Statewide Hospital Quality

Improvement Initiatives

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Ohio KePRO, the Medicare Quality Improvement Organization (QIO) for Ohio, 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.

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
• 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%)

Benefits of Participating

Participating in the Statewide initiative is an opportunity to:

• Enhance your hospital's reputation in the community by being able to show significant and
  verifiable improvement in quality care
• Work collaboratively with your medical staff on improving care
• Be recognized as an early adopter and leader of quality improvement standards
• Recruit and retain the best professionals possible
• Learn and adopt new quality improvement methodologies
• Enhance patient safety strategies
• Receive relevant data reports quarterly

What Participation Involves

Hospitals will be asked to:

• Form a multidisciplinary team for planning and implementation of activities
• Engage senior leadership
• Identify champions to promote targeted activities
• Conduct team meetings on a regular basis
• Report on the expanded set of 22 measures
• Abstract records and submit valid data to the clinical warehouse
• Develop an overall action plan and timeline for accurate data submission
• Work with Ohio KePRO to develop and implement a quality improvement plan for SCIP-1
• Maintain communication and meet with your Ohio KePRO Project Leader regularly

What Ohio KePRO will do for Statewide Hospitals

• Facilitate utilization of MedQIC web site ( www.MedQIC.org ) and other quality improvement
  resources

• Provide:

  - Quarterly progress reports for hospitals

  - Resources and guidance as needed

  - Statewide teleconferences