Navigating witHIIN

This special edition podcast of Navigating witHIIN is a brief holiday message that states how excited the Compass HIIN is for 2020 and gives an update on future Navigating witHIIN podcasts.

In this episode, we talk with South Dakota Association of Healthcare Organization’s (SDAHO’s) registered nurse and improvement advisor, Cindy Schuch, and director of quality integration, Kristen Bunt, on SDAHO’s Community Opioid Abuse Response Effort (COARE) program. Schuch and Bunt share the aims and progress in COARE by increasing collaboration, communication and identify applicable resources and gaps in prevention, treatment and recovery within the community.

In this episode we discuss the Transforming Clinical Practice Initiative (TCPi) with Iowa Healthcare Collaborative’s director of physician services and leader of TCPi, Ellyn Cottingham. Cottingham explains the TCPi program, how it helps clinicians achieve large-scale healthcare transformation and details their progress over the past four years.

In this episode we talk infection prevention at Broadlawns Medical Center in Des Moines, Iowa with their chief nursing officer, Susan Kirstein. Broadlawns has a dedicated staff of more than 1,200 employees with 80 physicians that work together to provide high quality healthcare that is coordinated, compassionate and cost-effective.

In part two of this series we will continue the infection prevention discussion with LeAnn Hillier, infection preventionist and Cathy Wright, guest services director at Mary Greely Medical Center.

In this series we will discuss infection prevention at Mary Greeley Medical Center in Ames, Iowa with their infection preventionist, LeAnn Hillier and their guest services director, Cathy Wright. Stay tuned for part 2!

Today we discuss an exciting upcoming HAI webinar series with Sandy Atkinson, a clinical quality consultant for the Compass Hospital Improvement & Innovation Network (HIIN). She holds a bachelor’s degree in nursing and is a certified professional in healthcare quality. Atkinson has experience as a hospital quality and patient experience director, in medical-surgical, emergency room and surgical nursing and hospice and inpatient case management.

Today we discuss two adverse drug event HIIN measures with Dr. Matt Pitlick. As experts in medication delivery, pharmacists play an integral role in preventing and managing medication errors; however, ensuring safety in the health system is a team effort.

Today we discuss the role of a pharmacist in a quality care teams with the newest member of our IHC team, Dr. Matt Pitlick. As experts in medication delivery, pharmacists play an integral role in preventing and managing medication errors; however, ensuring safety in the health system is a team effort

Today we discuss how diabetes plays a factor in determining our readmission rates. We’ll talk about how to overcome these barriers and discuss steps hospitals have taken to battle this issue. To do this, we welcome our Diabetes Subject Matter Expert, Cari Seddon. She has 17 years of experience as a diabetes educator. Supplemental links: - www.ihconline.org – Under Tools and Resources, Population Health, SIM: you’ll find numerous SDOH resources, including a robust SDOH Toolkit - https://www.diabeteseducator.org/news/aade-news/new-medicare-bill-to-provide-long-needed-overhaul-of-diabetes-treatment-services - For more information on the Expanding Access to Diabetes Self-Management Training Act https://innovation.cms.gov/initiatives/ACO/ ACO general information at CMS, including case studies to share learnings

Discussing the role of EMS Services at Van Diest Medical Center. Traditionally, the role of EMS services requires an urgent medical response, while providing out-of-hospital treatment and transport to definitive care. Join us in discussing Van Diest Medical Center’s proactive approach to keeping the patient at home before an emergency service is even needed.

Discussing the Medics at Home program and how Paramedic Chris Rudeen goes above and beyond his usual duties to improve patients’ lives and increase the quality of care. If you’d like to contact Chris, he can be reached at crudeen@medicsathome.com

Most brain development happens in the first few years of a child’s life. Genes provide the brain’s basic blueprint, but experiences shape the brain architecture and establish the foundation for future learning, health and behavior. On Part 2 of our Trauma Informed Care series, we welcome Mary Nelle Trefz from the Child and Family Policy Center here in Des Moines and Lisa Cushatt from the Central Iowa ACEs 360 Coalition.

A Trauma-Informed Care approach strives to understand that individuals experience trauma in their lives in one way or another. When trauma occurs, we have to understand the impact it can have on access to healthcare services and overall quality of life. Today we welcome Ashley Bolsem, Social Service lead at IHC. Links: https://www.iowaaces360.org/iowa-aces.html How Understanding Trauma Can Strengthen Health Care Organizations: A Q&A with Sandra Bloom https://www.chcs.org/how-understanding-trauma-can-strengthen-health-care-organizations-a-qa-with-sandra-bloom/?utm_source=Trauma-Informed+Care+Resource+Center&&utm_campaign=47d147286b-Sandy+Bloom+Q&&A+TIC+05/28/19&&utm_medium=email&&utm_term=0_56410ff1ee-47d147286b-157197957 https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime?share=19391661a0#t-359816 https://www.traumainformedcare.chcs.org/

Healthcare quality professionals are integral leaders in improving quality and safety while preventing harm. Unfortunately, hospital leaders report high turnover in these positions. Frequently, when a new quality leader is appointed, the previous quality leader has already left the organization creating a knowledge gap. The Iowa Hospital Association’s Quality Residency Program is designed to provide knowledge, support and networking opportunities that will position quality leaders for success. This is a two-year program that will include in-person learning sessions, coaching calls, pre- and post- learning assessments and interactive discussion among quality leaders. Jennifer Nutt, senior director for nursing and clinical services and Kathy Trytten, vice president of information and quality services with the Iowa Hospital Association will share information on the Quality Residency Program.

Discussing workplan updates with Kate Carpenter!

Interviewing IHC's 'Fan Favorite' poster winner - Van Diest Medical Center. In 2010, Van Diest Medical Center (VDMC) implemented a multidisciplinary Readmissions Team which meets monthly to retrospectively review the readmissions. A need for a proactive versus reactive approach to manage patients with unmet healthcare needs emerged. The Team hypothesized that, by pre-identifying patients with high utilization of unplanned care, VDMC could manage and prevent progression of illness putting patients at risk for a 30-day readmission. A workgroup -- Continuity of Care -- was chartered to manage patients with frequent unplanned visits that have unmet primary care, social, financial and mental health needs. An informatics tool that concurrently flags high utilizers of acute, unplanned care, such as ED visits, observation stays and inpatient admissions was built to identify patients in need. Bi-weekly meetings are held to network on unmet needs and optimize management in the outpatient setting. Patient-specific interventions are implemented to address identified needs, and adjusted as necessary. The Team collects and audits data bi-weekly. Current data exhibits a reduction in unplanned encounters, inpatient days, and cost of care. This supports the Team’s hypothesis that a proactive approach has the capacity to make an impact on population health, chronic disease management and promote a cost effective care management solution. Congratulations to them and all their hard work!

Discussing the new Toolkit with Kate Carpenter! There are lots of measure updates and new things you don't want to miss out on!!

Discussing dashboard updates with Kate Carpenter from the Iowa Healthcare Collaborative.

In our third and final episode of the on the executive leadership role in hospital quality, we are pleased to share CEO comments. In this episode of Navigating witHIIN, we have Brett Altman, CEO of Cass County Memorial Hospital in Atlantic, Iowa on our podcast.

Part two out of three in our short series on the executive leadership role in hospital quality provides insight from Dr. Tom Evans, president and CEO at the Iowa Healthcare Collaborative. Dr. Evans provides emphasis on the primary care provider role in hospital quality in this podcast.

Our next series, Executive Leadership Roles, will focus on executive leadership roles in hospital quality. This first episode will concentrate on the chief nursing officer role. Jennifer Nutt, DNP, director of nursing and clinical services at the Iowa Hospital Association will share her experience working with nursing leaders in Iowa.

Medication reconciliation is a process that affect patients as they move along the care continuum. Strong processes can alleviate potential outcomes. Listen in as Sarah Derr, PharmD, explains some of the best practices in medication reconciliation.

Prescription Monitoring Programs (PMP) in Iowa and South Dakota will be reviewed. Kristin Bunt, director of quality integration with the South Dakota Association of Healthcare Organizations and Sarah Derr, director of medication safety and effectiveness will anser common questions around the PMP.

The Medication Management and Opioid (MMO) Initiative is a national action toward improving medication management and opioid misuse. An MMO Pledge is available to generate commitments from clinicians, practices, improvement networks and organizations. Sarah Derr, PharmD, Directors, Medication Management and Effectiveness at IHC will share information around the MMO Pledge to aid understanding.

This special edition Podcast of Navigating witHIIN is a brief holiday message to our Compass Hospital Improvement Innovation Network (HIIN) partners.

For our five episode series, we will be speaking with Kady Reese, statewide strategies program lead with the Iowa Healthcare Collaborative and national person and family engagement (PFE) champion with CMS, as part of a five-part series on PFE in HIIN. During this series we will talk about unique opportunities and applications of PFE for Compass HIIN and rural, critical access hospitals. Kady will explain the five CMS PFE metrics for HIIN, responding to common questions and sharing real-life options to achieve these metrics to become high-performing PFE hospitals.

For our five episode series, we will be speaking with Kady Reese, statewide strategies program lead with the Iowa Healthcare Collaborative and national person and family engagement (PFE) champion with CMS, as part of a five-part series on PFE in HIIN. During this series we will talk about unique opportunities and applications of PFE for Compass HIIN and rural, critical access hospitals. Kady will explain the five CMS PFE metrics for HIIN, responding to common questions and sharing real-life options to achieve these metrics to become high-performing PFE hospitals.

For our five episode series, we will be speaking with Kady Reese, statewide strategies program lead with the Iowa Healthcare Collaborative and national person and family engagement (PFE) champion with CMS, as part of a five-part series on PFE in HIIN. During this series we will talk about unique opportunities and applications of PFE for Compass HIIN and rural, critical access hospitals. Kady will explain the five CMS PFE metrics for HIIN, responding to common questions and sharing real-life options to achieve these metrics to become high-performing PFE hospitals.

For our five episode series, we will be speaking with Kady Reese, statewide strategies program lead with the Iowa Healthcare Collaborative and national person and family engagement (PFE) champion with CMS, as part of a five-part series on PFE in HIIN. During this series we will talk about unique opportunities and applications of PFE for Compass HIIN and rural, critical access hospitals. Kady will explain the five CMS PFE metrics for HIIN, responding to common questions and sharing real-life options to achieve these metrics to become high-performing PFE hospitals.

For our five episode series, we will be speaking with Kady Reese, statewide strategies program lead with the Iowa Healthcare Collaborative and national person and family engagement (PFE) champion with CMS, as part of a five-part series on PFE in HIIN. During this series we will talk about unique opportunities and applications of PFE for Compass HIIN and rural, critical access hospitals. Kady will explain the five CMS PFE metrics for HIIN, responding to common questions and sharing real-life options to achieve these metrics to become high-performing PFE hospitals.

In this episode we interview Sarah Derr, Pharm D and Medication Management Lead at the Iowa Healthcare Collaborative to announce a new resource available to hospitals, clinics, pharmacies and communities throughout the state of Iowa. The new county community resource flyers provide information as to where there are disposal sites by county and where there are standing naloxone orders. Sarah will explain how to access these reports and how patients, families and care givers might use them. Contact Sarah at derrs@ihconline.org and view the resources referenced in the podcast at https://www.ihconline.org/community-resources/opioid-flyers/

In this episode we will interview Kevin Gabbert from IDPH regarding the new mandatory reporting of an Opioid Overdose requiring Naloxone Administration made active on July 1, 2018. Kevin will provide Compass HIIN with relevant background information on this mandate as well as a general overview of requirements. We will end with Kevin sharing what has been learned from reporting so far, addressing commonly asked questions and concerns and giving insight as to how the state plans to use the data.

This episode is titled “Getting Started”, because we are stepping into the new world of educational opportunities! As this is our inaugural episode, we will be helping to map out the goal of this platform for Compass HIIN and how you and your team can access the content. Compass HIIN is ready to drop their sails, and to navigate across the continuum of care!