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Housekeeping Reminders 1. Once you log in, connect to the AUDIO via your phone OR computer microphone. 2. Attendees are muted upon entry. Click “Unmute” when you would like to speak. Please mute yourself after speaking. 3. The presentations and recording will be posted here: https: //www. whamglobal. org/datacollection

Best Practices to Complete the PA PQC’s Quarterly Surveys for NAS, Maternal OUD and Maternal Mortality July 29, 2020 © 2020 JHF, PRHI, HCF, & WHAMglobal 2

Introductions & the Role of the PA PQC’s Surveys in Your Quality Improvement Work Robert Ferguson, MPH, Chief Policy Officer, Jewish Healthcare Foundation © 2020 JHF, PRHI, HCF, & WHAMglobal 3

Agenda 1. Introductions & Role of Surveys in QI Work – Robert Ferguson, MPH, Chief Policy Officer, Jewish Healthcare Foundation (JHF) 2. Best Practices on Completing the Surveys – Jackie Sharp, BSN, RN-CPHQ, Clinical Performance Improvement Engineer, Main Line Health, Bryn Mawr Hospital, and Eric Carlson, DO, Director for Quality & Safety, Main Line Health Department of OB, Main Line Health; Karena Moran, Ph. D, Research and Quality Project Manager, Northeastern PA Perinatal Quality Collaborative, Geisinger Health System 3. Collaborative Peer-to-Peer Discussion – Jennifer Condel, SCT(ASCP)MT, Manager, Lean Healthcare Strategy and Implementation, Pittsburgh Regional Health Initiative 4. Wrap-Up & Next Steps – Pauline Taylor, Program Specialist, JHF © 2020 JHF, PRHI, HCF, & WHAMglobal 4

We Want to Hear From You! Please be prepared to discuss: § What challenges are your sites encountering when answering these survey questions? § How can your team become engaged in the process? § How did you develop the roles and responsibilities on your team to answer these questions? § What strategies have you used to collect as accurate information as possible? § Are there any questions on the surveys that are more challenging than other questions? © 2020 JHF, PRHI, HCF, & WHAMglobal 5

How Today’s Meeting Fits into the PA PQC Roadmap Form a Team Participate in Learning Sessions Launch Quality Improvement Projects © 2020 JHF, PRHI, HCF, & WHAMglobal Access Resources (e. g. , Today’s Virtual Meeting & Coaching) Report Aggregate Data and Surveys 6

And Your Coaches! Karena Moran, Ph. D Research and Quality Project Manager Jennifer Condel, SCT(ASCP)MT Manager, Lean Healthcare Strategy and Implementation Elizabeth Balskus, MA Quality Improvement Facilitator Pauline Taylor, CQIA Program Specialist Carol Frazer, MEd, LPC Practice Transformation Specialist © 2020 JHF, PRHI, HCF, & WHAMglobal 7

Best Practices to Complete the PA PQC’s Quarterly Surveys for NAS, Maternal OUD and Maternal Mortality Jackie Sharp, BSN, RN, CPHQ, Clinical Process Improvement Engineer, Main Line Health, Bryn Mawr Hospital and Eric Carlson, D. O. , Director for Quality & Safety, Main Line Health Department of Obstetrics © 2020 JHF, PRHI, HCF, & WHAMglobal 8

PA PQC Survey Process & MLH OB CEW 7. 29. 20 J. Sharp, BSN, RN, CPHQ, Clinical PI Engineer Eric Carlson, DO, Director, Quality and Safety

10 MLH OB CEW Structure • Clinical Environment Workgroup (CEW) • OB Executive Leadership • Interprofessional Collaborative Model Ø System Level Ø Campus Level Ø Bidirectional Flow of Information • Monthly OB CEW Meetings • Teams (SUD, PPH, HTN, Other): Status Reports, Recommendations, Barriers & Asks

11 MLH OB CEW - PA PQC Survey Process

12 MLH OB CEW - PA PQC Survey Process

13 MLH OB CEW & PA PQC SURVEY PROCESS This Photo by Unknown Author is licensed under CC BY-NC-ND

Best Practices to Complete the PA PQC’s Quarterly Surveys for NAS, Maternal OUD and Maternal Mortality Karena M. Moran, Ph. D, Research and Quality Project Manager, Northeastern PA Perinatal Quality Collaborative, Geisinger Health System © 2020 JHF, PRHI, HCF, & WHAMglobal 14

Geisinger’s PA PQC Survey Completion Process Karena M. Moran, Ph. D Research & Quality Project Manager July 29, 2020

Geisinger’s PA PQC Survey Completion Process Receive email for completion of quarterly surveys Contact team members for specific survey data *In general, for one hospital, email 4 -5 different staff and set up 1 -2 meetings to discuss and review information. Track survey data as receive per hospital *Follow-up on unanswered responses weekly *You can print the whole survey to ease collection of information or use a separate form like on slide 21. Complete survey prior to deadline

Contact Team Member Roles for Survey Data

Geisinger’s PA PQC Survey Completion Process SMM Contact Team Member Roles for Survey Data TEAM MEMBER ROLE SURVEY DATA Medical Staff Quality Program Manager Provider education: Hemorrhage Provider education: Hypertension Nurse Educator Nursing education: Hemorrhage Nursing education: Hypertension Quality & Safety Nurse Drills for Hemorrhage education Drills for Hypertension education EMR/IT Specialist Hemorrhage risk assessment data pull Analyze HRA data Review hemorrhage & racial/disparities processes

Geisinger’s PA PQC Survey Completion Process OUD TEAM MEMBER ROLE Contact Team Member Roles for Survey Data Women’s Health OUD Program Coordinator Quality & Safety Nurse SURVEY DATA OUD process review IP LARC counseling & services review

Geisinger’s PA PQC Survey Completion Process NAS Contact Team Member Roles for Survey Data TEAM MEMBER ROLE Newborn Nursery & NICU RN Educator Physician Contact SURVEY DATA Inter-rater reliability questions Pharmacologic & nonpharmacologic protocol review

Keeping Track of Data Example: for each question, indicate team member role to contact and record data received

Questions? ? Contact Information kmoran 3@thehealthplan. c om (570) 214 -2297

Collaborative Peer-to-Peer Discussion Jennifer Condel, SCT(ASCP)MT, Manager, Lean Healthcare Strategy and Implementation, Pittsburgh Regional Health Initiative © 2020 JHF, PRHI, HCF, & WHAMglobal 23

Now It’s Time to Hear from You! § What challenges are your sites encountering when answering these survey questions? § How can your team become engaged in the process? § How did you develop the roles and responsibilities on your team to answer these questions? § What strategies have you used to collect as accurate information as possible? § Are there any questions on the surveys that are more challenging than other questions? © 2020 JHF, PRHI, HCF, & WHAMglobal 24

Wrap-Up & Next Steps Pauline Taylor, CQIA, Program Specialist © 2020 JHF, PRHI, HCF, & WHAMglobal 25

Upcoming Sessions https: //www. whamglobal. org/member-content/register-for-sessions Date August 12 11 am to 12 pm Details QI Collaborative Virtual Meeting: Collecting and Reporting the PA PQC Quality Measures September 3 8: 30 am to 12: 30 pm Learning Session via Zoom October 14 11 am to 12 pm QI Collaborative Virtual Meeting December 16 8: 30 am to 4 pm Learning Session © 2020 JHF, PRHI, HCF, & WHAMglobal 26

Thank You! PA PQC NEPa. PQC www. whamglobal. org/papqc www. nepapqc. org papqc@whamglobal. org nepapqc@geisinger. edu Frequently Asked Questions: https: //www. whamglobal. org/images/PA_PQC_FAQ. pdf © 2020 JHF, PRHI, HCF, & WHAMglobal 27