Презентация на тему «Primary Stroke Center Certification»

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Primary Stroke Center Certification	“…the process of applying for disease-specific certification is one	Today’s Topics	Accreditation vs	Primary Stroke Center Certification
Primary Stroke Center Evaluation				Core Program Components
Disease-Specific Care Standards	Primary Stroke Center Certification	Brain Attack Coalition Recommendations	Disease-Specific Care 2008 National Patient Safety Goals	Core Program Components
Primary Stroke Center Clinical Practice Guidelines	Core Program Components	Primary Stroke Center Standardized Measure Set	Stroke Performance Measurement Advisory Panel	Primary Stroke Center Performance Measures
Primary Stroke Center Performance Measures	Primary Stroke Center Performance Measures	Primary Stroke Center Performance Measures: Resources	Certification Timelines by Month	The On-Site Evaluation
Challenges of Certification	Recertification	What’s New	Primary Stroke Center Certification	Primary Stroke Center Certification
What’s New	Certified Primary Stroke Centers	Certified PSCs in the Great Lakes Region	Why Get Certified	Questions

Презентация на тему: «Primary Stroke Center Certification». Автор: Onoma LLC. Файл: «Primary Stroke Center Certification.ppt». Размер zip-архива: 1349 КБ.

Primary Stroke Center Certification

содержание презентации «Primary Stroke Center Certification.ppt»

№	Слайд	Текст
1		Primary Stroke Center Certification M.J. Hampel The Joint Commission October 30, 2007 use these colors
2		“…the process of applying for disease-specific certification is one important way Bay Medical has moved forward with three important goals: creating high-quality clinical programs; improving its clinical reputation among prospective patients; and fostering teamwork among physicians, hospital employees, and management.”
3		Today’s Topics Certification and recertification process Standardized set of performance measures What’s happening in the Great Lakes region
4		Accreditation vs Certification Accreditation Surveys Organization-wide evaluation of care processes and functions Certification Reviews Product or service specific evaluation of care and outcomes
5		Primary Stroke Center Certification Our first “advanced” certification program Collaborative effort with American Stroke Association Launched December 2003 Over 400 certified in 43 states Leading states: Florida and California (25% of certified Primary Stroke Centers are in these two states)
6		Primary Stroke Center Evaluation Quality & Safety of Stroke Care JC DSC Standards + BAC Recommendations ASA or equivalent evidence-based guidelines Standardized Measure Set
7		Core Program Components Standards Guidelines Measures Disease-Specific Care Certification
8		Disease-Specific Care Standards Program Management Delivering or Facilitating Clinical Care Supporting Self-Management Clinical Information Management Performance Improvement and Measurement
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10		Brain Attack Coalition Recommendations Hospital and Administrative Support Acute Stroke Team Written Care Protocols Emergency Medical Systems Emergency Department Stroke Unit Neurosurgical Services Neuroimaging Laboratory Services Outcomes/Quality Improvement Educational Programs
11		Disease-Specific Care 2008 National Patient Safety Goals Improve the accuracy of patient identification Improve the effectiveness of communication among caregivers Reduce the risk of health care-associated infections Accurately and completely reconcile medications across the continuum of cares Reduce the risk of patient harm resulting from falls Reduce the risk of influenza and pneumococcal disease in institutionalized older adults Encourage patients’ active involvement in their own care as a patient safety strategy.
12		Core Program Components Standards Guidelines Measures Disease-Specific Care Certification
13		Primary Stroke Center Clinical Practice Guidelines Patient care must be based on guidelines/evidence-based practice Review process includes Assessment of implementation of CPGs Rationale for selection and modification
14		Core Program Components Standards Guidelines Measures Disease-Specific Care Certification
15		Primary Stroke Center Standardized Measure Set DVT Prophylaxis Discharged on Antithrombotics Patients with Atrial Fibrillation Receiving Anticoagulation Therapy Thrombolytic Therapy Administered Antithrombotic Therapy by End of Hospital Day Two Discharged on Cholesterol Reducing Medication Dysphagia Screening Stroke Education Smoking Cessation/Advice/Counseling Assessed for Rehabilitation
16		Stroke Performance Measurement Advisory Panel Robert J. Adams, MD, MS Medical College of Georgia Mark Alberts, MD Northwestern University Lawrence M. Brass, MD Yale University School of Medicine Pamela W. Duncan, PhD, FAPTA University of Florida Judith Hinchey, MD New England Medical Center Karen Johnston, MD University of Virginia Health System Timothy F. Kresowik, MD University of Iowa Jerod M. Loeb, PhD The Joint Commission David Matcher, MD Duke Center for Clinical Health Policy Research Rosemary Miller, RN, CCRC University of Cincinnati David Nilasena, MD, MSPH, MS Centers for Medicare and Medicaid Services Andrea R. Redman, PharmD, BCPS Mercer University Marilyn N. Rymer, MD Saint Luke’s Hospital Stroke Center Lee H. Schwamm, MD Harvard Medical School Susan R. Winkler, PharmD, BCPS University of Illinois at Chicago Medical Center Richard Zorowitz, MD University of Pennsylvania
17		Primary Stroke Center Performance Measures Harmonized Performance Measure Set Collect monthly data points on all 10 measures (effective 1-1-08) Share 4 months worth of data at initial visit Data Submission Annually for now Quarterly once technological interface is complete
18		Primary Stroke Center Performance Measures Harmonized stroke measures across three initiatives: Joint Commission Standardized Measure Set CDC’s Coverdell Registry ASA’s Get With the Guidelines - Stroke
19		Primary Stroke Center Performance Measures Value of aligning measures: Ability to compare data across all registries Ability to determine impact of certification on stroke care Limits the burden of data collection on hospitals
20		Primary Stroke Center Performance Measures: Resources Stroke Performance Measurement Implementation Guide: http://www.jointcommission.org/CertificationPrograms/PrimaryStrokeCenters/stroke_pm_edition_2.htm Free audio conference
21		Certification Timelines by Month Intracycle Report Due Submit Application Onsite Review Onsite Review -6 -4 -3 0 1 9 12 18 24 Review Scheduled Reminder letter for Intracycle Re-application notification (rolling timeframe) Certification Report Posted 90 DAY WINDOW
22		The On-Site Evaluation Patient-centered tracer activities Engaging practitioners Educative Preliminary report
23		Challenges of Certification Consistent implementation of Clinical Practice Guidelines Evaluating patient perception of care quality Performance Measurement: Data collection Maintaining the stroke log National Patient Safety Goals
24		Recertification 5-day notification of recertification visits Annual review of Clinical Practice Guidelines 2 years worth of performance improvement data, analysis, and action
25		What’s New Certification Extranet Page: A secure section of our website designed for individual healthcare organizations Electronic information and communication vehicle Accessible only with log-in ID and password
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28		What’s New Disease-Specific Care Certification Manual, 3rd edition available October 2007 2008 National Patient Safety Goals 2008 Certification Decision Rules All certification outcomes to be posted on Quality Check (January 2008)
29		Certified Primary Stroke Centers 4-6 20 - 30 1-3 7-9 10-19 >30
30		Certified PSCs in the Great Lakes Region Illinois 19 Indiana 9 Michigan 19 Minnesota 8 Ohio 18 Wisconsin 14
31		Why Get Certified Structure clinical programs of excellence Improve processes of care Toot your horn to consumers Enhance your bottom line Attract more patients Leverage certification as a tool in contract negotiations Culture change: communication, loyalty, teamwork
32		Questions M.J. Hampel Senior Associate Director Disease-Specific Care Certification 630.792.5720 mhampel@jointcommission.org
«Primary Stroke Center Certification»