Cumulative Report AF4Q Hospital Quality Network: REDUCING READMISSIONS

Hospital:

Name and Title:

Email address:

Impact and Process

The following questions address the initiative’s impact in terms of successes, process changes, and challenges andits spread within your hospital or hospital system. Boxes will expand to fit your text.

  1. What impact do you think the initiative has had:(Please be specific.)
  2. On patients?
  3. Within the organization?
  4. Within your community?
  1. List 3-5 successes have you achieved during the initiative?

Success achieved during the initiative / Description
  1. List the process changes, strategies, innovations, etc., your hospital implementedsince October 2010 that contributed to your successes. If needed, you can find additional rows on page 4.

Topic/name of process change, strategy, innovation, etc. / Short description of process change, strategy, innovation, etc. / Date implemented / Tools/job aides used during implementation
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
  1. List 3-5 challenges you encounteredrelated to organizational or team changesand the actions you took to address those challenges.

Challenges encountered related to organizational/team changes / Actions taken to address / What was the outcome?
(Example)CEO resigned / (Example)Scheduled meeting between improvement team and new CEO to discuss importance of project / (Example)Meeting was successful – no further meetings were scheduled with new CEO
  1. List 3-5 challenges you encountered related to data collection with measures or for race/ethnicity/language (R/E/L)data collection and the actions you took to address those challenges.

Challenges encountered related todata collection with measures or for R/E/L data collection / Actions taken to address / What was the outcome?
(Example)Registration system included Hispanic as a race / (Example)Worked with Registration IT support to create separate fields for race and ethnicity / (Example)New ethnicity field went online in January 2011
  1. List 3-5 challengesyou encountered implementing process change and strategies and the actions you took to address these challenges.

Challenges encountered related to implementing process change and strategies / Actions taken to address / What was the outcome?
(Example)Difficulty getting physician buy-in for implementing new rounding structure / (Example)Recruited a physician champion on the unit to trythe change for one day / (Example)After initial one-day test, expanded to two physicians to try the change for one week. Now change is hospital-wide.
  1. What are the top 3-5 lessons you learned that might help others implement similar work in this field? (Lessons from implementing R/E/L data collection also can be included.)

List lesson learned related to implementing the work and/or R/E/L data collection / Describe learning and impact on the initiative
  1. In spreading the initiative to other areas within your organization/system:
  2. Has this work been implemented in areas outside your inpatient units? If yes, where?
  3. Is your hospital part of a system? If yes, how many hospitals are in the system?
  4. Has this work been implemented in other hospitals in the system? If yes, to how many hospitals has it spread?
  1. When reporting results on the measures for this initiative:
  2. Has this work been implemented in areas outside your inpatient units? Yes No

If yes, where?

  1. Is your hospital part of a system? Yes No

If yes, how many hospitals are in the system?

  1. Has this work been implemented in other hospitals in the system? Yes No

If yes, to how many hospitals has it spread?

  1. How will you sustain the improvements you made during the initiative?
  1. How have you communicated about your work or success:
  2. Within the hospital/system?
  3. Within the broader community?

Disparities and Equity

A major focus of Aligning Forces for Quality is to identify and reduce disparities in care. Please answer the following questions about the work you have done to identify and reduce disparities over the course of the initiative.

  1. Has your hospitalused stratified REL data to detect differencesin care related to a patient’s race, ethnicity, or languagein the area of Reducing Readmissions? Yes No

If yes, describe your process and results.

  1. Has your hospital started to stratify other process/outcomes measures stratified by race, ethnicity, or language?

Yes No

If yes, please list the measures.

  1. Has your hospital implemented any process changes, strategies, or innovationsto address identified differences in care related to a patient’s race, ethnicity, or language?

Yes No No differences in care identified.

If yes, please describe.

  1. Is there anything else you would like for the National Program Office to know about your work on this initiative?

Who can be contacted in about a year to follow up on the initiative?

Name:

Title:

Email address:

Additional rows to list the process changes, strategies, innovations, etc.,your hospital has implemented since October 2010 that contributed to your successes.

Topic/Name of process change, strategy, or innovation, etc / Short description of process change, strategy, or innovation, etc / Date implemented / Tools/job aides used during implementation
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide
NoCreated tool/job aideUsed existing tool/job aide

Aligning Forces for Quality:

Aligning Forces for Quality(AF4Q) is the Robert Wood Johnson Foundation’s (RWJF) signature effort to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform.

AF4Q asks the people who get care, give care and pay for care to work together toward common, fundamental objectives to lead to better care. The Foundation has made an unprecedented commitment to improve health care in 16 geographically, demographically, and economically diverse communities that together cover 12.5 percent of the U.S. population.

1