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Patient Safety

Patient safety has been called the cornerstone of high-quality health care. Stratis Health assists health care organizations with clinical approaches, as well as organizational and community change management, to protect patients from errors, injuries, accidents, and infections.

Advance quality reporting

Quality measurement and reporting provides transparency about how organizations are performing on key quality areas, including patient safety. Data serves as a benchmark to assess opportunities for improvement within individual organizations and collectively across the state.

  • Adverse health events

    The Minnesota Adverse Health Event (AHE) Reporting System aims to foster learning and share best practices to prevent future events. Since 2004, Stratis Health has reviewed the root cause analysis (RCA) and corrective action plan documentation submitted to the AHE Reporting System by hospitals, ambulatory surgical centers, and regional treatment centers. We provide consultation to providers on RCA, strong interventions to address root cause findings, and effective measurement. We partner with the Minnesota Department of Health (MDH) and the Minnesota Hospital Association to promote system-level improvement and facilitate learning to improve safety across the state.

  • Measure development

    Stratis Health facilitates identification, prioritization, and recommendation of hospital quality and patient safety measures for use in public reporting. We convene the Minnesota Hospital Quality Reporting Steering Committee—stakeholders from medical specialties, quality improvement, patient safety, data collection, hospital administration, health plans, and state agencies—charged with recommending measures, to MN Community Measurement and the state health department, to be added, revised or deleted from Minnesota's required annual reported measure set. To help hospitals and the public understand how Minnesota is performing on quality and safety, Stratis Health provides education and materials about the Statewide Quality and Reporting and Measurement System (SQRMS). Stratis Health has conducted this work since 2009, when the payment program was developed.

  • Rural hospital quality and patient safety

    Stratis Health helps Minnesota's 79 critical access hospitals (CAH) improve patient outcomes and support consistent public reporting of quality measures. We assist each CAH with prioritizing quality improvement and patient safety opportunities and identifying resources to support action on their focus areas. A limited number of CAHs receive targeted technical assistance to future accelerate their adoption of quality improvement processes. We help CAHs navigate quality reporting processes that include patient safety metrics for Medicare Beneficiary Quality Improvement Project (MBQIP), SQRMS, and Centers for Medicare & Medicaid Services (CMS) reporting. Stratis Health has conducted this work in behalf of the Minnesota Department of Health Office of Rural Health and Primary Care for more than 10 years

Improve clinical care

Stratis Health improves patient safety by working on priority clinical issues identified for state and national initiatives.

  • Antimicrobial stewardship

    In our role as a Medicare Quality Innovation Network – Quality Improvement Organization (QIN-QIO), Stratis Health works with outpatient settings of care to combat antibiotic resistance by implementing antibiotic stewardship programs. Participating facilities receive individualized and group technical assistance, education, and support as they work towards implementing the Centers for Disease Control and Prevention (CDC) Core Elements of Outpatient Antibiotic Stewardship. As a partner with NORC at the University of Chicago in an Agency for Healthcare Research and Quality (AHRQ) nationwide initiative, Stratis Health is supporting researchers at Johns Hopkins Armstrong Institute for Patient Safety and Quality, who aim to identify which approaches are most helpful and operationalize efforts to optimize antibiotic prescribing. Stratis Health serves as quality consultant to the national team, offering input on use of the Comprehensive Unit-based Safety Program (CUSP) program materials, and serves as implementation advisers in hospitals, nursing homes, and ambulatory clinics.

  • Fall prevention

    Stratis Health partnered with AFYA, Inc. to implement a training and mentoring program with hospitals across the country to integrate evidenced-based, fall prevention strategies into daily practice. This work was part of an AHRQ project to evaluate the effectiveness of a training and mentoring program for its Toolkit for Fall Prevention in Hospitals. Training for hospitals in Wisconsin, Iowa, Illinois, Nebraska and California was followed by technical assistance and support. Stratis Health fostered participation in a learning network of hospitals across the nation, which shares lessons learned and the initiative's impact on their patient safety outcomes.

  • Medication safety (avoiding adverse drug events)

    Adverse drug events (ADEs) are a leading cause of preventable patient harm. Through our role as a Medicare QIN-QIO, Stratis Health works with partners and providers across the continuum of care including clinics, hospitals, home health agencies, and nursing homes to decrease adverse drug events. This work focuses on improving medication safety for patients taking high risk medications—diabetic agents, anticoagulants or opioids—to improve control of health conditions, by implementing evidence-based practices such as medication therapy management and medication reconciliation.
  • Nursing home quality

    CMS Quality Innovation Network National Coordinating Center. In addition to working with nursing homes to improve the quality of care and the quality of life for those living there as Lake Superior QIN, Stratis Health supports QIN-QIOs nationwide. Our staff serve as subject matter experts in the areas of nursing home quality, health informatics, and immunization through the CMS Quality Innovation Network National Coordinating Center (QIN NCC).

    On-Time Pressure Ulcer Prevention Program. This program helps nursing homes with electronic health records (EHR) reduce the occurrence of in-house pressure ulcers. Stratis Health is partnering with NORC at the University of Chicago, in this AHRQ-funded project, to assist more than 40 nursing homes across the country to implement and evaluate the evidence-based On-Time Pressure Ulcer Prevention Program. Stratis Health also worked with EHR vendors to prepare their systems to produce supporting reports.

Partnering for safe care everywhere - Minnesota Alliance for Patient Safety

MAPS logoThe Minnesota Alliance for Patient Safety (MAPS) is a statewide patient safety coalition, with more than 100 organizations, comprised of health care associations, health care organizations, consumers, employers, health plans, and state agencies and boards. MAPS works to achieve its mission of safe care everywhere by engaging patients, providers, and the community for better, safer health care across the continuum.

MAPS is a subsidiary of Stratis Health. Through this relationship, we improve safe care by working on priority health care safety issues. More about these Partners in Advancing Patient Safety.

Contact Stratis Health for assistance with your quality improvement and patient safety needs.

If your organization has projects it would like to work on, contact us to discuss how we can work together to support initiatives related to patient safety.