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NYSPFP Initiatives

In its quality improvement work, NYSPFP addresses the following CMS-identified focus areas in order to meet CMS’s goals to reduce hospital-acquired conditions and preventable readmissions and to advance better health, better care, and lower costs. The focus areas are 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 

Bedside Safety Initiatives: Frontline caregivers play an integral role in defining the safety culture of an institution. Nursing and clinical leadership are critical to improving the quality and safety of patient care. NYSPFP provides information and education on evidence-based best practices, including standardized processes for assessment and documentation, for improvement in these areas. Focus Areas: Adverse Drug Events, Injuries from Falls, Pressure Injuries, and Venous Thromboembolism.

Infection Prevention Initiatives 

Infection Prevention Initiatives: According to the Centers for Disease Control and Prevention, about 1.7 million healthcare-acquired infections (HAIs) occur each year. HAIs are associated with increased morbidity and mortality and additional medical costs. NYSPFP assists hospitals to implement standardized processes for the identification and adoption of best practices for infection prevention. Focus Areas: Catheter-associated Urinary Tract Infections, Central Line-associated Bloodstream Infections, ASP/C. difficile/MRSA, Sepsis, Surgical Site Infections, and Ventilator-associated Events/Iatrogenic Delirium.

Building Culture and Leadership 

Building Culture and Leadership: Successful, sustainable quality improvement requires healthcare organization leadership committed to creating and nurturing a culture of patient safety, quality improvement, transparency, effective communication, and teamwork. The NYSPFP Culture and Leadership initiative supports hospital leaders in building a sustainable and cross-cutting quality infrastructure to improve outcomes hospital wide. Focus Areas: Culture and Leadership, Health Care Disparities, Patient and Family Engagement, and Worker Safety / Safe Patient Handling.

Preventable Readmissions Initiative 

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, NYSPFP assists hospitals in implementing strategies to identify patients at risk for preventable readmissions and to improve transitions of care. Notably, NYSPFP has adopted the approach to reduce readmissions by transforming the patient care delivery system to actively include patients and care partners as active members of the healthcare team. NYSPFP provides support and resources to help hospitals facilitate this transformation. Visit the Preventable Readmission Initiative Section.

Safety Across the Board Initiatives 

Safety Across the Board Initiatives: NYSPFP aims to reduce a wide range of hospital-acquired conditions and promote safety across the board by concentrating on high-impact, cross-cutting interventions with broad, multidisciplinary application. Unit-Based Safety addresses reliable execution of safety practices by promoting change, improvement, and standardization at the unit level, resulting in sustainability by hardwiring practices into daily routines. As part of the approach, promoting progressive mobilization, engaging staff, and promoting patient-centric behaviors hospital wide will facilitate improvements. Focus Areas: Unit-Based Safety, Progressive Mobility.

 
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