Hospitals in Pursuit of Excellence: A Compendium of Implementation Guides
Hospitals in Pursuit of Excellence (HPOE) guides and toolkits provide a wealth of actionable resources to help you design and implement strategies that will take your hospital to the next level of performance and address the challenges and opportunities of implementing health care reform. Bookmark this page and visit it often for the latest HPOE resources.
Practical Advice to Boost Quality
In a new video interview, Maulik Joshi describes five ways the American Hospital Association's Hospitals in Pursuit of Excellence platform can help hospitals accelerate quality improvement and meet the demands of health care reform.
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Hospitals in Pursuit of Excellence: A Compendium of Implementation Guides Click here to download a complete set of HPOE guides and toolkits (July 2010). |
Leadership and Governance
Competency-Based Governance: A Foundation for Board and Organizational Effectiveness - February 2009
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Sustaining success in the post-reform era will require a hospital to work on many strategies simultaneously, requiring a new level of leadership expertise to guide hospitals and health systems as they begin their journey toward achieving success under health care reform. This blue ribbon panel report from the Center for Healthcare Governance makes the case for a competency-based approach to governance that can help drive performance and help boards simultaneously address the multiple challenges facing hospitals and health systems under health care reform. |
Community Health Assessment
ACHI Community Health Assessment Toolkit - 2007, updated in 2010
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New requirements for tax-exempt hospitals include assessing the health needs of your community. This toolkit from the Association for Community Health Improvement (ACHI) provides a strategic and thoughtful approach to facilitating better health results for your communities. |
High Performance
A Guide to Achieving High Performance in Multi-Hospital Health Systems - March 2010
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This guide illustrates the importance of developing a culture of performance excellence, having a clear set of defined values and expectations that form the basis for accountability of results, and a disciplined and persistent focus by leadership on execution and implementation. It also provides numerous strategies and tools that leaders can use to help drive performance improvement regardless if they are part of a health system or not; the lessons are transferrable to all hospitals. |
Disparities Reduction
HRET Disparities Toolkit - 2007, updated in 2010
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An important component of improving the quality of care is working to eliminate health disparities - from access to care to health outcomes - among racial and ethnic groups. In order to address health disparities, hospital and health system leaders must understand the unique characteristics of the communities they serve. This toolkit provides a comprehensive approach to the collection of race, ethnicity, and primary language data and offers guidance on how to use this data to improve quality of care and reduce health disparities for all populations. |
Workforce
Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals - June 2010
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The availability of a stable and capable workforce is a key ingredient in a health care organization's ability to deliver efficient and effective care, which will be critically important under health reform. As such, high-performing organizations are investing significant resources in creating a culture that focuses on quality and safety. This guide provides practical advice on workforce practices that hospitals and health systems can adopt to develop a high-performing workforce that can deliver safe, high quality, and efficient health care. |
Care Coordination/Readmissions
Health Care Leader Action Guide to Reduce Avoidable Readmissions - January 2010
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As health care reform moves hospitals to a more integrated delivery model that emphasizes value over volume and greater hospital accountability for care, more attention is being paid to reducing avoidable patient readmissions. Adding to the urgency is the health reform provision that reduces Medicare payments to hospitals with "excessive" readmissions beginning in FY 2013. Many hospitals across the country are currently engaged in efforts to reduce avoidable readmissions, working not only within the hospital, but also with other providers and care settings in their communities to improve coordination and transitions. This guide helps hospital leaders assess, prioritize, implement and monitor strategies to reduce avoidable readmissions during hospitalization, as well as at discharge and post-discharge. |
Health Information Technology
Health Care Leader Action Guide on Implementation of Electronic Health Records - July 2010
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The promise of health information technology to help providers deliver efficient, high quality care is driving the federal government's stimulus program to provide financial incentives for the meaningful use of electronic health records (EHRs) within hospitals and physician offices. But just like any major organizational improvement effort, the adoption and use of EHRs must be built on a solid foundation of leadership engagement and careful planning. This guide provides a roadmap to help senior executives develop a strategy to use EHRs that advances the organization's ability to deliver care that is safer, more effective, and efficient. |
Learning from Testing New Models
AHA Research Synthesis Report: Bundled Payment - March 2010
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AHA Research Synthesis Report: Accountable Care Organizations - June 2010
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Early Lessons from the Acute Care Episode Demonstration Project - July 2010
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The federal health reform legislation includes several demonstration projects that will be held in the coming years to test new models for care delivery and payment. Hospitals and health systems are encouraged to carefully study the provisions of these upcoming demonstration programs and clearly understand their requirements. The AHA research synthesis reports on bundled payment and accountable care organizations provide an overview of these concepts, summarize key conclusions learned from similar projects in the past, and offer key questions that should be considered by hospital and health system leaders when contemplating participation in the upcoming demonstration programs. Early Lessons from the Bundled Payment Acute Care Episode Demonstration Project provides an overview and summary of lessons learned to date from the CMS Acute Care Episode (ACE) Demonstration, a current CMS pilot project to test the effect of bundling Part A and B payments for episodes of care on the coordination, quality, and efficiency of care. |
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implementation resources from
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