Rural Hospital Collaborative for Excellence Using IT

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Rural Hospital Collaborative for Excellence Using
IT AHRQ UC1 HS15431
Kathy Mechler, MS, RN, CPHQ Texas AM
University Health Science Center Rural and
Community Health Institute
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Grant Partners
Baylor Health Care System Institute for Health
Care Research Improvement
Dallas-Fort Worth Hospital Council Data Initiative
Texas Medical Foundation Health Quality Institute
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Project Objective

• Improve patient safety and quality of care in
  rural and
• critical access hospitals by providing
• Access to web-based state of the art data
  processing
• and analytic tools
• Education and training
• Ongoing support and encouragement specific to
• performance measurement and using AHRQ
  quality and safety indicators in their respective
  performance improvement efforts

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Education Course

• Taught basic concepts of
• patient safety quality improvement
• data analysis interpretation
• required a project from each participating
• hospital

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Study Eligibility

• Hospitals in counties with population 100,000
• General Medical/Surgical (n129)
• Critical Access (n59)
• Eligible hospitals 188
• Funding for 62 hospitals 66 hospitals
• in the study
• Agree to submit and share administrative
• data
• Agree to abstract and submit CMS Core
• Measures

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Participants 66 Hospitals
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Improved Patient Quality and Strategic Planning
Technology Model for Improvement
Quality Improvement Process
Strategic Planning Process
Market Data
Financial Data
Operational Data
Patient Safety Quality Data
Technology Implementation
Hospital Discharge Data, CMS and AHA Quality
Measures
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How the data being used
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What have we learned?

• Data exports were challenging for rural
  hospitals
• Education and Support is critical to success
• Exceeded budgetary expectations
• Small numbers have been an issue
• Limited resources Budget and Equipment
• Limited human resources
• Manpower, financial
• Independent, have a tendency to resist outside
• influence
• Short term view is focused on revenue to
  survive
• Different problems with patient safety
• Knowledge is broad but superficial
• Some of the hospitals do not take the time to
  code self paying patients due to no change or
  impact on their reimbursement

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What are the hospitals saying?
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How are the hospitals using the data?
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Types of Assistance Used
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Quality of Experience
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Next Steps

• Evaluation
• Technology evaluation ongoing (qualitative
• quantitative)
• Measurably improved data integrity
• Sustainability plan underway
• Additional funding for ambulatory data and
• other data initiatives

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Thank you Contact Information Kathy
Mechler 979.862.5004 mechler_at_tamhsc.edu