The IHC Drumbeat is a monthly email featuring hospital success stories, recorded IHC webcasts, and local/national educational resources.
January 10, 2017
Medical professional pointing to a group of medical icons
A picture wishing everyone a Happy New Year. A quote by Michael Josephson appears at the top of the image. The quote says the following, "Whether we want them or not, the New Year will bring new challenges; whether we seize them or not; the New Year will bring opportunities."
Featured in this issue:
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.

IHC Welcomes you to 2017

Iowa Healthcare Collaborative Compass
Hospital Improvement Innovation Network


Since 2012, IHC has led the Partnership for Patients (PfP) Hospital Engagement Network (HEN) campaign in Iowa. IHC led hospitals from an education focused quality assurance model to an execution driven performance improvement model. Hospital success was evident by the uptake of best practices and progress made toward advancing the aims of the PfP. Through the HEN initiative, nationally, approximately 125,000 fewer patients died due to hospital-acquired conditions and more than $28 billion in health care costs were saved from 2010 through 2015.
See the HHS Press Release.

IHC’s Compass Hospital Improvement Innovation Network (HIIN) is designed to build on the successful HEN program to serve rural hospitals nationwide, using experience to support innovative solutions targeted to reduce patient harm and improve care coordination. This network of hospitals will be supported by integrated quality and process improvement advisors, practice transformation resources, educational content, and a proven data management and technical assistance program.

Value of Participation and guidance on the Quality Payment Program
     (QPP) (e.g. MACRA and MIPS). on nationally standardized measures and
     benchmarking for multiple classes of hospitals, including
     comparative data for a large network of urban and
     rural hospitals. staff to perform data analytics as well as value
     analysis estimates to monitor lives saved and attributable costs
     associated with individual organizational improvement efforts. and/or on-site coaching with a committed Improvement
     Advisor to drive improvement in Compass HIIN core focus areas. of on-demand reports, including run charts, goal
     reports and HIIN improvement dashboards. faculty to assist hospitals in the areas of Lean
     Performance Improvement, Physician and Leadership
     Engagement, and Data and Informatics.
The new year offers a lot of opportunity. We look forward to working with you to advance the IHC vision of a "culture of continuous improvement in quality, safety, and value that provides the most effective and efficient care in the nation. Thanks for your commitment to these important patient safety efforts. We look forward to working with you in 2017.                                                                       
Tom Evans, President/CEO
IHC HIIN Faculty Services
Head shot of Dr. Pavelka smiling.

Sarah Pavelka, PhD, MHA, OTR/L, CPHQ, FNAHQ graduated from Luther College and Concordia University, starting her healthcare journey with goals to assist each patient and impact the healthcare delivery system.  While working as an Occupational Therapist at Pella Regional Health Center, Sarah found the next step in her journey, leadership and quality. In 2001, not only did Sarah graduate from Des Moines University with a MHA degree, she was one of the first healthcare professionals in the US to bring Lean practices into healthcare. In 2006, after three years as a quality consultant at the Iowa Foundation for Medical Care, Sarah formed her private consulting practice, Pavelka’s Point Consulting, LLC, and joined a faculty role at Des Moines University.

Since 2006, Sarah has been dedicated to helping Iowa and national organizations focus on healthcare leadership, quality, and operations.  Sarah has been an active member of the Iowa Association for Healthcare Quality and National Association for Healthcare Quality, serving on both organizations Board of Directors.  She has been an advocate for several national quality initiatives, including promoting personal and professional growth for quality professionals to achieve the credentials of Certified Professional in Healthcare Quality (CPHQ) and Fellowship in Healthcare Quality (FNAHQ).  She has continued to passionately promote Lean improvement methods in Healthcare and was able to co-author the book, Tool Time for Lean.

Through almost 20 years of quality improvement and administration work, Sarah has assisted many organizations achieve breakthrough performances.  She has also found that by combining leadership, systems thinking, strategic planning, and quality improvement methods, these organizations have found operational success.  Sarah was so passionate about leadership and quality, that in 2016 she finished her PhD dissertation by investigating the relationship between leadership actions and healthcare quality outcomes across Iowa.

By joining the Iowa Healthcare Collaborative as a speaker in 2007 and a faculty member in 2012, Sarah has been able to spread her knowledge and experience of using Lean and other quality improvement practices in any healthcare setting.  Sarah is available to assist organizations through IHC in the areas of leadership development, strategic planning, and quality improvement applications including Lean.  She participates in multiple contracts with IHC including the hospital improvement innovation network, clinical practice transformation, and state innovation initiatives.

Head shot of Dr. Klitgaard smiling.
Don Klitgaard, MD, FAAFP, graduated from the University of Iowa College of Medicine and completed his residency at the Lincoln Family Medicine Program in Lincoln, Nebraska. For 15 years, he practiced full scope Family Medicine and served as Medical Director of the Myrtue Medical Center clinics in Harlan, Iowa. During this time, he served as the physician champion as Myrtue participated in the TransforMED National Demonstration Project and helped lead their subsequent Patient-Centered Medical Home (PCMH) transformation efforts, which substantially changed the practice’s approach to providing comprehensive, high-quality, patient-centered healthcare.
In 2012, Dr. Klitgaard helped create Heartland Rural Physician Alliance, a statewide IPA dedicated to helping practices in Iowa thrive in the rapidly-changing world of value-based purchasing and healthcare delivery transformation. He currently serves as Heartland Board President and ACO Medical Director for both Medicare Shared Savings and Wellmark BC/BS ACOs. In May 2015, Dr. Klitgaard created MedLink Advantage (MLA), a healthcare consulting and ACO management company which focuses on the development, support, and management of ACOs and other value-based healthcare endeavors in Iowa and nationally. He is also an active member of the AAFP’s Commission on Quality and Practice.
Since October 2015, Dr. Klitgaard has served as a faculty member for the Iowa Healthcare Collaborative. His areas of expertise include healthcare delivery system transformation with in-depth knowledge and experience with  PCMH work, as well as value-based payment arrangements including CMS and commercial ACOs.  He is also a content expert on the CMS Quality Payment Program (MACRA/MIPS) and its implication for providers and systems. Physician engagement is another specific area of emphasis which Dr. Klitgaard can address. He has supported multiple IHC projects including SIM and TCPI.

Head shot of Michael Ketcham smiling.
Michael (Mike) Ketcham, ACHE, Graduated from Iowa Western Community College with a degree in Business Administration and Southern Illinois University with his degree in Healthcare Administration.  Mike spent the first 10 years in the United States Air Force working on the clinical side of healthcare in inpatient/outpatient and trauma services.  The remainder of his career has been spent in hospital administration.
Mike has been a hospital CEO since 1990 working his entire career in the state of Iowa.  Mike has worked closely with the clinical/quality side of healthcare interacting daily with CEO's, nursing, physicians and hospital boards.  During this time he's spent time bringing nursing, home health, public health, physicians and boards together to work on quality improvement.
Since October of 2015, Mike has served as a faculty member for the Iowa Healthcare Collaborative.  His areas of expertise include quality delivery transformation working with a diverse population of healthcare delivery providers. His ability to relate to people across all levels of the healthcare delivery system has increased the overall standard of quality being provided to our customers.

IHI's Patient Safety New Year's Resolutions
  1. Learn from what goes right, as well as what goes wrong.
  2. Move from reactive and responsive to proactive and generative.
  3. Invest in safety systems for learning, rather than just individual safety projects.
  4. Shift away from fear, blame and liability toward humility, trust and transparency.
  5. Stop feeling as though you have to keep individuals you serve safe and, instead, begin to co-produce safety with patients and their families.
  6. Understand that safety is more than just the avoidance of physical harm, but also the pursuit of dignity and equity.
2017 Medication and Pharmacy:
 Complying with the Hospital CoPs and Proposed Change Webinar

On January 17 IHA is hosting a webinar addressing the new CMS interpretive guidelines on medication management and pharmacy-related standards. The webinar will explain in detail topics including the CMS requirements, identify pharmacy policies and procedures and describe requirements for high-risk drug policies such as double checks and dose limits.
Click here for more information and to register.

Save the Date

Please save the date for the upcoming Compass HIIN Virtual Learning Community 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.
Compass HIIN logo. This logo reads Compass Hospital Improvement Innovation Network.
Upcoming Calls and Events:
Weekly Office Hours -
Wednesday at 11:00 AM CST

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

Person and Family
Engagement Community of
Practice -
January 12, 2017
at 11:00 AM CST
Register Now!

Falls Prevention Community of Practice - 
January 17, 2017
at 11:00 AM CST
Register Now!

INR Greater Than
5 QI Project -
January 19, 2017
at 11:00 AM CST
Register Now!

Readmissions and
Care Transitions
Community of Practice -
January 24, 2017
at 11:00 AM CST
Register Now!

HIIN Measure Set
Education Series
Part 1 -
January 26, 2017
at 11:00 AM CST

Register Now!

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!
HIIN Data Reporting Update
January 2017:

October and November HIIN data due Monday, January 16, 2017.

Fourth Quarter MBQIP data due Monday, January 16, 2017.
*For Iowa
hospitals only.

Compass HIIN Work Plans due Monday, January 16, 2017.
*Data entry is available for facilities who have not completed a Work Plan.
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

Iowa Healthcare Collaborative logo. This logo reads Iowa Healthcare Collaborative.
Copyright © 2017 Iowa Healthcare Collaborative Drumbeat,
All rights reserved.

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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.