Opioid and Pain Management Best Practices: Strategies for Success: Self – Assessment

Prepared by IPRO QIN-QIO, Centers for Medicare & Medicaid Services Quality Improvement & Innovation Group

Use with Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain document and the Opioid and Pain Management Best Practice Aggregate Results Dashboard.

The Prevention of Surgical Site Infection in Elective Colon Surgery

Pubmed Article

Infections at the surgical site continue to occur in as many as 20% of elective colon resection cases. Methods to reduce these infections are inconsistently applied. Surgical site infection (SSI) is the result of multiple interactive variables including the inoculum of bacteria that contaminate the site, the virulence of the contaminating microbes, and the local environment at the surgical site. These variables that promote infection are potentially offset by the effectiveness of the host defense. Reduction in the inoculum of bacteria is achieved by appropriate surgical site preparation, systemic preventive antibiotics, and use of mechanical bowel preparation in conjunction with the oral antibiotic bowel preparation. Intraoperative reduction of hematoma, necrotic tissue, foreign bodies, and tissue dead space will reduce infections. Enhancement of the host may be achieved by perioperative supplemental oxygenation, maintenance of normothermia, and glycemic control. These methods require additional research to identify optimum application. Uniform application of currently understood methods and continued research into new methods to reduce microbial contamination and enhancement of host responsiveness can lead to better outcomes.

Toolkit for Decolonization of Non-ICU Patients with Devices

Prepared by the Agency for Healthcare Research and Quality (AHRQ)

This toolkit will provide hospital infection prevention programs with instructions for implementing targeted decolonization in adult patients with medical devices in hospital units outside of intensive care (i.e., non-ICUs).

Social Determinants of Health for Rural People

The Rural Health Information Hub

This resources discusses the contributing social factors that impact the health of rural residents. It provides a guide that focuses on the barriers and challenges that rural residents experience and discusses the impact of and documenting rural differences related to: Income-level, educational attainment, race/ethnicity, and health literacy.

Opioid Stewardship: IPRO HQIC, Learning and Action Network (LAN)

IPRO Hospital Quality Improvement (HQIC), Learning and Action Network (LAN) webinar on the All-Cause Harm focus are of Opioid Stewardship: April 26th 2021.

IPRO HQIC presented aggregate baseline data on the Opioid Stewardship Hospital Baseline Assessment and heard from a rural hospital on promoting the safe use of opioids (prescribing policy, scripted communication tools, alternatives to opioids, tracking prescribing practices, referral network for pain management, and MAT therapy).

In addition, IPRO HQIC highlight many salient opioid stewardship resources on processes that support the inclusion of patient and family engagement and health equity (stigma) in opioid stewardship efforts. These resources further support IPRO HQIC hospital efforts in All-Cause Harm reduction.

Recording, Slides and All-Cause Harm Resource available.

Partnering with Representative Patient and Family Advisors to Achieve Health Equity

Developed by the American Institute of Research (AIR) in partnership with IPRO HQIC

This LAN event: Provides resources and assists you to increase your understanding of person and family engagement(PFE) as a strategy to improve equity in both quality and safety; recognize the importance of partnering with diverse patients and families in improving quality and safety; learn about opportunities to be more inclusive of your total patient population and respond to their preferences and needs.

IPRO HQIC presents: The Impact of Meaningful Medication Reconciliation on ADEs, January 13, 2022

This material was prepared by The Bizzell Group (Bizzell), the Data Validation and Administrative (DVA) contractor, under contract with
the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS).

Hospital leaders from across the country attend the HQIC Community of Practice Call. The small, rural and critical access voice was amplified through sharing of barriers and best practices alike. Furthermore, subject matter experts shared their perspectives and their favorite resources. This resource contains a link to the Januray 13, 2021 video, presentation slides, and tools documentation.

Preadmissions Planning Checklist (Spanish)

This material was prepared by American Institutes for Research (AIR). It is redistributed by IPRO HQIC, a Hospital Quality Improvement Contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS).

HOW TO PREPARE FOR A SAFE HOSPITAL STAY”

This resource is a planning checklist for Spanish speaking patients to use prior to admission to the hospital, while admitted, and before they leave the hospital

National Healthcare Safety Network (NHSN)Patient Safety Analysis Resource

Centers for Disease Control and Prevention

The NHSN application provides various options that allow NHSN users to analyze their surveillance data. The resources listed on the link above are intended to help you use the analysis tool, and interpret data analyzed from the Patient Safety Component of NHSN.

Patient Safety Analysis Quick Reference Guides

Centers for Disease Control and Prevention

These quick reference guides were created to help you understand, modify, and interpret your data using the NHSN application’s various analysis output (report) options for the NHSN Patient Safety Component. These guides serve as companions to the “Introduction to NHSN Analysis” training slide set.

Hospital Operations Toolkit for COVID-19

U.S Department of Health and Human Services

This toolkit was designed as a single source of information for hospital emergency managers and planners preparing to manage large numbers of patients during the COVID-19 pandemic. Some information may be applicable to other hospital personnel and non-hospital settings. The toolkit is comprised of four primary sections and covers considerations from before patients arrive at a hospital to after they are discharged and is designed for users to easily navigate to desired information.

HPH Risk Identification and Site Criticality (RISC) Toolkit 1.0

U.S. Department of Health and Human Services

The Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit is an objective, data-driven all-hazards risk assessment that can be used by public and private organizations within the HPH Sector to inform emergency preparedness planning, risk management activities, and resource investments. The RISC Toolkit provides owners/operators in the HPH Sector with nationally recognized standards-based evaluation criteria in an easy-to-follow, guided format.

Person and Family Engagement and Health Equity

Developed by American Institute of Research (AIR) in partnership with IPRO HQIC

Person and family engagement (PFE) is recognized by the Centers
for Medicare & Medicaid Services (CMS) as a promising way to
address health and health care disparities and achieve equity in
quality and safety
. Applying PFE equitably means including
patients and families from all backgrounds as equal and active
partners in their health care. Doing so can help ensure that all
patients reap the benefits of engagement in their healthcare.

Health Disparities Road Map

Developed by American Institute of Research (AIR) in partnership with IPRO HQIC

This resource discussed how Person and Family Engagement can help hospitals achieve health Equity in Health Care Quality and Safety.

The American Institutes for Research (AIR)—a partner in the IPRO HQIC program—identified six overarching strategies to guide hospitals in meaningfully engaging patients and families in health care. This document describes how to apply these strategies in ways that can help hospitals achieve equity in care quality and safety and address barriers to uniform engagement.

All-Cause Harm Resource

This resource explains what All-Cause Harm is, why it is important and then dives into each of the processes it takes to prevent All-Cause Harm. Eight priority focus areas for the Hospital Quality Improvement Contract (HQIC) are illuminated and strategies to monitor compliance are provided.

All-Cause Harm Resource, Recording and Slides from the IPRO HQIC All-Cause Harm “launch” on March 29th, 2021.