The IHC Drumbeat is a monthly email featuring hospital success stories, recorded IHC webcasts, and local/national educational resources.
February 1, 2017
Medical professional pointing to a group of medical icons
Featured in this issue:
In the Spotlight logo. With a spotlight in the top left and top right corners of the picture shining light down onto the word "In the Spotlight".

Skiff Medical Center

Readmissions Success Story
This month, Skiff Medical Center in Newton, Iowa, is featured for their efforts in the reduction of readmissions and improved transitions of care. Their journey began in 2015 when they began to see a reduction penalty in payment as a result of readmissions. Therefore, throughout 2015, they evaluated their UR processes and decided to hire a UR/Care Coordination Manager. In 2016, they created the care coordination department which brought together social services, utilization review, and pastoral care.
Since then they have implemented the following strategies to reduce readmissions:
  • Developed a readmissions and care coordination team which includes the Quality Manager, Inpatient Manager, Clinical Resource Nurse, ED Manager, Case Manager, Care Coordination Manager, and the Director of Care Coordination/Quality/Compliance/IT. The team meets on a monthly basis, and focus on tracking and trending data, identification and processes, readmissions prevention, and effective discharge planning. Everyone on the team has certain responsibilities, so they developed an action register to keep track of what everyone is working on and set deadlines.
  • The case manager rounds daily, conducts discharge needs assessment, interviews, and performs discharge follow-up calls. Discharge planner completes skilled and ICF transfers, discharge services and readiness assessments. Pastoral care does patient interviews, follow-up visits, and participates as part of the multidisciplinary team.
  • In addition, they also focus efforts on what is happening outside of the hospital by interviewing all patients that are readmitted to evaluate diagnosis, education provided, medication compliance, resources at home, follow-up appointments, and more. They also ask the patient why they think they were readmitted.
  • They do a utilization review to look at the appropriate level of care on readmit, and communicate with the attending physician for follow-up appointment attending, ER visits, etc. They also communicate with nursing homes and home care agencies to gather information on the patient condition, barriers, labs, social issues, etc.
  • Post-discharge follow-up calls are performed by the case manager within 72 hours of discharge for all patients. During these calls, the case manager goes over all discharge paperwork, orders, follow-up visits, labs, or diagnostic tests needed, regardless if they go home or to a nursing home. They also go over medication compliance and ask about patient satisfaction during their stay.
  • They have also implemented multidisciplinary rounding on patient rooms, which has created a team-focused approach to improvement.

IHC Recognized For Partnership For Patients Contributions

87,000 Lives Saved
2.1 Million Fewer Patient Harms
$19.8 Billion in Cost Savings
A photo of four Iowa Healthcare Collaborative staff members receiving an award for their work in the Partnership For Patients initiative from three members from the Partnership For Patients team.
IHC's four years of diligent and collaborative contributions in reducing preventable hospital-acquired conditions and readmissions were honored at the Center for Medicare & Medicaid Services (CMS) 2016 Quality Conference in Baltimore, Maryland.

“The Partnership for Patients initiative provides resources to help hospitals provide better care, engage patients, and improve community healthcare outcomes," said Tom Evans, MD President/CEO of Iowa Healthcare Collaborative. "We are very proud of Iowa hospitals and their work to improve patient care by reducing patient harm. Iowa hospitals combined efforts have resulted in over 6,000 adverse events avoided and approximately $60 million in reduced healthcare costs.”

Through 2019, IHC will continue its pursuit to improve health care safety across the nation through its involvement with CMS's Hospital Improvement Innovation Networks. "We will operate as the Compass Hospital Improvement Innovation Network across four states including Iowa, Colorado, Illinois and South Dakota, assisting hospitals and their communities, as they build upon the success of the first Hospital Engagement Network programs," said Dr. Evans.
The picture is of the Iowa Healthcare Collaborative current staff members. There are three rows of men and women posing for a picture in front of windows. There are nineteen individuals in the photo.

Forces for Change:
Impact of the
MACRA legislation

By: Tom Evans, MD
The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA will affect every provider in this country. Signed in to law in April 2015, MACRA promotes the transition to quality-based payment by implementing two payment pathways for clinicians. MACRA permanently repeals or eliminates the Sustainable Growth Rate (SGR) formula, a mechanism created in 1997 to restrict growth in Medicare Part B spending. In practice, the SGR would have severely cut payments to providers paid under Medicare’s Physician Fee Schedule (PFS). Congress regularly has passed legislation temporarily averting those cuts. Passage of legislation permanently repealing SGR—in bipartisan fashion no less—gives providers much needed certainty around payments. Starting in 2019, clinicians will be required to choose from one of two pathways: The Merit-based Incentive Payment System (MIPS) or Alternative Payment Models (APM).
Click here, to view Dr. Evans's presentation.
The logo for Iowa Healthcare Collaborative's Patient Safety Conference on March 14, 2017 at the Courtyard by Marriott in Ankeny, Iowa. The logo has a dark and light shade of blue with a golden stripe separating the two shades of blue.

Register for IHC's Patient Safety Conference

This conference will bring together healthcare professionals from across the state to learn about current patient safety topics prevalent in today’s healthcare environment. Best practices will be shared and discussed to increase knowledge of those in attendance. This conference will feature keynote speaker Helen Haskell.

Helen Haskell, MA, is president of the nonprofit patient safety organization Mothers Against Medical Error. Since the medical error death of her young son Lewis in 2000, Haskell has worked to improve healthcare safety and quality in the areas of medical education, patient-activated rapid response, infection prevention, medical error disclosure, and patient empowerment, among others.

Additional offerings at this year’s conference include:

Responding to Unanticipated Outcomes - A Comprehensive Approach
Seth A. Kervat, MD, FACP-Assistant Vice President, Safety, MedStar Health

Panel Discussion: Role of Patients and Families in Advising Healthcare Organizations Around Patient Safety
Helen Haskell, MA-Mothers Against Medical Error
Seth A. Krevat, MD, FACP-Assistant Vice President, Safety, MedStar Health

The Emily Jerry Story – From Tragedy to Triumph - Preventing Future Tragedies Through the Adoption of Technology and Best Practices!
Chris Jerry-Patient Safety Advocate, Speaker, and Founder of The Emily Jerry Foundation

Rapid Cycle Quality Improvement to Achieve Anti-Coagulation Goals Through Collaboration Among Providers
Brian Isetts, PhD-Professor, University of Minnesota College of Pharmacy and Faculty, Iowa Healthcare Collaborative

The event promises to be a full day of engaging content and information sharing that you will not want to miss!

Click here to register today and access the agenda!

Updated Surviving Sepsis
Campaign Guidelines

A consensus committee of 55 international experts in sepsis has updated recommendations to help guide clinicians caring for their adult patients with sepsis and septic shock. The updated guidelines offer revisions to the 2012 Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock.

Committee members say the updated guidelines offer important advancements for clinicians caring for patients with sepsis and septic shock, starting with the need to identify at-risk patients sooner.
For more information, click here.

Save the Date

Please save the date for the upcoming Compass HIIN Virtual Learning Community II on February 28, 2017
from 8:30am – 12noon CST.
Topics will include Readmissions and Care Coordination,
Person and Family Engagement, Fall Prevention,
HAI, and Medication Safety.
If you would like CEUs for this event, please provide your nursing license number upon registration.
The Partnership for Patients logo. At the top of the logo it says, U.S. Department of Health and Human Services.  The logo has a silhouette of a care provider and a patient in the middle. Just below the care provider and patient, the logo says, Partnership for Patients. The bottom of the logo reads, All images on the logo are in green.
Upcoming Calls and Events:
Weekly Office Hours -
Wednesday at 11:00 AM CST

HIIN Measure Set
Education Series
Part 2 -
February 2, 2017
at 11:00 AM CST
Register Now!

HAI Community of Practice -
February 7, 2017
at 11:00 AM CST

Register Now!

What’s Up Call - 
February 14, 2017
at 10:00 AM CST

Readmissions and
Care Transitions
Community of Practice -
February 16, 2017
at 11:00 AM CST
Register Now!

Falls Prevention Community of Practice - 
February 21, 2017
at 11:00 AM CST
Register Now!

INR Greater Than
5 QI Project -
February 23, 2017
at 11:00 AM CST
Register Now!

HIIN Virtual Learning Community II -
February 28, 2017, 8:30 AM - 12:00

Register Now!
Compass HIIN logo. This logo reads Compass Hospital Improvement Innovation Network.
HIIN Data Reporting Update
February 2017:

December HIIN data due Wednesday, February
15, 2017.
Contact your Compass
HIIN Team!

"Join the Discussion" in red text with "HIINnovation" in blue text. HIINnovation is the social media platform for hospitals to share information and get resources.
HIIN Huddle
Overall Compass HIIN Updates
IHC Website

 Want more resources? Check out our new website at

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Copyright © 2017 Iowa Healthcare Collaborative Drumbeat,
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The analyses upon which this publication is based were performed under Contract Number HHSM-500-2016-00070C, Entitled, "Hospital Improvement Innovation Network ", sponsored by the Centers for Medicare & Medicaid Services, Department of Health and Human Services.