Arkansas Hospitals, Winter 2018

Winter 2018

Listening to the Patient’s Voice

Let Us Take Care of Facilitating your patients' medical transportation needs on both sides of the horizon Advanced Life Support Paramedic-Staffed Critical Care and Specialty Care Transports for ICU/ CCU patients • ZOLL Impact Ventilators/ RSI Capabilities • ZOLL X Series Cardiac Monitors • Medication monitoring and administration

ALS Ground Ambulance | Medical Helicopter | CCT/SCT Fixed-Wing Air Ambulance 2 0 1 7 A L S S e r v i c e o f t h e Ye a r b y t h e A r k a n s a s A m b u l a n c e A s s o c i a t i o n

855.367.9911 Celebrating 50 Years of Service

Arkansas Heart Hospital Bryant, Arkansas

HELPING BUILD A HEALTHIER ARKANSAS. Clark Contractors is proud to be a part of creating the healthcare infrastructure essential to the well-being of our state and our people. We thank you for your confidence and look forward to continuing our efforts to build a healthier Arkansas.

www.clarkcontractors.net

Features 11

The Rise of the Empowered Patient-Consumer

14

BOARD OF DIRECTORS:

Patients or Customers?

There’s an App for That!

DEPARTMENTS

NEWS

5 6 7 8 9

30 Profile: Michael Dorsey,

AHA Calendar Editor’s Letter All About Hospitals Newsmakers & Newcomers

QUALITY AND PATIENT SAFETY

22 Focusing on the Patient’s Voice to Improve Care

29 Focus on Quality 32 Antimicrobial Stewardship In Small and Critical Access Hospitals

36 Partnership for Better Health HOSPITAL HEROES

39 Dr. Emad Aboud COACH’S PLAYBOOK

40 Health Care in the

Age of Consumerism

419 Natural Resources Drive • Little Rock, AR 72205 Elisa M. White, Editor in Chief Nancy Robertson, Senior Editor & Contributing Writer Jamie Barrett, Graphic Designer

18 President’s Message

ARKANSAS HOSPITALS IS PUBLISHED BY THE ARKANSAS HOSPITAL ASSOCIATION

44

Johnson Regional Medical Center

Special Section: 2018 AHA Annual Meeting and Trade Show

48 Allies in Health Care:

The Arkansas Society of Marketing & Public Relations

51 AHA Services:

A Welcome Member Benefit

54 Saving Minutes,

Saving Lives: Arkansas Trauma Centers

58 Treating Patients as Family: Dr. Kristin Patton

POLICY AND ADVOCACY

62 The Capitol Report 64 Where We Stand: Aligning Efforts to Improve Quality

Darren Caldwell, Newport / Chairman Chris Barber, Jonesboro / Chairman-Elect Peggy Abbott, Camden / Treasurer Ryan Gehrig, Fort Smith / At-Large Greg Crain, Little Rock Barry Davis, Paragould David Deaton, Clinton Phil Gilmore, Crossett Suzanne Hackney, Jonesboro John Heard, McGehee Vince Leist, Harrison James Magee, Piggott Mike McCoy, Danville Gary Paxson, Batesville Ron Peterson, Mountain Home Rob Robinson, El Dorado Larry Shackelford, Fayetteville Doug Weeks, Little Rock Debra Wright, Nashville

EXECUTIVE TEAM:

Robert “Bo” Ryall / President and CEO Jodiane Tritt / Executive Vice President Tina Creel / President of AHA Services, Inc. Elisa M. White / Vice President and General Counsel Pam Brown / Vice President of Quality and Patient Safety Lyndsey Dumas / Vice President of Education

DISTRIBUTION:

Arkansas Hospitals is distributed quarterly to hospital executives, managers and trustees throughout the United States; to physicians, state legislators, the congressional delegation, and other friends of the hospitals of Arkansas.

Arkansas Hospitals is produced quarterly by Vowell, Inc., 910 W. 2nd St., Suite 200, Little Rock, AR 72201.

Periodicals postage paid at Little Rock, AR and additional mailing offices.

The contents of Arkansas Hospitals are copyrighted, and material contained herein may not be copied or reproduced in any manner without the written permission of the Arkansas Hospital Association.

Articles in Arkansas Hospitals should not be considered specific advice, as individual circumstances vary.

Products and services advertised in the magazine are not necessarily endorsed by the Arkansas Hospital Association.

To advertise, call 501.244.9700.

BEHAVIORAL HEALTHCARE SYSTEM

Specializing in mental health treatment for children & adolescents Pinnacle Pointe Behavioral Healthcare System is located in Little Rock and is one of Arkansas’ largest behavioral health facilities. We offer acute inpatient and residential services for children and adolescents ages 5-17 who are struggling with emotional or behavioral health issues.

We Provide a Full Continuum of Behavioral Healthcare Services Residential inpatient care | School-based services | Partial hospitalization Acute inpatient care | Outpatient services TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.

11501 Financial Centre Pkwy.

Little Rock, AR 501.223.3322 • 800.880.3322

PRESIDENT’S Message

6 . WINTER 2018

EDITOR'S

Letter

P AT I E N T C OM F ORT As the largest HVAC controls and equipment

WHAT WE DO

company in Arkansas, we understand the

• • • • • • • • • •

unique needs of hospitals, health clinics, and medical centers when it comes to heating and cooling their facilities.

At Powers, we focus on patient comfort so you can focus on patient care. To learn more, call us at 501.374.5420 or visit us online at www.powersar.com.

Building Controls Controls Service Mechanical Service HVAC Equipment Air Distribution NEBB Certified TAB Retrofit Projects HVAC Solutions OEM Parts Training

Great people, great service, and great products from companies like Siemens.

This is how we create customers for life.

One customer at a time.

B U I L D I N G H VA C , C O N T R O L S , & S E R V I C E • 5 0 1 . 3 7 4 . 5 4 2 0 • 8 . WINTER 2018

W W W. P O W E R S A R . C O M

PTCOA has clinics in Hot Springs, Jonesboro, Little Rock, North Little Rock, White Hall, Conway, and Bentonville. PTCOA is also proud to serve through its sister clinics in Batesville, Searcy, and Mountain Home.

Arkansas’ largest comprehensive pain management practice specializing in the treatment of all chronic pain conditions.

WWW.PTCOA.COM

Phone: (501) 773-6993 Toll Free (844) 215-0731 Fax: (888) 630-8885

PTCOA’s team consists of physicians and nurse practitioners with over 100 years of combined pain management experience

PTCOA provides truly comprehensive pain management, embracing both med management and interventions.

PTCOA accepts all major insurances including Medicare, Medicaid, and all government expansion programs.

10 . WINTER 2018

ARKANSAS HOSPITAL ASSOCIATION . 11

Q: Where can I get a flu shot?

A: Flu vaccines are offered at many locations, including:

• Doctors offices • Health Departments • Pharmacies

• Clinics

• Some schools and workplaces

INSECTS

FIGHTING BACTERIA

The quest to develop new antibiotics is challenging, but one new discovery might be on the near horizon.

A research team at the University of Zurich is working with the natural antibiotic thanatin, derived from spined soldier bugs, which appears to prevent Gram-negative bacteria from forming an outer membrane.

Bacteria cannot survive without an outer membrane, so thanatin effectively shields healthy cells from bacterial attack.

Researchers using the study results, as reported in the journal "Science Advances," are developing substances that specifically inhibit protein-protein interactions in bacterial cells. The Swiss drug maker Polyphor is currently using the newly-discovered mechanism in its search for new antibiotics.

NEWS

STAT

The team estimated 154,394 labor hours were spent escorting patients and families around the hospital or assisting with navigating our campus.

That’s the equivalent of 77 full-time employees!

Find Your Way with ACH’s App! Search “Arkansas Children’s” in the iTunes and Android stores to download the free app today.

22 . WINTER 2018

A Road Map to Person and Family Engagement The following are recommended person and family engagement (PFE) policies and practices for hospitals; they are fundamental to improving quality of care for all patients and in building authentic partnerships among patients and care providers.

Support PFE with policies and dedicated resources

Implement and inform patients and families of family-initiated rapid response teams (RRT) educating them on how and when they are used

Share and teach principles of person- and family-centered care with staff

Develop and execute systems to encourage partnerships among patients, families, and care providers to improve patientprovider decision making

Conduct change of shift reporting at the bedside and invite patients and family members to be active participants

Conduct and inform patients and families of physician/ multidisciplinary rounds and encourage their participation

Represent the patient voice at hospital Board of Directors meetings, making them a part of governance decisions

Dedicate a staff member to be responsible for all PFE activities and training

Create an active PFE committee/council or have patient representation on existing patient safety/quality improvement teams

Provide a planning checklist to prepare patients that have scheduled admissions, allowing for questions and comments at admission

Welcome 24/7 presence of family and/or patient representative as part of patient’s healthcare team

Include the voice of patients and families in every serious safety event review

To learn more about person- and family-centered care, and for resources on how to advance these principles and practices, visit us at: www.mhakeystonecenter.org Š2016 MHA Keystone Center. All rights reserved.

Live Your Dream, Learn to Fly

Take an Introductory Flight Lesson or Give One as a Gift Get Your Private Pilot’s License for the Most Convenient, Hassle-Free Way to Fly.

8

VA Benefits Accepted starting with instrument rating based on your benefits

YEARS OF FLIGHT 1939-2019

501.975.9330 learntofly@central.aero

2301 Crisp Drive, Little Rock, Arkansas |

Since 1939

| www.central.aero | 501.975.9330

TEAM RESOURCE FOR QI

Gold Award

product 2O15

GRAND PRIZE

Pamela Hughes 501.708.2090 www.wielandhealthcare.com

The Institute for Healthcare Improvement’s (IHI) QI Essentials Toolkit continues to get rave reviews!

The kit is designed to help hospitals guide their continuous quality improvement work, and includes the tools and templates needed to both launch a successful quality improvement project and manage performance improvement.

The QI tools include: • Cause and Effect Diagram: Also known as the Ishikawa or fishbone diagram, this tool helps you analyze the root causes contributing to an outcome.

Insta

• Failure Modes and Effects Analysis: Also used in Lean management and Six Sigma, FMEA is a systematic, proactive method for identifying potential risks and their impact.

• Run Charts and Control Charts: These charts help you monitor performance and visualize variation.

National Ambulance Accreditation Commission on the Accreditation of Ambulance Services

Need help with a transfer?

Call our Dispatch (877) 672-4595 Have EMS questions?

Call our Business Office (870) 734-3366

• PDSA Worksheet: Plan-Do-Study-Act rapid-cycle testing helps teams assess whether a change leads to improvement using a methodical learning process.

Download the complete toolkit with all ten tools, or download individual tools as you need them to guide your continuous improvement work.

To access the toolkit, go to www.ihi.org.

NEWS

STAT

ARKANSAS HOSPITAL ASSOCIATION . 27

A LARGE VARIETY OF BRANDS

OFFERING • Quality Name Brand Products • Unbeatable Service • Delivery To Site • Customized Billing • Convenient On-Site Sales • No Orders Too Large or Small • Embroidery Services

a.m. - 6:00 p.m.

AAHQ Arkansas Association for Healthcare Quality

www.arkahq.org

30 . WINTER 2018

Health Insurance the Arkansas Way. Helping Uninsured Arkansans Find Quality Health Insurance Many of the patients you serve may be unaware that they may have coverage options through My Arkansas Insurance, the statebased health insurance exchange. Arkansans who experience a life event that affects family size, location, income, or other big changes may qualify to get 2019 marketplace health coverage outside of the open enrollment period.

My Arkansas Insurance health insurance plans come from top insurance companies and cover the same full set of benefits as plans through employers. The difference on the Marketplace plans is that Arkansas consumers may get help with the cost.

With My Arkansas Insurance coverage, Arkansans receive many health-saving benefits: • • • • •

More frequent doctor visits Preventive care and screenings Outpatient and emergency care Access to prescription medications Pediatric care, including well-child visits and shots

Help your uninsured patients by sharing information about My Arkansas Insurance.

Personal enrollment assistance is available through the My Arkansas HelpLine at 1-844-355-3262, Monday–Friday, 8:00 a.m.–4:30 p.m.

Who can save up to 8 lives and improve the health of up to 200 simply by saying “yes?”

YOU! when you register to become an organ and tissue donor

Say “YES” to donation when you register today.

36 . WINTER 2018

EXPANDING ELECTRONIC PATIENT ENGAGEMENT As information technologies expand, many hospitals and health systems are using new tools to increase patient engagment, according to survey results reported in the American Hospital Association publication “Trendwatch.� To better serve patients, some health care organizations are offering new options that enable patients to electronically manage select areas of their health care.

Today, 50 percent of hospitals and health systems allow patients to request refills for prescriptions online, up from just 22 percent in 2012. Sixty-eight percent give patients the ability to schedule appointments online, up from 37 percent in 2012. Eighty-seven percent of hospitals and health systems have a system that allows patients to pay their medical bills online, compared to 70 percent in 2012. Finally, 68 percent allow patients to send messages to their providers securely through the EHR, up from 55 percent in 2014 (the first year that question was included in the survey).

Electronically enabling these activities enhances access to care as well as patient engagement. Survey results show that large hospitals and health systems are more likely to give patients the ability to request prescription refills online, schedule appointments online, pay bills online, and securely message with providers. Smaller hospitals and systems are adding these services at a slower pace.

NEWS

STAT

ARKANSAS HOSPITAL ASSOCIATION . 37

Only a

CLICK

away!

Connect

to order free health care resources and tools!

Go to afmc.org and get instant access to information that health care providers like you need every day. You’ll find free tools available for order and download, details about AFMC’s quality improvement and disease prevention projects, survey results, professional publications geared toward Arkansas health care providers and MORE!

REVISED SEPTEMBER 2017

ARKANSAS HOSPITAL ASSOCIATION . 39

New water view lots available now!

42 . WINTER 2018

In a gated community right in the heart of West Little Rock, sits the beautiful Valley Falls Estates.

Located in Roland, just a few miles outside Little Rock. Waterview Estates is a beautiful and relaxed place with amazing views that you’ll enjoy calling home.

West Little Rock, Arkansas 14 one acre lots available.

Call 501-912-8800 for appointment.

16301 Highway 300, Roland, Arkansas www.waterviewlittlerock.com 501-912-8800

THE CARE YOU NEED. WHERE YOU NEED IT.

. . l E L a e SSIB R s i e O l P g s i g Y u R r E t The Snd RECOV a

In Arkansas, mental health issues are affecting people of all ages and the suicide rate across all ages is at an all-time high. But there is hope.

The BridgeWay provides a continuum of care that is safe, secure and serene. Just as each patient is different, so too are our programs. The BridgeWay is the only psychiatric hospital in Arkansas with distinct programs for seniors 55 and older, adults 18 and older, adolescents, ages 13-17, and children, ages 4-12. Whether it is for mood, thought or substance abuse disorders, we provide separate units for each population.

21 BridgeWay Road, North Little Rock, AR 72113 1-800-BRIDGEWAY | thebridgeway.com

arkansasrelay.com/captel

Reconnect.

Captions for your phone calls.

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Reconnect.

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the ability for anyone with hearing loss to communicate

Our patients place their trust and health in our hands, and caring for patients is a privilege and a responsibility we never take for granted.

We are committed to our mission — to provide quality healthcare and improve the health of our communities.

If you have a hearing loss and are eligible to use LISTEN, the READ and on the telephone independently.

CapTel service, contact Telecommunications RESPOND to yourarkansasrelay.com/captel callers withAccess ease on the CapTel® phone!

Program (TAP) and a representative will loss provide you a If you have a hearing and are eligible to use the CapTel service, contact Telecommunications Access CapTel phone at no cost*.

Reconnect.

Program (TAP) and a representative will provide you a

CapTel phone at no cost*.

Captions for your phone calls.

■ 800-981-4463

Captioned Telephone service from Arkansas Relay offers ■ 800-981-4463 ■ www.arkansasrelay.com/tap (TAP Information) the ability for anyone with hearing loss to communicate ■ www.arkansasrelay.com/tap (TAP Information) ■ www.arkansasrelay.com/captel (CapTel on the telephone independently.

LISTEN, READ and Information) ■ www.arkansasrelay.com/captel (CapTel Information) ® RESPOND to your callers with ease on the CapTel phone!

*

If you have a hearing loss and* are eligible to use the CapTelCapTel service, contact Telecommunications Access is a registered trademark of Ultratec, CapTel is aInc. registered trademark of Ultratec, Inc. Program (TAP) and a representative will provide you a CapTel phone at no cost*.

■ ■ ■

800-981-4463 www.arkansasrelay.com/tap (TAP Information) www.arkansasrelay.com/captel (CapTel Information)

* CapTel is a registered trademark of Ultratec, Inc.

ARKANSAS HOSPITAL ASSOCIATION . 43

46 . WINTER 2018

ARKANSAS HOSPITAL ASSOCIATION . 47

48 . WINTER 2018

ARKANSAS HOSPITAL ASSOCIATION . 49

TARGETING TELEHEALTH ADMINISTRATION The rapid rise of telehealth services has spawned a new academic fellowship at Jefferson Health, which includes Philadelphia University and Thomas Jefferson University. Working in partnership with the telehealth company Teladoc Health, Jefferson Health's telehealth academic fellowship includes a specialized curriculum for physicians interested in a career providing care remotely.

The new fellowship, reportedly only the second such fellowship in the country, focuses on the administrative side of virtual care. (Jefferson launched a fellowship focusing on the clinical aspects of telehealth several years ago.) The new initiative is funded by Teladoc, which will help design the curriculum. The program has two separate pathways: one led and held on-site at Jefferson Health and the other designed and delivered by Teladoc.

The latter program will provide training on leadership, including driving consumer behavior; telehealth policy leadership and advocacy; software innovation; clinical-quality oversight; and management.

Judd Hollander, M.D., senior vice president of health care delivery innovation at Thomas Jefferson University, said in a statement that the school has established a multidisciplinary program for telehealth, and the next step is to educate future leaders so that they can master telehealth and keep providing the care patients need, when and how they need it.

-AHA Center for Health Innovation

NEWS

STAT

52 . WINTER 2018

Wilcox DOES YOUR HOSPITAL RECEIVE

ACCURATE PAYMENT? SPECIALIZING

in clinical documentation improvement and coding accuracy. Our services include but are not limited to: Clinical Documentation Improvement Inpatient/Outpatient Coding & Billing Assessments Hospital Chargemaster Review & Update Denials Management Education

405-878-0118 www.acsteam.net

CONSUMER ALERT: SHORT-TERM HEALTH PLANS Following recent changes to federal rules, Arkansas Insurance Commissioner Allen Kerr issued an alert to Arkansas consumers about short-term, limited-duration insurance (STLDI) health plans.

BILL MARSHALL Health Care Attorney WHEN EXPERIENCE MATTERS MOST SERVICES Make sure your legal representation has the diversity of experience to serve you in every way you’re legally entitled to.

Health Law • Finance Law • Corporate Law • Tax Law • Real Estate Bill has extensive experience in complex issues inherent in healthcare laws which affect hospitals and other healthcare providers. He provides representation related to transactions such as the purchase or sale of healthcare facilities, the purchase of physician practices and the formation of physician hospital joint ventures. Bill Marshall has represented hospitals for 40 years.

NEWS STAT

“I encourage all people purchasing insurance to carefully review their coverage no matter what type of coverage they are looking to purchase,” he says. “Short-term health plans have been available to consumers for decades, but with recent changes to federal rules, consumers should be aware of high-pressure sales pitches claiming short-term plans are ACA-compliant – which they are not.”

The key difference between short-term, limited-duration insurance plans and health plans compliant with the Affordable Care Act (ACA) are: • Coverage is for less than 12 months; • Not required to offer same level of benefits (maternity, prescription drugs, dependents, etc.); • Can refuse coverage or charge higher premiums based on health history; and • Not required to cover pre-existing conditions.

Those selling STLDI plans are required to warn consumers that these plans do not meet the minimum essential coverage requirements of the ACA. Arkansas consumers who have questions or concerns on any insurance plan, including any high-pressure or confusing sales tactics, are urged to call the Arkansas Insurance Department at 1-800-852-5494.

NEWS

STAT

ARKANSAS HOSPITAL ASSOCIATION . 53

ARKANSAS HOSPITAL ASSOCIATION . 55

56 . WINTER 2018

Building Partnerships. Delivering Excellence.

The professional liability and property protection for your healthcare facility deserves the expertise of specialists. The Healthcare Division of BXS Insurance is one of the largest and most experienced group of medical professional liability and property specialists for hospitals, PHOs, IPAs, surgery centers, clinics, physicians, surgeons, and nursing homes in the Southeast. Call Tom Hesselbein today for more information at (501) 664-7705.

Professional Liability | Property | Loss Control | TPA Services 1. BXS Insurance is a wholly owned subsidiary of BancorpSouth Bank. 2. Insurance products are • Not a deposit • Not FDIC insured • Not insured by any federal government agency • Not guaranteed by the bank • May go down in value. 3. BXS Insurance is an insurance agent and not an insurance carrier. 4. Always read your policy for coverage terms and conditions.

(501) 664-7705 | bxsi.com ARKANSAS HOSPITAL ASSOCIATION . 57

CLIMATE CHANGE AND HEALTH

FINANCING IS THE FIRST STEP.

In the “Fourth National Climate Assessment” released in late November, one area of risk addressed is the impact of climate change on the health of U.S. citizens.

According to the report, “Impacts from climate change on extreme weather and climate-related events, air quality, and the transmission of disease through insects and pests, food, and water increasingly threaten the health and well-being of the American people, particularly populations that are already vulnerable.”

The report correlates deterioration of health with advancing climate change in several areas: • Air quality is negatively affected through rising levels of ground-level ozone pollution and an increasing spread of particulates from wildfire-generated smoke.

• Rising air and water temperatures have negative effects on food and water quality.

Increased heat brings higher levels of waterborne and foodborne diseases, and raises the rate of heat-related deaths.

• Climate change alters the geographic range and proliferation of disease-carrying insects and pests, such as Lyme disease-bearing ticks and virus-carrying mosquitoes.

The report indicates that “adaptation and mitigation policies and programs that help individuals, communities and states prepare for the risks of a changing climate [are needed to] reduce the number of injuries, illnesses and deaths from climate-related health outcomes.”

To read the report, go to globalchange.gov.

Our Capital Markets professionals have the industry experience and client-first approach you need to complete upcoming projects. Planning new construction? Refinancing? Equipment leasing?

We can customize the right capital structure. Call or click today and find out what Crews can do for you.

A First Security Company

INVESTMENT BANKING | PUBLIC FINANCE BONDS | LEASES | LOANS Paul Phillips 501.978.6309 pphillips@crewsfs.com

Tame the wave of rising benefit costs.

How do you control your benefits spend when you need to invest in talent?

Your ability to maneuver determines your competitive edge.

With healthcare plan design changes, you can ride the crest of a strong total rewards offering without wiping out your budget.

To learn more, visit ajg.com or contact us at your nearest Gallagher office:

NEWS

STAT

60 . WINTER 2018

6325 Ranch Drive Little Rock, AR 72223 501.485.3075 © 2018 Arthur J. Gallagher & Co. | AJG.COM 34274A

800.766.2000 | crewsfs.com Member FINRA & SIPC

You take care of your patients & we’ll take care of your practice We’ve been addressing the legal needs of the healthcare industry for 118 years.

• • • • • • • • • •

Medicare/Medicaid Reimbursement Stark I and II & Anti-Kickback Compliance Contracts & Business Transactions Government Regulations Operations & Management Licensure Matters & Board Hearings Employment Issues HIPAA Compliance & Training Medical Malpractice Defense Medical Device & Pharmaceutical Products Defense

Let us put our experience to work for you.

Rogers

Little Rock

wlj.com

ARKANSAS HOSPITAL ASSOCIATION . 61

62 . WINTER 2018

ARKANSAS HOSPITAL ASSOCIATION . 63

Aligning EffortsEfforts to Improve Quality Aligning to Improve Quality

Hospitals and health systems great to improve quality quality of care.

Public policies need Hospitals andhave healthmade systems havestrides made great strides to improve of care.

Public policies need to be revised promote– –continuous not impede – improvement. continuous improvement. to be revised to promote – not to impede

Significant Strides Have Been Made in Patient Care

Significant Strides Have Been Made in Patient Care 70,000

70,000

40%

decrease

77%

fewer

40%

decrease

decrease

decrease

21%

decrease

21%

decrease

Unplanned Readmissions

Occurrence of Earlyelective Deliveries

Central Line-associated Blood Stream Infections

(2011-2015)

(2012-2016)

(2009-2014)

Unplanned Readmissions (2011-2015)

77%

fewer

Hospital-acquired Conditions (2010-2015)

Occurrence of Earlyelective Deliveries

Central Line-associated Blood Stream Infections

Hospital-acquired Conditions

(2012-2016)

(2009-2014)

(2010-2015)

Barriers to Improving Care: Conflicting and Uncoordinated Federal Policies

Barriers to Improving Care: Conflicting and Uncoordinated Quality Quality Federal Policies Measurement Improvement

What's Needed: A Cohesive Framework To sustain and accelerate progress,

What's Needed: policymakers must think strategically about quality policies.

A Cohesive Framework "measures that matter" To sustain andImplement accelerate progress, the most to improving care. policymakers must think strategically about quality policies.

Adopt modern, meaningful and

(QI)

effective standards.

Quality Measurement

QualityConditions of Participation Improvement(CoPs) / Standards (QI)

Quality Efforts Are Interconnected

Currently, policies impacting quality measurement, QI and Medicare CoPs/standards are viewed separately though, in practice, they are interrelated.

Quality Efforts Are Interconnected

Conditions of Participation (CoPs) / Standards

80

In 2019, hospitals will be required to report more than 80 measures quality measurement, to CMS.

Currently, policies impacting QI and Medicare CoPs/standards are viewed separately though, in practice, they are interrelated.

80

An average-sized hospital spends approximately $3.8 million annually on administrative aspects of quality 2019, hospitals will be with required reporting and complying CoPs.

In to report more than 80 measures to CMS.

An average-sized hospital spends approximately $3.8 million annually on administrative aspects of quality reporting and complying with CoPs. 64 . WINTER 2018

Implement "measures that matter" Align andcare. standards the most to measures improving from all federal quality programs to support improvement.

Adopt modern, meaningful and effective standards.

This data is from the AHA Align measures report, and standards TrendWatch Aligning from all federal quality programs Efforts to Improve Quality. to support improvement.

To learn more, visit www.aha.org/quality.

This data is from the AHA $ 3.8 TrendWatch report, Aligning Efforts to Improve Quality.

To learn more, visit www.aha.org/quality.

Million

©2018 American Hospital Association | October 2018

$ 3.8 Million

©2018 American Hospital Association | October 2018

you are

not alone

Cancer has made Stacy Rice a stronger woman, it has made her more bold in her life and she says she would not be the person she is today without the experience. She hopes she will be an encouragement to other women who are going through this same battle.

“Ask for support because you can’t go through this or life by yourself.

Remember you are not alone. You have your family, friends, an oncologist, radiologist and God. I just want to be there for the next person because I had great support.” —Stacy Rice

YOUR

OF CARE

Stacy Rice Breast Cancer Survivor, Unity Health Ambassador

HOSPITALS • CLINICS • SPECIALISTS Searcy | Newport | Beebe | Bradford | Cabot | Clinton | Heber Springs

Unity-Health.org

SOUTHWEST LITTLE ROCK COMMUNITY CLINIC Little Rock, Arkansas SOUTHWEST LITTLE ROCK COMMUNITY CLINIC Little Rock, Arkansas

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WEBUILD BUILDCOMMUNITY-BASED COMMUNITY-BASED HEALTHCARE WE HEALTHCARE With constructionofofthe theSouthwest SouthwestLittle Little Rock Rock Community Community With construction Clinic, Arkansas Children’sbrought broughtcare care close close to to home Clinic, Arkansas Children’s home for for thousands childrenininLittle LittleRock.

Rock.Nabholz Nabholz is is proud proud to thousands ofof children to

provide quality constructionthat thatmeets meets patients’ patients’ needs provide quality construction needs and and furthers Arkansas Children’s overall goal of reaching more

furthers Arkansas Children’s overall goal of reaching more children in more ways where they live, learn and play.

children in more ways where they live, learn and play.

1.877.NABHOLZ | www.nabholz.com

1.877.NABHOLZ | www.nabholz.com