8th Statement of Work Preview
Hospital Quality Improvement Team

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The Centers for Medicare & Medicaid Services (CMS) national healthcare vision for 2005-2008 includes

strategies for promoting transformational change in hospitals.

Ohio KePRO's technical assistance will build on the growing commitment by hospitals to publicly

report their performance in areas critical to improving patient safety. Ohio KePRO will work intensively

with groups of hospitals, known as Identified Participant Groups (IPG), each representing about 15

percent of prospective payment system (PPS) hospitals in Ohio that apply to CMS for assistance.

Ohio KePRO's assistance will include:

 

• Appropriate Care Measure (ACM)
  Achieve improvement on the appropriate care measures, composite score of the 10 publicly
  reported quality of care measures for heart attack, heart failure, and pneumonia.
  Increase the reporting of valid hospital clinical data on the full set of Hospital Measures
  (22 measures). (View the Hospital Quality Measure Matrix).
  
• Critical Access Hospitals (CAH)
  Helping to ensure that critical access hospitals (CAH) report data for a new set of 12 CAH Quality
  Improvement Measures, and demonstrate improvement on these measures. Ohio KePRO will
  also work with a group of CAHs to assess and improve their organizational safety culture.
  
• Surgical Care Improvement Project (SCIP)

With a major focus on process improvement, Ohio KePRO will work with hospitals in the Identified
Participant Group to facilitate the adoption of standard processes of care for surgical patients.
Interventions will be directed towards the prevention of surgical site infections, venous
thromboembolism, ventilator associated pneumonia, cardiovascular complications and
promotion of the use of fistulas for hemodialysis.
Achieve improvement on the first Surgical Infection Prevention (SIP) measure: prophylactic antibiotic
received within one hour prior to surgical incision.

• Systems Improvement and Organizational Culture Change (SIOC)
  Improve hospital's readiness to adopt health information technology systems (computerized
  physician order entry, bar-coding, or telehealth).
  
• Statewide Hospital Quality Improvement Initiatives
  Ohio KePRO will work with every Ohio hospital to decrease surgical complications and to increase
  measurement and reporting of care for acute myocardial infarction, heart failure, pneumonia and
  surgical infections.
  
  Acute Care Hospitals are eligible for reimbursement by Medicare at the full market basket rate if they
  submit data on 10 of the 22 quality measures. Every rural/critical access hospital will receive assistance
  from Ohio KePRO to improve, measure and report on clinical performance measures, some of which
  will be new in 2006 for the rural setting.