Quality & Patient Safety

 

GNYHA’s work extends to the front lines of health care delivery through quality and patient safety initiatives that go far beyond report cards and performance measures. By focusing on hands-on, hospital-level systems improvement, GNYHA helps members achieve institutional culture changes that support safe, high-quality, patient-centered care, and assists with the implementation of successful, sustainable safety initiatives that improve clinical outcomes and operating efficiencies while reducing costs.


Ambulatory Care

With ambulatory services and primary care continuing to expand, GNYHA provides resources and subject matter expertise

on the ambulatory delivery system. GNYHA assists members with advocacy, operational improvements, team-based care implementation, and population management initiatives in the ambulatory setting. GNYHA also supports members participating in New York State’s Hospital-Medical Home Demonstration Program.

Find resources on these topics:

  • GNYHA Teaching Clinic Redesign Project
  • Hospital-Medical Home Demonstration
  • Patient-Centered Medical Home and Advanced Primary Care
  • Population Management
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Behavioral Health Services

GNYHA’s Behavioral Health activities focus on supporting members in their efforts to increase the quality and

efficient utilization of behavioral health services within their organizations. 

Find resources on these topics:

  • I-STOP Legislation
  • The Justice Center
  • Mental Health Firearm Reporting
  • PSYCKES Quality Collaborative
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Critical Care Leadership Network (CCLN)

GNYHA launched the CCLN in 2006 with support from the United Hospital Fund to optimize critical care services

in the New York metropolitan area by engaging physician and nursing leaders to share best practices and clinical training resources to maximize efficiencies and standardize care, and apply a collaborative methodology to focused initiatives. CCLN’s goal is to coordinate a unified approach for delivering critical care services by sharing and standardizing the implementation of evidence-based practices, and the training of clinicians in an effort to improve patient outcomes in the ICU setting.

Find resources on these topics: 

  • Burn Management
  • Controversies in Critical Care
  • End of Life & Palliative Care in the ICU
  • Organ Donation
  • Project Hypothermia
  • Postoperative Care of the Cardiac Surgical Patient
  • Sepsis
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Finance/Quality-Related Programs

GNYHA provides member support for CMS’ quality-related programs and resources for other quality-related initiatives. CMS

has established multiple quality-related programs, including hospital value-based purchasing (VBP), hospital readmissions reduction, hospital-acquired conditions (HAC) reduction, and inpatient quality reporting programs. Additionally, several national organizations have established quality measurement programs, including The Leapfrog Group, Consumer Reports, and US News & World Report. GNYHA provides members with resources to interpret and manage the multitude of quality measures, scoring methodologies, and quality reports.

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Medication Safety

GNYHA is committed to helping hospitals implement safe medication practices. The GNYHA Medication

Safety Initiatives are focused on reducing medication-related patient harm through the practical prevention of medication errors, while encouraging a culture of safety in pediatric and adult patient populations.

Find resources on these topics: 

  • Medication Safety Initiative
  • Pediatric Medication Safety Initiative
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NYS Partnership for Patients (NYSPFP)

GNYHA and the Healthcare Association of New York State (HANYS) have partnered to form NYSPFP as a Hospital

Engagement Network (HEN) under the Partnership for Patients, a national initiative of the Centers for Medicare & Medicaid Services to advance its goals of better health, better care, and lower costs. NYSPFP supports New York State hospitals as they continually strive to provide the safest and finest patient care. Through their strategic partnership, GNYHA, HANYS, and key stakeholder organizations across the State provide resources, cross-cutting improvement strategies, high-quality educational programs, and tailored support to their member hospitals participating in NYSPFP. For more information on NYSPFP, visit the NYSPFP Web site

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Palliative Care Leadership Network (PCLN)

The PCLN was launched in 2011 with support from the Fan Fox & Leslie R. Samuels Foundation to support and advance

comprehensive palliative care services by bringing together subject matter experts, hospitals, and health systems with varying degrees of palliative care experience in a forum to develop and share best practices.

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Perinatal Safety Collaborative

In partnership with the United Hospital Fund, GNYHA developed the Perinatal Safety Collaborative to help member hospitals

improve the quality of their obstetrical and perinatal care processes and reduce the incidence of perinatal and maternal injuries using a structured and standardized approach to patient care. The Perinatal Safety Collaborative concluded in 2011.

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Quality and Outcomes Research Committee (QORC)

Founded in 2009, QORC is an interdisciplinary group dedicated to making a substantial contribution to improving health care quality and patient outcomes.

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Rapid Response Systems (RRS) Collaborative

RRS, also referred to as medical emergency teams, are designated teams of clinicians who identify patients at risk,

respond to early signs of acute deterioration, and bring critical care expertise to the bedside before patents decline into a critical state. In partnership with the United Hospital Fund, GNYHA developed the RRS Collaborative, which provides participating hospitals with technical resources, implementation experiences, and best practices to effectively initiate and maintain RRS.

Find resources on these topics:

  • Rapid Response Systems (RRS) Toolkit
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STOP Sepsis Collaborative

To address the challenges presented by sepsis, GNYHA and the United Hospital Fund launched the STOP (Strengthening

 Treatment and Outcomes for Patients) Sepsis Collaborative, which works with hospitals to implement standardized processes for the recognition and treatment of sepsis to improve care and reduce mortality attributed to this condition.

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Antimicrobial Stewardship Project

GNYHA, in partnership with the United Hospital Fund and with support from the New York State Department of Health,

helped a group of acute and long term care health facilities implement and test a set of evidence-based guidelines to create effective and sustainable antibiotic stewardship programs across the continuum of care.

Find resources on these topics:

  • Antimicrobial Stewardship Project Toolkit
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Catheter-Associated Urinary Tract Infections (CAUTI)

Catheter-associated urinary tract infections (CAUTIs) can be prevented by inserting and maintaining urinary catheters

aseptically, according to evidence-based guidelines. Additionally, it is imperative to insert urinary catheters only when appropriately indicated, and to remove them as soon as the circumstances indicating placement are no longer applicable. The resources below can help guide hospitals and providers in developing and adhering to practices that promote safe and appropriate utilization of urinary catheters.

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Central Line-Associated Bloodstream Infections (CLABSI) Collaborative

In 2005, GNYHA/United Hospital Fund launched the initial CLABSI Collaborative to eliminate these deadly infections from

hospital intensive care units. When the initial CLABSI Collaborative ceased data collection in 2007, GNYHA members had reduced infection rates an average of 54% Collaborative-wide.

Find resources on these topics:

  • Central Line-Associated Bloodstream Infections (CLABSI) Toolkit
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Clostridium difficile (C. difficile) Collaborative

GNYHA and the United Hospital Fund, in cooperation with the New York State Department of Health, launched this initiative

to reduce the rates of bacterial infections in participating hospitals. The C. difficile Collaborative concluded in 2010.

Find resources on these topics:

  • C. difficile Collaborative Toolkit
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Colors of Safety Across the Continuum of Care

GNYHA and its long term care affiliate, the Continuing Care Leadership Coalition, developed The Colors of Safety Across the

Continuum of Care initiative to improve and standardize patient-centered care across acute and long term care settings.

Find resources on these topics:

  • Colors of Safety Toolkit
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IMPACT to Reduce Readmissions Collaborative

To improve care transitions, GNYHA and the United Hospital Fund have launched the IMPACT (Improve Processes

And Care Transitions) to Reduce Readmissions Collaborative. The collaborative helps hospital and nursing home teams build and strengthen relationships and implement standardized communication and information sharing processes in order to improve care transitions and reduce readmissions.

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INTERACT NY

INTERACT NY (Intervention to Reduce Preventable Acute Care Transfers) is a practical approach to safely reducing

hospitalizations and preventable readmissions. INTERACT facilities are committed to implementing a set of evidence-based and expert-recommended strategies and tools, care process improvements, and related staff education aimed at: identifying acute changes in resident condition early; effectively initiating evaluation and management of these clinical conditions within the nursing home facility; and preventing hospital transfers when safe and feasible.

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Pressure Ulcer Improvement

In response to challenges faced by providers in care transitions, GNYHA launched pressure ulcer improvement initiatives

that focused on developing a more standardized approach to pressure ulcer assessment, management, and documentation.

Find resources on these topics:

  • Gold STAMP Program to Reduce Pressure Ulcers in NYS
  • Pressure Ulcer Improvement Collaborative Toolkit
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Reducing Preventable Readmissions

GNYHA seeks to improve care transition processes across all settings of care by identifying the factors that contribute

to preventable hospital readmissions and effect solutions to avoid them.

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Clinical Quality Fellowship Program (CQFP)

GNYHA is committed to developing and nurturing the next generation of clinical quality leaders in the New York

metropolitan region. The Clinical Quality Fellowship Program (CQFP) teaches clinicians the skills necessary to lead hospital-based quality improvement and patient safety initiatives. Fellows will learn how to use a wide variety of tools and strategies to advance quality and patient safety from a faculty of quality improvement leaders drawn from the region.

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Communication Skills Training

Effective communication with patients and their families is key for optimal patient outcomes. GNYHA’s Communication

Skills Training focuses on developing staff communication skills, specifically targeting discussions with patients and families following an adverse event. The premise of this training program is that better communication leads to improved patient care outcomes and, ultimately, improved patient satisfaction, which in some cases could result in reducing the costs associated with professional liability claims. Find resources on this topic.

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GNYHA Safe Patient Handling Program

GNYHA developed a multifaceted approach to support members’ implementation of safe patient handling (SPH) programs through

educational briefings, workforce training, planning assistance, and resources. Through these efforts, GNYHA supports hospitals in meeting requirements of New York State’s Safe Patient Handling Act, passed as part of the 2014–15 budget, which compels hospitals and other health care facilities to implement facility-specific safe patient handling programs by January 1, 2017.

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Infection Prevention Coach (IPC) Training Program

The GNYHA Infection Prevention Coach (IPC) Training Program is a training and staff empowerment program that develops

strategies to improve communication, teamwork, and workflow in an effort to create a culture in which health care workers understand their valuable role in eliminating infections. With grant support from the New York State Department of Health, the IPC Training Program expanded on previous success in collaboration with 1199 SEIU. The program complements GNYHA’s work with its members around building a culture of safety, promoting leadership, and reducing hospital-acquired infections. The training program concluded in December of 2013. Find resources on this topic.

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New York Alliance for Careers in Health Care (NYACH)

GNYHA Foundation received a grant from the New York Community Trust for a health care workforce initiative to

address workforce needs in hospitals and nursing homes. The goal of the grant is to support hospitals and long term care facilities in identifying and implementing workforce strategies as they adapt to delivery system changes contained within both State and Federal health reform. GNYHA works with its NYACH partners to undertake regional workforce initiatives and provide health care employers with the necessary tools and resources to support their institutional goals, both in the development of incumbent staff and the hiring of new employees.

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Root Cause Analysis Training (RCA)

RCA is a powerful performance improvement tool used in patient safety programs to identify the underlying cause of a medical

error or adverse event and to formulate a comprehensive action plan to prevent its recurrence. With the support of the New York State Department of Health, GNYHA provides ongoing RCA training for all categories of staff. Find resources on this topic.

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