MPRO Update MICAH Quarterly Meeting Donna Modras May 19, 2017

Objectives News and updates 2017 Governor’s Award of Excellence recipients Registration for the next Governor’s Award of Excellence program NHSN technical assistance for CDI Antibiotic stewardship initiative Resource materials available in SharePoint at Program Resources > Training and Events > CME http://intranet/t1/pr/te/CME/Forms/AllItems.aspx See Margaret LeDuc for assistance with planning for CME credit. Example objectives Refine and further develop action plans based on learning and sharing among collaborative teams Identify key concepts of business planning, marketing, and measurement related to palliative care Identify resources available to support palliative care Develop objective that use verbs such as: Apply, Arrange, Articulate, Assess, Categorize, Classify, Compare, Construct, Convey, Create, Describe, Develop, Diagnose, Diagram, Discriminate, Distinguish, Discuss, Employ, Explain, Evaluate, Formulate, Identify, Illustrate, Implement, Integrate, Interpret, List, Manage, Predict, Recognize, Relate, Report, Solve, Translate, Write Avoid: Appreciate, Internalize, Know, Understand

2017 Governor’s Award of Excellence Recipients of the Effective Reporting and Measurement Award for CAHs

14 CAH 2017 Governor’s Award of Excellence Winners Allegan General Hospital Aspirus Iron River Hospital Bronson Lakeview Deckerville Hospital Hayes Green Beach Memorial Hospital Hills and Dales General Hospital Marlette Regional Hospital McKenzie Health System

14 CAH 2017 Governor’s Award of Excellence Winners Mercy Health Lakeshore Campus MidMichigan-Gladwin OSF St Francis Hospital and Medical Group Sparrow Clinton Sparrow Ionia Spectrum Health Kelsey

Participate in MPRO’s Next Governor’s Award of Excellence Program

Governor’s Award of Excellence Register at http://www.mpro.org/governors-award-of-excellence

Effective Reporting and Measurement: Critical Access Hospitals Achievement Criteria Submit signed participation form for CAH with MPRO Submit all required Governor’s Award of Excellence documentation Select at least two inpatient quality reporting (IQR) or outpatient quality reporting (OQR) measures Submit data quarterly for two measures Achieve the evaluation performance standard of 3 percent absolute improvement or 3 percent relative improvement (whichever is better) for one of two selected IQR or OQR measures from the baseline time period (7/1/16-6/30/17) to the 4th data submission time period (7/1/17-6/30/18)

NHSN Technical Assistance CDI

MPRO & the HIIN MPRO aligns with the HIIN to provide technical assistance and quality improvement resources for the CMS healthcare associated infection (HAI) measure clostridium difficile (CDI) Technical assistance includes getting started in NHSN through submitting CDI data Quality improvement resources include webinars, data reports and other various resources to end CDI

Improving Antibiotic Stewardship in the Outpatient Setting Initiative

Improving Antibiotic Stewardship in the Outpatient Setting CMS identified antibiotic stewardship as a national priority to improve health outcomes and decrease patient harm Reduce and prevent the misuse/overuse of antibiotics and minimize the development of antibiotic resistance Involves targeted outpatient settings (including RHCs, physician offices and CAH emergency departments)

Improving Antibiotic Stewardship in the Outpatient Setting Benefits of participation include the following : No cost to participate Assessment, development and implementation of antibiotic stewardship programs and activities Education on the principles and Core Elements of Outpatient Antibiotic Stewardship as defined by the Centers for Disease Control and Prevention (CDC) Learning sessions that include thought leaders from federal, state, academic and professional societies; front-line and prescribing clinicians; health systems; and beneficiary representatives

Participation Participants must commit to the following: Signing a participation agreement with the required two signatures: clinical leader and setting champion Implementing an intervention(s) for all four of the CDC’s Core Elements of Outpatient Antibiotic Stewardship and tracking and reporting these elements on a quarterly basis Identifying a team clinical leader and champion Remaining active in the project for it’s duration (July 2019)

CDC Core Elements of Outpatient Antibiotic Stewardship CDC outpatient core elements include the following: Commitment Can your facility demonstrate dedication to and accountability for optimizing antibiotic prescribing and patient safety related to antibiotics? Action Has your facility implemented at least one policy or practice to improve antibiotic prescribing? Tracking and Reporting Does your facility monitor at least one aspect of antibiotic prescribing? Education and expertise Does your facility provide resources to clinicians and patients on evidence-based antibiotic prescribing?

CDC Website Please visit the CDC website for more information about antibiotic stewardship in all settings of care: https://www.cdc.gov/getsmart/community/improving-prescribing/core-elements/core-outpatient-stewardship.html https://www.cdc.gov/getsmart/ https://www.cdc.gov/getsmart/community/improving-prescribing/evidence/index.html https://www.cdc.gov/getsmart/community/materials-references/index.html

Get Involved! Recruitment time sensitive: June 15, 2017 Recruitment information is posted on the Lake Superior QIN website https://www.lsqin.org Visit https://www.lsqin.org/initiatives/asp/join-antibiotic-stewardship-initiative/ for additional information and participation forms Contact Anne Messer for more information at 248-465-7422 or amesser@mpro.org

Questions? Donna Modras dmodras@mpro.org 248-465-7407

Thank you!