Monthly Update - February 2017

February 2017

  • News
  • Resources
  • Events


KHC Hospital Improvement Innovation Network (HIIN) update

The Centers for Medicare and Medicaid Services (CMS) is close to achieving its goal of an unprecedented 4,000 hospitals participating in the new HIIN initiative.  To support CMS’ effort to recruit 107 more hospitals, the Health Research & Educational Trust (HRET) has extended its enrollment period to February 24.  Kansas is a leader among HRET’s 32 state partners, again ranking among the top two in terms of hospital engagement.  The KHC HIIN has now grown to a network of 115 Kansas hospitals, up from 106 in HEN 2.0.  And more could be added.


HIIN site visits

KHC representatives are now traveling throughout the state visiting with KHC HIIN hospital teams during the months of February and March.  The site visit effort is led by KHC staff, along with assistance from staff at the Kansas Foundation for Medical Care (KFMC).  Also, in some locations where a local clinic is participating in the KHC Practice Transformation Network, a PTN quality advisor may attend the site visit, as well.  This allows KHC to assist hospitals in making connections across both programs in one community.


Kansas PFAC Collaborative enrollment

KHC recently launched its 2017 Kansas PFAC Collaborative in a virtual introductory event.  Two tracks are offered for hospitals participating in the KHC HIIN:  Track 1 for hospitals that do not yet have a patient and family advisory council and Track 2 for hospitals that now have a PFAC and are interested in learning how to further utilize and measure their organizational impact.  For more information, visit


HRET HIIN fellowship programs (QI and PFE)

Time is running out for hospital staff to enroll in the 2017 HRET HIIN Quality Improvement Fellowship program. HRET is offering two fellowship programs for hospitals participating in its HIIN, including those in the KHC HIIN.  The HRET HIIN Quality Improvement Fellowship is now underway.  In addition, HRET launched its Patient and Family Engagement Fellowship on Feb. 8.  Nearly 120 Kansas staff members have enrolled in one or both fellowship programs.  For more information, contact HRET or the KHC office.


HRET HIIN Fishbowl Series

HRET will be hosting two separate “fishbowl” series that will begin in April 2017. Think of it as reality TV for your process improvement team. HRET is now recruiting three hospitals that will be “in the fishbowl” receiving real time coaching with Cynosure Health improvement advisors while other hospitals listen in each month.  The first fishbowl session will feature three hospitals working to prevent readmissions, and the second fishbowl will focus on adverse drug events related to opioid use.  Selected hospitals must commit to attend the virtual events over the five month period and be willing to share their struggles and successes in ADE and readmissions reduction efforts.   If interested, contact Michele Clark at KHC at .


Save the Date!  Sepsis Champion Workshops in early April

Save the dates of April 3 and April 5 for two regional Sepsis Champion Workshops to be conducted for participants in the KHC HIIN.  The April 3 workshop will be held in the southwest region of the state, and the April 5 workshop will be held in Topeka at the KMS/KaMMCO Conference Center.  Faculty from Wesley Healthcare will conduct the workshops.


Practice Transformation Network (PTN) update

KHC in partnership with Compass PTN and the TCPI team at CMS have been leading the improvement efforts to accelerate Kansas providers enrolled in the TCPI project.  As of January, 2017, clinicians who have been enrolled in the program for 90 days or more have all achieved phase II of the five transformation phases. To achieve phase II, providers have set aims and developed strategic plans.  The next step in the process is to utilize data to drive care within their practices.  Our Quality Improvement Advisors are working with providers on quality improvement activities and establishing population health management and patient/family engagement projects.

Kansas PTN network currently has over 1,300 providers enrolled in the PTN project.  The PTN project continues to accept eligible providers. For more information, please contact Rosanne Rutkowski,


Kansas Birthing Hospitals and the 39+ Weeks Banner Program

The Kansas Department of Health and Environment (KDHE) Bureau of Family Health, the March of Dimes, and KHC have joined together to encourage continued progress towards eliminating early elective deliveries (EED) in our state.  Last week KHC and its partners shared information with hospital administrators about the March of Dimes’ Hospital Banner Recognition Program, which recognizes hospitals that have achieved EED rates below 5 percent. Hospitals that complete a simple checklist and meet the criteria will receive a customized banner that commends the hospital for commitment to improving the quality of care for moms and babies. Each hospital received a press kit from the March of Dimes, so that patients, families, community leaders and donors are aware of the hospital’s commitment to the health of the community.  KDHE issued a news release last week announcing the program.  For more information, contact Danielle Jones with the March of Dimes at .


Information about Early Elective Delivery (EED)

Babies born preterm, before 37 completed weeks of gestation, are at increased risk of immediate life-threatening health problems, as well as long-term complications and developmental delays. Among preterm infants, complications that can occur during the newborn period include respiratory distress, jaundice, anemia, and infection, while long-term complications can include learning and behavioral problems, cerebral palsy, lung problems, and vision and hearing loss. As a result of these risks, preterm birth is a leading cause of infant death and childhood disability. Although the risk of complications is greatest among those babies who are born the earliest, even those babies born “late preterm” (34 to 36 weeks’ gestation) and "early term" (37, 38 weeks' gestation) are more likely than full-term babies to experience morbidity and mortality. In 2015, 66 Kansas births per week were preterm (8.8percent of all births)1, and 179 were early elective deliveries.2

Sources: 1KDHE 2015 Annual Vital Statistics;  22015 CMS Hospital Compare EED data


Summit on Quality - Save the Date

The ninth annual Summit on Quality, presented by the Kansas Healthcare Collaborative and the Kansas Foundation for Medical Care, Inc., will be held May 10 in Wichita at the Hyatt Regency.  The day-long educational summit features two national keynote presenters, four breakout sessions and numerous poster presentations. Mark your calendars and watch for more details coming soon.

Rural Healthcare Leadership Conference

Congratulations to Pilar Davis and Sarah Hoy, Coffeyville Regional Medical Center. The two hospital quality improvement leaders received a scholarship to attend the 2017 AHA Rural Health Care Leadership Conference held recently in Phoenix.  Their improvement storyboard was among 20 selected by HRET. Storyboards are posted on the HRET HIIN website.


Share your story #WhyImHIIN

KHC invites you to share your personal stories behind the passion that drives us to continue improving patient safety and reducing harm.  You might be motivated by the death of a loved one or to ensure hospitals are safer for your children/grandchildren, or in support of all the people in your community, or any other reason. To participate, email a photo that represents #whyimhiin along with a sentence or two, and we will incorporate your message into a storytelling segment in an upcoming KHC HIIN webinar.

KHA Distribution of Medicare Quality Reports

Last week, KHA distributed a Quality-Based Payment Reform (QBPR) Report and an analysis of the Federal Fiscal Year 2018 Value-Based Purchasing (VBP) Program to hospitals paid under Medicare’s prospective payment system.  The QBPR Report is a one-page document illustrating hospital-specific performance and the fiscal implications of all three of the Medicare quality programs:  Value-Based Purchasing, Readmissions Reduction Program, and Hospital-Acquired Conditions Program.  The VBP analysis provides a preview of the potential impact of the FFY 2018 program based on the most recent publicly available data from the Centers for Medicare & Medicaid Services.  Both of these reports are available on HIDI Analytic Advantage to authorized users.



February is National Heart Month

Saving Lives: Team Management of High Blood Pressure - CDC Expert Commentary

About 75 million Americans, nearly 1 in 3 adults, have high blood pressure. Of this group, almost half don't have it under control, including 11 million who don't even know they are hypertensive. Additionally, CDC's recent Vital Signs report  reveals that at least 5 million Medicare Part D enrollees age 65 or older are not taking their blood pressure medicine properly, putting their lives at risk.

The good news is that we can do something about this silent killer if we work together. In particular, healthcare systems, including physicians and other healthcare professionals, can play a key role in improving blood pressure control nationwide.  To learn more about team management of blood pressure, click here or to learn about blood pressure control, click here.


2016 CMS Quality Conference recordings, handouts

Recordings and presentation handouts are now available from the 2016 CMS Quality Conference held in Baltimore last December. HRET was selected to present on three topic areas:  physician engagement, health care equity, and the UP campaign.  Recordings of the grand plenary sessions are available here.  Presentations are available on the conference website for download here.">Native Americans and Diabetes

There is significant progress being made in Indian Country where Native Americans have a greater chance of having diabetes and kidney failure resulting from diabetes than any other U.S. racial or ethnic group, according to the Centers for Disease Control and Prevention.  To learn more, click here.


The Partnership for Patients' Community of Practice

PfP’s Community Practice is home to over 60 toolkits, "how to" guides, checklists, instructional classes, case studies, and other tools to assist HIINs in accomplishing their PFE goals. Visit PfP Community of Practice to explore the resources offered. They include multiple resources to guide efforts related to Metric 4: Having an active Patient and Family Engagement Committee (PFAC) or patients serving on safety or quality improvement teams. Below are four of the 27 different Metric 4 related resources located in the PfP Community Practice library. 

  • Partnering with Patients and Families to Enhance Safety and Quality- A Mini Toolkit - This toolkit provides tips and strategies on ways to involve patients and families in committees, task forces, rapid response teams (RRT) and as advisors. The kit also includes a sample application for patient and family advisors, citations for peer reviewed journal articles about PFE, and PFE-related web sites.
  • Creating Patient and Family Advisory Councils - This tool from the Institute for Patient- and Family-Centered Care (IPFCC) outlines the purpose/responsibility of the PFAC and how to develop and sustain the Council.
  • AHRQ Hospital Guide - This extensive guide contains implementation guidance related to recruiting and orienting advisors, identifying projects for collaboration, and dealing with common challenges. It also contains sample orientation materials for patient advisors as well as training guides to help health care providers partner effectively with advisors.

Upcoming Events

Mark your calendar for these events.  All times are listed in Central Time.

Date & Time
Wednesday, February 15
2:00 p.m.
“Violence in Health Care: Promoting and Creating a Culture Shift to Universal Precautions”
AHA and the American Society for Healthcare Risk Management (ASHRM) offer a webinar in the Hospitals Against Violence educational series. Register here
The recording and slides will be available approximately a week after the webinar:
Wednesday, February 15
5:30 to 7:00 p.m.
Tuesday, March 28 5:30 to 7:00 p.m.
Tuesday, April 25 5:30 to 7:00 p.m.
“Equipping Physicians for the Shift to Quality Payment Programs—Employing Data Analytics to Empower Physicians and Enhance Patient Care.”
This KaMMCO Health Solutions webinar is designed to empower physicians with the knowledge to enhance quality improvement and transform health care through the implementation of technology and utilization of MACRA-inspired reporting tools.
See details below
Thursday, February 16
11:00 to 11:50 a.m.
HRET HIIN Up Campaign:  The Way Up
The UP Campaign webinar will review the cross-cutting intervention of the UP Campaign and the impact on harm. Learn and discuss what next steps are crucial for the UP Campaign and share your implementation ideas. Register here.
Tuesday, February 21
5:30 to 6:30 p.m.
Wednesday, February 22
12:00 to 1:00 p.m. Tuesday, February, 28 12:00 to 1:00 p.m.
Analytics Dashboard Demonstrations
Physicians needing help as they transition to the Quality Payment Programs of MACRA can learn more about new resources available from KaMMCO Health Solutions (KHS) by attending one of the upcoming one-hour webinars.
See details below
February 22
10:00 to 11:00 a.m.
KHC HIIN webinar - February
This month’s KHC HIIN webinar will focus on the Power of Storytelling, using personal stories to engage front line staff.  The virtual meeting also will include announcements, updates and peer-to-peer learning as we work together to improve patient safety across the board.
Wednesday, February 22
11:00 to 12:00 p.m.
HRET HIIN PFE Fellowship Session #2
Take a deep dive into patient and family engagement strategies and hospital-acquired conditions (HACs), as well as define PFE strategy with details of implementation.  Register here
Thursday, February 23
11:00 to 11:50 a.m.
HRET HIIN CAUTI Virtual  Event
Tuesday, February 28
11:00 to 12:00 p.m.
HRET HIIN PFE Fellowship: Big Picture Virtual  Event
March 8-9
Wichita, KS
KHA Infection Prevention Conference
This conference will help prepare health care professionals to be facilitators and resources for surveillance, prevention and control of infections.  Register here.
March 8-10Tampa, FL ANA’s Conference:  Translating Quality into Practice includes Healthy Nurse, Healthy Nation Grand Challenge at ANA’s Conference:  Translating Quality into Practice in Tampa, FL. Learn more here
March 14 
Wednesday, March 15
8:30 a.m. to 4:30 p.m.
Kansas PFAC Collaborative
This one-day regional workshop is the foundational training for all Kansas hospitals participating in the 2017 Kansas PFAC Collaborative.
The session is free-of-charge and the same training session is offered Tuesday, March 14 in Topeka at KMS/KaMMCO Conference Center or Wednesday, March 15 in Hays at the Sternberg Museum of Natural History.

“Equipping Physicians for the Shift to Quality Payment Programs—Employing Data Analytics to Empower Physicians and Enhance Patient Care”

KaMMCO Health Solutions has developed an innovative suite of analytic tools necessary to meet the new MACCRA reporting and technology requirements. The KHS analytics tools are designed to aid in reporting all three Merit-Based Incentive System (MIPS) categories by accessing patients’ longitudinal medical records. 

The webinar is designed to empower physicians with the knowledge to enhance quality improvement and transform health care through the implementation of technology and utilization of MACRA-inspired reporting tools. The webinar is available:

This activity is approved for AMA PRA Category 1 CreditsTM.

For more information and to register in advance visit: and click on EVENTS.


Analytics Dashboard Demonstrations

Physicians needing help as they transition to the Quality Payment Programs of MACRA can learn more about new resources available from KaMMCO Health Solutions (KHS) by attending an upcoming one-hour webinar.

The innovative suite of analytic products and services will produce web-based dashboards that

  • capture patients’ health information visually;
    • help providers meet MIPS and APM reporting requirements for MACRA; and
    • allow physicians to proactively manage patients’ care.

Learn more about the analytics tools and dashboards at one of three webinars presented by Mary Matzke, KHS Project Manager, and Susan Penka, KHS Business Development Representative. The webinars are scheduled for:

To learn more about the KHS analytics tool, contact Susan Penka, KHS Business Development Representative at or visit


For more information about KHC, visit our website,