MPRO Update
MICAH
Quarterly
Meeting
Donna Modras
May 19, 2017
Objectives
News and updates
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2017 Governor’s Award of Excellence
recipients
Registration for the next Governor’s Award
of Excellence program
NHSN technical assistance for CDI
Antibiotic stewardship initiative
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2017 Governor’s Award of
Excellence Recipients of the
Effective Reporting and
Measurement Award for CAHs
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14 CAH 2017 Governor’s Award
of Excellence Winners
Allegan General Hospital
Aspirus Iron River Hospital
Bronson Lakeview
Deckerville Hospital
Hayes Green Beach Memorial Hospital
Hills and Dales General Hospital
Marlette Regional Hospital
McKenzie Health System
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14 CAH 2017 Governor’s Award
of Excellence Winners
Mercy Health Lakeshore Campus
MidMichigan-Gladwin
OSF St Francis Hospital and Medical Group
Sparrow Clinton
Sparrow Ionia
Spectrum Health Kelsey
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Participate in MPRO’s Next
Governor’s Award of
Excellence Program
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Governor’s Award of
Excellence
Register at
http://www.mpro.org/governors-award-of-excellence
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Effective Reporting and
Measurement: Critical Access
Hospitals
Achievement Criteria
• Submit signed participation form for CAH with MPRO
• Submit all required Governor’s Award of Excellence
documentation
• Select at least two inpatient quality reporting (IQR) or
outpatient quality reporting (OQR) measures
• Submit data quarterly for two measures
• Achieve the evaluation performance standard of 3 percent
absolute improvement or 3 percent relative improvement
(whichever is better) for one of two selected IQR or OQR
measures from the baseline time period (7/1/16-6/30/17) to the
4th data submission time period (7/1/17-6/30/18)
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NHSN Technical Assistance
CDI
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MPRO & the HIIN
MPRO aligns with the HIIN to provide technical
assistance and quality improvement resources
for the CMS healthcare associated infection (HAI)
measure clostridium difficile (CDI)
• Technical assistance includes getting started
in NHSN through submitting CDI data
• Quality improvement resources include
webinars, data reports and other various
resources to end CDI
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Improving Antibiotic
Stewardship in the Outpatient
Setting Initiative
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Improving Antibiotic
Stewardship in the Outpatient
Setting
CMS identified antibiotic stewardship as a
national priority to improve health outcomes and
decrease patient harm
• Reduce and prevent the misuse/overuse of
antibiotics and minimize the development of
antibiotic resistance
• Involves targeted outpatient settings
(including RHCs, physician offices and CAH
emergency departments)
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Improving Antibiotic
Stewardship in the Outpatient
Setting
Benefits of participation include the following :
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No cost to participate
Assessment, development and implementation of antibiotic
stewardship programs and activities
Education on the principles and Core Elements of Outpatient
Antibiotic Stewardship as defined by the Centers for Disease
Control and Prevention (CDC)
Learning sessions that include thought leaders from federal,
state, academic and professional societies; front-line and
prescribing clinicians; health systems; and beneficiary
representatives
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Participation
Participants must commit to the following:
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Signing a participation agreement with the required two
signatures: clinical leader and setting champion
Implementing an intervention(s) for all four of the CDC’s Core
Elements of Outpatient Antibiotic Stewardship and tracking
and reporting these elements on a quarterly basis
Identifying a team clinical leader and champion
Remaining active in the project for it’s duration (July 2019)
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CDC Core Elements of
Outpatient Antibiotic
Stewardship
CDC outpatient core elements include the following:
1. Commitment
• Can your facility demonstrate dedication to and accountability for optimizing
antibiotic prescribing and patient safety related to antibiotics?
2. Action
• Has your facility implemented at least one policy or practice to improve
antibiotic prescribing?
3. Tracking and Reporting
• Does your facility monitor at least one aspect of antibiotic prescribing?
• Education and expertise
• Does your facility provide resources to clinicians and patients on evidencebased antibiotic prescribing?
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CDC Website
Please visit the CDC website for more
information about antibiotic stewardship in all
settings of care:
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https://www.cdc.gov/getsmart/community/improvingprescribing/core-elements/core-outpatient-stewardship.html
https://www.cdc.gov/getsmart/
https://www.cdc.gov/getsmart/community/improvingprescribing/evidence/index.html
https://www.cdc.gov/getsmart/community/materialsreferences/index.html
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Get Involved!
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Recruitment time sensitive: June 15, 2017
Recruitment information is posted on the Lake
Superior QIN website https://www.lsqin.org
Visit https://www.lsqin.org/initiatives/asp/joinantibiotic-stewardship-initiative/ for additional
information and participation forms
Contact Anne Messer for more information at
248-465-7422 or [email protected]
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Questions?
Donna Modras
[email protected]
248-465-7407
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Thank you!
Follow us online @LakeSuperiorQIN
MPRO represents Michigan in the Lake
Superior Quality Innovation Network.
This material was prepared by the Lake Superior Quality Innovation Network, under
contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the
U.S. Department of Health and Human Services. The materials do not necessarily
reflect CMS policy. 11SOW-MI-D1-17-81 051717