Perioperative Surgical Home Learning Collaborative 2020 Participant Expectations & Application
FRAMEWORK FOR THE PSH LEARNING COLLABORATIVE 2020 The collaborative will feature two participation options, a Core Collaborative and an Advanced Cohort, each designed to meet the specific needs of organizations in different stages of their transformation journey. In addition, the Advanced Cohort members will have the ability to purchase the Bundles Payment Add-On Option which helps members assess their facility’s benefits and risks in participating in various bundle payment programs. The collaborative will begin on May 1, 2018 and run for two years. CORE COLLABORATIVE – KEY ACTIVITIES & MEMBER EXPECTATIONS The Core Collaborative is designed for organizations that are in the early stages of transformation and therefore are primarily focused on learning, building capabilities and preparing for implementation. Key activities and services available to Core Collaborative participants will include: National meetings (semi-annual) Educational webinars (monthly) Member sharing webinars (monthly) Collaborative updates via email (biweekly) Access to a clinical protocol repository (ongoing) Access to implementation best practices and tools (ongoing) Access to payment model resources and templates (ongoing) Access to an Advanced Collaborative-Only section of the Collaboration Community Coaching to help develop publication strategy In joining the Core Collaborative, participants will commit to: Identifying an anesthesiologist champion and securing time for active participation Identifying a surgeon champion and securing time for active participation Identifying an administrative champion and securing time for active participation Attending and actively participating in national meetings Attending and actively participating in educational webinars Attending and actively participating in member sharing/networking calls Responding to requests for help and guidance from collaborative participants Responding to requests for feedback and input from collaborative staff Proactively sharing best business and clinical practices with collaborative participants and staff Regularly reviewing resources available on the online PSH Community ADVANCED COHORT – KEY ACTIVITIES & MEMBER EXPECTATIONS The Advanced Cohort is intended for organizations that are looking to optimize or expand their PSH pilot. Key activities and services available to Advanced Cohort participants will include all those offered to the Core Collaborative (see above), as well as the following additional features: - Focused performance optimization sprints and webinars (semi-annual) - Coaching to help develop members’ publication strategies - Coaching to help you prepare and monetize the PSH - Access to the economic impact of bundles participation analysis tool - Access to a dedicated staff member to provide support (up to 8 times per year) In joining the Advanced Cohort, participants commit to (in addition to the activities listed above): Identifying a time for calls with collaborative staff and participating in the calls as a team Actively participating in Advanced Cohort calls and meetings Providing input on topic selection for the performance improvement sprints Actively participating in performance improvement sprints BUNDLES PAYMENT ADD-ON OPTION Advanced Cohort participants have the exclusive opportunity to supplement that membership with the Bundles Payment Add-on offering that supports institutions entering or already participating in a bundle. This program will ensure success by providing organizational support to those participating in a voluntary/involuntary bundle.
Bundles Payment Add-on:
A NEW add-on offering that positions organizations for success and supports facilities as they participate in various private and public bundle programs. Participants can expect: Support for evaluating which bundle(s) to enter; includes discussions regarding benefits, risk, program design and identification of opportunities across multiple episodes Receive support including analytics, reporting, cost management, operations design, reconciliation support, and gain sharing guidance Discover cost reduction opportunities compared to national top decile performance and collaborative benchmarks
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Participant Application - Due Friday, April 15, 2018
Please complete each section of the application as completely as possible, including any necessary explanations.
Membership level:
Core
Advanced
Bundles Payment Add-On
Yes
No
Section 1: Overview (Required)
Organization
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization type
Academic Medical Center
Community Hospital/Health System
Pediatric Hospital
Ambulatory Surgery Center (ASC)
Physician Group Practice
If you are a group practice, please list your acute care hospital or ASC partner(s)
Primary service area and population
Number of beds
Total annual procedural volumes
Payor mix (please provide percentage for each)
Primary Collaborative Contact
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Membership level
Core Collaborative
Advanced Cohort
EHR Systems
Inpatient
Ambulatory
Anesthesia Information Management
Prior Experience
Participant in quality improvement initiatives
Yes
No
If yes, please specify the methodology used
Participation in other national or regional learning collaboratives
Yes
No
If yes, please specify which one(s)
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Section 2: PSH Champions and Key Team Contacts
(Required)
Successful participation in this collaborative will require commitment from anesthesiology, surgical, administrative, and IT champions, as well as project management and support staff. Please provide contact info for key members of your PSH team.
Anesthesiology Champion(s)
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Surgeon Champion(s)
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
C-Suite Champion(s) (e.g., CMO, COO, CEO, CNO)
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
IT Champion(s)
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Project Manager
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Additional Team Member
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Additional Team Member
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Email
example@example.com
If you would like to list additional team members, please submit them on a separate page.
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Section 3: Organizational Capabilities (Required)
Successful participation will also require support and resources drawn from beyond the immediate project team. Please indicate whether your organization has the following capabilities to support of the initiative. If you answer no for any of the capabilities, please explain below.
Key Capabilities
Ability to implement evidence-based clinical protocols
Yes
No
Ability to implement evidence-based clinical pathways
Yes
No
Ability to monitor compliance with evidence-based protocols
Yes
No
Access to financial decision support and expertise
Yes
No
Access to performance improvement support, and expertise
Yes
No
Participation in a clinical registry (e.g., AJRR, NSQIP, NACOR, STS, other)
Yes
No
If yes, please indicate which one(s)
Ability to collect and report data on monthly basis for performance improvement?
Yes
No
If in one of CMS’ Comprehensive Care for Joint Replacement (CJR) markets, ability to collect data on a monthly basis for the quality metrics required – THA/TKA complication (NQF 1550) and HCAHPS survey (NQF 0116) measures, as well as THA/ TKA voluntary patient reported outcomes and limited risk variable data.
Yes
No
N/A
Explanation (if needed)
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Section 4: PSH Pilot Program Information (optional for Core; required for Advanced)
Please provide the following information as it relates to your existing PSH pilot(s). If you have not yet implemented a PSH program and are applying for the Advanced Cohort, please describe your implementation plan and timeline.
PSH Pilot(s)
For which procedure(s) or service line(s) have you launched PSH pilot(s)
How many PSH cases have you completed to date and during what timeframe
Have you implemented a payment model to support your PSH pilot(s)
Yes
No
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Section 5: Data Collection and Reporting Capabilities (optional for Core; required for Advanced)
If you are applying for the Advanced Cohort, please indicate whether your organization will be willing and able to share the following data for your PSH patients. If you answer no for any of the metrics, please explain below.
Clinical & Safety Outcomes (PSH cases only)
Outpatient Surgical Case Mortality
Yes
No
Discharge Disposition of Inpatient Surgical Cases
Yes
No
Unplanned Upgrade of Care for Inpatient Surgical Cases
Yes
No
Unplanned Upgrade of Care for Outpatient Surgical Cases
Yes
No
Non-mortality Complications for Adult Inpatient Surgical Cases
Yes
No
Non-mortality Complications for Pediatric Inpatient Surgical Cases
Yes
No
Inpatient Surgical Case Mortality
Yes
No
Internal Efficiency Outcomes (PSH cases only)
First Case Delayed on Day of Surgery (IP and OP)
Yes
No
Day-of-Surgery Case Cancellations (IP and OP)
Yes
No
Timeliness of Outpatient Surgical Case Discharge
Yes
No
Average Length of Stay for Inpatient Surgical Cases
Yes
No
Patient Centered Outcomes (PSH cases only)
Patient Experience at Discharge
Yes
No
Patient Experience 30 days Post Discharge
Yes
No
Financial Outcomes (PSH cases only)
Average Cost per Case
Yes
No
Average Post-Acute Care Cost per Case
Yes
No
Explanation (if needed):
Primary collaborative contact:
Submit
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