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Minnesota
Success
Stories: MINNESOTA
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Stratis Health is active in the Minnesota Alliance for Patient Safety
(MAPS), a partnership among the Minnesota Hospital Association, the
Minnesota Medical Association, Minnesota Department of Health and more
than 50 other public and private health care organizations working
together to improve patient safety. Stratis Health recently co-sponsored
a MAPS statewide conference on patient safety in Minnesota . Staff
at Stratis Health also serve on or lead key MAPS committees, including
Best Practices, Data Reporting, and Communication and Education.
- Grandview
Christian Ministries in Minnesota worked with the state’s QIO,
Stratis Health, to implemented “Rise at Will,” a program
that allows nursing home residents to wake up whenever they choose
in the morning, resulting in increased resident, staff, and family
satisfaction, and contributing to a decrease in two quality of care
measures. From April to August 2005, the measure “Prevalence
of Behavioral Symptoms Affecting Others: High Risk” decreased
from 33 to 21% and “Prevalence of Antipsychotic (Drug) Use: High
Risk”decreased from 17 to 11%.
- Benedictine
Health Center in Duluth , Minnesota, worked with its QIO, Stratis Health,
to improve spiritual and emotional support to nursing home residents
by providing memorial services for those unable to attend the funerals
of loved ones.
- Columbia
Park Medical Group (CPMG), a network of multi-specialty clinics in
the northern suburbs of Minneapolis, worked with the state’s
QIO, Stratis Health, to implement electronic health records in their
first paperless office. “ We feel very indebted to Stratis Health,” said
Dr. Dang Tran, CPMG’s director of health information technology, “We
are so much further down the road in terms of preparing. It’s
not so much about the product, but how the product gets installed and
used,”
- St. Francis
Home Health Care in Breckenridge , Minnesota, worked with its QIO,
Stratis Health from September 2003 to September 2004 to improve rates
of urinary incontinence among its home health patients from 34.7 to
41.9 percent.
- Working with
the Minnesota Department of Health/Minnesota Office of Rural Health
and Primary Care; and the Minnesota Area Agencies on Aging, Stratis
Health, Minnesota’s QIO, created an environment of open communication
and collaboration between health care providers in various settings
(hospitals, clinics, home health agencies, public health departments,
nursing homes, and others) to improve the care patients receive when
they transfer between settings.
- Critical
access hospitals collaborate to improve heart care: Ten critical access
hospitals in Minnesota worked together in 2001-2002 to improve heart
care in conjunction with the state’s QIO, Stratis Health, and
the Minnesota Department of Health’s Office of Rural Health and
Primary Care. In the area of heart failure, the participating hospitals
showed aggregate improvement in the assessment of left ventricular
function (LVF) by 50%; 75% improvement in patient education; and significant
improvement in patient discharge follow up. Hospitals also worked on
improving care for atrial fibrillation, specifically the administration
of warfarin at discharge, which improved from 77% to 85%, and international
normalized ratio (INR) monitoring. Fifty percent of the hospitals showed
improvement in one or both areas. Each participating hospital team
included a physician, a nurse, a pharmacist, and senior management
sponsor working together to implement evidence-based strategies utilizing
rapid cycle improvement tools and measurement methodologies. The project,
which encourages participating teams to learn from each other, is being
replicated in 2003-3004 with an additional 22 critical access hospitals
across Minnesota.
- In Minnesota,
68 nursing homes improve 45% in chronic pain measure
A group of 68 nursing homes
in Minnesota demonstrated more than 45% relative improvement in chronic
pain management and almost 20% relative improvement in post-acute care
pain management after working with Stratis Health, the Minnesota QIO.
Early in the Nursing Home Quality Initiative, Stratis Health selected
homes to work with intensively, a group that reflected a balance of profit
and non-profit, urban and rural, independent and affiliated, varying
bed sizes, and experience with quality improvement. These homes were
then divided regionally to foster networks of support and invited to
a series of quarterly Stratis Health learning workshops offered at four
locations across the state. The workshops covered quality improvement
basics, leadership, and evidence-based strategies for pain management.
By the last collaborative session, the nursing homes were offering advice
and support to one another, and had added the topic of pressure ulcers
to their work. Stratis Health provided customized facility support between
sessions and facility-specific data from the Centers for Medicare & Medicaid
Services ( CMS ) for the collaborative participants to assess their performance
on the quality measures. For more info, Kate Johnston, 952-853-8539, kjohnston@mnqio.sdps.org
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