1. Title Block Data Office Hours February 2014 Dolores Hagan, RN, BSN K-HEN Education/Data Manager

2. Agenda Explain the Incentive Plan Review the data collection tool Demonstrate the Harm Across the Board (HAB) Template

3. K-HEN Incentive Plan K-HEN defined (not HRET HEN) 3 Tiered Approach –Timely data submission –Completing and submitting at least one Harm Across the Board template each quarter –Meeting improvement from baseline target

4. 1 st Quarter (Due April 30) 2 nd Quarter (Complete by July 31) 3 rd Quarter (Complete by October 31) 4 th Quarter (Complete by December 31 for Oct/Nov only) Total Eligible Funding for 2014 per Hospital Full Participation $2000 $250 per month if in by monthly deadline OR $500 by July 31 $250 per month if in by monthly deadline OR $500 by Oct. 31 $250 per month if in by monthly deadline OR $500 by Dec. 31 $4000 Minimum Participation $1000$150 per month if in by monthly deadline OR $250 by July 31 $150 per month if in by monthly deadline OR $250 by Oct. 31 $150 per month if in by monthly deadline OR $250 by Dec. 31 $2200

5. Tier I: Minimum Level Submits the following measures on the K-HEN Measures tab for Jan, Feb, Mar 2014 by Apr 30: –ADE-112 –CAUTI-19 (NHSN) –CLABSI-25 (NHSN) –Falls-37 –EED (OB-40) –OB-48; OB-54 & OB-55 (AHRQ) –PrU-61 (AHRQ) –READ-77 (Jan/Feb only) –SSI-89 (NHSN) (Jan/Feb only) –VAE-96d –VTE-105 (AHRQ) Receives $1000 incentive – Hospital A 1Q

6. Tier I: Full Participation Submits the following measures on the K-HEN Measures tab for Jan, Feb, Mar 2014 and submits or attests to one process measure per topic area on the Process Measures tab by Apr 30: –ADE-12; 13; & 111 –CAUTI-18; 19; &113 (NHSN) –CLABSI-24; 25 & 122 (NHSN) –Falls-37 & 39 (Claims Based) –EED (OB-40) –OB-54 & 55 (AHRQ); 118 & 120 –PrU-58 & 61 (AHRQ) –READ-75 (Jan/Feb only) –SSI-89 (4 or more Procedures) (Jan/Feb only) –VAE-96d; 96e & 96f –VTE-104 & 105 (AHRQ) Receives $2000 incentive Hospital B 1Q

7. Tier I Monthly Submission Hospital A 2Q, 3Q, 4Q Submits same measures meeting the Data submission schedule for each month (4Q is only 2 months) Receives $150/month – $450 each for 2Q & 3Q –$300 for 4Q Total Possible: $2200 Hospital B 2Q Submits same measures meeting the Data submission schedule for each month (4Q is only 2 months) Receives $250/month –$750 each for 2Q & 3Q –$500 for 4Q Total Possible: $4000

8. Tier I Quarterly Submission Hospital A 2Q, 3Q & 4Q Submits same measures with all three months completed by July 31 Receives $250 each quarter Total Possible: $1750 Hospital B 2Q, 3Q & 4Q Submits same measures with all three months completed by July 31 Receives $500 for each quarter Total Possible: $3500

9. Tier II & III Tier II Submits at least one HAB report for each quarter $250/quarter ($1000 possible) Tier III Achieves 40/20% reduction from baseline in applicable topics by Nov 1 OR sustains rate at or below benchmark $1000 incentive

10. Total Possible Hospital A (Minimum) Tier I:$2200 Tier II:$1000 Tier III:$1000 Total Possible:$4200 Hospital B (Full) Tier I:$4000 Tier II:$1000 Tier III:$1000 Total Possible:$6000

11. General Data Tab Leave Blank if not applicable

12. K-HEN Measures Tab

14. Process Measures Tab

15. Harm Across the Board New HAB template NOT mandatory—but earns an extra incentive K-HEN will help prepare as much as possible New Improvement Calculator from HRET

16. Open Discussion/Questions Complete Learning Activity Survey