Kentucky Hospital Engagement Network (K-HEN) Needs Assessment

Kentucky Hospital Engagement

Network (K-HEN) Needs Assessment

Survey Summary

Kentucky Hospital Engagement Network Needs Assessment Summary

Table of Contents

Adverse Drug Events (ADE) .......................................................................................................................... 1

Catheter Associated Urinary Tract Infections (CAUTI) ................................................................................ 4

Central Line-Associated Blood Stream Infection (CLABSI) .......................................................................... 7

Injuries from falls and immobility ...................................................................................................... 10

Obstetrical harm (such as elective induction pre-39 weeks) .................................................................... 13

Pressure Ulcers ........................................................................................................................................... 16

Surgical Site Infections (SSI) ....................................................................................................................... 19

Venous Thromboembolism (VTE) ....................................................................................................... 22

Ventilator Associated Pneumonia (VAP) ............................................................................................ 25

Preventable readmissions .......................................................................................................................... 28

Leadership .................................................................................................................................................. 31

Follow-up .................................................................................................................................................... 32

For further information about the publication, or for additional copies, please contact: Elizabeth Cobb Vice President, Health Policy Kentucky Hospital Association P.O. Box 436629 Louisville, KY 40253-6629 502-426-6220 [email protected] Copyright © 2012 Kentucky Hospital Association All Rights Reserved. Reproduction of the KHEN Needs Assessment Survey is permitted, provided the source is cited.

Response Percent Response Count

9.1% 96.1% 6

35.4% 3532.3% 3217.2% 170.0% 0

999

Implementing improvements but facing challenges

answered question

Please tell us about your improvement work with Adverse Drug Events

Implementing improvements and progressing well

No structured improvement efforts at this time

Not applicable

skipped question

Answer Options

Implemented improvements with positive, sustained results

Just getting started

Are you interested in improvement support from AHA/HRET/state association on Adverse Drug

9%

6%

36%32%

17%

0%

Adverse Drug EventsNo structured improvement efforts at this time






34.3% 3450.5% 5015.2% 15

999

answered question

Yes

No thanks

Answer Options

skipped question

Maybe

Are you interested in improvement support from AHA/HRET/state association on Adverse Drug Events?

9%

6%

36%32%

17%

0%

Adverse Drug EventsNo structured improvement efforts at this time





34.3%

50.5%

15.2%

Are you interested in improvement support from AHA/HRET/state association on Adverse Drug Events?

Yes

Maybe

No thanks


03/21/2012 Page 1 of 32

Response Percent Response Count1.0% 1

13.1% 1368.7% 6842.4% 425.1% 5

999skipped question

How are you measuring quality or monitoring improvement efforts? (mark all that apply)

Measure / monitor using national or state standardized

Not measuring this topic at all

answered question

Measure / monitor using internally developed measure

Answer Options

Using other measure

Measure only when needed (e.g., RCA after adverse event)

0.01

0.131

0.687

0.424

0.051

00.10.20.30.40.50.60.70.8


Measure only when needed (e.g., RCA

after adverse event)

Measure / monitor using internally

developed measure

Measure / monitor using national or

state standardized measure (e.g., CMS, CDC, JCAHO, NQF, state data system,

clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on Adverse Drug Events?

How are you collecting / reporting the data? (mark all that apply)


1.0% 182.8% 8223.2% 2313.1% 138.1% 8

999skipped question

Mandatory external reporting (to state agency, national

Not reporting on this topic

answered question

Voluntary external reporting (to state agency, national

Adverse Drug Events

Other reporting

Internal reports only

0.01

0.131

0.687

0.424

0.051

00.10.20.30.40.50.60.70.8





developed measure



clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on Adverse Drug Events?

0.01

0.131

0.687

0.424

0.051

00.10.20.30.40.50.60.70.8





developed measure



clinical registry)

Using other measure



03/21/2012 Page 2 of 32

Response Percent Response Count53.5% 5327.3% 2769.7% 6912.1% 1218.2% 18

Other 899

pped question skipped question 9 9

8. If you are collecting data regarding Adverse Drug Events, what measures are you collecting? And if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Medication reconciliation (at admission, change in levels of care,

Answer Options

Not Applicable

Hypoglycemia in patients receiving insulin or other hypoglycemic

answered question

Time interval between prescribing and administering "stat"

Excessive anticoagulation with warfarin (outcome measure)

N/A

Other: If you are collecting data regarding Adverse Drug Events, what measures are you collecting? And if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking


03/21/2012 Page 3 of 32

Response Percent

Response Count

2.1% 216.5% 1616.5% 1639.2% 3822.7% 223.1% 3

9711

Implementing improvements and progressing wellImplemented improvements with positive, sustained resultsNot applicable

answered questionskipped question

Are you interested in improvement support from AHA/HRET/state association on CAUTI

Please tell us about your improvement work with CAUTI

Answer Options

No structured improvement efforts at this timeJust getting startedImplementing improvements but facing challenges

2.1%

16.5%

16.5%

39.2%

22.7%

3.1%

Please tell us about your improvement work in this topic






Not applicable

Response Percent

Response Count

38.1% 3746.4% 4515.5% 15

9711

Answer Options

YesMaybeNo thanks


Are you interested in improvement support from AHA/HRET/state association on CAUTI

2.1%

16.5%

16.5%

39.2%

22.7%

3.1%







Not applicable

38.1%

46.4%

15.5%

Are you interested in improvement support from AHA/HRET/state association on CAUTI?

Yes

Maybe

No thanks


03/21/2012 Page 4 of 32

Response Percent

Response Count

3.1% 33.1% 3

45.4% 4472.2% 702.1% 2

9711

Response Response

Using other measureanswered question

skipped question

How are you collecting / reporting the data on CAUTI?

How are you measuring quality or monitoring improvement efforts on CAUTI? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%


Measure only when needed

(e.g., RCA after adverse event)


developed measure


state standardized

measure (e.g., CMS, CDC,

JCAHO, NQF, state data

system, clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on CAUTI ?

Response Percent

Response Count

5.2% 551.5% 5043.3% 4228.9% 285.2% 5

9711

Internal reports onlyVoluntary external reporting (to state agency, national Mandatory external reporting (to state agency, national Other reporting


Answer Options


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%





developed measure


state standardized


JCAHO, NQF, state data

system, clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on CAUTI ?

5.2%

51.5%

43.3%

28.9%

5.2%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%



Voluntary external reporting (to state agency,

national organization or clinical registry)

Mandatory external reporting (to state agency,


Other reporting

How are you collecting / reporting the data on CAUTI?


03/21/2012 Page 5 of 32

Response Percent

Response Count

70.8% 6322.5% 2047.2% 4234.8% 317.9% 7

08919

UTI Catheter Compliance Bundle (process measure)Not ApplicableIf for other than internal reporting, please list any external entities to which you su


If you are collecting data regarding CAUTI, what measures are you collecting? And, if you are submitting data outside the hosptial or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI)-Mark all that apply

Answer Options

CAUTI rate (per 1,000 uniary catheter days) (outcome measure)CAUTI rate (per 1,000 inpatient discharges) (outcome measure)Uninary catheter removed on Postoperative Day 1 (POD1) or

10%

20%

30%

40%

50%

60%

70%

80%

If you are collecting data regarding CAUTI, what measures are you collecting?

0If for other than internal reporting, please list any external entities to which you submit CAUTI data.

0%

10%

20%

30%

40%

50%

60%

70%

80%

CAUTI rate (per 1,000 uniary

catheter days) (outcome measure)

CAUTI rate (per 1,000 inpatient

discharges) (outcome measure)

Uninary catheter removed on

Postoperative Day 1 (POD1) or Day 2(POD2) Day of Surgery-Day 0

(process measure)

UTI Catheter Compliance Bundle (process measure)

Not Applicable

If you are collecting data regarding CAUTI, what measures are you collecting?


03/21/2012 Page 6 of 32

Response Percent

Response Count

6.3% 65.3% 5

12.6% 1227.4% 2641.1% 397.4% 7

9513skipped question

Answer Options


Please tell us about your improvement work on CLABSI



Not applicable

Implementing improvements but facing challengesJust getting started

answered question

6.3%5.3%

12.6%

27.4%

41.1%

7.4%







Not applicable

Response Percent

Response Count

28.4% 2745.3% 4326.3% 25

9513

No thanks

Answer Options

Are you interested in improvement support from AHA/HRET/state association on CLABSI?

skipped question

Maybe

answered question

Yes

6.3%5.3%

12.6%

27.4%

41.1%

7.4%







Not applicable


03/21/2012 Page 7 of 32

Response Percent

Response Count

9.5% 92.1% 2

40.0% 3867.4% 642.1% 2

9513

How are you measuring quality or monitoring improvement efforts on CLABSI? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized measure (e.g., Using other measure


9.5%2.1%

40.0%

67.4%

2.1%0%

10%

20%

30%

40%

50%

60%

70%

80%





developed measure

Measure / monitor using national or state standardized measure

(e.g., CMS, CDC, JCAHO, NQF, state

data system, clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on CLABSI?

Response Percent

Response Count

10.5% 1047.4% 4538.9% 3736.8% 351.1% 1

9513

How are you collecting / reporting the data on CLABSI? (mark all that apply)

Answer Options

Not reporting on this topicInternal reports onlyVoluntary external reporting (to state agency, national organization or Mandatory external reporting (to state agency, national organization or Other reporting


9.5%2.1%

40.0%

67.4%

2.1%0%

10%

20%

30%

40%

50%

60%

70%

80%





developed measure




Using other measure

How are you measuring quality or monitoring improvement efforts on CLABSI?

10.5%

47.4%

38.9% 36.8%

1.1%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%


Internal reports only Voluntary external reporting (to state agency, national organization or clinical registry)

Mandatory external reporting (to state agency, national organization or clinical registry)

Other reporting

How are you collecting / reporting the dataon CLABSI?


03/21/2012 Page 8 of 32

Response Percent

Response Count

68.4% 6516.8% 1643.2% 4115.8% 15

09513

If you are collecting data regarding CLABSI, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply


Answer Options

CLABSI rate (per 1,000 central line days) (outcome measure)CLABSI rate (per 1,000 inpatient discharges) (outcome measure)Central line bundle compliance (ICU)Not applicableIf for other than internal reporting, please list any external entities to which you submit

68.4%

16.8%

43.2%

15.8%

0%

10%

20%

30%

40%

50%

60%

70%

80%

CLABSI rate (per 1,000 central CLABSI rate (per 1,000 Central line bundle compliance Not applicable

If you are collecting data regarding CLABSI, what measures are you collecting?

0If for other than internal reporting, please list any external entities to which you submit CLABSI data:

68.4%

16.8%

43.2%

15.8%

0%

10%

20%

30%

40%

50%

60%

70%

80%

CLABSI rate (per 1,000 central line days) (outcome measure)

CLABSI rate (per 1,000 inpatient discharges) (outcome

measure)

Central line bundle compliance (ICU)

Not applicable

If you are collecting data regarding CLABSI, what measures are you collecting?


03/21/2012 Page 9 of 32


1.1% 13.2% 3

39.8% 3741.9% 3912.9% 121.1% 1


Answer Options



Are you interested in improvement support from AHA/HRET/state association with Serious Falls Injuries?

answered question

Please tell us about your improvement work with Serious Falls Injuries



Not applicable


1.1% 3.2%

39.8%

41.9%

12.9%

1.1%







Not applicable


45.2% 4243.0% 4011.8% 11

9315

YesMaybeNo thanks


Answer Options

1.1% 3.2%

39.8%

41.9%

12.9%

1.1%







Not applicable

45.2%

43.0%

11.8%

Are you interested in improvement support from AHA/HRET/state association with Serious Falls Injuries?

Yes

Maybe

No thanks


03/21/2012 Page 10 of 32


1.1% 14.3% 4

73.1% 6845.2% 423.2% 3

9315


Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized Using other measure

How are you measuring quality or monitoring improvement efforts with Serious Falls Injuries? (mark all that apply)

1.1%4.3%

73.1%

45.2%

3.2%

0%

10%

20%

30%

40%

50%

60%

70%

80%





developed measure



clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts with Serious Falls Injuries?


1.1% 174.2% 6929.0% 2714.0% 132.2% 2

9315

Voluntary external reporting (to state agency, national Mandatory external reporting (to state agency, national Other reporting


How are you collecting / reporting the data with Serious Falls Injuries ? (mark all that apply)

Answer Options

Not reporting on this topicInternal reports only

1.1%4.3%

73.1%

45.2%

3.2%

0%

10%

20%

30%

40%

50%

60%

70%

80%





developed measure



clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts with Serious Falls Injuries?

1.1%

74.2%

29.0%

14.0%

2.2%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%


Internal reports only Voluntary external reporting (to state agency, national

organization or clinical registry)

Mandatory external reporting (to state agency, national

organization or clinical registry)

Other reporting

How are you collecting / reporting the data with Serious Falls Injuries?


03/21/2012 Page 11 of 32


50.5% 4774.2% 6962.4% 5811.8% 117.5% 7

09315

If for other than internal reporting, please list any external entities to which you submit answered question

skipped question

Answer Options

Injuries from Falls and Trauma (rate per 1,000 IP discharges) Number of patient falls, with or without injury to the patient, by Fall risk assessment completed within 24 hours of admission Number of patients on eligible survey unit with a vest restraint Not Applicable

If you are collecting data regarding Injuries from Falls and Immobility, what measures are you collecting?

50.5%

74.2%

62.4%

11.8%7.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Injuries from Falls and Trauma (rate per 1,000 IP discharges) (outcome measure)

Number of patient falls, with or without injury to the patient,

by type of unit during the calendar month x

1000 (outcome measure)

Fall risk assessment completed within 24 hours of admission (process measure)

Number of patients on eligible survey unit with a vest restraint and/or limb restraint (upper or lower body or both) on the day of the prevalence study.

(process measure)

Not Applicable

If you are collecting data regarding Injuries from Falls and Immobility, what are you collecting?

50.5%

74.2%

62.4%

11.8%7.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Injuries from Falls and Trauma (rate per 1,000 IP discharges) (outcome measure)

Number of patient falls, with or without injury to the patient,

by type of unit during the calendar month x

1000 (outcome measure)

Fall risk assessment completed within 24 hours of admission (process measure)

Number of patients on eligible survey unit with a vest restraint and/or limb restraint (upper or lower body or both) on the day of the prevalence study.

(process measure)

Not Applicable

If you are collecting data regarding Injuries from Falls and Immobility, what are you collecting?


03/21/2012 Page 12 of 32

Response Percent

Response Count

12.0% 112.2% 27 6% 7


Please tell us about your improvement work on Obstetrical Adverse Events



Answer Options

7.6% 79.8% 9

12.0% 1156.5% 52

9216

answered question


Not applicable


skipped question



12.0% 2.2%

7.6%

9.8%56.5%






Implemented improvements with

12.0% 2.2%

7.6%

9.8%

12.0%

56.5%







Not applicable

Response Percent

Response Count

16.3% 1520.7% 1963.0% 58

9216

No thanksanswered question

skipped question

Are you interested in improvement support from AHA/HRET/state association on Obstetrical Adverse Events?

Answer Options

YesMaybe

12.0% 2.2%

7.6%

9.8%

12.0%

56.5%







Not applicable

A i d i i f AHA/HRET/ i i

12.0% 2.2%

7.6%

9.8%

12.0%

56.5%







Not applicable

16.3%


Yes

Maybe

12.0% 2.2%

7.6%

9.8%

12.0%

56.5%







Not applicable

16.3%

20.7%

63.0%


Yes

Maybe

No thanks


03/21/2012 Page 13 of 32

Response Percent

Response Count

58.7% 547.6% 7

27.2% 2512.0% 113.3% 3

92

Measure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized measure (e.g., CMS, Using other measure

answered question

How are you measuring quality or monitoring improvement efforts on Obstetrical Adverse Events ? (mark all that apply)

Answer Options


9216


58.7%

40 0%

50.0%

60.0%

70.0%

How are you measuring quality or monitoring improvement efforts on Obstetrical Adverse Events?

58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure

Measure / monitor using national or state

standardized measure (e g CMS

Using other measure


Response Percent

Response Count

62.0% 5730 4% 28

How are you collecting / reporting the data on Obstetrical Adverse Events? (mark all that apply)

Answer Options

Not reporting on this topicInternal reports only

58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure


standardized measure (e.g., CMS, CDC, JCAHO, NQF, state data system,

clinical registry)

Using other measure


30.4% 289.8% 92.2% 24.3% 4

9216

Other reportinganswered question

skipped question

Internal reports onlyVoluntary external reporting (to state agency, national organization or clinical Mandatory external reporting (to state agency, national organization or clinical

58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure


62.0%70.0%

How are you collecting / reporting the data on Obstetrical Adverse Events?

58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure


62.0%

30.4%

9 8%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%


58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure


62.0%

30.4%

9.8%

2.2%4.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%




Other reporting


58.7%

7.6%

27.2%

12.0%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure


62.0%

30.4%

9.8%

2.2%4.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%




Other reporting



03/21/2012 Page 14 of 32

Response Percent

Response Count

21.7% 20

15.2% 14

Answer Options

Obstetrical trauma - cesarean delivery (outcome measure)Number of elective <39 week births admitted to the NICU or transferred to

h h i l f ( )

If you are collecting data regarding Obstetrical Adverse Events, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

15.2% 14

21.7% 20

17.4% 16

5.4% 5

66.3% 61

0

another hospital for care (outcome measure)

Elective induction pre-39 weeks (process measure)Patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39 weeks of gestation completed (process measure)

Antenatal steroids: Patients at risk of preterm delivery at >=24 and <32 weeks gestation receiving antenatal steroids prior to delivering preterm newborns (process measure)

Not Applicable

If for other than internal reporting please list any external entities to which you submit Obstetrical 0

9216


If for other than internal reporting, please list any external entities to which you submit Obstetrical adverse events data:

66.3%

60%

70%

If you are collecting data regarding Obstetrical Adverse Events, what measures are you collecting?

21.7%

15.2%

21.7%17.4%

66.3%

20%

30%

40%

50%

60%

70%


21.7%

15.2%

21.7%17.4%

5.4%

66.3%

0%

10%

20%

30%

40%

50%

60%

70%

Obstetrical trauma -cesarean delivery

(outcome measure)

Number of elective <39 week births

admitted to the NICU or transferred to

another hospital for care (outcome

measure)

Elective induction pre-39 weeks

(process measure)

Patients with elective vaginal deliveries or

elective cesarean sections at >= 37 and

< 39 weeks of gestation completed

(process measure)

Antenatal steroids: Patients at risk of

preterm delivery at >=24 and <32 weeks gestation receiving antenatal steroids prior to delivering

t b

Not Applicable


0If for other than internal reporting, please list any external entities to which you submit Obstetrical adverse events data:

21.7%

15.2%

21.7%17.4%

5.4%

66.3%

0%

10%

20%

30%

40%

50%

60%

70%

Obstetrical trauma -cesarean delivery

(outcome measure)

Number of elective <39 week births

admitted to the NICU or transferred to

another hospital for care (outcome

measure)

Elective induction pre-39 weeks

(process measure)

Patients with elective vaginal deliveries or

elective cesarean sections at >= 37 and

< 39 weeks of gestation completed

(process measure)

Antenatal steroids: Patients at risk of

preterm delivery at >=24 and <32 weeks gestation receiving antenatal steroids prior to delivering preterm newborns 9process measure)

Not Applicable



03/21/2012 Page 15 of 32


4.3% 43.3% 3

25.0% 2337 0% 34

Please tell us about your improvement work in Pressure Ulcers




Answer Options


37.0% 3426.1% 244.3% 4

9216


Not applicable

skipped question

Implemented improvements with positive, sustained

answered question

4.3% 3.3%4.3%



4.3% 3.3%

25.0%26.1%

4.3%







Not applicable


Are you interested in improvement support from AHA/HRET/state association with Pressure Ulcers?

Answer Options

4.3% 3.3%

25.0%

37.0%

26.1%

4.3%







Not applicable

37.0% 3445.7% 4217.4% 16

9216

YesMaybeNo thanks


4.3% 3.3%

25.0%

37.0%

26.1%

4.3%







Not applicable


4.3% 3.3%

25.0%

37.0%

26.1%

4.3%







Not applicable

37.0%

45 7%

17.4%


Yes

Maybe

No thanks

4.3% 3.3%

25.0%

37.0%

26.1%

4.3%







Not applicable

37.0%

45.7%

17.4%


Yes

Maybe

No thanks


03/21/2012 Page 16 of 32


8.7% 82.2% 2

64.1% 5947.8% 443.3% 3

How are you measuring quality or monitoring improvement efforts with Pressure Ulcers? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse Measure / monitor using internally developed measureMeasure / monitor using national or state standardized Using other measure 3.3% 3

9216

Using other measureanswered question

skipped question

64.1%

47.8%

40.0%

50.0%

60.0%

70.0%

How are you measuring quality or monitoring improvement efforts with Pressure Ulcers?

8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%



(e.g., RCA after

Measure / monitor using

internally


national or state

Using other measure


8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





internally developed measure


national or state standardized


JCAHO, NQF, state data system,

clinical registry)

Using other measure



8.7% 868.5% 6330.4% 2810.9% 103.3% 3

How are you collecting / reporting the data on Pressure Ulcers? (mark all that apply)

Answer Options

Not reporting on this topicInternal reports onlyVoluntary external reporting (to state agency, national Mandatory external reporting (to state agency, national Other reporting

8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%










clinical registry)

Using other measure


9216

p ganswered question

skipped question

8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%










clinical registry)

Using other measure


68.5%

40 0%

50.0%

60.0%

70.0%

80.0%

How are you collecting / reporting the data on Pressure Ulcers?

8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%










clinical registry)

Using other measure


8.7%

68.5%

30.4%

10.9%3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%



Voluntary external

reporting (to

Mandatory external

reporting (to

Other reporting


8.7%2.2%

64.1%

47.8%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%










clinical registry)

Using other measure


8.7%

68.5%

30.4%

10.9%3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%



Voluntary external

reporting (to state agency,


Mandatory external

reporting (to state agency,


Other reporting



03/21/2012 Page 17 of 32


62.0% 57

If you are collecting data regarding Pressure ulcers, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Answer Options

Patients with at least one stage II or greater nosocomial 62.0% 5748.9% 4556.5% 5248.9% 4513.0% 12

0

9216

Patients with at least one stage II or greater nosocomial

skipped question

Pressure Ulcers - Significant (stages III & IV) (rate per Skin assessment documented within 24 hours of Pressure ulcer risk assessment completed within 24 Not Applicable

If for other than internal reporting, please list any external entities to which you submit Pressure Ulcers data:

answered question

62.0%

48.9%

56.5%

48.9%

30.0%

40.0%

50.0%

60.0%

70.0%

If you are collecting data regarding Pressure ulcers, what are you collecting?

62.0%

48.9%

56.5%

48.9%

13.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Patients with at least one stage II

or greater nosocomial

Pressure Ulcers -Significant (stages III & IV) (rate per

1 000 IP

Skin assessment documented within

24 hours of admission (process

Pressure ulcer risk assessment

completed within 24 hours of

Not Applicable


0If for other than internal reporting, please list any external entities to which you submit Pressure Ulcers data:

62.0%

48.9%

56.5%

48.9%

13.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%



pressure ulcer on the day of the

prevalence study (outcome measure)


1,000 IP discharges)

(outcome measure)



measure)



admission (process measure)

Not Applicable


62.0%

48.9%

56.5%

48.9%

13.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%



pressure ulcer on the day of the

prevalence study (outcome measure)


1,000 IP discharges)

(outcome measure)



measure)



admission (process measure)

Not Applicable



03/21/2012 Page 18 of 32

Response Percent

Response Count

8.7% 810.9% 1012.0% 1127 2% 25


Answer Options


Please tell us about your improvement work with Surgical Site Infections



27.2% 2527.2% 2514.1% 13



answered question


Not applicable


8.7%

10.9%

12.0%27.2%

14.1%






Are you interested in improvement support from AHA/HRET/state association with Surgical Site

8.7%

10.9%

12.0%

27.2%

27.2%

14.1%







Not applicable

Response Percent

Response Count

26.1% 2441.3% 3832.6% 30

9216

y p pp g

Answer Options

YesMaybeNo thanks


8.7%

10.9%

12.0%

27.2%

27.2%

14.1%







Not applicable

Are you interested in improvement support from AHA/HRET/state i ti ith S i l Sit I f ti ?

8.7%

10.9%

12.0%

27.2%

27.2%

14.1%







Not applicable

26.1%32.6%

Are you interested in improvement support from AHA/HRET/state association with Surgical Site Infections?

Yes

Maybe

8.7%

10.9%

12.0%

27.2%

27.2%

14.1%







Not applicable

26.1%

41.3%

32.6%

Are you interested in improvement support from AHA/HRET/state association with Surgical Site Infections?

Yes

Maybe

No thanks


03/21/2012 Page 19 of 32

Response Percent

Response Count

17.4% 164.3% 4

51.1% 4750.0% 460.0% 0

9216

answered questionki d i

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized measure Using other measure

How are you measuring quality or monitoring improvement efforts with Surgical Site Infections

16skipped question

51.1% 50.0%

40.0%

50.0%

60.0%

How are you measuring quality or monitoring improvement efforts Surgical Site Infections

17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Not measuring this Measure only when Measure / monitor Measure / monitor Using other measure


Response Response How are you collecting / reporting the data for Surgical Site Infections? (mark all that apply)

A O ti

17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%





developed measure




Using other measure


Response Percent

Response Count

18.5% 1753.3% 4918.5% 1735.9% 333.3% 3

9216

Mandatory external reporting (to state agency, national Other reporting


Answer Options

Not reporting on this topicInternal reports onlyVoluntary external reporting (to state agency, national

17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%





developed measure




Using other measure


17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%





developed measure




Using other measure


18.5%

53.3%

18.5%

35.9%

20.0%

30.0%

40.0%

50.0%

60.0%

How are you collecting / reporting the data for Surgical Site Infections

17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%





developed measure




Using other measure


18.5%

53.3%

18.5%

35.9%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%



Voluntary external reporting (to state agency, national organization or clinical registry)



Other reporting


17.4%

4.3%

51.1% 50.0%

0.0%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%





developed measure




Using other measure


18.5%

53.3%

18.5%

35.9%

3.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%






Other reporting



03/21/2012 Page 20 of 32

Response Percent

Response Count

If you are collecting data regarding Surgical Site Infection, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Answer Options

67.4% 6256.5% 5218.5% 1734.8% 3268.5% 6348.9% 4538.0% 3520.7% 19

092

Surgical Site Infection Rate (in-hospital) (outcome measure)Surgical Site Infection Rate (occurring within 30 days after Postoperative sepsis (outcome measure)Death among surgical inpatients with serious, treatable Prophylactic antibiotic received within one hour prior to surgical Surgery Patients with Perioperative Temperature Management Percent of surgeries using safe surgery checklist (process Not ApplicableIf for other than internal reporting, please list any external entities to which you

d i 9216


67.4%

56.5%

68.5%

60.0%

70.0%

80.0%

If you are collecting data regarding Surgical Site Infection

67.4%

56.5%

18.5%

34.8%

68.5%

48.9%

38.0%

20.7%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%


67.4%

56.5%

18.5%

34.8%

68.5%

48.9%

38.0%

20.7%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Surgical Site Infection Rate (in-hospital)

(outcome measure)

Postoperative sepsis (outcome measure)

Prophylactic antibiotic received within one hour

prior to surgical incision(process measure)

Percent of surgeries using safe surgery checklist

(process measure)



03/21/2012 Page 21 of 32

Response Percent

Response Count

8.7% 813.0% 1225.0% 2329.3% 27


Answer Options


Please tell us about your improvement work on Venous Thromboembolism



13.0% 1210.9% 10



answered question

p g p p g g

Not applicable

8.7%10.9%



8.7%

13.0%

25.0%29.3%

13.0%

10.9%







Response Percent

Response Count

42.4% 3935 9% 33

Are you interested in improvement support from AHA/HRET/state association on Venous Thromboembolism?

Answer Options

YesMa be

8.7%

13.0%

25.0%29.3%

13.0%

10.9%







35.9% 3321.7% 20

9216


MaybeNo thanks

8.7%

13.0%

25.0%29.3%

13.0%

10.9%








8.7%

13.0%

25.0%29.3%

13.0%

10.9%







42.4%

35.9%

21.7%


Yes

Maybe

No thanks

8.7%

13.0%

25.0%29.3%

13.0%

10.9%







42.4%

35.9%

21.7%


Yes

Maybe

No thanks


03/21/2012 Page 22 of 32

Response Percent

Response Count

23.9% 2210.9% 1043.5% 4043.5% 403.3% 3Using other measure

How are you measuring quality or monitoring improvement efforts on Venous Thromboembolism? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse Measure / monitor using internally developed measureMeasure / monitor using national or state standardized

9216

g answered question

skipped question

43.5% 43.5%

30 0%35.0%40.0%45.0%50.0%


23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure


state standardized measure (e.g.,

Using other measure


Response Percent

Response Count

How are you collecting / reporting the data on Venous Thromboembolism,? (mark all that apply)

Answer Options

23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure



CMS, CDC, JCAHO, NQF,

state data system, clinical registry)

Using other measure


Percent Count26.1% 2444.6% 4114.1% 1330.4% 283.3% 3

9216

Internal reports onlyVoluntary external reporting (to state agency, national Mandatory external reporting (to state agency, national Other reporting


Answer Options


23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure





Using other measure


50 0%


23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure





Using other measure


26.1%

44.6%

30.4%

25 0%

30.0%

35.0%

40.0%

45.0%

50.0%


23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure





Using other measure


26.1%

44.6%

14.1%

30.4%

3.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

Not reporting on Internal reports only Voluntary external Mandatory external Other reporting


23.9%

10.9%

43.5% 43.5%

3.3%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%





developed measure





Using other measure


26.1%

44.6%

14.1%

30.4%

3.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%




Other reporting



03/21/2012 Page 23 of 32

Response Response

If you are collecting data regarding Venous Thromboembolism, what measures are you collecting? And if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Answer OptionsPercent Count35.9% 3335.9% 3332.6% 3020.7% 1934.8% 32

0

92

Not Applicable

If for other than internal reporting, please list any external entities to which you submit VTE data:

answered question

Answer Options

Incidence of potentially preventable VTE (outcome Postoperative PE or DVT (outcome measure)Patients receiving unfractionated Heparin with doses / VTE discharge instructions(process measure)

16

skipped question

35.9% 35.9%

32.6%34.8%

30.0%

35.0%

40.0%

If you are collecting data regarding Venous Thromboembolism, what measures are you collecting?

35.9% 35.9%

32.6%

20.7%

34.8%

0 0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%


If for other than internal reporting please list any external entities to which

35.9% 35.9%

32.6%

20.7%

34.8%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Incidence of potentially

preventable VTE (outcome measure)

Postoperative PE or DVT (outcome

measure)

Patients receiving unfractionated

Heparin with doses / labs monitored by

protocol or nomogram (process

measure)

VTE discharge instructions(process

measure)

Not Applicable


0If for other than internal reporting, please list any external entities to which you submit VTE data:

35.9% 35.9%

32.6%

20.7%

34.8%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Incidence of potentially

preventable VTE (outcome measure)

Postoperative PE or DVT (outcome

measure)

Patients receiving unfractionated

Heparin with doses / labs monitored by

protocol or nomogram (process

measure)

VTE discharge instructions(process

measure)

Not Applicable



03/21/2012 Page 24 of 32


8.7% 85.4% 56.5% 6

26 1% 24Implementing improvements but facing challenges

Answer Options


Please tell us about your improvement work on Ventilator Assisted Pnemonia



26.1% 2429.3% 2723.9% 22

9216

Not applicable

skipped question


answered question



No structured improvement








Are you interested in improvement support from AHA/HRET/state association on Ventilator Assisted Pnemonia?

Answer Options







Not applicable

22.8% 2133.7% 3143.5% 40

9216


YesMaybeNo thanks







Not applicable

Are you interested in improvement support from AHA/HRET/state association on Ventilator Assisted Pnemonia







Not applicable

22.8%

33.7%

43.5%


Yes

Maybe

No thanks







Not applicable

22.8%

33.7%

43.5%


Yes

Maybe

No thanks


03/21/2012 Page 25 of 32


29.3% 275.4% 5

44.6% 4135.9% 33

Measure / monitor using internally developed measureMeasure / monitor using national or state standardized

How are you measuring quality or monitoring improvement efforts Ventilator Assisted Pnemonia? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse

35.9% 330.0% 0

9216

Measure / monitor using national or state standardized Using other measure


29.3%

44.6%

35.9%35%40%45%50%


29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure


state standardized

Using other measure


How are you collecting / reporting the data on Ventilator Assisted Pnemonia? (mark all that apply)

29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure



CMS, CDC, JCAHO, NQF, state


Using other measure



29.3% 2750.0% 4623.9% 2210.9% 103.3% 3

9216


Answer Options

Not reporting on this topicInternal reports onlyVoluntary external reporting (to state agency, national Mandatory external reporting (to state agency, national Other reporting

29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure





Using other measure


29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure





Using other measure


50.0%

40%

50%

60%

How are you collecting / reporting the data on Ventilator Assisted Pnemonia?

29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure





Using other measure


29.3%

50.0%

23.9%

10.9%

3.3%

0%

10%

20%

30%

40%

50%

60%


29.3%

5.4%

44.6%

35.9%

0.0%0%5%

10%15%20%25%30%35%40%45%50%





developed measure





Using other measure


29.3%

50.0%

23.9%

10.9%

3.3%

0%

10%

20%

30%

40%

50%

60%





Other reporting



03/21/2012 Page 26 of 32


62 0% 57

If you are collecting data regarding Ventilator Assisted Pneumonia, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Answer Options

VAP (per 1 000 ventilator days) for ICU and high-risk 62.0% 5747.8% 4430.4% 28

09216

Not ApplicableIf for other than internal reporting, please list any external entities to which you


VAP (per 1,000 ventilator days) for ICU and high-risk Ventilator bundle use (process measure)

70%

If you are collecting data regarding Ventilator Assisted Pneumonia what measures are you collecting?

62.0%

47.8%

30.4%30%

40%

50%

60%

70%


62.0%

47.8%

30.4%

0%

10%

20%

30%

40%

50%

60%

70%

VAP (per 1,000 ventilator days) for ICU and high-risk nursery

(HRN) patients (outcome measure)

Ventilator bundle use (process measure)

Not Applicable


0If for other than internal reporting, please list any external entities to which you submit VAP data:

62.0%

47.8%

30.4%

0%

10%

20%

30%

40%

50%

60%

70%

VAP (per 1,000 ventilator days) for ICU and high-risk nursery

(HRN) patients (outcome measure)

Ventilator bundle use (process measure)

Not Applicable



03/21/2012 Page 27 of 32

Response Percent

Response Count

15.2% 1432.6% 3031.5% 2915.2% 144.3% 41.1% 1

9216

Response Percent

Response Count

59.8% 55


skipped question

Answer Options



answered question

Please tell us about your improvement work with Preventable Readmissions



Are you interested in improvement support from AHA/HRET/state association with Preventable Readmissions?

Answer Options

Yes

Not applicable

15.2%

32.6%

31.5%

15.2%

4.3% 1.1%







Not applicable

28.3% 2612.0% 11

9216

MaybeNo thanks


15.2%

32.6%

31.5%

15.2%

4.3% 1.1%







Not applicable

59.8%

28.3%

12.0%

Are you interested in improvement support from AHA/HRET/state association with Preventable Readmissions?

Yes

Maybe

No thanks


03/21/2012 Page 28 of 32

Response Percent

Response Count

13.0% 123.3% 3

65.2% 6038.0% 352.2% 2

9216

How are you measuring quality or monitoring improvement efforts on Preventable Readmissions? (mark all that apply)

Answer Options

Not measuring this topic at allMeasure only when needed (e.g., RCA after adverse event)Measure / monitor using internally developed measureMeasure / monitor using national or state standardized measure (e.g., Using other measure


How are you collecting / reporting the data on Preventable Readmissions? (mark all that apply)

13.0%

3.3%

65.2%

38.0%

2.2%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on Preventable Readmissions?

Response Percent

Response Count

16.3% 1560.9% 5622.8% 2118.5% 174.3% 4

9216

Answer Options

Not reporting on this topicInternal reports onlyVoluntary external reporting (to state agency, national organization or Mandatory external reporting (to state agency, national organization or Other reporting


13.0%

3.3%

65.2%

38.0%

2.2%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





developed measure



clinical registry)

Using other measure

How are you measuring quality or monitoring improvement efforts on Preventable Readmissions?

16.3%

60.9%

22.8%18.5%

4.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%





Other reporting

How are you collecting / reporting the data on Preventable Readmissions?


03/21/2012 Page 29 of 32

Response Percent

Response Count

47.8% 4460.9% 5657.6% 5333.7% 3159.8% 5521.7% 208.7% 8

16.3% 150

9216

If you are collecting data regarding Preventable Readmissions, what measures are you collecting? And, if you are submitting data outside the hospital or system please tell us where you are sending the data in the blank provided? (for example, NHSN, Benchmarking program, IHI) - Mark all that apply

Answer Options

Acute Myocardial Infarction (AMI) 30-day risk-standardized readmission Heart Failure (HF) 30-day risk-standardized readmission rate (outcome

If for other than internal reporting, please list any external entities to which you submit answered question

skipped question

Pneumonia (PN) 30-day risk-standardized readmission rate (outcome Potentially Preventable Readmissions – overall rate (outcome measure)HF Detailed Discharge Instructions (process measure)Completion of discharge checklist (process measure)Completion of discharge bundle (process measure)Not Applicable

47.8%

60.9%

57.6%

33.7%

59.8%

21.7%

16 3%20%

30%

40%

50%

60%

70%

Preventable Readmissions

47.8%

60.9%

57.6%

33.7%

59.8%

21.7%

8.7%

16.3%

0%

10%

20%

30%

40%

50%

60%

70%

Acute Myocardial Infarction (AMI)

30-day risk-standardized

readmission rate (outcome measure)

Heart Failure (HF) 30-day risk-standardized


Pneumonia (PN) 30-day risk-standardized


Potentially Preventable

Readmissions –overall rate (outcome measure)

HF Detailed Discharge

Instructions (process measure)

Completion of discharge checklist (process measure)

Completion of discharge bundle

(process measure)

Not Applicable

Preventable Readmissions


03/21/2012 Page 30 of 32

Response Percent

Response Count

34.8% 3228.3% 2632.6% 304.3% 4

9216

What level of support can your hospital provide to the individuals who are selected for the Improvement Leadership Fellowship?

Answer Options

Able to pay all travel and lodging expensesAble to pay half of all travel and lodging expensesCannot provide any supportNot applicable

answered questionskipped question 16skipped question

34.8%

4.3%


Able to pay all travel and lodging expenses

\

34.8%

28.3%

32.6%

4.3%



Able to pay half of all travel and lodging expenses

Cannot provide any support

Not applicable

Response Percent

Response Count

52.2% 48

Would individuals who are interested in the Improvement Leadership Fellowship program be able to attend if scholarships were available to defray travel costs?

Answer Options

Yes, if there is a partial scholarship available

34.8%

28.3%

32.6%

4.3%





Not applicable

52.2% 4835.9% 332.2% 29.8% 9

9216


Yes, if there is a partial scholarship availableYes, if there is a full scholarship availableNoNot applicable

34.8%

28.3%

32.6%

4.3%





Not applicable

Would individuals who are interested in the Improvement Leadership Fellowship program be able to attend if scholarships were available to

defray travel costs?

34.8%

28.3%

32.6%

4.3%





Not applicable

52.2%35.9%

2.2%9.8%




Yes, if there is a full scholarship available

No

Not applicable

34.8%

28.3%

32.6%

4.3%





Not applicable

52.2%35.9%

2.2%9.8%




Yes, if there is a full scholarship available

No

Not applicable


03/21/2012 Page 31 of 32

Response Percent

Response Count

27 8% 25

If you wish to be contacted about this needs assessment or any other aspect of this project, please indicate and someone will follow up with you.

Answer Options

Y l 27.8% 2572.2% 65


Yes, please contact me.No need for follow-up at this time.

answered question

If you wish to be contacted about this needs assessment or any other aspect of this project, please indicate and

someone will follow up with you.

27.8%



Yes, please contact me.

No need for follow up at

27.8%

72.2%




No need for follow-up at this time.

27.8%

72.2%




No need for follow-up at this time.


03/21/2012 Page 32 of 32

Kentucky Hospital Engagement Network (K-HEN) Needs Assessment

Documents

Transcript of Kentucky Hospital Engagement Network (K-HEN) Needs Assessment