Data Results: Early Elective Deliveries
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Data Results:Early Elective Deliveries
September 17, 2012
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Where did we start?
• CMS and the National Content Developer charged all HENs to reduce HAC’s by 40%
• Adding reducing readmissions by 20%
• Finally adding reducing EEDs by 40%
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Who helped us start?
• Buy-in from hospitals
• March of Dimes
• Department of Public Health
• Georgia Chapter of OBGYN Society
• Georgia Chapter of the Society for CNM
• Georgia Nurses Association
• AmeriGroup
• And others
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How did we start?
• EED Action Group met in April 2012 to review 2009 data regarding EED
• Developed and agreed upon plan to reduce EED’s by 40%– Ultimate overall goal for Georgia: 0%
– Timely goal for August 2012: 5% or less
• Plan: Encourage use of “hard stops” or IHI bundles to empower nurses and schedulers
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EED Action Group
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The Journey
• In-person meeting inviting all birthing hospitals in Georgia– March of Dimes
– Department of Public Health
– WellStar Health System
– Athens Regional Health System
– Liberty Medical Center
• Pledge was signed to reduce EEDs across Georgia
• Telnets/Webinars and one-on-one calls with hospitals were held including subjects on physician engagement, hard stops, risks to moms and babies and more!
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Commitment Poster signing
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Commitment poster signing 2
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The Journey
• Several hospitals shared their success in reducing EED’s– Atlanta Medical Center
– Emory University Midtown
– Piedmont Henry
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The Results
• There are 75 birthing hospitals in Georgia
• 57 (77%) of those hospitals turned in data
• 19 (33%) of the 56 hospitals were already at a 0% EED rate
• Of the 38 hospitals needing improvement about ½ showed significant gains!!
• 3 of those hospitals went from a 14% or higher EED rate to a 0% rate sustained for at least 3 months!!
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The Results 1
• 2009 – 65%
• 2010 – 56.7%
• August 2012 – 3.62%
• YTD 2012 – 5.98%
• That’s a 93% decrease in Early Elective Deliveries!!!
• For YTD that’s a 90% decrease!!
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The Results 2
• From March 2012 baseline data to August 2012 data:– We can celebrate a 56% decrease in EEDs
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The Results 3
• According to Managed Care Magazine it costs around $41,000 for a late preterm NICU visit
• The incidents went from 147 incidents in March 2012 to just 30 in August 2012
• That’s a decrease of 117 incidents
• If even a ¼ of the babies went to NICU, we saved Georgia Healthcare $1,199,250.00
OVER 1 MILLION Dollars!!
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The Results 4
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The Results 5
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The Results 6
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Lessons Learned
• Important to work as a team
• Get physician buy-in and have a physician champion
• Empower your schedulers and nurses
• Have a peer review for non-medically necessary EED
• Educate patients early starting at first visit
• Collaborate with others even outside your hospital:– Share best practices
– Share forms
– IHI
– March of Dimes
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Lessons Learned 2
• Use data to sustain the gain
• Present data to administration and physicians
• Celebrate your success!!!
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Questions??