Reducing preventable harm to patients has been the primary focus of the healthcare risk management and quality professionals at AEIX from the start. Partnering with member hospitals to develop innovative patient safety initiatives and implement quality improvement measures has resulted in improved clinical outcomes while significantly reducing liability risk.
Along with the expertise of the AEIX risk consultants, AEIX patient safety improvement collaboratives provide our members with the resources and support they need to overcome barriers and deliver tangible quality improvement for their patients and their organizations.
Premier AEIX Perinatal Improvement Collaborative
The Premier AEIX Perinatal Collaborative launched June 1, 2019 and concluded May 31, 2021, with a 10-hospital cohort of AEIX member hospitals, funded by AEIX. The 24-month initiative was designed to support and augment AEIX hospitals’ current perinatal safety goals and regulatory requirements, not to add additional goals to staff who are already low in resources. The goal of the project was to improve outcomes, efficiency of care, and the patient/family experience through alignment with national, evidence-based practice standards, as well as other national, state and regional perinatal safety initiatives.
The project began with an on-site Perinatal High Reliability Assessment at each participating facility. Using the findings from that assessment, a customized roadmap to improvement has been developed by Premier Perinatal Collaborative Performance Partners and the hospital teams themselves, so the improvement plan is relevant to that hospital’s goals and culture. The Premier team provides monthly improvement coaching, and the teams receive quarterly quality dashboard reports. These reports provide a comprehensive analysis of the organization’s key perinatal and neonatal data sets, including comparative peer benchmarking quality and outcome reports. This dashboard provides collaborative members with cutting edge information, resources and analytics to support their efforts to reduce perinatal mortality and morbidity as well as to comply with regulatory reporting requirements.
The collaborative hosts four educational events per year, providing actionable and scalable information which can be readily applied to clinical improvement plans. Members of the collaborative also have access to the Premier Connect Perinatal Safety Community, an online platform that supports networking, knowledge sharing, and dissemination of evidence-based guidelines. A follow-up onsite Perinatal High Reliability Assessment will take place toward the end of the second year, to identify improvements and recalibrate ongoing organizational patient safety goals.
Vaginal Delivery Safety Checklist Collaborative
The “Vaginal Delivery Safety Checklist: Teaming Up for Safe Deliveries” AEIX quality improvement collaborative launched in January 2017 with fourteen hospitals in five states. AEIX sponsored this improvement project to spread the use of the checklist developed by a member facility as a best practice across the AEIX membership. Along with support in the implementation of the checklist, this AEIX quality improvement project provided frequent web-based education to improve management of common obstetrical emergencies, promote earlier identification of at-risk patients and signs of clinical deterioration; and provide resources to support the teams’ OB improvement endeavors.
Emergency Department Safety Initiative
The Emergency Department Safety Initiative (EDSI), 2010 – 2013, was a collaborative designed to improve treatment outcomes through the use of evidence-based diagnostic protocols in the ED while also lowering financial risk exposure. The initiative focused on management of two high-risk clinical conditions in the ED: chest pain and abdominal pain. Hospitals that collaborated in the initiative were provided with collaboration resources and education, and experienced a significant reduction in claims frequency arising from the ED. Download our July 2015 whitepaper.
Perinatal Safety Initiative
The Premier Perinatal Safety Initiative (PPSI), 2008 – 2014, was launched to create high reliability in labor and delivery processes, improve compliance with specific evidence-based interventions, eliminate the incidence of preventable perinatal harm, and reduce malpractice claims and payouts. AEIX created the project and funded the work for the first two years. In 2010, the project was awarded an AHRQ Patient Safety and Medical Liability Grant to continue through 2013. The improvement collaborative provided the hospitals with a baseline and follow-up High Reliability Perinatal Safety Assessment, consisting of a two-day onsite assessment with a report identifying risk exposures with recommendations for improvement and benchmarking of safety and reliability processes. More detailed information regarding the interventions and outcomes of the PPSI can be found in the PPSI Whitepaper published May, 2014.