Hospital Improvement Innovation Network (HIIN)
HCIF is pleased to be a partner to the Hospital & Healthsystem Association of Pennsylvania (HAP) in the Partnership for Patients Hospital Improvement Innovation Network (HIIN) aimed at reducing readmissions and hospital-acquired conditions. HCIF is involved in the following three programs:
HCIF is leading a one-year readmission palliative care program entitled, Plan on it! A Palliative Care Collaborative. This program will engage local and national experts in the delivery of an innovative educational curriculum; feature organizational best practices; and foster the exchange of experiences, strategies and tools among organizations aimed at reducing high volume readmissions among patients with a serious or advanced illness. Pennsylvania Order for Life Sustaining Treatment (POLST) training will be offered to develop the skills to facilitate goals of care discussions for individuals with advanced illnesses wishing to define their preferences for care.
HCIF and the Pennsylvania Patient Safety Authority have partnered in a groundbreaking program that will address radiologic diagnostic errors in the emergency department. Diagnostic errors represent a complex and understudied area of patient safety with countless opportunities for improvement. Studies have shown diagnostic error rates in the emergency department (ED) as high as 12% and in visual specialties, such as radiology, around 5%. In the first year of the program, a diverse group of stakeholders will be convened to establish standardized performance measures, approaches, and tools for addressing these errors. In the second year, hospitals will use rapid-cycle improvement to pilot and demonstrate the usability of the tools and reliability of the established measures and approaches.
CT Radiation Safety
HCIF and ECRI Institute, a leading authority in imaging technology and radiation safety, will work with hospitals to optimize and manage radiation doses with the goal of preventing undue exposure. While computerized tomography (CT) can be a life-saving tool for diagnosing illnesses and injuries, it is the largest single contributor of radiation dose delivering 100-400 times the radiation than a conventional x-ray. In this two-year program, hospital improvement teams will collect and report CT dose data, identify potential areas of overuse or inappropriate use, establish CT protocols that ensure optimization of radiation doses, provide education and training to medical and technical staff, implement dose control tools and strategies, monitor progress, and provide on-going feedback to staff.