TRACKING RESPIRATORY OUTCOMES METRICS: DIAGNOSIS>INTERVENTION>OUTCOMES. SEE HOW HOSPITALS HAVE REDUCED ADVERSE EVENTS AND PATIENT LENGTH OF STAY

PARTNERING TO GO FURTHER, TOGETHER

MEDTRONICPATIENT MONITORING AND RECOVERY

DAVID GIARRACCO, VICE PRESIDENT OF MARKET DEVELOPMENT

KEITH MORRISON, SENIOR GLOBAL MARKETING MANAGER

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POST OPERATIVE RESPIRATORY INITIATIVE

Benchmark

vs. National Rankings

Implement

Post-op Capnography on Med Surg Units

Measure

Respiratory Quality Metrics

Observe changes in Respiratory metrics post-implementation

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TRACKING RESPIRATORY OUTCOMES METRICS

Metric Data Source

Post Operative Respiratory Insufficiency, Arrest & Failure Billing

Post Operative Respiratory Failure (PSI 11) Billing

Rapid Response Calls EMR

Unplanned Intubations Billing / EMR

Naloxone Administrations EMR / Pharmacy

Code Blues Billing / EMR

ICU Transfers EMR

Hospital LOS Billing

Hospital Charges Billing

Mortality Billing

Diagnosis Intervention Outcomes

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BENCHMARKING CURRENT RESPIRATORY OUTCOMES HOW DO YOU COMPARE?

National Databases

Respiratory Insufficiency Arrest & Failure (RIAF)

Risk Adjusted

Aggregated clinical data

Codes

ICU Transfers

Naloxone Use

Benchmark Implement Measure

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IMPLEMENTATION OF CAPNOGRAPHYPROTOCOL DRIVEN

Benchmark Implement Measure

Protocol-driven capnography monitoring

6-12 months of capnography monitoring and measurement

Willingness to partner with Medtronic

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IMPLEMENTING POST-OP CAPNOGRAPHY

Benchmark Implement Measure

0%

2%

4%

6%

8%

10%

12%

RespiratoryInsufficiency Arrest

& Failure

Post-operativeRespiratory Failure

Post-operativeRespiratory Failure

(Elective Procedures)

Code Blue

Pre Capnography Post Capnography

LOS Total Charges

Mortality

Avg. per Patient Outcomes Pre-Capnography

5.89 $91,082 1.41%

Estimated Avg. per Patient Outcomes Post-Capnography

5.69 $87,577 1.19%

Estimated per Patient Savings from Capnography

0.20 $3,505 0.23%

Net Per Patient Cost Savings Post-Capnography: $1,043

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WHY IS THIS DATA IMPORTANT TO YOU?

Visibility to improved outcomes in your hospital

Data constantly being collected, but not being used to drive improved outcomes

Ability to track how your investment in continuous monitoring has changed practice

Validation of monitoring as earlier indicator

Opportunities for publishing data, case studies, hospital marketing

Contributions toward the Forces of Magnetism , for Magnet certification

BARTON HEALTHCARE SYSTEM

CHRISTINE O’FARRELL, BSN, CPHQ, CPHRM, DIRECTOR OF QUALITY MANAGEMENT

MARY KAY SENNINGS, PULMONARY SERVICES MANAGER

DAWN EVANS, MSN, RN, PATIENT SAFETY OFFICER

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APPENDIX

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EXAMPLES – BENCHMARKINGRISK ADJUSTED

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EXAMPLES – BENCHMARKINGRISK ADJUSTED

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EXAMPLES – OUTCOMES IMPROVEMENTRISK ADJUSTED

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THE MEDTRONIC RESPIRATORY HEALTH INITIATIVE ALIGNS WITH MAGNET PROGRAM “FORCES” FOR NURSING EXCELLENCE

Quality of Care through Empirical Quality Outcomes (Force #6) The Medtronic Respiratory Health Initiative

enables hospitals to track metrics indicative of the post-operative respiratory health of their patients. This empirical data can be useful in reviewing, reinforcing and revising practices, and help optimize the deployment of technologies that show an impact on respiratory health metrics.

Quality Improvement (Force #7) Providing innovation that matters is

Medtronic’s mission and the backbone of the Respiratory Health Initiative. Measuring the impact of technology innovations on key metrics is fundamental to successful quality improvement.

Described as the heart of the Magnet Recognition Program®, the Forces of Magnetism are attributes or

outcomes that exemplify nursing excellence.1