Aug 25, 2014 - PC-01 measure QualityNet data collection for CMS. ⢠Data Definitions taken from Joint Commission 2014.
Hospital Teams Call August 25, 2014 12:30 – 1:30 PM
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Agenda • ILPQC Updates • Conference Planning: hospital poster session • Update AHRQ Safety Program for Perinatal Care
• EED Initiative Updates • ILPQC EED Data Aggregate Report
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ILPQC Structure
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Future ILPQC Initiatives • Topics discussed on last OB Advisory Workgroup • Birth Certificate Optimization • Maternal Morbidity Focus • New hypertension guidelines/HTN Toolkit
• Antenatal Steroids Optimization • March of Dimes Big 5, goal for kickoff Fall 2015
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Conference: Overview • Date: Monday, November 10 • Location: Northern Illinois University Naperville Campus • Keynote speaker: Elliott Main, CMQCC • Neonatal and OB breakout sessions • Perinatal quality initiative topics: Birth Certificate Optimization, Antenatal Steroids, Family Engagement in QI, Neonatal Abstinence Syndrome, Maternal Morbidity/Mortality reduction: New Hypertension Guidelines, Neonatal Nutrition, Evidenced Based Breastmilk
Poster Session
• All IL hospitals invited to share a perinatal quality poster at the ILPQC Annual Conference • Share any of your hospitals perinatal quality improvement stories, projects, results, or lessons learned • Can focus on EED, Neonatal Nutrition or any relevant perinatal QI initiative • Submit structured abstract by Wednesday, October 1 at 5pm to
[email protected] • Stand with poster at conference to discuss from 12:30-1:30pm • Showcase work at meeting and on website 6
AHRQ Safety Program • Builds on existing efforts to improve patient safety, team communications, quality of care • Offers hospitals additional support in clinical quality improvement interventions, team work and communications, and simulation training • Requires participation in 5 webinars, implementation of a safety intervention, data • ILPQC working with IHA to pull the data for the intervention for hospitals to avoid data burden for participating hospitals • Please email us at
[email protected] if your hospital is interested in participating 7
AHRQ Safety Program: Enrollment Information • Deadline to enroll: September 10 • Accepting up to 20 IL Hospitals • First come, first serve basis
• Enrollment requirements:
• Ensure commitment from the unit team members who will play a key role in this project, • Obtain a commitment letter from your hospital CEO or designee, and • Review the data collection requirements and schedule 8
EED Initiative Data Update • Data Form • PC-01 measure QualityNet data collection for CMS • Data Definitions taken from Joint Commission 2014 Manual • Instructions for data entry posted on website
• Identify team member who collects PC-01 • Data entry, simple, secure • Submit data for 2013 Q1-4 and 2014 Q1-2 to receive data report in REDCap by September Hospital Teams call 9
REDCap Database Access • Need REDCap access to begin entering data and to review data reports • Submit form online at www.ilpq.org • Name, email address, title, institution • Access Level (data entry and/or report review)
• Please email
[email protected] if you have not received your login information • Currently have ~120 users from 47 hospitals 10
EED Initiative Data Collection
• Hospital Team members have received REDCap User IDs and Hospital IDs • Hospital IDs should remain confidential
• Data entry has begun
• 96 entries from 17 hospitals (as of 8/21/14)
• Complete data entry before Sept Hospital Teams call • Your hospital data report will be available via your secure portal once report launched: goal by Sept 22 • EED Initiative QI resources available at www.ilpqc.org to assist hospitals 11
Aggregate Hospital Data Prelim Report: PCO1 data 2013-2014
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Support for Hospitals • Goal: to have EED rates
