting injured or
sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.
o Help patients heal without complication. By the end of 2013, preventable By the end of 2013, preventable complications during a transition from one care setting to complications during a transition from one care setting to another would be decreased so that all hospital readmissions another would be decreased so that all hospital readmissions would be would be reduced by 20%reduced by 20% compared to 2010. Achieving this compared to 2010. Achieving this goal would mean more than goal would mean more than 1.6 million patients would 1.6 million patients would recoverrecover from illness without suffering a preventable from illness without suffering a preventable complication requiring re-hospitalization within 30 days of complication requiring re-hospitalization within 30 days of discharge. discharge.
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Areas of focus: Healthcare-Associated Conditions1. Adverse Drug Events (ADE) 2. Catheter-Associated Urinary Tract Infections (CAUTI) 3. Central Line Associated Blood Stream Infections
(CLABSI) 4. Injuries from Falls and Immobility 5. Obstetrical Adverse Events 6. Pressure Ulcers 7. Surgical Site Infections (SSI)8. Venous Thromboembolism (VTE) 9. Ventilator-Associated Pneumonia (VAP) 10. All Other Hospital-Acquired Conditions
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
If you want to learn more about the Partnership for Patients, go to http://www.healthcare.gov/center/programs/partnership/index.html .
If you want to sign the pledge, go to http://partnershippledge.healthcare.gov/
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
National Aimso Better Care: Improve the overall quality, by
making health care more patient-centered, reliable, accessible, and safe.
o Healthy People/Healthy Communities: Improve the health of the U.S. population by supporting proven interventions to address behavioral, social and, environmental determinants of health in addition to delivering higher-quality care.
o Affordable Care: Reduce the cost of quality health care for individuals, families, employers, and government.
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Prioritieso Safer Careo Effective Care Coordinationo Person- and Family-Centered Careo Prevention and Treatment of Leading
Causes of Mortalityo Supporting Better Health in Communitieso Making Care More Affordable
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Broad roadmap to improving healthcare quality.
Guides development of HHS Programs. Implementation is underway.
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Priority Exampleso Safer care:
Michigan Keystone Projecto Ensuring Person – and Family Centered Care:
Building Patients’ Perspectives Into All Performance Assessments
o Promoting Effective Communication/Coordination of Care: Improving Care Coordination Through HIT
o Supporting Better Health in Communities: Putting Prevention to Work in Communities
o More information on the National Healthcare Quality Strategy can be found: http://www.healthcare.gov/center/reports/quality03212011a.ht
mlU.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Incentives and OversightLead: Centers for Medicare and
Medicaid Services (CMS)
Phase I (2008-Present)
Phase II (2009-Present)
Phase III Working Group (2011)
Federal Steering Committeefor the Prevention of
Healthcare-Associated Infections
Long-Term CareLead: CMS
Prevention & ImplementationLead: Centers for Disease Control
and Prevention (CDC)
ResearchLead: Agency for Healthcare
Research and Quality
Information Systems & TechnologyCo-Leads: Office of the National Coordinator for Health IT & CDC
EvaluationLead: Office of
Healthcare Quality
Outreach & MessagingLead: Office of
Healthcare Quality
Ambulatory Surgical CentersCo-Leads: Indian Health Service
& CDC
End-Stage Renal Disease Facilities
Lead: CMS
Influenza Vaccination of Healthcare Personnel
Co-Leads: CDC & National Vaccine Program Office
Working Group Structure of the HAI Steering Committee
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Released in June 2009 Maintained as a “living document” Serves as a “roadmap” for federal and
state government
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Phase 1o Original focus on acute care hospitalso Targeted CAUTI, SSI, VAP, CLABSI, MRSA & C.
difficile Phase 2
o Ambulatory Surgical Centerso End-Stage Renal Disease Facilities
(Hemodialysis Centers)o Flu Vaccination of Healthcare Personnel
Phase 3 o Long-Term Care
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Metric SourceNational 5-year
Prevention Target
On Track to Meet 2013 Targets?
Bloodstream infections NHSN 50% reduction
Adherence to central-line insertion practices
NHSN 100% adherence Data not yet available*
Clostridium difficile (hospitalizations) HCUP 30% reduction
Clostridium difficile infections NHSN 30% reduction Data not yet available*
Urinary tract infections NHSN 25% reduction Data not yet available*
MRSA invasive infections (population) EIP 50% reduction
MRSA bacteremia (hospital) NHSN 25% reduction Data not yet available*
Surgical site infections NHSN 25% reduction
Surgical Care Improvement Project Measures
SCIP 95% adherence
*2009 or 2009 – 2010 is the baseline period.
Affordable Care Act Release of 2011 Action Plan Development of Phase 3 – Long-Term
Care Partnering to Heal: Teaming Up Against
Healthcare Associated Infections Consumer Media Campaign Hospital Value-Based Purchasing –
payment tied to performance $500 million from the CMS to test and
implement innovations to reduce preventable harm in hospitals
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality
Office of Healthcare QualityOffice of the Assistant Secretary for Health
200 Independence Ave, SWWashington, DC 20201
Telephone (202) [email protected]
Subscribe to the HAI listservhttps://service.govdelivery.com/service/subscribe.html?
code=USHHS_234
U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality