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Phone: 406-457-8000 | Fax: 406-443-3894
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January 2015
PIN Monthly Newsletter
Welcome to the January 2015 issue of the PIN Monthly Newsletter.   You do not want to miss this month's Hot Topic information on updated PQRS reporting requirements and how this can affect your hospital.
 
  
Also, Beartooth Billings Clinic has shared a story of great progress with Hourly Rounding!  Read more in the Facility Spotlight. 

If you have comments, suggestions or any feedback at all, click on the Email Us link above and let us know.  We work based on your needs.

Grab a cup of coffee and enjoy!

The Peak of the PIN 

CMS recently released a bulletin providing details for group practices reporting quality indicators to the PQR System.  Check our our Hot Topic section for details, PQRS reporting requirements and access information for an education webinar. 
  • CAH CEO Meeting with VBP workshop
  • MHA Health Summit (QIC/DON Tracks!) open soon
  • New QI Coordinator Training Series registration open
  • Webinar set for ED Transfer Performance Improvement

 

  • QI Committee Agendas
  • On-call Nursing staff
  • Holiday Scheduling
  

PIN Website  

  • CAH EMR List/Resource for networking is now live.  Go to Resources>EMR or click here: direct link.
  • Check out the new QI Showcase section with a new way to share projects, polices, tools and documents with MT CAH peers.
  • Data Collection open for...
    • Q4 2014 Benchmarking
    • Med Rec Study Remeasurement
    • Q4 2014 CPOE
  • Submission links and due date
  • Aging Tsunami: As a Crisis Grows, a Search for Help
  • University of MT to host Nation's 1st Rural Healthcare Hackathon
  • Telehealth Start-Up and Resource Guide
  • Care Coordination: A Self-Assessment for Rural Health Care Providers and Organizations
  • Population Health: A Self-Assessment Tool for Rural Health Care Providers and Organizations

facility spotlight
  
Facility Spotlight

 
  
  
Beartooth Billings Clinic Hourly Rounding Initiative

Submitted by Bridgett Chartier, RN, CEN, Director of Nursing

and Sharon Norby, Rn, CPHQ, Chief Quality Officer

Click here for a pdf of the hourly rounding poster. 

 

Beartooth Billings Clinic introduced the initiative on hourly patient rounding in December of 2013. The purpose of hourly rounding is to attend to the patient's comfort, safety and environmental needs. The goal is to contribute to patient's overall satisfaction with nursing care and to reduce adverse events ( falls, pressure ulcers and unrelieved pain ). Studies have shown a 50% reduction in patient falls, 56 - 77% reduction in call light use, and 71% increase in overall patient satisfaction.  

 

The employee benefits include more organized work flow, there is less interruption in patient care with non-urgent calls, decreased call light use which decreases the distance walked by staff, and staff has more control over their shift even during times of increased census. Even with these benefits, there was not buy-in by all staff when the idea was introduced. The topic continued to be discussed at staff meetings, with encouragement for everyone to be involved in patient hourly rounding.  

 

In June we had a nursing leadership student from MSU Bozeman who needed a project to take on so she collaborated with an new graduate nurse who was very committed to hourly rounding - Rounding with a purpose : pain, potty, positioning, personal items and protection. At a CNA skills day in June the concept was re-introduced with education on how to complete hourly rounding and where it needed to be recorded in the electronic medical record. The CNA group accepted the challenge of infusing this into our nursing culture. In August, the initiative was presented at the licensed staff nurse meeting. Our vision is that hourly rounding be a shared responsibility of the entire nursing team. All nursing staff in Acute Care have a specific goal to actively participate in hourly rounding on their 2015 employee performance goals.  

 

Just recently, a new CNA was asking the question regarding how often we expect the rounding to be done and an experienced night shift RN replied "no matter what patient type they are here we round on them hourly during the day and every 2 hours from 10pm - 6 am." It was certainly reaffirming to hear that this practice is being promoted by the leaders in the nursing staff in Acute Care.  

 

We feel like we have seen a shift in our HCAHPS scores with regards to overall patient satisfaction since this initiative has been introduced but will need to follow the scores for a few more quarters to see if the scores are sustained.  

 

 
Submit your facility spotlight to Jennifer Wagner ([email protected]) to meet the sharing requirement for a PIN Quality Award!
 

 
Social Media

The Performance Improvement Network is on Facebook sharing great articles, information and stories.  Visit and Like our Facebook page at www.facebook.com/montanapin.
 
Who we are following on Facebook and YouTube:
  • AHRQ
  • Rural Assistance Center
  • NRHA
  • HRSA
  • ASQ
  • ...and many Montana CAHs

We understand that not MT CAHs have Facebook access, but many facilities and quality organizations do!  Facebook is not a main stream of information but rather a way to quickly disseminate good content that may be of interest to staff at CAHs without you having to hunt for it.

This publication was made possible by Grant #H54RH00046 (MT Medicare Rural Hospital Flexibility Grant) from the Health Resources and Services Administration (HRSA), Office of Rural Health Policy (ORHP) to the MT Department of Public Health and Human Services (DPHHS).  Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA, ORHP or MT DPHHS. 

 
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