Partnership for Patients: Partners in Action

Uploaded by CMSHHSgov on 02.05.2012

We're working very closely with those state associations to reach all of the hospitals
we possibly can across the nation, so that we can help deliverthe best information about
what effectively works to drive down hospital-acquired conditions, and to improve our readmission
rates. The South Carolina Hospital Association along with over thirty other public and private
sector health care partners in South Carolina have been working for the last five years
through the Every Patient Counts Partnership to improve the quality and safety of care
for every patient in our state. More recently, we've aligned that work under the national
Partnership for Patients, specifically focused on reducing preventable harm to patients across
our state, and reducing readmissions, and improving care coordination and transition
for patients statewide. There has to be a culture of safety, so we developed this toolkit
that has everything in it, lots of information about what the problems are in terms of patient
safety, and what you can do about them, and then what the Board can expect from the institution
that they are fiduciary for, and how they can drive change to a culture of safety. We
work with a partnership of hospitals and long term care centers, and we're matching up providers
in the acute- and the long-term-care realms, and we're working very specifically with patients
and identified family care partners. And we're equipping them with the training to use and
create their own health record, their own electronic health management record, that
then they take with them to different sites to build their confidence, their health confidence
or their self confidence in their ability to manage their own chronic conditions, and
that's been one of the pieces that's been missing. With reducing central-line-associated
bloodstream infections, we have seen a sixty-nine percent reduction. We're really changing the
culture in the operating rooms across the state, and we've seen some early reductions,
about twenty-five percent, in surgical-site infections. Looking at the cost impact, we
have done some measurements as far as it relates to central line infections, and we’ve seen,
just in that one initiative, about a ten million dollar reduction in cost statewide. Through
this collaboration we've given hospitals tools to do root-cause analysis, and for central-line
infections, catheter-associated infections, we've seen significant -- and by significant
twenty-, thirty-, forty-percent drops in rates over a very short period of time. It's a matter
of how do we take the really great programs and processes that have already demonstrated
their success and bring those to scale and spread them in all settings and that's powerful
and that's different. We eventually hope to be able to share best practice and create
a learning network so that the participants who have signed up and are attempting to improve,
that they can share their learning experiences and therefore we can then move the dial by
improving care and bending the cost curve. We're going to move from that provider-centered,
volume-driven environment to a patient-centered, value-driven environment, and what I mean
is that value is quality divided by cost, and as we start to really improve safety,
quality will improve, cost will drop, value will go up, and as a byproduct it will be
more patient-centered. You want to make your care safer, why not take advantage of this
important opportunity to really link with others who have the same goal? And who have
different perspectives, different tools or strategies at their beck, and who are ready
to move with you to improving safety. I believe that the people that run hospitals or run
nursing homes are in that business because they want to help people. People pride themselves
on that, and I think that the Partnership for Patients and the goals that have been
set out are goals that these organizations will embrace and will support.