Joint Commission Online - Dec. 1, 2021
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
December 01, 2021
A Pioneers in Quality (PIQ) Expert to Expert webinar focusing on the venous thromboembolism (VTE) electronic clinical quality measures (eCQMs) is scheduled for Thursday, Dec. 9.
The free webinar — which will take place from 9-10 a.m. PT / 10-11 a.m. MT / 11 a.m.-noon CT / noon to 1 p.m. ET — aims to provide a deep-dive into measure intent, logic, and other clinical/technical aspects of eCQMs to assist hospitals in their efforts to improve data use for quality improvement. At the end of this session, participants will be able to:
- Apply concepts learned about the logic and intent for the VTE eCQMs.
- Prepare to implement the VTE eCQMs for the 2022 eCQM reporting period.
- Identify common issues and questions regarding the VTE eCQMs.
The Expert to Expert webinar series addresses the eCQM annual updates for 2022 eCQM implementation and incorporates content from The Joint Commission, Centers for Medicare & Medicaid Services, and Mathematica. Common questions from JIRA and other sources will be addressed and participants will be able to ask questions during a live Q&A session.
The webinar also offers 1.0 Continuing Education (CE) credit for those who:
- Individually register for the webinar.
- Listen to the live webinar in its entirety. Only those listening live during the session will be eligible to receive credit.
- Complete a post-program evaluation/attestation. The program evaluation/attestation link will be sent to your registered email after the webinar.
The webinar recording and slides will be available several weeks later. Future webinars in this series are planned for January to March 2022. More information, such as dates, time and registration links, will be sent out soon.
December 01, 2021
Incident reporting systems (IRSs) allow health care organizations to capture errors and identify near misses by engaging frontline personnel to report adverse incidents. However, studies suggest that voluntary reporting detects fewer than 10% of all adverse events. Improving the IRS process can facilitate more informative and timely data capture while providing greater opportunity to improve patient safety and quality of care.
A new study in the December 2021 issue of The Joint Commission Journal on Quality and Patient Safety, “Novel Telephone-Based Interactive Voice Response System for Incident Reporting,” identifies barriers to incident reporting and develops solutions to increase the ease and efficiency of the reporting process.
Diagnostic imaging staff at Niagara Health System–St. Catharines Site, St. Catharines, Ontario, were surveyed to identify barriers to incident reporting through the hospital’s existing web-based IRS. Barriers included lack of time, lack of feedback and complexity of the reporting system. Based on the barriers identified, two incident reporting methods were tested in successive phases:
- A phone-based voice message mailbox to leave a 30-second maximum description of an incident.
- A phone-based structured interactive voice response system (IVRS) with no time limit to describe an incident, dial pushes for binary information and a flow of instructions on which information to report.
- A significant difference in reports per day via the IVRS (3.43) compared to the existing web-based IRS (0.99).
- A significant decrease in the average time to make a report using the IVRS (97 seconds) compared to the IRS (644 seconds) was also identified.
These findings support that IVRS may prove to be more efficient than web-based approaches and encourage higher reporting rates.
Also featured in the December issue:
- Building a Program of Expanded Peer Support for the Entire Health Care Team: No One Left Behind (Froedtert and the Medical College of Wisconsin, Milwaukee)
- Building Patient Trust in Hospitals: A Combination of Hospital-Related Factors and Health Care Clinician Behaviors (semi-structured telephone interviews with participants across the United States)
- Disparities After Discharge: The Association of Limited English Proficiency and Postdischarge Patient-Reported Issues (University of California, San Francisco)
- Changes in Safety and Teamwork Climate After Adding Structured Observations to Patient Safety WalkRounds (University Hospital, Basel, Switzerland)
- Identifying Electronic Medication Administration Record (eMAR) Usability Issues from Patient Safety Event Reports (MedStar Health, Washington, D.C.)
- A High-Value Care Initiative to Reduce the Use of Intravenous Magnesium Sulfate Through an Electronic Indication-Based Order Set (Parkland Hospital, Dallas)
- Describing Evaluations of Decision Support Interventions in Electronic Health Records (commentary)
Access the Journal.