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Primary Stroke Center Certification
содержание презентации «Primary Stroke Center Certification.ppt»| Сл | Текст | Сл | Текст |
| 1 | Primary Stroke Center Certification. | 16 | MD University of Virginia Health System |
| M.J. Hampel The Joint Commission October | Timothy F. Kresowik, MD University of Iowa | ||
| 30, 2007. use these colors. | Jerod M. Loeb, PhD The Joint Commission | ||
| 2 | “…the process of applying for | David Matcher, MD Duke Center for Clinical | |
| disease-specific certification is one | Health Policy Research. Rosemary Miller, | ||
| important way Bay Medical has moved | RN, CCRC University of Cincinnati David | ||
| forward with three important goals: | Nilasena, MD, MSPH, MS Centers for | ||
| creating high-quality clinical programs; | Medicare and Medicaid Services Andrea R. | ||
| improving its clinical reputation among | Redman, PharmD, BCPS Mercer University | ||
| prospective patients; and fostering | Marilyn N. Rymer, MD Saint Luke’s Hospital | ||
| teamwork among physicians, hospital | Stroke Center Lee H. Schwamm, MD Harvard | ||
| employees, and management.”. | Medical School Susan R. Winkler, PharmD, | ||
| 3 | Today’s Topics. Certification and | BCPS University of Illinois at Chicago | |
| recertification process Standardized set | Medical Center Richard Zorowitz, MD | ||
| of performance measures What’s happening | University of Pennsylvania. | ||
| in the Great Lakes region. | 17 | Primary Stroke Center Performance | |
| 4 | Accreditation vs. Certification. | Measures. Harmonized Performance Measure | |
| Accreditation Surveys Organization-wide | Set Collect monthly data points on all 10 | ||
| evaluation of care processes and functions | measures (effective 1-1-08) Share 4 months | ||
| Certification Reviews Product or service | worth of data at initial visit Data | ||
| specific evaluation of care and outcomes. | Submission Annually for now Quarterly once | ||
| 5 | Primary Stroke Center Certification. | technological interface is complete. | |
| Our first “advanced” certification program | 18 | Primary Stroke Center Performance | |
| Collaborative effort with American Stroke | Measures. Harmonized stroke measures | ||
| Association Launched December 2003 Over | across three initiatives: Joint Commission | ||
| 400 certified in 43 states Leading states: | Standardized Measure Set CDC’s Coverdell | ||
| Florida and California (25% of certified | Registry ASA’s Get With the Guidelines - | ||
| Primary Stroke Centers are in these two | Stroke. | ||
| states). | 19 | Primary Stroke Center Performance | |
| 6 | Primary Stroke Center Evaluation. | Measures. Value of aligning measures: | |
| Quality & Safety of Stroke Care. JC | Ability to compare data across all | ||
| DSC Standards + BAC Recommendations. ASA | registries Ability to determine impact of | ||
| or equivalent evidence-based guidelines. | certification on stroke care Limits the | ||
| Standardized Measure Set. | burden of data collection on hospitals. | ||
| 7 | Core Program Components. Standards. | 20 | Primary Stroke Center Performance |
| Guidelines. Measures. Disease-Specific | Measures: Resources. Stroke Performance | ||
| Care Certification. | Measurement Implementation Guide: | ||
| 8 | Disease-Specific Care Standards. | http://www.jointcommission.org/Certificati | |
| Program Management Delivering or | nPrograms/PrimaryStrokeCenters/stroke_pm_e | ||
| Facilitating Clinical Care Supporting | ition_2.htm Free audio conference. | ||
| Self-Management Clinical Information | 21 | Certification Timelines by Month. | |
| Management Performance Improvement and | Intracycle Report Due. Submit Application. | ||
| Measurement. | Onsite Review. Onsite Review. -6 -4 -3 0 1 | ||
| 9 | 9 12 18 24. Review Scheduled. Reminder | ||
| 10 | Brain Attack Coalition | letter for Intracycle. Re-application | |
| Recommendations. Hospital and | notification (rolling timeframe). | ||
| Administrative Support Acute Stroke Team | Certification Report Posted. 90 DAY | ||
| Written Care Protocols Emergency Medical | WINDOW. | ||
| Systems Emergency Department Stroke Unit | 22 | The On-Site Evaluation. | |
| Neurosurgical Services Neuroimaging | Patient-centered tracer activities | ||
| Laboratory Services Outcomes/Quality | Engaging practitioners Educative | ||
| Improvement Educational Programs. | Preliminary report. | ||
| 11 | Disease-Specific Care 2008 National | 23 | Challenges of Certification. |
| Patient Safety Goals. Improve the accuracy | Consistent implementation of Clinical | ||
| of patient identification Improve the | Practice Guidelines Evaluating patient | ||
| effectiveness of communication among | perception of care quality Performance | ||
| caregivers Reduce the risk of health | Measurement: Data collection Maintaining | ||
| care-associated infections Accurately and | the stroke log National Patient Safety | ||
| completely reconcile medications across | Goals. | ||
| the continuum of cares Reduce the risk of | 24 | Recertification. 5-day notification of | |
| patient harm resulting from falls Reduce | recertification visits Annual review of | ||
| the risk of influenza and pneumococcal | Clinical Practice Guidelines 2 years worth | ||
| disease in institutionalized older adults | of performance improvement data, analysis, | ||
| Encourage patients’ active involvement in | and action. | ||
| their own care as a patient safety | 25 | What’s New? Certification Extranet | |
| strategy. | Page: A secure section of our website | ||
| 12 | Core Program Components. Standards. | designed for individual healthcare | |
| Guidelines. Measures. Disease-Specific | organizations Electronic information and | ||
| Care Certification. | communication vehicle Accessible only with | ||
| 13 | Primary Stroke Center Clinical | log-in ID and password. | |
| Practice Guidelines. Patient care must be | 26 | ||
| based on guidelines/evidence-based | 27 | ||
| practice Review process includes | 28 | What’s New? Disease-Specific Care | |
| Assessment of implementation of CPGs | Certification Manual, 3rd edition | ||
| Rationale for selection and modification. | available October 2007 2008 National | ||
| 14 | Core Program Components. Standards. | Patient Safety Goals 2008 Certification | |
| Guidelines. Measures. Disease-Specific | Decision Rules All certification outcomes | ||
| Care Certification. | to be posted on Quality Check (January | ||
| 15 | Primary Stroke Center Standardized | 2008). | |
| Measure Set. DVT Prophylaxis Discharged on | 29 | Certified Primary Stroke Centers. 4-6. | |
| Antithrombotics Patients with Atrial | 20 - 30. 1-3. 7-9. 10-19. >30. | ||
| Fibrillation Receiving Anticoagulation | 30 | Certified PSCs in the Great Lakes | |
| Therapy Thrombolytic Therapy Administered | Region. Illinois. 19. Indiana. 9. | ||
| Antithrombotic Therapy by End of Hospital | Michigan. 19. Minnesota. 8. Ohio. 18. | ||
| Day Two Discharged on Cholesterol Reducing | Wisconsin. 14. | ||
| Medication Dysphagia Screening Stroke | 31 | Why Get Certified? Structure clinical | |
| Education Smoking | programs of excellence Improve processes | ||
| Cessation/Advice/Counseling Assessed for | of care Toot your horn to consumers | ||
| Rehabilitation. | Enhance your bottom line Attract more | ||
| 16 | Stroke Performance Measurement | patients Leverage certification as a tool | |
| Advisory Panel. Robert J. Adams, MD, MS | in contract negotiations Culture change: | ||
| Medical College of Georgia Mark Alberts, | communication, loyalty, teamwork. | ||
| MD Northwestern University Lawrence M. | 32 | Questions? M.J. Hampel Senior | |
| Brass, MD Yale University School of | Associate Director Disease-Specific Care | ||
| Medicine Pamela W. Duncan, PhD, FAPTA | Certification 630.792.5720 | ||
| University of Florida Judith Hinchey, MD | mhampel@jointcommission.org. | ||
| New England Medical Center Karen Johnston, | |||
| Primary Stroke Center Certification.ppt | |||
Primary Stroke Center Certification
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