A tri-county, skilled nursing facility (SNF) collaborative in Michigan is holding the line on hospital readmission rates for the three competitive health systems participating in the program.
Henry Ford Health System, Detroit Medical Center and St. John's Providence, along with the state's Quality Improvement Organization (QIO), MPRO, developed standardized quality reporting metrics for 130 SNFs in its market. The SNFs, in turn, enter the quality metrics into a data portal created by MPRO.
During Reducing SNF Readmissions: Quality Reporting Metrics Drive Improvements, a 45-minute webinar on May 11th, now available for replay, Susan Craft, director, care coordination, family caregiver program, Office of Clinical Quality & Safety at Henry Ford Health System, shares the key details behind this collaborative, the impact the program has had on her organization's readmission rates along with the inside details on new readmission reduction target areas born from the program's data analysis.
You will learn:
- Which key metrics the health systems agreed to collect from the SNFs;
- What process changes Henry Ford Health System has made to its inpatient-to-SNF care transitions based on findings from this quality improvement data collection effort;
- Why Henry Ford Health System uses a nurse-to-nurse patient hand-off during these care transitions and the key components of this hand-off;
- The leading SNF readmission diagnosis and what steps Henry Ford Health System is taking to target this patient population going forward;
- The impact the SNF collaborative has had on readmission rates and lengths of stay for Henry Ford Health System; and
- Henry Ford Health System's future plans to further reduce SNF readmissions, including a focus on: the end stage renal disease population and outpatient dialysis centers; interventional radiologists; outpatient transfusion services; and a pilot program to improve care transitions from SNF to ED.
You can attend this program right in your office and enjoy significant savings—no travel time or hassle; no hotel expenses. It's so convenient! Invite your staff members to gather around a conference table to listen to the conference.
WHO WILL BENEFIT FROM THIS CONFERENCE?
Presidents, CEOs, medical directors, quality improvement executives, physician executives, performance improvement professionals, case/care management and care coordination executives, skilled nursing facility executives, and strategic planning directors and consultants.
Ms Susan Craft,
Director of Care Coordination ,
Henry Ford Health System (HFHS)
Susan Craft is the director of care coordination for Henry Ford Health System (HFHS).
As a registered nurse, Ms. Craft started her career at Henry Ford Hospital on the oncology unit. She advanced through various nursing leadership positions in different health systems but returned to Henry Ford Hospital in 2009 as the Unit Director for the Medical Intensive Care Unit. In that role, she focused on improving the quality of care. Her units were the pilot sites to test a new pressure mapping device to reduce pressure ulcers, and those findings were published in the American Journal of Critical Care Nursing and Wounds.
Since taking on her current role in the Office of Clinical Quality and Safety, Ms. Craft has led many system-wide initiatives focusing on improving transitions of care resulting in improvement in hospital readmissions. She has presented this work both locally and nationally for organizations including Scottsdale Institute and the Michigan Healthcare Information and Management Systems Society (HIMSS). She created and co-leads the HFHS Post-Acute Care Value Council bringing both system leaders and post-acute care partners together to improve quality of care. This collaboration has led to new HFHS programs which are adding revenue for the system, as well as the creation of the "Tri-County Skilled Nursing Facility Collaborative" bringing together three local health systems and the state quality improvement organization with an overall goal of reducing readmissions by improving the care transition process and standardizing the reporting of quality metrics.
Ms. Craft has led other system efforts that include a partnership with the Institute on Healthcare Improvement for the Conversation Ready project which aims to improve rates of advance care planning by providing education and outreach. She also led a multidisciplinary effort to redesign the process for vaccine administration and billing in the ambulatory primary care clinics to improve patient satisfaction, quality of care, and reimbursement methods. These efforts were recognized by the Alliance for Immunization in Michigan (AIM), and she received the 2015 Outstanding Achievement Award.
Ms. Craft is currently leading the system initiative focused on supporting caregivers who are both employees as well as patients and their families. Through the Family Caregiver program, a new employee benefit that supports work life balance is now provided, community support groups are being held, and a website offering access to various community resources is available.
Ms. Craft received a Bachelor of Science in Nursing Degree from Mercy College of Detroit, and a Master of Science in Administration from Central Michigan University.