Quality & Patient Safety

Overview

Adverse Events

The Institute of Medicine landmark report, To Err is Human (1999), identified that between 44,000 and 98,000 deaths per year are caused by medical errors. To create incentives for hospitals to prevent certain types of medical errors, the Centers for Medicare & Medicaid Services (CMS) instituted a policy that reduces Medicare reimbursement for conditions the agency believes are hospital-acquired, and are not noted as “present on admission” in patient charts.

Overview

California Hospital Patient Safety Organization

CHA established the California Hospital Patient Safety Organization (CHPSO) to improve hospital patient safety and quality by providing leadership and serving as a means of intercommunication and cooperation between hospitals.

This corporation will collect and analyze health care and patient safety data; recommend measures or practices to eliminate or reduce medical errors; educate health care professionals; interact with hospitals and health care professionals; coordinate statewide and regional initiatives and projects; provide data and information to improve patient safety and reduce errors in hospitals; help create a “fair and just” culture of openness and commitment to quality and safety; support activities within the state; carry out functions for a patient safety organization that are authorized in federal or state law; and perform other activities that help improve patient safety and quality or reduce medical errors. 

Click here to visit the California Hospital Patient Safety Organization (CHPSO) website

Education event

California Hospital Patient Safety Organization Annual Meeting
Take a Stand for Patient Safety: Eliminate Preventable Harm

March 13, 2012
Hilton Los Angeles North, Glendale, CA

Patient safety is a moral imperative. Soon, it will be a legal imperative as well. By 2015, hospitals with 50 beds or more must participate in a PSO as a condition of contracting with health plans in state insurance exchanges. Attend CHPSO’s first annual meeting to accelerate patient safety initiatives at your hospital.

Overview

Infection Prevention

Health care-associated infections (HAIs) constitute a risk to patients and health care facilities. Estimates indicate that 240,000 patients admitted to California hospitals annually develop HAIs, contributing to the suffering associated with illness and increasing costs to the health care system by approximately $3.1 billion. Literature suggests that a significant proportion of HAIs can be eliminated with intensive surveillance and prevention programs.

General information

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals

Preventable healthcare-associated infections (HAIs) occur in US hospitals. Preventing these infections is a national priority. To assist acute care hospitals in focusing and prioritizing efforts to implement evidence-based practices for prevention of HAIs, a task force was appointed to create a concise compilation of recommendations.

Overview

Pay for Quality Reporting/Performance

Pay for performance is an emerging movement — in which providers are rewarded for the quality of their health care services — among health plans and insurers (the Centers for Medicare & Medicaid Services and others). Some programs are initially providing financial incentives to participate in quality reporting. However, the overall movement focuses on financially rewarding high quality patient care or financially penalizing poor quality of care. The CHA Board has adopted a partial payment or non-payment policy related to billing for preventable adverse events that are under the control of the hospital. 

Overview

Patient-Safety Collaboratives

The Regional Associations have developed patient-safety collaboratives to lead the patient-safety effort: 

The collaboratives focus on extensive peer-to-peer learning, health care education and training to end inadvertent harm to hospitalized patients and improve the quality of health care for all. This voluntary network of nurses, physicians, clinicians and hospital leaders focuses on sharing practical ways to accelerate the implementation and replication of proven, evidence-based, patient-safety interventions that save lives.

Overview

Public Reporting of Quality Data

CHA supports a single, meaningful reporting system of quality data that allows transparency and enhances accuracy. Consumer groups, health plans and payers continue to push for more public disclosure of hospital quality. CHA remains supportive of transparency if the measures are scientifically based, valid and accurate.

Commands