Hospital Check-In September 2014

Linking hospitals to
quality and safety resources
We make lives better.
September 2014
Stratis Health is part of the Lake Superior Quality Innovation Network, serving Michigan, Minnesota, and Wisconsin, under the CMS QIO Program.
Stratis Health Beginning Its Work
This issue
as Part of the Lake Superior Quality Patient Safety 2
Innovation Network
In July, the Centers for Medicare &
Medicaid Services (CMS) awarded
a Quality Innovation Network Quality Improvement Organization
(QIN-QIO) contract to support
its work improving health care for
Medicare beneficiaries in Minnesota,
Michigan, and Wisconsin. The new
contract took effect August 1, 2014.
Stratis Health of Minnesota, MPRO
of Michigan, and MetaStar of
Wisconsin are now collaborating as
the Lake Superior Quality Innovation
Network. The three organizations are
responsible for QIN-QIO activities in
their respective states.
Recruiting is getting underway for the
five-year QIN-QIO contract work,
which will focus on health care quality
improvement initiatives that include:
• Improving cardiac health and
reducing cardiac health care
• Reducing disparities in diabetes care
• Improving prevention coordination
through health information
• Reducing health care associated
infections in hospitals
• Reducing health care acquired
conditions in nursing homes
Quality Reporting 3
• Improving the coordination of care
between health care settings
Events 4
• Improving quality through
performance-based incentives and
reporting programs
Events, Contacts 5
“This regional collaboration of Stratis
Health, MPRO, and MetaStar
brings together three like-minded
organizations with a proven track
record in quality improvement to serve
Minnesota, Michigan, and Wisconsin,”
said Jennifer Lundblad, president
and CEO of Stratis Health. “Our
partnership will draw on one another’s
strengths and sharing of best practices.”
As the Lake Superior Quality
Innovation Network, the three
organizations will continue to work
with a broad range of providers,
communities, and partners on
data-driven quality initiatives to
improve patient safety, reduce
harm, and improve clinical care and
transparency at the local, regional,
and state level.
Greg Simmons, MetaStar president
and CEO, noted “We’re excited to
be able to extend our decades of
experience as Quality Improvement
Organizations and to continue to focus
on improving health care for Medicare
beneficiaries in our region.”
For more information on participating
in hospital-related improvement work,
Adverse Drug Event Prevention
Kim McCoy, Program Manager
Coordination of Care
Janelle Shearer, Program Manager
Reducing Healthcare-Associated
Jill Kieser Andersen, Program
Quality Improvement through VBP
Vicki Olson, Program Manager
Stratis Healthhospital check-in
New AHRQ Publication
features insights on
implementation approaches
used for HAI research projects
The Agency for Healthcare Research
and Quality (AHRQ) report, Advances
in the Prevention and Control of
HAIs, presents methodological
insights from projects in AHRQ’s
Healthcare-Associated Infections
(HAI) Program. The individual
papers presented here were prepared
by AHRQ-funded HAI project
leaders. The 19 papers included in the
report are divided into two sections:
Development and Implementation of
HAI Prevention Practices (11 papers)
and HAI Risk Identification for
Quality Improvement (eight papers).
This publication features a selection
of topics that will advance the
professional knowledge about HAIs,
such as:
• Reducing cardiac and surgical
site infections (SSI), including
surveillance techniques
• Overcoming staff barriers in ICUs
to prevent infections
• Decreasing antibiotic overuse in
primary care
• Reducing HAIs in dialysis centers
• Improving antibiotic use in
nursing homes
• Developing the capacity to
implement antimicrobial
• Detecting and treating MRSA
in nursing homes and the
Download the report >>
MAPS Award Application
Deadline Extended
The Minnesota Alliance for Patient
Safety (MAPS) is extending
their 2014 Patient Safety Awards
application due date to Monday, Sept.
29th, and is encouraging more settings
of care to apply for this important
recognition. At its 2014 Conference
October 23-24, MAPS will recognize
both individual and system-wide
safety leaders and/or projects. The
objective of the awards is to support
and disseminate patient safety best
practices implementations.
Details of the application process can
be found here.
(Please note that the deadline dates found on
this application are not accurate.)
Announcing a Free Opportunity for
Hospitals to Improve Patient Safety and
Maximize Reimbursement from CMS
Stratis Health would like you to join our patient-centered, comprehensive, national
Catheter-Associated Urinary Tract Infection (CAUTI) reduction and prevention initiative.
This Centers for Medicare & Medicaid Services (CMS)
initiative will provide:
• Access to national initiatives, including free tools,
resources, and webinars
Participating providers will:
• Use a measurement strategy that utilizes a
standardized infection ratio (SIR) as a way to
measure improvement
• Training and education on topics such as teamwork, • Employ data-driven strategies in their CAUTI
hand washing, and CAUTI best practices
reduction work to reduce the number of urinary
catheter days in their hospitals
• Networking with colleagues in Minnesota,
Michigan, and Wisconsin
• Support in implementing best practices
• Coaching calls and technical assistance
For more information contact:
Jill Kieser Andersen, program manager
Mary Montury, program coordinator
Stratis Healthhospital check-in
quality reporting
Contact Guide
CMS Measures Data Abstraction and Submission
• IQR support
• OQR support
[email protected]*
[email protected]
*This email address will change
Statewide Quality Reporting Measurement System (SQRMS)
• CMS measures
• ED Transfer Communication
• CPOE Pharmacist Verification
See FMQAI above
Robyn Carlson
[email protected]
Improvement-Related Topics
Inpatient measures
Outpatient measures
MBQIP measures
VBP measures
Readmission Reduction measures
Hospital-Acquired Condition measures
FY2017 Value-Based
Purchasing Fact Sheet
Now Available
The Stratis Health Value-Based
Purchasing fact sheet has been updated
to include program information for
Fiscal Year (FY) 2017. This valuable tool
can help you learn more about how the
Value-Based Purchasing Program applies
Vicki Olson
[email protected]
to your hospital, with information for
FY2013, 2014, 2015, 2016, and 2017.
Stratis Health offers technical assistance
and support for Minnesota hospitals
to be successful in this value-driven
environment. If you need assistance or
have questions about VBP, contact Stratis
Health Program Manager, Vicki Olson,
More >>
Stratis Healthhospital check-in
World Sepsis Day
September 13, 2014
World Sepsis Day will be observed
on Sept. 13, and is a single day where
events worldwide focus on creating
sepsis know-how and awareness. Visit
the World Sepsis Day website for more
information on ways your organization
can join in the observance and sign the
World Sepsis Declaration form.
Rural Palliative Care
Networking Group: Measures
for Rural Palliative Care
September 18, 2014
Fergus Falls
The results of a study to identify and
field-test a set of quality measures
that reflect clinical quality, cost and
efficiency, and the patient and family
experience. Five rural palliative care
programs participated in the study.
Part of the Rural Palliative Care
Networking Group. Presented by
Karla Weng and Laura Grangaard,
Stratis Health.
Register for in-person attendance >>
Register for call-in attendance >>
Minnesota Stroke Registry
Program Regional Workshops
This workshop series, Breaking Stroke
Barriers in Rural Minnesota with Your
Partners, will focus on pre-hospital
and hospital care. The workshop is
targeted toward EMS professionals,
ED nurses, nurse managers and
directors, ICU nurses, nurse managers
and directors, stroke and trauma
coordinators, and nurse & EMS
educators in the Minnesota EMS
community and hospitals.
Plan now to attend at one of these sites:
• St. Cloud (9/23/2014)
• Marshall (10/1/2014)
• Duluth (10/21/2014)
• Fergus Falls (10/30/2014)
More >>
Register >>
CHAIN Web Event:
Slashing Surgical Site
Infection: Raising the Bar
to Lower the Rate
October 14, 2014
Surgical site infection (SSI) is the
most common and costly health
care-associated infection, occurring
in up to five percent of patients
undergoing inpatient surgery. Annual
costs are estimated at $3.5 billion
to $10 billion, and the emotional
and physical costs to patients are
staggering, including lengthened
hospital stays, readmission, and
death. Experts estimate that up to
60 percent of SSIs are preventable.
The Minnesota (MN) Slashing SSI
bundle elements were carefully selected
by a group of OR professionals and
surgeons convened by Minnesota’s
Collaborative Health Care Associated
Infection Network (CHAIN). This
webinar will help health care teams
understand the rationale behind using
evidence-based bundle guidelines to
prevent SSIs.
Physicians, non-physicians providers,
nurses, administrators, risk managers,
patient safety officers, and other health
care professional staff will learn to:
1. Identify the elements of the MN
Slashing SSI bundle
2. Describe the rationale behind the
selection of bundle elements
3. Appreciate the leading role
surgeons play in slashing SSI
4. Understand the shift in thinking
required to make significant and
timely progress in SSI prevention
• Jamie Bakkum-Gamez, MD,
Board-certified gynecologic
oncologist at the Mayo Clinic
• Chad M. Robbins, D.O., FACOS,
Board Certified General Surgeon,
Glencoe Regional Health Services
Register >>
CHAIN Conference:
Antimicrobial Stewardship
across the Continuum of Care
in Minnesota
October 16, 2014
Mall of America – “Great Room”
Conference Room
This CHAIN conference is targeted
toward infectious disease physicians,
hospitalists, emergency department
physicians, pharmacists in health
care settings, infection preventionists,
microbiologists, and others interested
in or involved in antimicrobial
stewardship in their health care
facility. Panel presentations will
feature long-term-care and pharmacy
practitioners. Presenters share real-life,
practical experiences and innovative
approaches for improving antimicrobial
prescribing practices in inpatient
hospital, emergency department, and
long-term care settings.
• David Hines, MD, FACP
• Susan Kline MD, MPH
• Gary Kravitz MD, FACP, FIDSA,
• Abinash Virk MD, DTM&H,
• Ruth Lynfield, MD.
Register >>
MOLN Fall Leadership
October 2-3, 2014
Duluth, Minnesota
The 2014 Minnesota Organization
of Leaders in Nursing conference
is a celebration of MOLN’s 20th
Anniversary, and will honor legacy
members, celebrate past Moline
Award recipients, showcase a video
history of MOLN, share scholarship
recipient success stories and more. This
conference is specially designed for
chief nursing officers, nurse managers,
school of nursing faculty, advanced
practice/nurse clinical nurse specialists,
registered nurses, and student nurses.
More >>
Register >>
Adverse Drug Event Prevention
Kim McCoy, Program Manager
952-853-8563, [email protected]
Coordination of Care
Janelle Shearer, Program Manager
952-853-8553, [email protected]
Reducing Healthcare-Associated Infections
Jill Kieser Andersen, Program Manager
952-853-8565, [email protected]
Quality Improvement through VBP
Vicki Olson, Program Manager
952-853-8554, [email protected]
General Hospital Information
Mary Montury, Program Coordinator
952-853-8541, [email protected]
Mark Benjamin, Editor
952-853-8578, [email protected]
2014 Minnesota Alliance
for Patient Safety (MAPS)
Safe Care. Everywhere
October 23-24, 2014
• Culture (including teamwork and
• Patient Engagement
Register >>
The Minnesota Alliance for Patient
Safety (MAPS) is a statewide patient
safety coalition that provides a forum
for dialog and a catalyst for change in
patient safety. Its mission is to achieve
“Safe Care Everywhere” and the
concept serves as the theme for this
year’s conference.
2014 Many Faces of
Community Health Conference:
Community Centered Care and
the People We Serve
October 23-24, 2014
The 2014 MAPS Patient Safety Awards
will represent the seventh presentation
of the MN Alliance for Patient Safety
awards at this year’s conference. The
emphasis for 2014 will be:
• Safety Across Settings of Care
• Measuring Safety Progress
• Transitions of Care
Many Faces of Community Health is a
two day conference that examines the
ongoing impact of health reforms on
safety net providers and showcases ways
we can improve care and advance health
equity for underserved populations.
More >>
Register >>
For more events, visit the
Stratis Health website events page.
President and CEO
Stratis Health is a nonprofit
Director, Medical Affairs
organization that leads collaboration
and innovation in health care quality
and safety, and serves as a trusted
expert in facilitating improvement for
people and communities.
Jennifer P. Lundblad, PhD, MBA
Jane Pederson, MD, MS
Board of Directors
Donna Anderson, MPH
Kathleen D. Brooks, MD, MBA, board chair
Connie Delaney, PhD, RN
Myron Falken, PhD, MPH
Huda Farah, MSc
William E. Jacott, MD
Ken Johnson, MBA
Mary Jo Kreitzer, PhD, RN
Clint MacKinney, MD, MS
Jan Malcolm
Beth Monsrud, CPA
Michael Spilane, MD
Craig Svendsen, MD
Stella Whitney-West, MBA
Gary Wingrove
Stratis Health represents Minnesota in
the Lake Superior Quality Innovation
Network serving Michigan, Minnesota,
and Wisconsin, under the Centers for
Medicare & Medicaid Services Quality
Improvement Organization Program.
Stratis Health
2901 Metro Drive, Suite 400
Bloomington, MN 55425-1525
952-854-3306 • 952-853-8503 (fax)
Email: [email protected]
To subscribe to this email, contact Mary
Montury, [email protected]
This material was prepared by the MI, MN,
and WI Quality Innovation Network, under
contract with the Centers for Medicare &
Medicaid Services (CMS), an agency of the U.S.
Department of Health and Human Services. The
materials do not necessarily reflect CMS policy.
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