TRACKING RESPIRATORY OUTCOMES METRICS: DIAGNOSIS ...
Transcript of TRACKING RESPIRATORY OUTCOMES METRICS: DIAGNOSIS ...
TRACKING RESPIRATORY OUTCOMES METRICS: DIAGNOSIS>INTERVENTION>OUTCOMES. SEE HOW HOSPITALS HAVE REDUCED ADVERSE EVENTS AND PATIENT LENGTH OF STAY
PARTNERING TO GO FURTHER, TOGETHER
MEDTRONICPATIENT MONITORING AND RECOVERY
DAVID GIARRACCO, VICE PRESIDENT OF MARKET DEVELOPMENT
KEITH MORRISON, SENIOR GLOBAL MARKETING MANAGER
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POST OPERATIVE RESPIRATORY INITIATIVE
Benchmark
vs. National Rankings
Implement
Post-op Capnography on Med Surg Units
Measure
Respiratory Quality Metrics
Observe changes in Respiratory metrics post-implementation
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TRACKING RESPIRATORY OUTCOMES METRICS
Metric Data Source
Post Operative Respiratory Insufficiency, Arrest & Failure Billing
Post Operative Respiratory Failure (PSI 11) Billing
Rapid Response Calls EMR
Unplanned Intubations Billing / EMR
Naloxone Administrations EMR / Pharmacy
Code Blues Billing / EMR
ICU Transfers EMR
Hospital LOS Billing
Hospital Charges Billing
Mortality Billing
Diagnosis Intervention Outcomes
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BENCHMARKING CURRENT RESPIRATORY OUTCOMES HOW DO YOU COMPARE?
National Databases
Respiratory Insufficiency Arrest & Failure (RIAF)
Risk Adjusted
Aggregated clinical data
Codes
ICU Transfers
Naloxone Use
Benchmark Implement Measure
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IMPLEMENTATION OF CAPNOGRAPHYPROTOCOL DRIVEN
Benchmark Implement Measure
Protocol-driven capnography monitoring
6-12 months of capnography monitoring and measurement
Willingness to partner with Medtronic
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IMPLEMENTING POST-OP CAPNOGRAPHY
Benchmark Implement Measure
0%
2%
4%
6%
8%
10%
12%
RespiratoryInsufficiency Arrest
& Failure
Post-operativeRespiratory Failure
Post-operativeRespiratory Failure
(Elective Procedures)
Code Blue
Pre Capnography Post Capnography
LOS Total Charges
Mortality
Avg. per Patient Outcomes Pre-Capnography
5.89 $91,082 1.41%
Estimated Avg. per Patient Outcomes Post-Capnography
5.69 $87,577 1.19%
Estimated per Patient Savings from Capnography
0.20 $3,505 0.23%
Net Per Patient Cost Savings Post-Capnography: $1,043
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WHY IS THIS DATA IMPORTANT TO YOU?
Visibility to improved outcomes in your hospital
Data constantly being collected, but not being used to drive improved outcomes
Ability to track how your investment in continuous monitoring has changed practice
Validation of monitoring as earlier indicator
Opportunities for publishing data, case studies, hospital marketing
Contributions toward the Forces of Magnetism , for Magnet certification
BARTON HEALTHCARE SYSTEM
CHRISTINE O’FARRELL, BSN, CPHQ, CPHRM, DIRECTOR OF QUALITY MANAGEMENT
MARY KAY SENNINGS, PULMONARY SERVICES MANAGER
DAWN EVANS, MSN, RN, PATIENT SAFETY OFFICER
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APPENDIX
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EXAMPLES – BENCHMARKINGRISK ADJUSTED
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EXAMPLES – BENCHMARKINGRISK ADJUSTED
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EXAMPLES – OUTCOMES IMPROVEMENTRISK ADJUSTED
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THE MEDTRONIC RESPIRATORY HEALTH INITIATIVE ALIGNS WITH MAGNET PROGRAM “FORCES” FOR NURSING EXCELLENCE
Quality of Care through Empirical Quality Outcomes (Force #6) The Medtronic Respiratory Health Initiative
enables hospitals to track metrics indicative of the post-operative respiratory health of their patients. This empirical data can be useful in reviewing, reinforcing and revising practices, and help optimize the deployment of technologies that show an impact on respiratory health metrics.
Quality Improvement (Force #7) Providing innovation that matters is
Medtronic’s mission and the backbone of the Respiratory Health Initiative. Measuring the impact of technology innovations on key metrics is fundamental to successful quality improvement.
Described as the heart of the Magnet Recognition Program®, the Forces of Magnetism are attributes or
outcomes that exemplify nursing excellence.1