In partnership with the New Hampshire Department of Health and Human Services, the New England QIN-QIO works to implement Million Hearts strategies, including smoking cessation, one of the “ABCS of Heart Health.” Together, they are working closely with home health agencies across New Hampshire, including Cornerstone VNA, to manage smoking assessment data for the population via the HHQI Cardiovascular Data registry and deliver evidence-based smoking cessation resources to clinicians and patients.
Through a program developed by the University Of Rhode Island College Of Pharmacy, students traveled with a Visiting Nurse Agency to patients’ homes, to provide medication reconciliation and education. The New England QIN-QIO partnered with URI by creating a data collection tool for their findings. Data showed these visits prevented 186 physician visits and 46 hospital admissions. It is hoped that the collection of this data will lead to more utilization of pharmacists in the homecare setting.
A nursing home in western Massachusetts implemented a new hydration program to monitor and prevent dehydration among their residents, specifically those with chronic kidney disease. The program incorporated hydration alert protocols which were performed at least once per shift. Since the initial roll out, the facility has been 100% compliant with performing hydration alert protocols, thereby delivering improved care to their residents.
Staff at the Maine Veterans’ Home (MVH) began using the PAM tool to identify patients at greater risk for readmission due to lack of medication adherence and reconciliation. Patients scoring a low activation level receive additional consultation and follow-up from pharmacy staff after discharge. Since implementing processes using this tool and subsequent interventions, MVH has reduced their readmission rate by 23%.
The Southwestern Vermont Medical Center worked with the New England QIN-QIO to perform a hand hygiene assessment on the hospital staff using the mobile app, iScrub. The hospital staff found the observational hand hygiene data from an outside observer as a great addition to their reporting. The data helped to reinforce the need for the continued emphasis on hand hygiene, including efforts to raise awareness as a critical patient safety issue.
Residents of the Vermont Veteran’s Home helped to implement in a hand hygiene program, led by the home’s Infection Preventionist, to keep their home free from the flu and norovirus. As a result of this program and the resident participation, the facility achieved zero flu and norovirus outbreaks and documented a 95% improvement in hand hygiene.