PIN Quality Awards

PIN 2016 Quality Awards Recipients


MT Flex/PIN quality Awards Program 2016-2017 Award Criteria

“Rewarding CAHs for strengthening the quality of care in rural communities”

Hospitals must meet all criteria during the grant year to qualify. The grant year is September 1 – August 31. By meeting the criteria listed below your hospital demonstrates leadership, community, willingness to share with peers and a commitment to improvement.

CRITERIA #1: PERFORMANCE IMPROVEMENT                                                         
Hospital must submit baseline and remeasurement data, and show improvement by any means listed below.  Estimated project launch and completion dates are in parenthesis.  Plan accordingly; dates may not fall in the same grant year. 

  • Flex QIS: Flu Immunizations for Health Care Workers (Sep-16/Aug-17)
  • Flex QIS: EDTC Project (Nov-16/Aug-17)
  • CAH MBQIP Project: The CAH may submit a project that is not guided by the Flex Grant.  The CAH must provide baseline and remeasurement data showing improvement and a description of the project and interventions. Any improvement must be made during the grant year.  Submit to Jennifer.wagner@mtha.org by August 5, 2017.

CRITERIA #2: DATA REPORTING                                                                                        
Hospital must meet data reporting requirements for both MBQIP and the PIN Benchmarking. 

  • MBQIP: Submit each required measure in at least three of the four MBQIP domains for cased from Q3-16 and Q4-16. 
  • PIN Benchmarking: All core measure (1-26) data for Q3-16 through Q2-17.

CRITERIA #3: ENGAGEMENT WITH MT CAHS                                                                    
Hospitals must attend/complete two or more of the following networking and cohort opportunities. Plan accordingly; dates may not fall in the same grant year. 

  • DON/QIC Regional Meetings (October 2016)
  • Finance/Operational AR Cohort 2017 (Jan-17/Jun-17)
  • Flex Aligned Sessions – MHA Health Summit (March 2017)
  • M2O: Outpatient Project (Jan-16/Aug-17)
  • M2O: HCAHPS Care Transitions (Apr-16/Jan-17)
  • Finance/Operational AR Cohort 2016 (Jun-16/Dec-16)
  • Trauma PI Project 2016-2017 (May-16/Dec-16)

CRITERIA #4: PROJECT CIRCULATION                                                                              
Hospital must share one improvement project with other PIN members by any of the following means:

    • Present at Flex Regional DON/QIC Meeting or MHA Health Summit
    • Submit an article related to performance improvement to the PIN Quarterly Newsletter (send to Jennifer.wagner@mtha.org).
    • Share Lean project summaries/resources and high performing skills/resources on the PIN Website (send to Jennifer.wagner@mtha.org).
    • Flex/PIN hosted statewide webinars

 

AWARD DETAILS                                                                                                                

  • Activities between September 1, 2016 and August 31, 2017.
  • Must meet all four criteria.
  • Flex will track participation and award hospitals that meet criteria.  If your hospital wishes to submit an improvement project for Criteria #1, it must be received by August 5, 2017.
  • A report card will be distributed to CAH CEOs, DONs, and QICs in March.

AWARD RECOGNITION                                                                                                        

  • Announcement and reserved seating at the MHA Annual Convention General Session.
  • Plaque with facility name, date, and improvement measure.  Plaques will be distributed and pictures taken at the DON/QIC Regional Meetings held in October. 
  • Recognition in the PIN Newsletter and PIN Website.
  • Press kit, press release, and photos taken at the Regional Meetings will be provided for hospital marketing.

LOOKING AHEAD                                                                                                                
Some projects may launch during the 2016-2017 grant year, but will be tied to award eligibility for 2017-2018.   Watch Flex Grant correspondence and plan accordingly so you don’t miss a chance to complete criteria. 

    • Trauma PI Project 2017-2018 (May-17/Dec-17)
    • M2O: HCAHPS Project (Aug-17/Nov-17
    • QIS: Flu Immunizations for Inpatients (Jul-17/May-18)

MBQIP MEASURES:                                                                                                             


CARE TRANSITIONS DOMAIN

EDTC 1-8

Seven sub-measures and EDTC-All

OUTPATIENT DOMAIN

OP-1

Median time to Fibrinolysis

OP-2

Fibrinolytic therapy received within 30 minutes

OP-3b

Median Time to Transfer to another Facility for ACI

OP-4

Aspirin on Arrival (dependent measure)

OP-5

Median time to ECG

OP-18

ED Arrival to Departure time (dependent measure)

OP-20

ED Throughput: Door to diagnostic eval by QMP

OP-21

ED Throughput: Median time to pain mgmt for long bone fx

PATIENT SAFETY DOMAIN

OP-27

HCW Flu Immunization or enroll in NHSN and user group!

IMM-2

Eligible Inpatient Influenza Immunization

PATIENT ENGAGEMENT DOMAIN

HCAHPS

HCAHPS responses through a certified Vendor

 

 

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