NYSPFP addressed 12 CMS-identified focus areas in order to meet CMS’s goals to reduce hospital-acquired conditions by 40% and preventable readmissions by 20% and to advance better health, better care, and lower costs. The focus areas were categorized into the following five domains.
For a listing of the initiatives that your hospital is participating in, see the
box at right.
Bedside Safety Initiatives: As frontline caregivers, nurses play
an integral role in defining the safety culture of an institution, and nursing leadership
is critical to improving the quality and safety of patient care. Focus
Areas: Pressure Ulcers,
Injuries from Falls,
Venous Thromboembolism, and
Adverse Drug Events.
Infection Prevention Initiatives: According to the Centers for
Disease Control and Prevention, about 1.7 million health care-acquired infections
(HAIs) occur each year. HAIs are associated with increased morbidity and mortality
and additional medical costs. Focus Areas:
Catheter-associated Urinary Tract Infections,
Central Line-associated Bloodstream Infections,
Surgical Site Infections, and
Ventilator-associated Events/Iatrogenic Delirium.
Building Culture and Leadership: Successful, sustainable quality
improvement requires health care organization leadership committed to creating and
nurturing a culture of patient safety, quality improvement, transparency, effective
communication, and teamwork. The NYSPFP Culture and Leadership Workgroup will support
hospital leaders in building a sustainable and cross-cutting quality infrastructure. Focus Areas:
Culture and Leadership,
No Harm Across the Board, and
Patient and Family Engagement.
Preventable Readmissions Initiative: Hospital readmissions may
occur for multiple reasons, including challenges in coordination and planning for
care post-discharge, patient and family self-management capacity, connectivity to
primary care, and access and availability of services and resources in the community
across the continuum of care. While not all hospital readmissions are preventable,
in order to reduce the number of cases that are preventable, NYSPFP will assist
hospitals in implementing strategies to identify patients at risk for preventable
readmissions and to improve transitions of care.
Visit the Preventable Readmission Initiative Section.
Obstetrical Safety Initiative: While providing safe perinatal
care is the goal of every hospital and clinician, myriad factors can affect patient
outcomes, including the level of prenatal care received, variation in clinical protocols,
staffing models on the labor and delivery unit, and the ability of clinicians to
communicate effectively as a team. Recognizing the unique needs and challenges of
obstetrics, specifically during labor and delivery, NYSPFP will assist hospitals
in their efforts to improve obstetrical and perinatal safety and reduce obstetric
adverse events by identifying ways to standardize care through the implementation
of evidence-based guidelines and best practices.
Visit the Obstetrical Safety Initiative Section.