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/priorities/innovation/innovation-models/map/

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POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

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 * 
 * Priorities
 * Overview
 * Innovation Models
 * Partnership For Patients


PARTNERSHIP FOR PATIENTS




 



The Partnership for Patients initiative is a public-private partnership working
to improve the quality, safety and affordability of health care for all
Americans. Physicians, nurses, hospitals, employers, patients and their
advocates, and the federal and State governments have joined together to form
the Partnership for Patients.


OVERVIEW

The Centers for Medicare and Medicaid Services (CMS) implemented the Partnership
for Patients model in 2011 as one of the first models tested using section 1115A
of the Social Security Act. The PfP was a quality improvement network designed
to reduce preventable Hospital Acquired Conditions (HACs) by supporting over
3,700 acute care hospitals to achieve more than a 40 percent reduction in
Hospital Acquired Conditions (HACs) and a 20 percent reduction in readmissions.
While patients and private and federal partners worked to align policy and
action toward the goal, government contractors called Hospital Engagement
Networks (HENs) provided direct technical assistance to acute care hospitals in
implementing evidenced based and best practices of high performing healthcare
systems. After nearly three years of work, the PfP saw an 8.8 percent reduction
in overall harm rates equating to the prevention of an estimated 518,000 harms
to patients, and averting more than 15,500 deaths. The cost-savings from these
reductions were an estimated $4 billion in overall savings for 2012 and 2011
combined.

Awarded September 26, 2015, 17 Hospital Engagement Networks (HENs) sustained the
momentum to provide assistance to improve patient safety and strive for the
reduction of preventable patient harm by 40% and reducing 30-day all-cause
readmissions by 20%. Working with 3,500 hospitals to support the overarching
goals, data showed a decline in preventable patient harm in U.S. hospitals
compared to the 2010 baseline. This  resulted in an estimated 2.1 million fewer
harms experienced by patients, 87,000 lives saved, and nearly $20 billion in
cost savings from 2010 to 2014 as well as substantial reductions in the 30-day
Medicare fee-for-service all-cause readmission rate.

Representing the next phase in evolution of highly coordinated patient safety
efforts, the Partnership for Patients (PfP) Hospital Engagement Networks (HENs)
integrated with the Quality Improvement Network-Quality Improvement Organization
(QIN-QIO) program in 2016 to maximize the strengths of the QIO program while
continuing to expand the current national reductions in patient harm and 30 day
readmissions. Built on the collective momentum of the HENs and QIOs, CMS elected
to refer to the contractors awarded as Hospital Improvement Innovation Networks
(HIINs). CMS, through the 16 Hospital Improvement Innovation Networks (HIINs),
worked to further instill best practices in harm reduction in more than 4,000 of
the Nation’s acute care hospitals. The HIINs regularly engaged with hospitals,
providers, and the broader caregiver community to quickly implement
evidence-based practices in harm reduction to improve the quality of care for
Medicare beneficiaries.

The Partnership for Patients’ Hospital Improvement Innovation Networks (HIINs)
and its participating hospitals worked to reduce Hospital Acquired Conditions
and Hospital Readmissions through the achievement of two goals:

 1. A 20% reduction in all-cause patient harm (to 97 Hospital-Acquired
    Conditions [HACs]/ 1,000 discharges) from 2014 interim baseline (of 121
    HACs/1,000 patient discharges); and
 2. A 12% reduction in 30-day readmissions as a population-based measure
    (readmissions per 1,000 people).

According to the Agency for Healthcare Research and Quality (AHRQ), data showed
successful reductions in hospital-acquired conditions such as adverse drug
events and healthcare-associated infections helped prevent 20,500 hospital
deaths and save $7.7 billion in health care costs from 2014 to 2017. AHRQ’s
preliminary analysis estimates that hospital-acquired conditions were reduced by
910,000 from 2014 to 2017. The estimated rate of hospital-acquired conditions
dropped 13 percent; from 99 per 1,000 acute care discharges to 86 per 1,000
during the same time frame.

To view the AHRQ report titled, AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary Results 2014-2017 please
visit:

https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf


KEY ELEMENTS OF THE PARTNERSHIP

The Hospital Improvement Innovation Networks. Sixteen national, regional, or
state hospital associations will serve as Hospital Improvement Innovation
Networks (HIINs). These awards will integrate the Partnership for Patients (PfP)
Hospital Engagement Networks (HEN) into the Quality Improvement Network-Quality
Improvement Organization (QIN-QIO) program in order to maximize the strengths of
the QIO program and the PfP HENs to sustain and expand current national
reductions in patient harm and 30 day readmissions for the Medicare program.
Learn more about the Hospital Improvement Innovation Networks (HIINs).

The Hospital Engagement Networks. Hospitals across the country are critical
partners in this work. Through the Partnership for Patients, 17 State, regional,
national and hospital system organizations served as Hospital Engagement
Networks. These organizations helped identify solutions already working to
reduce hospital-acquired conditions, and worked to spread them to other
hospitals and health care providers. Learn more about the 17 Hospital Engagement
Networks.

On February 11, 2015 the Centers for Medicare & Medicaid Services (CMS) posted a
request for proposals for Hospital Engagement Network contracts to continue the
success achieved in improving patient safety.

On September 25, 2015 the Centers for Medicare & Medicaid Services (CMS) awarded
contracts to 17 Hospital Engagement Networks as Round 2 of the Partnership for
Patients begins.

The Community-Based Care Transitions Program. Another major Partnership for
Patients network includes sites awarded to participate in the Community-Based
Care Transitions Program. These sites each constitute a collaborative community
effort including community-based organizations such as social service providers
or Area Agencies on Aging, multiple hospital partners, nursing homes, home
health agencies, pharmacies, primary care practices, and other types of health
and social service providers serving patients in that community. Through the
program, these sites are testing models for improving care transitions from the
hospital to other settings and for reducing readmissions for high-risk Medicare
beneficiaries. Learn more about the CCTP.

Patient and Family Engagement. The relationship between health care
professionals and their patients and families is critically important to the
Partnership. It is a key part of keeping patients from getting injured or sicker
in the hospital and helping patients heal without complication through improved
transitions across health care settings and reduced readmissions. Learn more
about the importance of patient engagement to the Partnership.

Additional information about the Partnership for Patients can be found via the
interim update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of
Cost Savings and Deaths Averted from 2010 to 2013.


EVALUATIONS

LATEST EVALUATION REPORTS

 * Partnership for Patients Second Interim Evaluation Report (PDF)
 * Partnership for Patients Second Interim Evaluation Report - Appendix (PDF)

PRIOR EVALUATION REPORTS

 * Partnership for Patients First Evaluation Report (PDF)
 * Partnership for Patients First Evaluation Report - Appendix (PDF)


ADDITIONAL INFORMATION

 * HEN Round Two Press Release
 * HEN Round Two Fact Sheet
 * HIIN Fact Sheet
 * HIIN Press Release
 * AHRQ National Scorecard on Hospital-Acquired Conditions
 * Archive-It


 


MODEL SUMMARY

Stage: Not Active

Number of Participants: N/A

Category: Disease-Specific & Episode-Based Models

Authority: Section 1115A of the Social Security Act


MILESTONES & UPDATES

December 6, 2016Second interim evaluation report posted

September 29, 201616 organizations to serve as Hospital Improvement Innovation
Networks

September 25, 2015Round Two awards for Hospital Engagement Networks (HENs)




WHERE HEALTH CARE INNOVATION IS HAPPENING


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