U.S. Dept of Health & Human Services Office of the Assistant Secretary for Health

U.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality

http://www.hhs.gov/ash/initiatives/hai/

http://www.hhs.gov/ash/ohq/

http://www.hhs.gov/

Partnership for Patients Initiative National Healthcare Quality Strategy HHS HAI Initiative


http://www.hhs.gov/




http://www.hhs.gov/

Objectives:o Keep patients from getting injured or

sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.

o Help patients heal without complication. By the end of 2013, preventable By the end of 2013, preventable complications during a transition from one care setting to complications during a transition from one care setting to another would be decreased so that all hospital readmissions another would be decreased so that all hospital readmissions would be would be reduced by 20%reduced by 20% compared to 2010. Achieving this compared to 2010. Achieving this goal would mean more than goal would mean more than 1.6 million patients would 1.6 million patients would recoverrecover from illness without suffering a preventable from illness without suffering a preventable complication requiring re-hospitalization within 30 days of complication requiring re-hospitalization within 30 days of discharge. discharge.




http://www.hhs.gov/

Areas of focus: Healthcare-Associated Conditions1. Adverse Drug Events (ADE) 2. Catheter-Associated Urinary Tract Infections (CAUTI) 3. Central Line Associated Blood Stream Infections

(CLABSI) 4. Injuries from Falls and Immobility 5. Obstetrical Adverse Events 6. Pressure Ulcers 7. Surgical Site Infections (SSI)8. Venous Thromboembolism (VTE) 9. Ventilator-Associated Pneumonia (VAP) 10. All Other Hospital-Acquired Conditions




http://www.hhs.gov/

If you want to learn more about the Partnership for Patients, go to http://www.healthcare.gov/center/programs/partnership/index.html .

If you want to sign the pledge, go to http://partnershippledge.healthcare.gov/


http://www.healthcare.gov/center/programs/partnership/index.html

http://www.healthcare.gov/center/programs/partnership/index.html

http://partnershippledge.healthcare.gov/



http://www.hhs.gov/




http://www.hhs.gov/

National Aimso Better Care: Improve the overall quality, by

making health care more patient-centered, reliable, accessible, and safe.

o Healthy People/Healthy Communities: Improve the health of the U.S. population by supporting proven interventions to address behavioral, social and, environmental determinants of health in addition to delivering higher-quality care.

o Affordable Care: Reduce the cost of quality health care for individuals, families, employers, and government.




http://www.hhs.gov/

Prioritieso Safer Careo Effective Care Coordinationo Person- and Family-Centered Careo Prevention and Treatment of Leading

Causes of Mortalityo Supporting Better Health in Communitieso Making Care More Affordable




http://www.hhs.gov/

Broad roadmap to improving healthcare quality.

Guides development of HHS Programs. Implementation is underway.




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Priority Exampleso Safer care:

Michigan Keystone Projecto Ensuring Person – and Family Centered Care:

Building Patients’ Perspectives Into All Performance Assessments

o Promoting Effective Communication/Coordination of Care: Improving Care Coordination Through HIT

o Supporting Better Health in Communities: Putting Prevention to Work in Communities

o More information on the National Healthcare Quality Strategy can be found: http://www.healthcare.gov/center/reports/quality03212011a.ht

mlU.S. Dept of Health & Human Services www.hhs.gov/ash/initiatives/hai/Office of the Assistant Secretary for Health www.hhs.gov/ash/ohq/Office of Healthcare Quality

http://www.healthcare.gov/center/reports/quality03212011a.html

http://www.healthcare.gov/center/reports/quality03212011a.html



http://www.hhs.gov/




http://www.hhs.gov/

Incentives and OversightLead: Centers for Medicare and

Medicaid Services (CMS)

Phase I (2008-Present)

Phase II (2009-Present)

Phase III Working Group (2011)

Federal Steering Committeefor the Prevention of

Healthcare-Associated Infections

Long-Term CareLead: CMS

Prevention & ImplementationLead: Centers for Disease Control

and Prevention (CDC)

ResearchLead: Agency for Healthcare

Research and Quality

Information Systems & TechnologyCo-Leads: Office of the National Coordinator for Health IT & CDC

EvaluationLead: Office of

Healthcare Quality

Outreach & MessagingLead: Office of

Healthcare Quality

Ambulatory Surgical CentersCo-Leads: Indian Health Service

& CDC

End-Stage Renal Disease Facilities

Lead: CMS

Influenza Vaccination of Healthcare Personnel

Co-Leads: CDC & National Vaccine Program Office

Working Group Structure of the HAI Steering Committee




http://www.hhs.gov/

Released in June 2009 Maintained as a “living document” Serves as a “roadmap” for federal and

state government




http://www.hhs.gov/

Phase 1o Original focus on acute care hospitalso Targeted CAUTI, SSI, VAP, CLABSI, MRSA & C.

difficile Phase 2

o Ambulatory Surgical Centerso End-Stage Renal Disease Facilities

(Hemodialysis Centers)o Flu Vaccination of Healthcare Personnel

Phase 3 o Long-Term Care




http://www.hhs.gov/

Metric SourceNational 5-year

Prevention Target

On Track to Meet 2013 Targets?

Bloodstream infections NHSN 50% reduction

Adherence to central-line insertion practices

NHSN 100% adherence Data not yet available*

Clostridium difficile (hospitalizations) HCUP 30% reduction

Clostridium difficile infections NHSN 30% reduction Data not yet available*

Urinary tract infections NHSN 25% reduction Data not yet available*

MRSA invasive infections (population) EIP 50% reduction

MRSA bacteremia (hospital) NHSN 25% reduction Data not yet available*

Surgical site infections NHSN 25% reduction

Surgical Care Improvement Project Measures

SCIP 95% adherence

*2009 or 2009 – 2010 is the baseline period.

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http://www.law.columbia.edu/ipimages/Information_technology/images/checkmark.png

Affordable Care Act Release of 2011 Action Plan Development of Phase 3 – Long-Term

Care Partnering to Heal: Teaming Up Against

Healthcare Associated Infections Consumer Media Campaign Hospital Value-Based Purchasing –

payment tied to performance $500 million from the CMS to test and

implement innovations to reduce preventable harm in hospitals


Office of Healthcare QualityOffice of the Assistant Secretary for Health

200 Independence Ave, SWWashington, DC 20201

Telephone (202) [email protected]

Subscribe to the HAI listservhttps://service.govdelivery.com/service/subscribe.html?

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U.S. Dept of Health & Human Services Office of the Assistant Secretary for Health

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