HealthInsight, a private, nonprofit, community-based organization dedicated to improving health and health care, has been selected as one of 16 organizations across the country to continue working with hospitals to reduce preventable hospital-acquired conditions and readmissions. The Hospital Improvement Innovation Network (HIIN) contracts awarded by the Centers for Medicare & Medicaid Services (CMS) will build on the momentum of the CMS-funded Hospital Engagement Networks and Quality Improvement Organizations to further reduce patient harm and readmissions. This announcement is part of a broader effort to transform our health care system into one that works better for the American people and for the Medicare program.
HealthInsight, the Quality Innovation Network‒Quality Improvement Organization (QIN-QIO) serving Nevada, New Mexico, Oregon and Utah, has worked with hospitals in its region for many years to improve patient safety, both as a QIN-QIO and through the CMS Partnership for Patients initiative.
“We are proud to have been selected to help lead this national effort to keep improving patient care in the hospital setting,” said Marc Bennett, president and CEO of HealthInsight. “We’re eager to build on our successful QIN-QIO work by engaging with hospitals, providers and caregiver communities in our region to implement and spread best practices to achieve our quality goals.”
Through 2019, the Hospital Improvement Innovation Networks will work to achieve a 20 percent decrease in overall patient harm and a 12 percent reduction in 30-day hospital readmissions as a population-based measure (readmissions per 1,000 people) from the 2014 baseline. Addressing health equity for Medicare beneficiaries and incorporating person and family engagement in health care will be central to these efforts. CMS will monitor and evaluate Hospital Improvement Innovation Network activities to ensure that they are generating positive 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, MD, CMS acting principal deputy administrator and chief medical officer. “The work of the Hospital Improvement Innovation Networks will allow us to continue to improve health care safety across the nation and reduce readmissions at a national scale – keeping people as safe and healthy as possible.”
CMS established the Partnership for Patients (PfP) initiative in 2011 as one of the first models 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 PfP and the work of Hospital Engagement Networks in collaboration with many other stakeholders, U.S. hospitals have achieved 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.