Minnesota Hospital Association


August 21, 2017

MHA Newsline: Aug. 21, 2017

In this issue 

Children’s Minnesota honored with MHA Quality and Patient Safety Improvement Award

MHA on June 2 honored innovative programs and outstanding leaders in health care at its 33rd annual awards ceremony.   

Children’s Minnesota in Minneapolis received the Quality and Patient Safety Improvement Award in the large hospital category, which recognizes hospitals that have taken extraordinary and innovative steps to make patient safety a top priority throughout the hospital.   

To improve the patient experience, Children's Minnesota began an initiative requiring staff to consistently offer four evidence-based strategies as the standard of care to mitigate needle pain. Care team members partner with parents and caregivers to choose from four Comfort Promise steps to help children have less pain with needle procedures. The steps include numbing the skin, providing sugar water or breastfeeding for infants 12 months or younger, implementing comfort positioning and utilizing age-appropriate distraction.   

The protocol was established systemwide, including inpatient, ambulatory and outpatient units. All departments were required to offer all four strategies with appropriate education at least 95 percent of the time, and process auditing was undertaken to ensure continuous process improvement. Additionally, outcome measures were tracked for wait times, patient satisfaction, safety learning reports and staff turnover rates, which all demonstrated improvements. Education and improvement efforts were led by an intra-disciplinary team, following Lean methodology. Front-line staff, patients and families were integral to the planning, implementation and change in culture needed to make this initiative a success.   

Additional award winners will be profiled in upcoming issues of Newsline. To learn more about the award winners, visit the MHA websitereturn to top   

Lake View Hospital showcases IHP success

Lake View Hospital leaders and staff on Aug. 10 hosted Human Services Assistant Commissioner Nathan Moracco to showcase successes of Wilderness Health, a nonprofit regional collaborative of nine independent hospitals and health systems.   

Wilderness has participated since 2015 in the Department of Human Services Integrated Health Partnerships (IHP) project. IHP participants develop innovative methods for coordinating and delivering care. They improve quality and share in the savings achieved by reducing the total cost of care for Medicaid enrollees.   

“Lake View Hospital’s work with Minnesota’s Integrated Health Partnership has positively impacted the care that we provide to our Medicaid patients,” said President and CEO Greg Ruberg. “We receive valuable claims data from the state and this allows us to connect and partner with our patients to ensure that they receive coordinated care in the appropriate settings. We have also been able to work with our other Wilderness Health partners to support high-quality and cost-effective care delivery to our patients across our network.”   

“The IHP program has helped us identify patients in need of care coordination through the use of data. We’ve been working together to improve our internal coordination and outreach efforts so that we can improve patient outcomes,” said Cassandra Beardsley, executive director of Wilderness health. “For example, one of our focus areas has been around reducing unnecessary emergency room utilization; through that effort, we’ve experienced significant decreases in repeat ER visits when we’ve been able to successfully introduce patients to primary care and we also identified an opportunity to improve our asthma care coordination.”   

Statewide, IHPs have saved nearly $213 million in the program’s first four years, serving 462,000 people in publicly funded health care programs. return to top   

Saint Elizabeth’s Medical Center hosts Rep. Lewis

Saint Elizabeth’s Medical Center on Aug. 9 hosted U.S. Rep. Jason Lewis for a visit. Lewis met with President and CEO Tom Crowley and employees to learn about unique rural hospital challenges. Lewis met with staff of the wellness center. return to top   

CMS drops mandatory bundled payment programs

The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule last week to eliminate three mandatory Medicare payment models before they launch and to scale back an existing fourth model. While some of the bundled payment initiatives were voluntary and had no Minnesota hospitals targeted, the mandatory Episode Payment Model (EPM) and Cardiac Rehabilitation (CR) incentive payment programs did.    

“Changing the scope of these models allows CMS to test and evaluate improvements in care processes that will improve quality, reduce costs and ease burdens on hospitals,” Seema Verma, administrator of CMS, said in a release. CMS also plans to introduce additional voluntary bundled payment models.   

MHA is pleased with CMS’ decision to make these programs voluntary, especially in light of potential measurement concerns that could hamper a hospital’s efforts to operate effectively in a bundled payments episode of care. MHA will continue monitoring CMS’ work with bundled payment programs and communicate any additional changes with members. return to top   

MHA Annual Meeting receives approval for continuing education for nursing home administrators

The content of the MHA Annual Meeting has been approved by the Minnesota Board of Examiners for Nursing Home Administrators for up to 10.75 contact hours. The conference, themed “Health Care Through the Decades,” will be held Sept. 20-22 at Madden’s Resort in Brainerd.   

The Annual Meeting will provide the latest in cutting-edge education from an outstanding group of speakers, including former HHS Secretary Michael Leavitt on health care reform in the 21st century; former U.S. Representative Patrick Kennedy on his journey with mental health; Paul Keckley on how to prepare for what’s ahead; Dr. Marty Makary on transparency and accountability; historian and author Jon Meacham on leadership and lessons from the American presidency; Dr. Amit Sood on resilient living; and Mark Mayfield on change.   

For more information or to register download the conference brochure or visit MHA’s website. Visit the Madden’s Resort website to make reservations at the resort. return to top  

MN Hospital PAC Silent Auction donations needed

MHA Annual Meeting attendees are invited to the Chair’s Reception and Minnesota Hospital PAC Silent Auction on Sept. 20 from 8-10 p.m. at Madden’s in the Town Hall Conference Center, lower level. 

The Minnesota Hospital PAC is a voluntary, bipartisan political action committee (PAC) that raises campaign funds for candidates running for state and federal office in Minnesota. It is the voice for hospital advocates seeking to help candidates who support the goals of hospitals. 

MHA is seeking donation items from members and associate members to be auctioned to raise money for the PAC, which supports MHA’s advocacy efforts. Suggested items to donate include tickets to events, hotel stays, gift certificates, spa visit certificates, art work, gift baskets, golf outings — anything that you would like to bid on at a silent auction. Deadline for donations is Sept. 8. Please contact Kristin Loncorich, director of state government relations, MHA, 651-603-3526, with questions and to donate items. return to top   

September is Sepsis Awareness Month

This September, take action to recognize Sepsis Awareness Month. Recognizing sepsis early is a critical aspect to successful treatment. Several new resources are available to help spread the message externally in the community and take action internally within your organization.    

MHA has just released a newly updated tiered Sepsis Road Map. Check your progress in meeting the fundamental and advanced strategies within your hospital or health system. This road map focuses on facilitating the adoption of sepsis early detection tools using the Seeing Sepsis Toolkit and Surviving Sepsis Campaign three- and six-hour care bundles by hospitals of all sizes.      

Coordinate the review of your sepsis processes with the Sepsis Alliance’s new health care toolkit. In addition, a new webinar series from the Sepsis Alliance, “Sepsis: Continuum of Care,” debuts on Sept. 7 at 1 p.m. and is the first of four webinars that will air throughout 2017. Register online to participate.   

Only 55 percent of adults have heard of sepsis. This patient toolkit has practical resources including printable posters and social media content to support your efforts to increase awareness of sepsis.   

Additional resources about sepsis, including recent reports on the incidence of sepsis, clinical guidelines, bundles, staff educational materials and examples of quality improvement efforts by health care facilities to improve sepsis survival, are available on the CDC’s websitereturn to top