copyright ©2011 georgia hospital association medicare beneficiary quality improvement project...
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Copyright ©2011 Georgia Hospital Association
Medicare Beneficiary Quality Improvement Project (MBQIP)
Emergency Department Transfer Communication Measure
Hospital Reporting Update10 March 2015
Copyright ©2011 Georgia Hospital Association
BackgroundThe Office of Rural Health Policy (ORHP) created the Medicare Beneficiary Quality Improvement Project (MBQIP) as a Flex Grant Program activity within the core area of quality improvement.
• The primary goal of this project is for CAHs to implement quality improvement initiatives to improve their patient care and operations.
• MBQIP provides Flex funding to support Critical Access Hospitals (CAH) with technical assistance and national benchmarks to improve health care outcomes.
• CAHs opting to participate are requested to report a specific set of annual measures determined by ORHP timeline and measures and engage in quality improvement projects to benefit patient care.
Copyright ©2011 Georgia Hospital Association
Objectives• MBQIP Phase 3 Reporting Timeline
• Data collection and reporting Tools update
• Data submission
• Resources
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MBQIP phase 3
• Pharmacist CPOE or Verification of Medication Orders within 24 hours (patient safety)
• Emergency Department Patient Transfer Communication
(care transitions)
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Seamless Care: Safe patient transitions between facilities
Ensuring appropriate and timely care beyond organizational silos is essential to transforming health care.
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ED Transfer Communication Measure
• Critical Access Hosptials (CAH) serve an important care transition role of stabilize-and-transfer
• Lack of standardized measures and benchmarking to help evaluate this role.
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ED Transfer Communication Measure
• 2003: Expert panel convened by the University of Minnesota Rural Health Research Center and Stratis Health
• 2013-2014: CMS Innovation Project• September 2013 Endorsed by National Quality
Forum• October 1 2014: Data Collection Nationally for
Phase 3 MBQIP.
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ED Transfer Communication Measure
• http://www.qualitymeasures.ahrq.gov/compare/index.aspx
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Population and sampling
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Population and sampling
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ED Transfer Communication Measures:
– Administrative communication– Patient information– Vital signs– Medication information– Physician information– Nurse information– Procedures and tests
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ED Transfer Communication Measure
Overall Performance measureNumerator: # of patients transferred to another healthcare facility whose medical record documentation indicated that all of the patient elements were communicated in an appropriate timeframe.
Denominator: # All transfers from ED to another health care facility
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Resources
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Data Submission via Novi SurveyReporting
CAH
GHASORH
ORHP
Medications Order Dates Data Submission Deadline
First Quarter, 2015: January 1 – March 31 April 15 2015
Second Quarter, 2015: April 1 – June 30 July 15 2015
Third Quarter, 2015 July 1 – September 30 October 15 2015
Fourth Quarter, 2015: October 1 – December 31 January 15 2016
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Copyright ©2011 Georgia Hospital Association
EDTC Hospital Data Collection
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Copyright ©2011 Georgia Hospital Association
Launch Tool
• Demonstration
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Copyright ©2011 Georgia Hospital Association
Submitting Data to GHA
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Submitting Data to GHA
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Reporting Options
• Preferred method: Generate the numerator and denominator from this report and enter into NOVI
• Alternate method: continue to use paper abstraction tool and manually generate numerator and denominator and enter into NOVI
Copyright ©2011 Georgia Hospital Association
Copyright ©2011 Georgia Hospital Association
Copyright ©2011 Georgia Hospital Association
Copyright ©2011 Georgia Hospital Association
Copyright ©2011 Georgia Hospital Association
Copyright ©2011 Georgia Hospital Association
Resources for Improvement
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Questions
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GHA Contact Information
Kathy McGowan, Vice President of Quality & Safetykmcgowan@gha.org 770-249-4519Joyce Reid, Vice President of Community Health Connectionsjreid@gha.org 770-249-4545Lisa Carhuff, Quality Improvement/Patient Safety Specialistlcarhuff@gha.org 770-249-4553
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