MBQIP Flex Program Paent Safety Flex Calendar QUALITY IMPROVEMENT MATTERS Top stories in this newsletter WELCOME Back To The Wyoming Flex Newsleer! The Wyoming Flex team is pleased to provide you with Quality Improvement Maers - the monthly newsleer with informaon and updates on CAH quality improvement programs, resources, tools, and training opportunies. QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 15 AUGUST 2017 PAGE 1 Medicare Rural Hospital Flexibility Program (Flex) 15th Annual Western Region Flex—Conference Takeaways. The purpose of the conference was to provide a venue for Critical Access Hospitals (CAHs) and Flex programs in the Western Region of the United States to share information, ideas, and success stories. Missy Swanson, Quality Improvement Director at Memorial Hospital of Converse County, attended and provided a summary of key takeaways: Inpaent cases are going away. Focus is shiſting to populaon health and medical home model. Community Paramedic Program. Changes in focus includes changing Quality Improvement (QI) programs to focus here as well. Outpaent services will and should be a priority for QI and service growth. Quality connues to be a priority and this is long-term. Small hospitals really need to work together. Quarterly Conference Calls of QI Directors. Medicare Beneficiary Quality Improvement Program (MBQIP) MBQIP Update. As you may recall from the latest WY Flex QI Roundtable, the Federal Office of Rural Health Policy (FORHP) originally proposed three new addions to MBQIP for the next Flex Project Period Fiscal Year 2018 – 2021 (September 1, 2018 – August 31, 2022), which were: 1. Anbioc Stewardship Program; 2. Hospital-acquired infecons measures; and 3. Inpaent ED Measures: ED-1 and ED-2. However, aſter reviewing all the comments and discussing these addions it was decided that for the next Flex Project Period FY 2018-2021, they are only adding two of the proposed three addions to MBQIP: 1. Anbioc Stewardship: measured via Center for Disease Control Naonal Healthcare Safety Network (CDC NHSN) Annual Facility Survey CAHs will have four years or by August 31, 2022 to fully implement an anbioc stewardship program following the CDC’s 7 Core Elements 2. Inpaent ED Measures: ED-1 and ED-2 Effecve September 1, 2018 A complete list of MBQIP measures to reflect these changes can be found on our Wyoming (WY) Quality Improvement Maers (QIM) website at www.wyqim.org. Please note: Even though HAI measures were not added to MBQIP, Wyoming hospitals are sll collecng and subming the HAI measures under the Wyoming Hospital Associaon (WHA) Hospital Improvement Innovaon Network (HIIN) project.
Transcript
MBQIP Flex Program Patient Safety Flex
Calendar
QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 1 JANUARY 2016
Top stories in this newsletter
WELCOME Back To The Wyoming Flex Newsletter! The Wyoming Flex team is pleased to provide you with Quality Improvement Matters - the monthly newsletter with information and updates on CAH quality improvement programs, resources, tools, and training opportunities.
VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016
QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 15 AUGUST 2017 PAGE 1
Medicare Rural Hospital Flexibility Program (Flex)
15th Annual Western Region Flex—Conference Takeaways. The purpose of the conference was to provide a venue for Critical Access Hospitals (CAHs) and Flex programs in the Western Region of the United States to share information, ideas, and success stories. Missy Swanson, Quality Improvement Director at Memorial Hospital of Converse County, attended and provided a summary of key takeaways:
Inpatient cases are going away.
Focus is shifting to population health and medical home model.
Community Paramedic Program.
Changes in focus includes changing Quality Improvement (QI) programs to focus here as well.
Outpatient services will and should be a priority for QI and service growth.
Quality continues to be a priority and this is long-term.
Small hospitals really need to work together.
Quarterly Conference Calls of QI Directors.
Medicare Beneficiary Quality Improvement Program (MBQIP)
MBQIP Update. As you may recall from the latest WY Flex QI Roundtable, the Federal Office of Rural Health Policy (FORHP) originally proposed three new additions to MBQIP for the next Flex Project Period Fiscal Year 2018 – 2021 (September 1, 2018 – August 31, 2022), which were: 1. Antibiotic Stewardship Program; 2. Hospital-acquired infections measures; and 3. Inpatient ED Measures: ED-1 and ED-2.
However, after reviewing all the comments and discussing these additions it was decided that for the next Flex Project Period FY 2018-2021, they are only adding two of the proposed three additions to MBQIP:
1. Antibiotic Stewardship: measured via Center for Disease Control National Healthcare Safety Network (CDC NHSN) Annual Facility Survey
CAHs will have four years or by August 31, 2022 to fully implement an antibiotic stewardship program following the CDC’s 7 Core Elements
2. Inpatient ED Measures: ED-1 and ED-2
Effective September 1, 2018
A complete list of MBQIP measures to reflect these changes can be found on our Wyoming (WY) Quality Improvement Matters (QIM) website at www.wyqim.org.
Please note: Even though HAI measures were not added to MBQIP, Wyoming hospitals are still collecting and submitting the HAI measures under the Wyoming Hospital Association (WHA) Hospital Improvement Innovation Network (HIIN) project.
QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 15 AUGUST 2017
QUALITY IMPROVEMENT MATTERS
Brought To You By:
Kyle Cameron—Wyoming Flex-Office of Rural Health 1.307.777.8902 [email protected]
Shanelle Van Dyke—Quality Reporting Services 1.406.459.8420 [email protected]
Rochelle Spinarski—Rural Health Solutions 1.651.731.5211 [email protected]
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This project is/was supported by the Health Resources and Service Administration (HRSA) of the U.S. Department of Health and Human
Services (HHS) under grant number H54RH00043-19-00 Medicare Rural Hospital Flexibility (Flex) Program, 464,345.00, 0% finance wi th
nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official
position or policy of, nor should any endorsements to be inferred by HRSA, HHS, or the U.S. Government.
Flex Program Calendar
Educational Webinars—2017. Below is a list of upcoming events related to education and/or training for
the Wyoming Flex Program Activities.
QI Roundtable—Flex Update: September 14th @ 10 am—11 am
Agenda Items: MBQIP Update; Flex Program 2017-2018 Activities, Grant Funding, and PSC Update; and Western Flex Highlights (Margie Molitor)
QI Roundtable—TBD: October 12th @ 10 am—11 am
QI Roundtable—TBD: November 9th @ 10 am—11 am
QI Roundtable—TBD: December 14th @ 10 am—11 am
Patient Safety Culture (PSC) Survey
PSC QI—Tip of the Month. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network (PSNet) states that the culture of individual blame still dominant and traditional in health care undoubtedly impairs the advancement of a safety culture. One issue is that, while "no blame" is the appropriate stance for many errors, certain errors do seem blameworthy and demand accountability. In an effort to reconcile the twin needs for no-blame and appropriate accountability, the concept of just culture is now widely used. A just culture
focuses on identifying and addressing systems issues that lead individuals to engage in unsafe behaviors, while maintaining individual accountability by establishing zero tolerance for reckless behavior. It distinguishes between human error (i.e. slips), at-risk behavior (i.e. taking shortcuts), and reckless behavior (i.e. ignoring required safety steps), in contrast to an overarching "no-blame" approach still favored by some. In a just culture, the response to an error or near miss is predicated on the type of behavior associated with the error, and not the severity of the event. For example, reckless behavior such as refusing to perform a "time-out" prior to surgery would merit punitive action, even if patients were not harmed —AHRQ PSNet. To learn more, check out the AHRQ PSNet website at www.psnet.ahrq.gov.
