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Date: 10/3/2016

HANYS and GNYHA Selected to Continue Improvements in Patient Safety

Hospital Improvement Innovation Networks to continue patient safety improvement efforts started under the Partnership for Patients initiative

Albany, NY – The Healthcare Association of New York State (HANYS) and Greater New York Hospital Association (GNYHA) have been selected as one of 16 national, regional, or state hospital associations, Quality Improvement Organizations, and health system organizations to continue efforts in reducing preventable hospital-acquired conditions and readmissions. The Hospital Improvement Innovation Network (HIIN) contracts awarded build upon the collective momentum of the Hospital Engagement Networks and Quality Improvement Organizations to reduce patient harm and readmissions. This announcement is part of a broader effort to transform our healthcare system into one that works better for the American people and for the Medicare program.

HANYS President Bea Grause and GNYHA President Kenneth Raske commented, “HANYS and GNYHA are proud of the accomplishments of the hospitals that have participated in NYSPFP and applaud their impressive improvement in patient safety. Both associations are honored and excited by the opportunity to continue to engage with hospitals as they strive for excellence in this important clinical improvement initiative.”

Under the new two-year contract, with a third-year option, HANYS and GNYHA will continue their hospital improvement efforts under their joint New York State Partnership for Patients (NYSPFP) initiative. The majority of their member hospitals participate in NYSPFP, which began in 2012.

Under the HIIN contract, NYSPFP will also partner with IPRO (New York’s Medicare Quality Improvement Organization), whose inpatient quality improvement work with hospitals has been incorporated into CMS’ PFP initiative. Through their partnership, HANYS, GNYHA, and IPRO provide resources, cross-cutting improvement strategies, high-quality educational programs, and tailored support to participating hospitals.

The Partnership for Patients, Hospital Engagement Networks, and now Hospital Improvement Innovation Networks (HIIN) are part of an overall framework established by the Affordable Care Act to deliver better care, spend dollars more wisely, and improve care. In a May 2014 report, the U.S. Department of Health and Human Services called out the success of NYSPFP hospitals in reducing hospital-acquired conditions and readmissions.

Successes achieved by participating New York State hospitals include:

  • Readmissions: More than 37,500 unnecessary readmissions were avoided within 30 days of discharge, just in the Medicare fee-for-service population.
  • Early elective deliveries (EEDs): Overall, hospitals reduced EEDs by 86% to a rate of 1.62% – achieving the PFP 40% goal and exceeding the PFP benchmark of < 2.0%.
  • Infections:
    • Catheter-associated urinary tract infection (CAUTI): 40.43% reduction in the CAUTI standardized infection ratio since 2010.
    • Clostridium Difficile infection: 20.42% reduction since 2012.
    • Ventilator-associated pneumonia (VAP): 63.51% reduction in VAP rate since the first quarter of 2012.

Through 2019, the Hospital Improvement Innovation Networks will work to achieve a 20% decrease in overall patient harm and a 12% reduction in 30-day hospital readmissions as a population-based measure (readmissions per 1,000 people) from the 2014 baseline. Efforts to address health equity for Medicare beneficiaries will be central to the Hospital Improvement Innovation Networks’ efforts. CMS will monitor and evaluate the activities of the Hospital Improvement Innovation Networks to ensure that they are generating results and improving patient safety.

“We have made significant progress in keeping patients safe – an estimated 2.1 million fewer patients harmed, 87,000 lives saved, and nearly $20 billion in cost-savings from 2010 to 2014 – and we are focused on accelerating improvement efforts,” said Patrick Conway, M.D., CMS acting principal deputy administrator and chief medical officer. “The work of the Hospital Improvement Innovation Networks will allow us to continue to improve healthcare safety across the nation and reduce readmissions at a national scale – keeping people as safe and healthy as possible.”

The 16 organizations (listed in alphabetical order) receiving contracts in the Hospital Improvement Innovation Networks are:

  • Carolinas Healthcare System
  • Dignity Health
  • Healthcare Association of New York State
  • HealthInsight
  • The Health Research and Educational Trust of the American Hospital Association
  • Health Research and Educational Trust of New Jersey
  • Health Services Advisory Group
  • The Hospital and Healthsystem Association of Pennsylvania
  • Iowa Healthcare Collaborative
  • Michigan Health & Hospital Association (MHA) Health Foundation
  • Minnesota Hospital Association
  • Ohio Children’s Hospitals’ Solutions for Patient Safety
  • Ohio Hospital Association
  • Premier, Inc.
  • Vizient, Inc.
  • Washington State Hospital Association

The Partnership for Patients model is one of the first models established in 2011 to be tested under the authority of section 1115A of the Social Security Act (the Act) with the goal of reducing program expenditures while preserving or enhancing the quality of care. Since the launch of the Partnership for Patients and the work of Hospital Engagement Networks in collaboration with many other stakeholders, the vast majority of U.S. hospitals have delivered results as demonstrated by the achievement of unprecedented national reductions in harm. CMS believes that the upcoming work of the Hospital Improvement Innovation Networks, working as part of the Quality Improvement Organization’s work to improve patient safety and the quality of care in the Medicare program, will continue the great strides made in improving care provided to beneficiaries.

For more information on the Partnership for Patients and the Hospital Improvement Innovation Networks, please visit: partnershipforpatients.cms.gov.


Darren Dopp
(518) 431-7752

Brian Conway
(212) 506-5477