IPRO HQIC PFE LAN: Applying PFE Best Practice 5 to Reducing Unplanned Readmissions, June 2023

Prepared by IPRO HQIC

The June PFE Learning and Action Event focuses on ways the implementation of patient and family advisory councils, or the inclusion of patient and family advisors on hospital committees, can be applied to your hospital’s efforts to reduce unplanned readmissions.

Communicating With Doctors and Nurses While in the Hospital: A Tool for Patients and Family Caregivers to Improve Patient Safety

Prepared by the IPRO HQIC Patient Safety Committee

Two-way communication between clinicians and patients plays a critical role in delivering high-quality care and ensuring a positive experience. Developed by the IPRO HQIC Patient Safety Committee*, the goal of this tool is to help patients and their care partners clearly communicate with their healthcare team. Patients can use this tool to plan for and document conversations with a doctor or nurse. The tool has three sections: (1) a set of communication tips for patients; (2) a guide to help patients plan for conversations with their healthcare team; and (3) suggestions for how patients can use their notes from conversations with their health care team. Clinicians can also use this tool to invite and encourage patients to communicate clearly with their healthcare team so that they are partners in their care.

*The IPRO HQIC Patient Safety Committee is composed of patients, family caregivers, and quality improvement specialists from states participating in the IPRO HQIC. 

Interventions to Reduce Acute Care Transfers (INTERACT): Interventions to Reduce Acute Care Transfers

Pathway Health: Project supported by the Centers for Medicare and Medicaid Services (CMS)

INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in everyday practice in long-term care centers. INTERACT is designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents. The goal of INTERACT is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.

Website requires login, tools are free.

Buprenorphine for Pain: A Transition Guide from Full Agonist Opioid Prescriptions

Prepared by IPRO

Buprenorphine for Pain: A Transition Guide from Full Agonist Opioid Prescriptions is a tool intended to aid clinicians in switching patients off of full opioid agonists to buprenorphine, a partial mixed opioid agonist for pain management.

The information presented in this document should not be considered medical advice and is not a substitute for individualized patient or client care and treatment decisions.

AHA Series: Social Determinants of Health

Prepared by the American Hospital Association (AHA)

The AHA is working to support hospitals and health systems as they address social determinants of health, eliminate health care disparities and provide comprehensive care to every patient in every community—all of which improve community health.

This series is organized by topic, and currently includes modules for: food, housing, transportation, health behaviors, violence, and more.

Fall and Injury Prevention: Enhancing Capacity- Reengineering Fall and Fall Injury Programs: Infrastructure, Capacity and Sustainability

May 3, 2023 @ 2:00 pm – 3:00 pm

Prepared by IPRO HQIC in collaboration with Dr. Pat Quigley

Falls represent a major public health problem around the world and continue to be the most common adverse event in healthcare settings.The IPRO Hospital Quality Improvement Contractor (HQIC), in collaboration with Dr. Pat Quigley, Nurse Consultant, invites you to participate in a patient safety webinar program beginning May 3, 2023.

The Fall and Injury Prevention webinar series features six monthly webinars, each followed by open forum/coaching sessions.

This program is appropriate for direct healthcare providers, managers, administrators, risk managers, educators, and researchers of any discipline who are involved in fall and fall injury prevention programs.

Your participation will

  • Support organizational systems and teams to expand program infrastructure and capacity.
  • Help you redesign your fall prevention and injury reduction program; Complement your evaluation program; and
  • Provide access to an online learning community to increase exchange of experiences, innovations, and best practice implementations.

April 2023 Joint HQIC LAN – Transitions in Care: Preventing Sepsis-Related Readmissions

April 27, 2023 @ 1:00 pm – 2:00 pm

Prepared by IPRO HQIC

Anyone can develop sepsis, a life-threatening, complex and challenging condition to manage. There are significant human and financial costs associated with it. Every year more than 1.7 million adults in the U.S. develop sepsis, leading to over 270,000 deaths. Roughly 19% of sepsis survivors are readmitted to the hospital within 30 days, leading to $3.1 billion in annual costs. Well-defined systems and processes across the continuum are crucial to delivering the right care at the right time to the right patient.

This event will feature proactive transitions in care and hand-off strategies to the next level of care provider to improve patient outcomes and prevent sepsis-related readmissions. The patient voice will be highlighted via a sepsis survivor story. Key discharge planning, patient and family engagement, health equity, infection prevention and patient education tactics will also be shared.

Learning Objectives:
Through this program, participants will:

  • Review successful care coordination and partnership strategies across the care continuum to prevent sepsis-related hospital readmissions.
  • Explore promising practices for overcoming challenges that affect handoffs to the next level of care.
  • Learn how to engage patients and families as partners and integrate their health-related social needs into the discharge planning process to improve patient outcomes.
  • Hear about a sepsis survivor story

Who Should Attend:
Nurses, Sepsis Coordinators, Care Coordinators, Front-line and Emergency Department Staff, Infection Preventionists, Clinical and Hospital Leaders, Physicians, Patient Safety and Quality Professionals.

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TAP: A Strategy to Prioritize and Implement HAI Prevention Efforts in Your Hospital

Prepared by Centers for Disease Control and Prevention (CDC) and IPRO HQIC

Date: Tuesday, April 18, 2023 Start Time: 3:00 – 4:00 PM ET

Join us for a webinar featuring subject matter experts from the Centers for Disease Control and Prevention (CDC) to learn about a comprehensive strategy to reduce hospital acquired infections (HAI). The Targeted Assessment for Prevention (TAP) Strategy is a CDC-developed framework for quality improvement that uses data to drive interventions that will prevent healthcare-associated infections.

The TAP strategy targets healthcare facilities and specific units within facilities that have a disproportionate burden of HAIs so that prevention efforts can be prioritized and implemented where they will have the greatest impact. Our speakers will discuss the latest updates in the strategy and tools, including adaptation for smaller facilities.

Your participation in this webinar will provide you with updated information on:

  • How to use NHSN collected data to identify opportunities for improvement by facility and unit.
  • How to calculate a cumulative attributable difference (CAD)* to identify a concrete infection reduction goal
  • How to use CDC assessments to target the focus of improvement work and identify high value interventions.

*The number of infections that must be prevented to achieve an HAI reduction goal. 

March 21, 2023 Joint HQIC LAN – Acute Pain Alternatives: The Impact of Avoiding Opioids on Hospital Delirium

Prepared by IPRO

Join us for this special presentation featuring real-world strategies for preventing hospital delirium! Delirium affects as many as 50% of hospitalized patients over the age of 65. Furthermore, delirium accounts for increased length of stay, hospital readmissions, emergency department visits and institutionalization of older adults. Delirium is often precipitated by opioid use for pain management. Don’t miss this discussion on alternatives, using an example of a successful hospital project. These initiatives will inspire you to take on delirium prevention at your facility!



February 28, 2023 Joint HQIC LAN – I Want to, I Just Don’t Know How: A Practical Guide for Advancing Health Equity

Prepared by IPRO HQIC

This session will highlight best practices and examples for
successfully implementing health equity strategies within hospital
settings. Rosa Abraha, MPH, Alliant HQIC’s health equity lead, will
address frequently asked questions from hospitals and engage in a
discussion with participants.



Connecting PFE Best Practices to All-Cause Harm Reduction

Prepared by AIR for IPRO

This tool provides a crosswalk of the five Person and Family Engagement Best Practices being implemented by HQIC hospitals with the eight all-cause harms that HQIC hospitals are working to reduce. This tool provides a table of examples demonstrating how each PFE Best Practice can be used to engage patients in actions that contribute to the reduction or prevention of each of the eight all-cause harm areas. Not every hospital may need to apply all five PFE Best Practices to every all-cause harm. Hospitals can identify patients at greatest risk of any harm to prioritize partnership at the point of care (PFE Best Practices 1, 2, & 3). Additionally, harm measurements of concern for the hospital may be the focus of partnership in hospital operations (PFE Best Practices 4 & 5). For user convenience, each Row of the table (showing how a single PFE Best Practice can be applied to all eight all-cause harms) has been separated in Appendices A – H, and each Column of the table (showing how each all-cause harm can be applied to the five PFE Best Practices) has been separated in Appendices I – M.

Connecting PFE Best Practices to All-Cause Harm Reduction














IPRO HQIC PFE LAN: Reducing Harms Through the Five PFE Best Practices – March 16 @ 12:00 pm – 1:00 pm

Prepared by AIR for IPRO HQIC

This learning event focuses on how the PFE Best Practices can be used to partner with patients and designated family caregivers to avoid harms during their hospital stay. Guest speakers share their personal experiences using PFE Best Practices to avoid harms. The event also introduces a new tool to help hospitals apply the five PFE best practices to reducing all-cause harms.

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Pre-recorded Learning Modules on Person and Family Engagement

Prepared by AIR for IPRO HQIC

What is Person and Family Engagement and Why Does it Matter?

This presentation outlines the benefits of PFE to improve care and shows how hospital staff can invite patients and families to become partners with them in direct care or in general hospital improvement. A list of resources is shared at the end of the presentation. A transcript is available to accompany the recorded presentation in the IPRO HQIC Resource Library.

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How Can Person and Family Engagement Practices Help Reduce All-Cause Harms in Hospitals?

This 14-minute presentation expands on engaging patients and families to be partners and focuses on using PFE as a quality improvement strategy that can assist in reducing all-cause harms (e.g., falls, pressure injuries, infections) in the hospital. The presentation introduces the
five PFE Best Practices required by the Centers for Medicare & Medicaid Services for hospitals enrolled in the Hospital Quality Improvement Contract (HQIC). It explains how these best practices can be implemented and applied to improve patient safety at the hospital. A list of
resources is shared at the end of the presentation. A transcript is available to accompany the recorded presentation in the IPRO HQIC Resource

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Vaccine Storage and Handling Toolkit (Updated Addendum added April 12, 2022 )

Centers for Disease Control (CDC)

This toolkit addresses proper storage, handling, transport,
and emergency handling of COVID-19 vaccines.

The addendum has been updated to clarify COVID-19 vaccination provider requirements, include language related to FDA
authorization and approval of COVID-19 vaccine products, and storage and handling information on Pfzer-BioNTech Vaccine.