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Hospitals

Stratis Health works toward its mission to improve health care quality and safety in hospitals through initiatives funded by federal and state government contracts, and community and foundation grants, including serving as Minnesota's Medicare Quality Improvement Organization (QIO).

We've worked with hospitals across the state to improve patient care and data reporting, and to integrate patient safety related technology—such as computer bar codes on patient wristbands and computerized physician orders—into their systems of care to reduce human errors and avoid dangerous medical mistakes. Hospitals had nation-leading results in quality measures, including 10 percent improvement statewide in measures of appropriate care in patients with a diagnosis of heart failure, acute myocardial infarction, or pneumonia. Eight of the nine hospitals assisted by Stratis Health through one of our technical assistance groups made progress toward implementing medication bar coding

By integrating quality improvement processes into organizational culture, Stratis Health promoted an improved safety environment in nine rural critical access hospitals. They improved 2.4 percent from baseline to remeasurement on the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture Survey

Stratis Health supported transparency in health care quality and patient safety by working with all Minnesota hospitals to collect and submit quality data and by offering educational and technical assistance to them on the use of CMS reporting systems and tools. Minnesota had 100 percent reporting by Prospective Payment System (PPS) hospitals and 86 percent reporting by critical access hospitals (CAH), although not required.

Stratis Health worked with hospitals across the state to reduce the incidence of improper fee-for-service inpatient acute care Medicare payments. We conducted data analysis and focused audits, and recommended system changes and improvement strategies. They experienced a 21.5 to 55.8 percent reduction in billing errors. The providers fine tuned clinical decision making, reduced payment problems, and lowered their compliance risk; which saved Medicare $1.5 million a year.

RARE: Reducing Avoidable Readmissions Effectively

Stratis Health has joined with the Institute for Clinical Systems Improvement and the Minnesota Hospital Association, as Operating Partners to manage a Minnesota campaign to reduce avoidable hospital readmissions. The RARE Campaign is engaging hospitals and care providers across the continuum of care to prevent 4,000 avoidable hospital readmissions across Minnesota between July 1, 2011, and December 31, 2012. Doing so will alleviate the burden these readmissions place on patients and their families and will allow them the comfort and well being of staying in their own beds. For more information about RARE, go to the RARE website.

Current QIO contract

Through its current three-year QIO contract with the Centers for Medicare & Medicaid Services (CMS), which began on August 1, 2008, Stratis Health is deploying its scarce QIO resources and expertise to areas of highest need. Some of the work is more directive than in the past, targeting hospitals that meet specific, defined criteria to receive improvement assistance. Stratis Health provides training, clinical improvement technical assistance, organizational leadership assessment, and culture change support, with a focus on:

  • Working with a limited number of hospitals to reduce pressure ulcers and improve surgical care, targeting prophylactic antibiotic use, infections, venous thromboembolism (VTE), and cardiovascular risk
  • Supporting hospitals that participate in the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN) data repository for Methicillin-resistant Staphylococcus aureus (MRSA)
  • Offering assistance in the area of prescription drug therapy

Stratis Health's has held three collaborative learning sessions for the group.

Current QIO contract fact sheet (3-page PDF)

A Patient Safety Success Story: Patient Safety Culture Change at Chippewa County Montevideo Hospital
As part of the Stratis Health 2008-2011 Patient Safety Collaborative, Chippewa County Montevideo Hospital focused on reducing hospital-acquired MRSA infections, which included implementing evidence-based practices and entering infection data into the Center for Disease Control and Prevention National Healthcare Safety Network database.

Statewide support

Stratis Health provides statewide support that contributes to Minnesota's collaborative health care improvement environment, including support in hospital quality data reporting, abstraction, and validation. We are committed to supporting hospitals in their efforts to submit accurate, timely data for hospital quality data reporting, which ensures that patients and their families have access to timely patient safety data, hospitals have access to comparative patient safety data, and hospitals that are eligible for Medicare's annual payment update (APU) receive the full APU. Statewide hospital support includes the following activities:

  • Provide teleconference training for changes to the specifications manual 2-3 times per year
  • Upon request, provide assistance in appeal cases that have failed hospital validation
  • Provide orientation for new quality improvement directors
  • Provide a quarterly report of CMS quality of care measures with comparative data
  • Partner with hospitals and the Minnesota Hospital Association to provide the appropriate care measure (ACM) for the Minnesota Hospital Quality Report
  • Notify hospitals of population and sampling deadlines
  • Notify hospitals of quarterly data submission deadlines
  • Notify hospitals of HCAHPS submission deadlines

Resources

Hospital Check-In Newsletter. Stratis Health provides hospitals with news and updates on quality improvement and patient safety information in our monthly Hospital Check-In electronic newsletter. It includes current quality and patient safety information, intervention tools, educational resources and trainings, and key Web links to assist hospitals in their quality improvement efforts. The newsletter also assists providers in understanding policies and programs initiated by the Centers for Medicare & Medicaid Services. Recent issues of Hospital Check-In.

Educational Recorded Webinar sessions sponsored by Stratis Health are available on a variety of topics, e.g. clinical topics, quality improvement, organizational change, using data, staff and resident satisfaction, etc.

Fact sheets summarizing changes to inpatient clinical topics for April 4, 2011+ discharges:

Minnesota e-Health Initiative. Public-private collaborative effort to improve health care quality, increase patient safety, reduce health care costs and enable individuals and communities to make the best possible health decisions by accelerating the adoption and use of health information technology.

National Quality Forum. Voluntary consensus standards-setting body, created in 1999 as a unique public-private partnership

QualityNet. Free online resource to motivate transformational change.

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

If your hospital has projects it would like to work on, contact us to discuss how we can work together to support new initiatives.

Abstraction
Robyn Carlson, data quality specialist
952-853-8587


Data and Public Reporting

Drug Safety and Pressure Ulcers

Vicki Olson, program manager

952-853-8554

MRSA and SCIP/HF
Janelle Shearer, program manager
952-853-8553

Utilization and Coding
Betsy Jeppesen, vice president, Program Integrity
952-853-8510

General Hospital Information
Mary Montury, program coordinator
952-853-8541

National Helpdesk Contact
7:00 a.m. - 7:00 p.m., CST, Monday - Friday
866-288-8912, Fax 888-329-7377, email