Systems Improvement and

Organization Culture Change (SIOC)

Identified Participant Group

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Ohio KePRO, the Medicare Quality Improvement Organization (QIO) for Ohio, began a new three-year

contract with the Centers for Medicare & Medicaid Services on August 1, 2005. The contract, known as

the 8th Statement of Work (8 th SOW), delineates the responsibility of Ohio KePRO to work with a select

group of hospitals throughout the state on Systems Improvement and Organizational Culture

Change (SIOC) .

 

About the SIOC Project

• Goal: The goal of the SIOC project is to support patient safety through the use of Healthcare
  Information Technology (HIT) for impact on system level quality improvements.

• Approach: The approach is to work with senior leadership i.e. Chief Executive Officer (CEO),
  Chief Operating Officer (COO), Chief Information Officer (CIO) Chief Financial Officer (CFO),
  and the Board Of Directors to engage hospital leadership in using Computerized Physician
  Order Entry (CPOE), barcoding, or telehealth systems.

 

Ohio KePRO will provide technical support and help to develop the business case related to expenses,

cost and risk control through the use of health information technology (HIT). Specifically, Ohio KePRO

will help hospitals analyze and explore the use of CPOE, barcoding or telehealth systems to improve

patient safety (decrease medication errors, promote timely and appropriate care), and move toward

transformational change related to quality health care.

 

Benefits of Participating

Participating in the SIOC project is an opportunity to:

• Enhance your hospital's reputation in the community by being able to show significant and verifiable
  work toward improvement in patient safety and quality care
• Provide networking opportunities to learn about best practices related to HIT from peers
• Work collaboratively with your medical staff on improving patient safety and best practice care
• Be recognized as an early adopter and leader for patient safety and quality improvement standards
• Recruit and retain the best professionals possible
• Learn and adopt new quality improvement methodologies toward organizational change
• Improve patient safety through collaboration with hospital partners
• Evaluate and adopt technology before it is required by various payers
• Maintain continuity of care by allowing patients to receive primary health care in the local health system
  while connecting with specialty care in larger communities through telehealth and telemedicine

Additional benefits:

• Access to resources and successful interventions
• Enhancement of patient safety strategies
• Access to national HIT resources
• Tools to help you communicate with your community
• Receive progress reports

 

What Participation Involves

Hospitals will be asked to:

• Engage senior leadership in planning for and adopting HIT
• Form a multidisciplinary team for planning and implementating activities
• Conduct team meetings on a regular basis
• Develop an overall action plan and timeline
• Share progress, barriers and successes
• Meet with Ohio KePRO Project Leader once a month
• Demonstrate commitment through signature of the CEO
• Complete the appropriate technology survey as a baseline and a remeasurement for technology
  plan development and implementation

What Ohio KePRO will do for IPG Hospitals

• Facilitate improvement on statewide goals (see below)
• Facilitate utilization of the MedQIC web site ( www.MedQIC.org )
• Provide:
  - Quarterly progress reports for hospitals
  - Resources and guidance as needed
  - Statewide teleconferences

 

National Steering Committee that offers guidance and expertise to the SCIP project

• American Hospital Association (AHA)
• American College of Surgeons (ACS)
• American Society of Anesthesiologists (ASA)
• Association of periOperative Registered Nurses (AON)
• Institute for Healthcare Improvement (IHI)
• Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
• Department of Veterans Affairs (VA)
• Centers for Disease Control and Prevention (CDC)
• Centers for Medicare & Medicaid Services (CMS)
• Agency for Healthcare Research and Quality (AHRQ)

Statewide Hospital Quality Improvement Goals

Ohio KePRO will work with all Ohio hospitals toward improvement in the following areas:

• Increase the number of hospitals reporting the expanded set of twenty-two (22) quality measures
  for the Hospital Quality Alliance (HQA)
• Increase the number of hospitals achieving a passing score (80% accuracy) on data validation
• Improve performance measure results on SCIP-1, prophylactic antibiotic received within one hour
  of surgical incision
• Increase the number of critical access reporting hospitals by fifty percent (50%)