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Resources for this section

12/16/09: Readmissions: Policy & Payment Implications Web Conference
This interactive web conference focused on the policy and payment implications of reducing readmissions in public hospitals. The first speaker gave an overview of the current landscape of readmissions in health reform and policies. Speakers from UHC showed benchmarking data and discussed best practices, and strategies to reduce readmission rates to improve quality and reduce cost.

Erika K. Johnson, MHSA, Director, Strategic Research & Analytic Services, University HealthSystem Consortium
Lisa Marie Smith, Project Manager, Clinical Process Improvement, University HealthSystem Consortium

Addressing Readmissions in Public Hospitals
- 12/10/09: Making HIT work in Primary Care: Improving Information Management to Improve Quality
  During this webinar, two member hospitals described how they are using electronic medical records, disease registries, telemedicine, secure messaging and other applications to improve the efficiency and effectiveness of primary care. Andy Steele, MD, MPH, MSc, Director, Medical Informatics, Denver Health, CO CJ Kunnappilly, MD, Vice President and Medical Director of Quality Management, San Mateo Medical Center, CA Michael Aratow, MD, Chief Medical Information Officer, San Mateo Medical Center, CA
- 11/19/09: Becoming Medical Homes: Steps Towards Transformation of Primary Care
  For this webinar, Sari Siegel-Spieler provided an overview of what prompted public hospitals to explore the medical homes model and gave examples of what medical homes in public hospitals look like. She also described common themes among public hospital medical homes programs. Also discussed: two programs from Florida's South Broward Hospital District designed to help patients navigate to clinics serving as medical homes; and San Francisco Department of Public Health clinics' approach to empanelment, which has evolved in the context of quality improvement and the ground-breaking Healthy San Francisco Program.
  
  Amy Pont, RN, BSN, Director of Health and Clinical Services, Memorial Integrated Healthcare, FL
  Lisa Johnson, MD, Medical Director for Quality Improvement Programs Community Primary Care, San Francisco Department of Public Health, CA
  Sari Siegel-Spieler, PhD, Assistant Vice President for Research, NAPH
  
  Becoming Medical Homes: Steps Towards Transformation of Primary Care
  - 10/27/09: Transforming Care at the Bedside: A Public Hospital's Experience - Webinar
    This webinar will focused on an overview of the TCAB Initiative and two NAPH member’s experience in implementing the program at their organizations. Additionally, speakers presented their challenges, lessons learned and best practices in reducing falls and pressure ulcers at Contra Costa Regional Medical Center and Nashville General Hospital.
    
    Anna Roth, MS, RN, Chief Executive Officer
    Contra Costa Regional Medical Center
    Marianne R. Bunce-Houston, RN, MS, AOCNS, CRNI, Oncology Clinical Nurse
    Contra Costa Regional Medical Center
    Cynthia S Terry, RN, BSN, MSN, PMHNP, Director of Nursing Quality and Education
    Nashville General Hospital
    - 10/20/09: Measuring and Improving Patient Experience in Primary Care Webinar
      The speaker on this webinar discussed best practices in safety net clinics in enhancing the physician-patient relationship in primary care. The speaker discussed a study conducted by the John D. Stoeckle Center for Primary Care Innovation at Massachusetts General Hospital, that assessed the use of, and potential barriers to the use of patient experience data. Also discussed were the types of resources and tools that made the collection and use of patient experience data more feasible for health centers and practices, including the impact of public reporting of such data.
      Susan Edgman-Levitan, PA - Massachusetts General Hospital
      - 10/8/09: How Grassroots Mobilization is Influencing the Reform Debate: A Discussion with AARP
        During this health policy webinar, John Killpack, Vice President of Advocacy Resources at the American Association of Retired Persons or AARP, discussed AARP’s grassroots advocacy strategy and how AARP’s organizing efforts affects the national reform debate. AARP has an extensive grassroots network with representation in all 50 states.
        John Killpack, Vice President of Advocacy Resources at AARP
        How Grassroots Mobilization is Influencing the Reform Debate: A Discussion
        9/16/09: Preparing for a Pandemic: Public Hospital Strategies for Managing the H1N1 Virus
        NAPH shared key information about the H1N1 Virus and discussed strategies that public hospitals are currently implementing to prepare for this daunting threat. The presentation focused on crucial lessons learned by public hospital systems during the initial H1N1 outbreak, current public hospital preparations for the H1N1 pandemic, recommendations for emergency department management of the H1N1 outbreak from the American College of Emergency Physicians and the latest disease projections and preparedness information from the CDC.
        
        Three sets of slides are available via the PDF, as well as the audio recording from:
        Tom Shimabukuro, MD, CDC; Stephen Cantrill, MD, Denver Health; David Levine
        9/15/09: Coordinating Psychiatric and Primary Care in Public Hospitals
        Dr. Ostermeyer describes the challenges her organization faced and how they were met, in the integration of psychiatrists and psychotherapist services at 15 large scale primary care centers within Harris County Hospital District in 2005. This highly innovative program has since brought high quality mental health care services in a coordinated, cost effective and patient friendly way and has resulted in higher physician and patient satisfaction. Discussion with participants in this call included the applicability of this program to other public hospitals and health systems.
        
        Britta Ostermeyer, MD
        9/10/09: Improving Access to Specialty Care in Safety Net Hospitals
        Speakers on this call described how their hospital developed and implemented systems and procedures to improve access to specialty care. This presentation focused on the integration of information technology and clinical provider communication to improve specialty healthcare access and quality at safety net hospitals.
        
        Hal Yee, MD, PhD, UCSF and Debra Gussin, Harborview Medical Center
        7/23/09: Integrating Chronic Care and Business Strategies in the Safety Net: A Pilot Project at California Safety Net Hospitals
        This presentation focused on the Agency for Healthcare Research and Quality (AHRQ), Health's MacColl Institute, RAND Health, and the California Health Care Safety Net Institute’s (SNI) newly developed toolkit that safety net organizations may use to implement The Chronic Care Model. This spearkers described the toolkit and the “Safety Net Institute and Public Hospital Chronic Care and Business Strategies Pilot Project” and lessons learned. This session also gave a member hospital’s perspective on the pilot and their approach to guide primary care teams through quality improvement.
        W. Jameson, K. Coleman, M. Maida, Calif. Health Care Safety Net Institute
        7/21/09: The National Healthcare Quality Reports and National Healthcare Disparities Reports
        This call presented the latest available findings on the Agency for Healthcare Research and Quality"s (AHRQ) National Healthcare Disparities Report (NHDR) which measures trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care.
        Ernest Moy, MD, MPH and Karen Ho, MS, AHRQ
        06/02/09: The Joint Commission’s Draft Standards to Advance Effective Communication, Cultural Competence, and Patient-Centered Care
        This call focused on the development and feasibility of draft standards, ideas for improvement, and resources The Joint Commission is preparing to help hospitals implement proposed cultural competency and communication standards. An implementation guide was also presented that was developed to help hospitals meet these standards.
        Ann Wilson-Stronks, MPP, The Joint Commission
        05/26/09: An Overview of the National Quality Forum and the Role for NAPH Members
        The National Quality Forum (NQF) is a not-for-profit membership organization created to develop and implement a national strategy for health care quality measurement and reporting. The purpose of this call was to provide an overview of NQF’s national goals and priorities. Dr. Burstin, Senior Vice President for Performance Measures at NQF, described how NQF processes measures for development, review, and endorsement of quality and patient safety measures. She also described NQF’s health care quality national priorities, and the role NAPH members can play on expert panels and technical advisory committees. Speakers from member hospitals discussed their experiences serving on NQF technical advisory committees and how they were able to influence national measures.
        Helen Burstin, MD, MPH, National Quality Forum
        05/12/09: HHS Action Plan to Prevent Healthcare-Associated Infections
        Dr. Don Wright, HHS Principal Deputy Assistant Secretary for Health, provided an overview of the coordinated HHS effort to reduce and prevent healthcare-associated infections, including proposed uses of federal funds to implement the steps outlined in the Action Plan and next steps to further the effort.
        Dr. Don Wright, U.S. Department of Health and Human Services
        04/28/09: Accreditation in 2009: The Joint Commission and New Accreditor, DNV NIAHO
        This call provided an update of the 2009 changes to The Joint Commission (TJC) accreditation process, including the new TJC scoring process being used in 2009, the formal application of TJC to receive hospital deeming authority from CMS, and the broad changes this will require in current standards. The presentation also included an overview of the new accrediting body, DNV Healthcare Inc.'s National Integrated Accreditation for Healthcare Organizations Program (DNV NIAHO) and the significant differences between this accreditor’s approach and that of TJC.
        Larry Poniatowski, University HealthSystem Consortium
        4/23/09: Issues and Challenges in State Medicaid Programs
        As stimulus funds made available through the American Recovery and Reinvestment Act (ARRA) begin to flow, NAPH members have raised questions about how to access these dollars through the Medicaid program and other funding sources made available in the legislation. Governors, state legislatures, and state Medicaid directors are similarly aced with questions and choices about how to access and utilize funds effectively. Presenters provided insight on the states' perspective on ARRA implementation and addressed the questions and challenges that began to surface during this process.
        Ann Kohler, National Association of State Medicaid Directors
        4/23/09: Understanding the Recovery Act
        As stimulus funds made available through the American Recovery and Reinvestment Act (ARRA) begin to flow, NAPH members have raised questions about how to access these dollars through the Medicaid program and other funding sources made available in the legislation. Governors, state legislatures, and state Medicaid directors are similarly aced with questions and choices about how to access and utilize funds effectively. Presenters provided insight on the states' perspective on ARRA implementation and addressed the questions and challenges that began to surface during this process.
        Chris Whatley, The Council of State Governments
        04/21/09: An Overview of Patient Safety Organizations
        This call provided an overview of the national Patient Safety Act and Patient Safety Organizations (PSO). Ms. Clevenger, Director of Patient Safety for the University HealthSystem Consortium, discussed the purpose of a PSO, reporting of patient safety events to a PSO and what this means to an organization. She also discussed UHC's role as a PSO and its ongoing work with AHRQ.
        Wanda Clevenger, University HealthSystem Consortium
        4/15/09: The American Recovery and Reinvestment Act of 2009
        This call provided an update on the economic stimulus legislation and its impact on NAPH member hospitals, with a focus on FMAP, DSH, health information technology, and additional infrastructure funding opportunities.
        Charles Luband, Barbara Eyman & Sandra George, Ropes and Gray, LLP
        03/31/09: Strategies to Improve Patient Safety: Lessons from Public Hospitals and Health Systems
        This call provided a forum for safety net hospitals to share strategies, challenges and best practices in patient safety. NAPH member hospitals discussed their experiences and lessons learned around engaging hospital leadership, managers and front line staff to support patient safety from all levels and to ensure that everyone has the skills, knowledge and tools to maintain and maximize patient care.
        Caroline M. Jacobs, MPH, MS.Ed, New York City Health and Hospitals Corp.
        03/17/09: Measuring Patients’ Perceptions of Their Hospital Experience: Strategies To Enhance and Boost Your HCAHPS Scores
        NAPH members share strategies, challenges and tips to improve HCAHPS performance. Dr. Hullett and Daryll Webb from Cooper Green Hospital tell how they made the "honor roll" in patient satisfaction and the challenges they faced. Dr. Mylod from Press Ganey gives approaches to boost HCAHPS scores.
        Dierdre Mylod, PhD, Press Ganey
        2/19/09: Controlling Medicaid Costs through Medical Homes and Community Networks
        As discussions about how to reform the U.S. health care system ramp up, many state and federal policymakers aim to improve primary care access through the medical home model. Dr. Allen Dobson of Carolinas Healthcare System joined his fellow NAPH members to discuss the innovative primary care initiative currently underway in the state of North Carolina. Community Care of North Carolina has gained significant recognition as a successful, state-driven program that utilizes the medical home model to control costs and better serve the needs of low-income patients and Carolinas Healthcare System has proven to be an integral part of the initiative.
        L. Allen Dobson, Jr., MD FAAFP, Carolinas Healthcare System
        1/27/09: NAPH Member Core Measure Performance: Trends and Observations
        The University HealthSystem Consortium (UHC) presented an in depth analysis of NAPH member performance on publicly reported core measure metrics. The analysis displayed information about NAPH member performance as a group, trends over time and, and comparisons to non-NAPH hospitals and national benchmarks.
        Leslie W Prellwitz, MBA & Mugdha Temby, University HealthSystem Consortium
        1/7/09: Developing a Quality-Focused Board
        This call presented information on how Harborview Medical Center board members use quality and accountability information to track performance. Submitting this type of report to board members can keep board members engaged in the promotion of patient safety and family centered care.
        J. Richard Goss, MD, Harborview Medical Center

Useful Links

Scholarship Opportunities
Find resources that support quality improvement training for our members, including NAPH-administered scholarships from the Kaiser Permanente Community Benefit Fund.

Inside Webinars and Calls