MHA Today | September 21, 2016

September 21, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
State Courts Rule On Ballot Measures
Trajectories — Sepsis
CMS Releases Outpatient Quality Reporting Checklist
Hospitals Present Harm And Readmission Reduction Stories At HEN 2.0 Summit

state and federal health policy developments

State Courts Rule On Ballot Measures

Staff Contacts: Daniel Landon or Ted Wedel

This week, state courts decided whether three ballot measures submitted to the Secretary of State’s office shall appear on the Nov. 8 state election ballot. The ballot measures had been proposed using the initiative petition process, which is based on the collection of signatures from registered voters. The Supreme Court let stand an appeals court decision that ruled that a constitutional amendment to cap campaign contributions to political candidates will appear on the ballot. Also, the court ruled that a constitutional amendment to increase the state tobacco tax and use the proceeds to fund programs for children will appear on the ballot. A proposal to ask the state’s voters to authorize the use of marijuana in medical treatment will not appear on the ballot.

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Quality and Population Health

Trajectories — Sepsis

Staff Contact: Jessica Rowden

trajectories - SepsisThe September 2016 issue of Trajectories discusses how to spot, treat and survive sepsis. To combat the high costs and increasing frequency and prevalence of sepsis, MHA developed, introduced and led the first cohort of a statewide sepsis immersion pilot project. Participating hospitals took part in a 12-month project aimed at early recognition and intervention of sepsis. The project consisted of quarterly huddles to discuss the progress of task completion and review barriers. The project goal was to decrease the time lapse between sepsis recognition and treatment initiation to decrease morbidity and mortality rates.

MHA’s sepsis immersion project interventions are summarized to:

  • increase education on early recognition of sepsis within EMS and the emergency department
  • increase performance of early intervention and treatment of sepsis by EMS and ED staff
  • plan for implementation of an evidence-based sepsis care pathway bundle
  • offer tools/prompts to assist care teams in adhering to sepsis bundles
  • determine methods and mechanisms to audit bundle compliance

A major component of the project was implementation of evidence-based sepsis treatment bundles from the Surviving Sepsis Campaign by the Society of Critical Care Medicine. The seven bundle components were broken into individual process measures on which hospitals submitted data each month. A review of this data identified gaps in their processes, such as provider noncompliance, lack of process for lab draws, antibiotic misalignment and fluid administration versus comorbidities.

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CMS Releases Outpatient Quality Reporting Checklist

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services recently released the second quarter 2016 outpatient quality reporting checklist. The checklist will assist hospitals in determining necessary steps for submitting data and running reports to review data submissions. The deadline for submitting second quarter 2016 OP population and sampling and chart-abstracted clinical data is Tuesday, Nov. 1.

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Hospitals Present Harm And Readmission Reduction Stories At HEN 2.0 Summit

Staff Contacts: Alison Williams or Jessica Rowden

Since September 2015, as members of the American Hospital Association/Health Research & Educational Trust Hospital Engagement Network 2.0, MHA-member hospitals have been working to reduce hospital-acquired conditions by 40 percent and readmissions by 20 percent. The work is part of the Centers for Medicare & Medicaid Services’ Partnership for Patients campaign. In July at the Health Forum/AHA Leadership Summit, quality and patient safety managers, clinicians and other hospital leaders developed storyboards depicting innovative hospital approaches to reduce patient harm. Their stories are captured in two-minute videos that feature project leads describing their hospital’s initiative, key strategies, results and recommendations for spread and sustainability. The HRET/HEN 2.0 website features 30 new case studies and videos covering 14 health care topics, including prevention of adverse drug events, operational excellence and reducing readmissions. Missouri was well-represented by Ste. Genevieve County Memorial Hospital who presented their readmission reductions work at the summit.

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Consider This ...

From 1999 to 2014, more than 165,000 people died from prescription opioid overdose.

Source: Centers for Disease Control and Prevention