Partnership for Patient Care 2019 Annual Report CONTENTS 01 OVERVIEW 02 CONTRIBUTIONS 03 CLINICAL ADVISORY COMMITTEE 04 PROGRAMS About the Health Care Improvement Foundation The Health Care Improvement Foundation (HCIF), an independent non-profit organization based in Philadelphia, provides program support and coordination for Partnership for Patient Care (PPC) initiatives. HCIF’s mission is to drive high-value health care through stakeholder collaboration and targeted quality improvement initiatives. OVERVIEW The Partnership for Patient Care (PPC) is a collaboration with Independence Blue Cross and the region’s hospitals to accelerate the adoption of evidence-based clinical VISION: practices by pooling the resources, knowledge, and efforts of healthcare providers and partners. As a signature HCIF To be the program, PPC is an outstanding example of how advances in quality care can be achieved through large-scale safest region regional collaboratives. This unique collaboration between payer and providers shares successful experiences and in the country jointly funds quality and patient safety improvement initiatives. PPC's inclusive and collaborative nature has enhanced the region's ability to perform in a highly competitive provider marketplace. Furthermore, PPC unites organizations with a common desire for quality improvement. Looking Back at 2019 30+ 12 Events 300+ Hospitals Facilitated Attendees Since Establishment in 2006 26 14 2,000+ Programs Years Participants CONTRIBUTIONS PPC’s unique model of Each year, HCIF requests contributions to PPC from hospital collaboration continues and health system leaders in the region. Funding supports to sustain robust levels a wide range of programs and initiatives. PPC’s funding structure is based on a “fair share” voluntary contribution of support from the model, which is administered in May of each year. After region’s health systems. hospital contributions are received, IBC reimburses In 2019, contributions hospitals and health systems for those payments at a 50% level. were submitted from more than 30 hospitals, HCIF thanks the 13 regional hospitals & health systems, and health systems that have invested in PPC for affiliated providers. the last 10 years List of Contributing Hospitals Crozer-Keystone Health System Jefferson Health Penn Medicine Crozer-Chester Medical Center Abington Hospital Hospital of the University of Pennsylvania Delaware County Memorial Hospital Abington Lansdale Hospital Pennsylvania Hospital Jefferson Bucks Hospital Penn Presbyterian Medical Center Jefferson Frankford Hospital Chester County Hospital Doylestown Hospital Jefferson Methodist Hospital Lancaster General Hospital Jefferson Torresdale Hospital Magee Rehabilitation Hospital Einstein Healthcare Network Thomas Jefferson University Hospital Temple University Health System Einstein Medical Center Philadelphia Fox Chase Cancer Center Einstein Medical Center Montgomery Jeanes Hospital Temple University Hospital Main Line Health Bryn Mawr Hospital Grand View Hospital Lankenau Medical Center Trinity Health Mid-Atlantic Paoli Hospital Mercy Health System of Southeastern PA Riddle Hospital St. Mary Medical Center Holy Redeemer Health System CLINICAL ADVISORY COMMITTEE PPC topics are selected by HCIF’s Clinical Advisory Committee, a voluntary expert panel of healthcare providers and partners from organizations across Southeastern PA established by HCIF’s Board of Directors. The committee also has the important role of providing input into programmatic development, monitoring the progress of each collaborative, making recommendations as needed, and 14 quality & determining program strengths and opportunities for continued improvement. patient safety leaders from 2019 Committee Member Focus Areas: regional health systems and Behavioral health integration partner Opioid surgical stewardship Workplace safety organizations Prostate health Culture of safety WHO ARE THEY? WHAT DO THEY DO? A group of quality and patient safety experts from Identifies the region's quality and patient safety PPC-contributing health systems and partner priorities and provides guidance to HCIF in its PPC organizations programs “The Partnership for Patient Care provides a unique “The Partnership for Patient opportunity for the region’s Care advances our region’s experts in quality and health by channeling ideas patient safety to work from its healthcare together to enhance patient organizations into work that value in southeast improves our communities.” Pennsylvania.” Henry Pitt, MD Jeremy Souder, MD, FHM, FACP Chief Quality Officer Patient Safety Officer Temple University Health System Pennsylvania Hospital Chair of HCIF Clinical Advisory Committee Vice Chair of HCIF Clinical Advisory Committee PROGRAMS Leadership Summit Each year the Partnership for Patient Care hosts an annual in-person conference to celebrate the collaboration between Independence Blue Cross and the Philadelphia region’s hospitals. The 2019 Spring Conference partnered with the Philadelphia Area Society of Healthcare Risk Management (PASHRM) to highlight the 100+ "Engaging and helpful successes of PPC programs from the past year and to healthcare leaders presentations with address the region's pertinent quality, safety, and risk from 44 partner useful and applicable topics. 2019 Leadership Summit Presenters and Topics organizations information" Keynote Michael Leonard, MD, Founder of Safe & Reliable Healthcare, A Systematic Approach to Building a Culture of Safety -2019 Summit and High Reliability Care Attendee 2018 Delaware Valley Patient Safety & Quality Award Winners Regional Quality Improvement Expert Panel Pam Braun, BSN, MSN, HCIF, Regional Safe Community Program Safety Award PPC has funded the Delaware Valley Patient Safety and Quality Award Program since 2002. The annual award recognizes hospitals and other providers for their innovative 36 contributions in advancing patient care. Winners are selected by a two-tiered judging entries from 15 process involving regional quality and patient safety leaders and experts. Healthcare PPC organizations/ health systems with an entry in the top ten display their initiatives at HCIF’s organizations annual spring conference and a summer webinar. 2019 Safety Award Top 3 Award Winners 1st 2nd 3rd Thomas Jefferson Temple University Main Line Health University Hospital Hospital "The Patient Safety Escape "Opioid Stewardship "Enhanced Recovery Room: A Novel Orientation in an Opioid Epidemic" After Surgery (ERAS): Activity" 44% reduction in post- Innovative Improvement 250+ interns educated, operative prescribed in Surgery" resulting in higher confidence opioids 12% improvement in early identifying patient safety ambulation for patients priority PROGRAMS Safe Table Safety Forum A unique convening of hospital Patient Safety A regional forum of front line leaders and staff, Officers where safety concerns and Patient Safety including individuals working in risk management, Work Product (PWSP) discussions are protected patient safety, quality, and regulatory to examine and where solutions and best practices are shared. safety hazards and vulnerabilities that could result in a ECRI Institute Patient Safety Organization (PSO), a safety event. Safety Forum participants discuss issues federally listed PSO, provides a legally protected and share strategies, tools, processes, and tactics with environment for this peer-to-peer exchange of their safety peers. Participation is open to hospital and safety experiences and Patient Safety Work Product. non-hospital providers in Southeastern Pennsylvania. Table Topics Forum Discussions: Workplace safety Culture of safety Treatment of prisoners Safety surveys Patient elopement Incident reporting Workplace safety Lessons Learned 2019 Presenters Content experts are present to provide from Penn State Health Milton S. Hershey clinical expertise when relevant Medical Center: Meeting topics and discussion are informed by participants’ collective Brian Albrecht, BSN, RN, CPN, CNML, Nurse needs Manager, Pediatric Acute Care Confidential shared portal developed to Tracy Sinopoli, BSN, RNBC, Nurse Manager, enable and support independent quality Contingency Pool improvement efforts to continue offline “The Safe Table Program Everyone is struggling with brings a dedicated team this issue. The plan & together striving for best 100% implementation of Hershey possible outcomes, of Safe Table Medical Center is valuable Attendees respondents and to hear the passion for implementing evidence from based practice, learning from rated meetings success from Tracy & Brian as valuable each other and striving to was the spark for the 11 improve care for their flame! hospitals individual organizations. I am grateful and honored to & health collaborate with such a highly devoted, intelligent and -2019 Safety systems Forum Attendee enthusiastic team.” -Safe Table Member PROGRAMS "Members of the PURC collaborative believe that physician engagement, PURC is a quality improvement initiative that brings major urology collaboration, and leadership will help practices together in a physician-led, multi-year, data-sharing and define value and quality and improve improvement collaborative aimed at advancing the quality of patient care from the bottom up." diagnosis and care for men with prostate cancer. PURC, - Robert G. Uzzo, MD, FACS established in February 2015, is funded though the support of PPC, PURC Executive Director independent practices, and grants "PURC has brought focus, synergy, 17 journal publications and published