Quality & Patient Safety

Overview

Hospital Quality Institute (HQI)

The Hospital Quality Institute (HQI) directs the statewide strategy and vision for patient safety and quality improvement activities for CHA, Hospital Council, HASC and HASD&IC.  The organization builds reliable and sustainable measures to gauge California’s performance and identifies opportunities for focus and innovation.

HQI oversees and coordinates Patient Safety First as well as the California Hospital Engagement Network (CalHEN), California Hospital Patient Safety Organization (CHPSO), and the Hospital Quality Committee.

For more information, please visit the HQI website.

CHA News Article

HQI Executive Completes Board Term With The Joint Commission

Hospital Quality Institute (HQI) President/CEO Julianne Morath, RN, MS, has completed a three-year term as a member of The Joint Commission (TJC) Board of Commissioners.

CHA News Article

HHS Data Show Quality Improvements; California Contributes
Nationwide, hospital readmissions fall by 8 percent among Medicare beneficiaries

The U.S. Department of Health and Human Services (HHS) has announced that new preliminary data show an overall 9 percent decrease in hospital-acquired conditions nationally during 2011 and 2012.

CHA News Article

CDC Reports Nationwide Reduction in HAI
Highlights need for continued improvement

The Centers for Disease Control and Prevention (CDC) announced that progress has been made in the effort to eliminate infections that commonly threaten hospital patients.

Overview

California Hospital Patient Safety Organization
Trusted leadership in patient safety

One of the first and largest PSOs in the nation, the California Hospital Patient Safety Organization (CHPSO) is a trusted leader in the analysis, dissemination and archiving of patient safety information. CHPSO offers unmatched access to the emerging best practices of hundreds of hospitals.

Complimentary membership is available to California Hospital Association and regional hospital association members.

For more information, please visit the CHPSO website.

CHA News Article

Pilot Program Uses EHR Data to Facilitate Reporting
Opportunity for hospitals, risk management information and EHR vendors

The Office of the National Coordinator for Health Information Technology (ONC) Structured Data Capture (SDC) initiative is developing and validating standards-based data architecture to allow electronic health records (EHRs) data to be accessed for other appropriate purposes, including collecting and transmitting data for patient safety and adverse event reporting.

CHA News Article

CHPSO Announces Partnership With Colorado Hospital Association

The California Hospital Patient Safety Organization (CHPSO) has announced that the Colorado Hospital Association will now partner with CHPSO to offer patient safety organization (PSO) services to hospitals and health systems in Colorado.

CHA News Article

CMS Finalizes PSO Reporting Requirements

Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued the attached final rule implementing a number of provisions of the Affordable Care Act (ACA), including the provision that hospitals must satisfy certain patient safety and quality improvement requirements to contract with a qualified health plan (QHP) through Covered California, the state’s health insurance exchange.

The ACA required QHPs to contract with hospitals that have more than 50 beds only if they meet certain patient safety standards, including the use of a patient safety evaluation system (PSES) and a comprehensive hospital discharge program. However, the final rule adopts the CMS proposal to phase in these changes over time. In phase one, CMS adopted its proposal to allow a QHP to contract with hospitals that have more than 50 beds only if they are either Medicare-certified (having a Medicare CCN) or are Medicaid-only and have been issued a Medicaid-only CMS certification number, even if they don’t use a PSES or meet other ACA patient safety standards. Phase one would begin Jan. 1, 2015, and last two years or until CMS issues further regulation. CMS discusses in the final rule its response to input received through comments on next steps in phase two of implementation.

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. CHA supports decreasing the number of HAIs through a deliberate and systematic approach that addresses infection-control program infrastructure and oversight. CHA also supports the public reporting of meaningful, scientifically valid information related to HAIs. The most prevalent HAIs (approximately 80 percent) are urinary tract infections, surgical-site infections, ventilator-associated pneumonia and central-line blood stream infections.

The HAI Advisory Committee - created by SB 739 (Chapter 526, Statutes of 2006) — recommends methods for preventing and reporting HAIs to the California Department of Public Health.

CHA News Article

CDC Guidance on International Spread of Polio Includes WHO Recommendations

The Centers for Disease Control and Prevention (CDC) has issued guidance to U.S. clinicians on the new World Health Organization (WHO) vaccination requirements for travel by residents of and long-term visitors to countries with active polio transmission.

CHA News Article

CDPH Issues Recommendations for Measles Case Identification and Infection Control

Due to an increase in measles cases in California, the California Department of Public Health (CDPH) has recommended that health care professionals be vigilant about measles.

CHA News Article

CDC Reports Nationwide Reduction in HAI
Highlights need for continued improvement

The Centers for Disease Control and Prevention (CDC) announced that progress has been made in the effort to eliminate infections that commonly threaten hospital patients.

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. 

CHA News Article

CMS Proposes Updates to ESRD PPS for CY 2015

The Centers for Medicare & Medicaid Services (CMS) estimates payments to hospital-based end-stage renal disease (ESRD) facilities will increase by 0.5 percent, and by 0.3 percent in freestanding facilities, as a result of updates proposed in the calendar year (CY) 2015 ESRD prospective payment system proposed rule. CMS projects that the ESRD bundled market basket adjusted for the multifactor productivity update would have been 1.6 percent; however, the Protecting Access to Medicare Act of 2014 requires no increase in the CY 2015 ESRD payment update. Proposed updates to the outlier policy, Core Based Statistical Areas, and labor-related share account for the overall projected payment increase of 0.3 percent for CY 2015.

CHA News Article

Medicare Payments to IPFs to Increase by 2.1 Percent in FFY 2015

The Centers for Medicare & Medicaid Services (CMS) expects payments to inpatient psychiatric facilities (IPFs) to increase by approximately 2.1 percent, or $100 million, in federal fiscal year 2015 under its proposed rule released today.

CHA News Article

IRF, LTCH Quality Program Recordings Available

Recordings of recent conference calls held by the Centers for Medicare & Medicaid Services on the quality reporting programs for inpatient rehabilitation facilities (IRFs) and long-term-care hospitals (LTCHs) will be available July 30 through Aug. 1. Facilities may access the calls by dialing (855) 859-2056, and using conference IDs 13189170 for IRFs and 13198135 for LTCHs. As mandated by the Affordable Care Act, IRF and LTCH quality reporting programs will begin Oct. 1. 

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.

Recording

CDPH’s Website on HAI Reporting Webinar CD
Improved website, fresh data on HAI, validation process update

Webinar Recorded Live October 9, 2012

In mid-August, CDPH released their most recent data on HAI reporting through an improved website. This website presents the material in a more user-friendly format and groups the reporting hospitals into like categories for a more balanced analysis and comparison. Learn about changes to the website, recent release and analysis of HAI data, and what it says about the performance of California hospitals to date.

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