Subscribe to the Quality email group
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One of the first steps in the transition to value-based reimbursement models is often related to quality reporting and the ability to demonstrate quality, efficiency, and strong patient experience. Despite the challenges, many rural communities are stepping up to the opportunities of delivery system reform. Although considered voluntary by CMS, nearly 90% of CAHs nationwide participate in public reporting of at least some quality metrics. 100% of Kansas CAHs participate in public reporting of quality metrics.
Quality Corner Calls:
Quality Corner Calls are offered by the Kansas Department of Health and Environment and Healthworks and focus on quality improvement activities consistent with the Medicare Rural Hospital Flexibility Grant Program.
The next Quality Corner Call is scheduled for noon on October 19, 2023. The brochure with more details will be available soon. Click HERE to register for the webinar.
Click on the links below to listen to the recordings and view the slides of previous Quality Corner Calls:
- August 17, 2023 Proposed MBQIP Measures RECORDING and SLIDES
- May 3, 2023 FMT Reports Review RECORDING and SLIDES and Resource Document
- February 9, 2023 Social Services Tips and Tricks RECORDING and SLIDES and Resource Document
- January 12, 2023 Proposed MBQIP Measures RECORDING and SLIDES
- November 1, 2022 Best Practices for Kansas CAHs RECORDING and SLIDES
- September 29, 2022 Emergency Department Transfer Communications RECORDING and SLIDES
- August 10, 2022 Community Participation Promotes Immunization RECORDING and SLIDES and Immunize Kansas Coalition WEBSITE
- May 26, 2022 Patient Experience: Making a Difference RECORDING and SLIDES and Improving HCAHPS Huron Whitepaper
- April 21, 2022 Building a PFAC RECORDING and SLIDES
- January 13, 2022 Changing Quality Reporting RECORDING and SLIDES
- November 11, 2021 Fall Prevention Program RECORDING and SLIDES
- October 14, 2021 Best Practices in CAHs RECORDING and SLIDES
- July 15, 2021 Building a Quality Dashboard RECORDING and SLIDES
- May 27, 2021 FMT Reports and Resources RECORDING and SLIDES
- April 22, 2021 Quality and Risk: A Powerful Partnership RECORDING and SLIDES
- March 19, 2021 How to Prep for the NHSN Annual Facility Survey, Part 2 RECORDING and SLIDES
- February 26, 2021 QAPI Programs in CAHs RECORDING and SLIDES
- February 10, 2021 How to Prep for the NHSN Annual Facility Survey RECORDING and SLIDES
Star Ratings:
QAPI Resources:
Hospital QAPI Worksheet – Public
Sample Documents from Kansas CAHs
- Quick PIP Template
- Example Quick PIP
- Quality Data Reporting Dashboard Base
- Example-Completed Quality Reporting Dashboard
- Quality Department Duties
National Example of QI Orientation
HCAHPS:
Improving HCAHPS Huron Whitepaper
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Overview: Vendor Directory
Instructions for Running HCAHPS Summary Report
Summary – HCAHPS Best Practices in CAHs
Patient and Family Engagement:
COVID-19 and Patient- and Family-Centered Care Frequently Asked Questions
Patient and Family Engagement PfP-Strategic-Vision-Roadmap-508 102017
Antibiotic Stewardship and NHSN:
Antibiotic Stewardship Implementation Suggested Strategies from High Performing CAHs
Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals
NHSN Patient Safety Component Data Entry
National Healthcare Safety Network (NHSN), nhsn@cdc.gov
Other Resources:
QBRP Eligible Healthworks and KHA Offerings July to December 2022
HCP Influenza Summary Tasks and Tips April 2022
Quality 101: Quality Improvement Resources
MBQIP Basics Training Recording and Slides – November 30, 2022
Paul Moore’s Video – Confused about MBQIP?
IHI Quality Improvement Essentials Toolkit
Quality Improvement Implementation Guide and Toolkit for Critical Access Hospitals
Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Reporting Guide
Critical Access Hospital eCQM Resource List
Quality Improvement Measure Summaries for MBQIP
Quality Improvement Basics: A Collection of Helpful Resources for Rural Health Care Organizations
Quality Improvement Basics by Stratis Health
Quality Ideas by Department:
- Anesthesia
- Billing
- Cardiac Rehabilitation
- Cardiopulmonary
- Central Supply
- Dietary
- Emergency Department
- Home Care
- Housekeeping
- Human Resources
- Infection Control
- Laboratory
- Maintenance
- Materials Management
- Medical Records
- Nursing
- Obstetrics
- Operating Room
- PACU
- Pharmacy
- Physician Clinic
- Radiology
- Rehabilitation
- Safety
- Social Services-Discharge Planning
- Super Committees – Streamlining Committee Activities