NEWS

December 7, 2023

In this issue


Workgroup updates

Announcements

Tools and resources

Education

 

Workgroup updates


Thank you for your continued participation in EQIC’s affinity workgroup meetings.

We adjusted the regular monthly schedule this holiday season, and the most recent updates for the health equity, falls, readmissions and patient and family engagement workgroups are featured below. Please reach out to the workgroup leads with any questions.


Health equity

The November meeting was canceled. A summary of the Dec. 5 meeting on cultural competence will appear in a future newsletter.



Falls  

At the Nov. 16 meeting, the group reviewed EQIC-wide falls data, including the healthcare-acquired conditions rate, falls with injury and falls with a risk assessment completed within 24 hours of the fall. Overall, hospitals are performing well and should be proud of this achievement! Check your hospital-specific data in the EQIC data portal for more details.

 

The group then reviewed EQIC’s rapid-cycle improvement program, which includes a falls assessment tool hospitals can use to help identify primary gaps and opportunities for improvement. Teams were asked to review the opportunities and choose one for a Plan-Do-Study-Act cycle aimed at improving the prevention of falls and falls with injury. Teams should be prepared to share results when the group reconvenes in February.


Readmissions

The November and December workgroup meetings were canceled. Members were tasked with doing a readmission prevention initiative PDSA cycle and sharing the results at the January meeting.



Patient and family engagement

The November and December meetings have been canceled. We encourage hospitals to review their current patient engagement strategies and implement policies and practices to strengthen their PFE workplan. Hospitals should also establish a patient and family advisory committee to incorporate patient voices, if feasible.

 

Announcements

 

EQIC’s new patient safety toolkit

EQIC is pleased to share its latest publication, the Unit-based patient safety and quality improvement toolkit and its seven accompanying performance improvement tools. The toolkit provides guidance on strategies to engage frontline staff in QI efforts, garner leadership support and develop a culture of safety through a unit-based approach. This multifaceted guide explores approaches to reducing hospital-acquired conditions, infections and readmissions.

 

EQIC highlighted seven key quality improvement tools in the toolkit and provided examples of real-life hospital settings in which they can be used. We encourage you to review the guide with both experienced and new team members.
 


Updated data documents available
 

EQIC updated its Measurement Grid and Data Methodology Guide to reflect the most current process and outcome measures being collected for analysis in our clinical focus areas. The grid provides an overview of measurement specifications, while the guide further details codes and calculations, CMS contract goals and CMS-determined benchmarks. Please be sure to take advantage of these resources and review the measurements EQIC collects.

 

Updates to the guide include:

  • Medicare fee-for-service measures (listed in the appendix); and
  • updated sepsis mortality methodology.

 

Tools and resources

 

DEI data insights from AHA
 

Hospitals and health systems across the nation have made strides toward eliminating health disparities and incorporating diversity, equity and inclusion strategies into their policies and organizational practices to create effective change for the patients and communities they serve. This set of data insights is the first in a series of reports highlighting results from the American Hospital Association’s Institute for Diversity and Health Equity 2022 DEI Benchmark Survey.

 


Engaging boards and executive leadership in safety

 

As part of the National Action Alliance to Advance Patient Safety webinar series, the Agency for Healthcare Research and Quality presented a session on engaging boards and executive leadership in safety. Speakers discussed how healthcare leadership can support board engagement on quality, the workflow and attributes of a board committed to quality, and strategies and tools that can support the board’s oversight of quality. View the recording and access the slides.

 

Education

 

TODAY!

Thursday, Dec. 7

Spreading bundle tools and resources on high-reliability culture

10 a.m. - 4:30 p.m.

 

Like EQIC’s October conference, this CMS event focuses on the use of high-reliability tools that have achieved safety, quality and efficiency targets in numerous hospitals. The aim is to build a culture and establish processes that significantly reduce systemic failures and enable effective responses when such failures do arise. CMS also will showcase the success stories of hospitals that have effectively engaged leaders, providers and frontline staff in a collective endeavor to enhance outcomes.

 

We encourage all hospital staff to attend, including executive leadership, clinical leaders, managers, quality improvement team members and bedside staff.


 

Saturday, Dec. 9

WOCN Wound Education Day

10 a.m. - 5:30 p.m.

 

The Wound, Ostomy and Continence Nurses Society presents its inaugural Wound Education Day. This free event is aimed at advancing wound care through education and equipping wound care professionals with the most current, evidence-based knowledge to teach, prevent and effectively heal even the most challenging wounds.

 

The day features nine sessions brought to you by experienced WOC nursing professionals and subject matter experts and will award a total of 6.75 Contact Hours and 0.50 Pharmacology Credits.

 

Questions?

 

Please contact Cathleen Wright or your EQIC project manager with any questions.

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