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