Quality & Patient Safety

 

GNYHA’s work extends to the front lines of health care delivery through quality and patient safety initiatives that go far beyond report cards and performance measures. By focusing on hands-on, hospital-level systems improvement, GNYHA helps members achieve institutional culture changes that support safe, high-quality, patient-centered care, and assists with the implementation of successful, sustainable safety initiatives that improve clinical outcomes and operating efficiencies while reducing costs.


Ambulatory Care

With ambulatory services and primary care continuing to expand, GNYHA provides resources and subject matter expertise

on the ambulatory delivery system. GNYHA assists members with advocacy, operational improvements, team-based care implementation, and population management initiatives in the ambulatory setting. GNYHA also supports members participating in New York State’s Hospital-Medical Home Demonstration Program.

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Behavioral Health

GNYHA’s Behavioral Health activities focus on supporting members in their efforts to increase the quality and

efficient utilization of behavioral health services within their organizations.

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Pay for Performance Systems

GNYHA provides member support for CMS’ quality-related programs and resources for other quality-related initiatives. CMS

has established multiple quality-related programs, including hospital value-based purchasing (VBP), hospital readmissions reduction, hospital-acquired conditions (HAC) reduction, and inpatient quality reporting programs. Additionally, several national organizations have established quality measurement programs, including The Leapfrog Group, Consumer Reports, and US News & World Report. GNYHA provides members with resources to interpret and manage the multitude of quality measures, scoring methodologies, and quality reports.

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Central Line-Associated Bloodstream Infections

In 2005, GNYHA/United Hospital Fund launched the initial Central Line-Associated Bloodstream Infections (CLABSI) Collaborative to eliminate these deadly infections from

hospital intensive care units. When the initial CLABSI Collaborative ceased data collection in 2007, GNYHA members had reduced infection rates an average of 54% Collaborative-wide.

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Clostridium difficile

GNYHA and the United Hospital Fund, in cooperation with the New York State Department of Health, launched this initiative

to reduce the rates of bacterial infections in participating hospitals. The C. difficile Collaborative concluded in 2010.

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Colors of Safety Across the Continuum of Care

GNYHA and its long term care affiliate, the Continuing Care Leadership Coalition, developed The Colors of Safety Across the

Continuum of Care initiative to improve and standardize patient-centered care across acute and long term care settings.

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IMPACT to Reduce Readmissions

To improve care transitions, GNYHA and the United Hospital Fund have launched the IMPACT (Improve Processes

And Care Transitions) to Reduce Readmissions Collaborative. The Collaborative helps hospital and nursing home teams build and strengthen relationships and implement standardized communication and information sharing processes in order to improve care transitions and reduce readmissions.

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Pressure Ulcer Improvement

In response to challenges faced by providers in care transitions, GNYHA launched pressure ulcer improvement initiatives

that focused on developing a more standardized approach to pressure ulcer assessment, management, and documentation.

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Rapid Response Systems

Rapid Response Systems (RRS), also referred to as medical emergency teams, are designated teams of clinicians who identify patients at risk,

respond to early signs of acute deterioration, and bring critical care expertise to the bedside before patents decline into a critical state. In partnership with the United Hospital Fund, GNYHA developed the RRS Collaborative, which provides participating hospitals with technical resources, implementation experiences, and best practices to effectively initiate and maintain RRS. 

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Root Cause Analysis

Root Cause Analysis Training (RCA) is a powerful performance improvement tool used in patient safety programs to identify the underlying cause of a medical

error or adverse event and to formulate a comprehensive action plan to prevent its recurrence. With the support of the New York State Department of Health, GNYHA provides ongoing RCA training for all categories of staff. 

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STOP Sepsis

To address the challenges presented by sepsis, GNYHA and the United Hospital Fund launched the STOP (Strengthening

 Treatment and Outcomes for Patients) Sepsis Collaborative, which works with hospitals to implement standardized processes for the recognition and treatment of sepsis to improve care and reduce mortality attributed to this condition.

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Clinical Quality Fellowship Program (CQFP)

GNYHA is committed to developing and nurturing the next generation of clinical quality leaders in the New York

metropolitan region. The Clinical Quality Fellowship Program (CQFP) teaches clinicians the skills necessary to lead hospital-based quality improvement and patient safety initiatives. Fellows will learn how to use a wide variety of tools and strategies to advance quality and patient safety from a faculty of quality improvement leaders drawn from the region.

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Safe Patient Handling Program

GNYHA developed a multifaceted approach to support members’ implementation of safe patient handling (SPH) programs through

educational briefings, workforce training, planning assistance, and resources. Through these efforts, GNYHA supports hospitals in meeting requirements of New York State’s Safe Patient Handling Act, passed as part of the 2014–15 budget, which compels hospitals and other health care facilities to implement a facility-specific safe patient handling programs by January 1, 2017.

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Antimicrobial Stewardship

GNYHA, in partnership with the United Hospital Fund and with support from the New York State Department of Health,

helped a group of acute and long term care health facilities implement and test a set of evidence-based guidelines to create effective and sustainable antibiotic stewardship programs across the continuum of care.

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NYS Partnership for Patients

GNYHA and the Healthcare Association of New York State (HANYS) have partnered to form NYS Partnership for Patients (NYSPFP) as a Hospital

Engagement Network (HEN) under the Partnership for Patients, a national initiative of the Centers for Medicare & Medicaid Services to advance its goals of better health, better care, and lower costs. NYSPFP supports New York State hospitals as they continually strive to provide the safest and finest patient care. 

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Reducing Preventable Readmissions

GNYHA seeks to improve care transition processes across all settings of care by identifying the factors that contribute

to preventable hospital readmissions and effect solutions to avoid them.

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