Together, we're meeting the challenges of today to build a safer tomorrow and beyond

Together, we are part of something important. We’re changing healthcare and improving patient safety and quality by implementing evidence-based, best practices that are supported by data. Our person- centered philosophy fuels our purpose and work. It drives us to continually improve and build safer and more reliable healthcare.

Michigan Health & Hospital Association (MHA) Keystone Center member hospitals are voluntarily participating in programs to improve the quality and delivery of healthcare by tackling big issues on a daily basis.

Every day, we’re exploring new and innovative ways to prevent harm, reduce healthcare costs, and improve patient safety.

 

Celebrating the Successes of 2016-2017

Hear from MHA and MHA Keystone Center leaders about the successes of the 2016-2017 program year.

 

Person- and Family-Centered Care

Building a Person- and Family-Centered Healthcare System: Patient and Family Engagement (PFE)

Patient & Family Engagement logoFor the 2016-2017 program year, the MHA Board of Trustees recognized the importance of partnerships with patients and families by identifying a goal that all Michigan hospitals have a functioning patient and family advisory council (PFAC) and/ or have patient/family advisors on existing quality and safety improvement teams.

High reliability culture chartHigh Reliability Culture

High Reliability Organizations in Healthcare

Patients are unintentionally harmed in hospitals every day. Medical care accounts for 251,000 deaths per year and is the third leading cause of death in the U.S.

Organizations that manage safety concerns over an extended period of time are known as High Reliability Organizations (HROs). HROs deliver consistent, quality care for every patient, every time. The MHA Keystone Center is supporting hospitals through their journey to a culture of high reliability.

Quality Improvement

Great Lakes Partners for Patients (GLPP) Hospital Improvement Innovation Network (HIIN)

GLPP HIIN logoThe MHA, the Illinois Health and Hospital Association and the Wisconsin Hospital Association launched a joint quality improvement program — the Great Lakes Partners for Patients — in September 2016 as part of a Centers for Medicare & Medicaid Services (CMS) Hospital Improvement Innovation Network contract. The partnership unites the quality improvement strengths of three statewide hospital associations, guiding participating members through a variety of best practices, collaboratives and resources to reduce 11 areas of harm over three years.

Safety

Certified Patient Safety Organization logoPatient Safety Organization (PSO)

The MHA Keystone Center is recognized as a federally listed PSO by the Agency for Healthcare Research and Quality. The MHA Keystone Center PSO encompasses a three-pronged approach to improving patient safety through education on the legal protections of the federal Patient Safety and Quality Improvement Act, data analysis, and provision of learning opportunities.

Hospital Stories

Read stories about how MHA Keystone Center member hospitals are improving the quality and delivery of healthcare.

Read hospital stories

Additional Culture and Safety Activities

  • MHA Keystone Center uses Digital Outreach and Social Media to share the successes of MHA Keystone Center participants and educate Michiganders.
  • The MHA Keystone Center provides numerous resources and hosts many events throughout the program year to help participants achieve clinical objectives, educate staff and patients.
  • MHA Keystone Center Contributing Staff released a dozen publications, posters and presentations during the 2016-2017 program year about quality initiatives statewide.

More information on all of these initiatives is available in the full report. 

Read More 

MHA Keystone Center Annual Report Talking Points

Background

The 2016-2017 MHA Keystone Center Annual Report highlights how the MHA Keystone Center, its member hospitals and health systems and state and national patient safety experts are working together to improve the safety and quality of patient care in healthcare by implementing evidence-based, best practices and exploring new and innovative ways to prevent harm, reduce healthcare costs and improve patient and staff safety.

Key Findings in This Year’s Report

  • 86 percent of Michigan hospitals have established a patient and family advisory council and/or partnered with patient/family advisors on existing improvement teams in an effort to engage with patients and families in improving outcomes.
  • As part of a multi-state effort to reduce 11 areas of patient harm, Michigan hospitals have made significant strides in making patient care safer through reductions in such areas as central line-associated bloodstream infections, catheter-associated urinary tract infections, post-operative pulmonary embolism and deep vein thrombosis, and incidents of MRSA and C.diff among others.
  • Members of the MHA Keystone Center Patient Safety Organization (PSO) have reported substantial improvements in safety culture and engagement scores since 2015, indicating a shifting landscape toward safer, process-driven care.

Talking Points

Since 2003, MHA Keystone Center member hospitals have voluntarily participated in efforts to make care safer and more reliable for the patients and communities served by Michigan hospitals and health systems.

  • In 2016, the MHA Keystone Center partnered with the Joint Commission Center for Transforming Healthcare for three years to assist Michigan hospitals in their journey to become highly reliable and aiming for zero preventable harm to patients, healthcare workers and visitors.
  • The MHA Keystone Center PSO provides a safe environment for hospitals and healthcare providers to learn from one another and subsequently prevent future patient and staff harm.
  • Safe Table meetings provide a legally protected, safe forum for sharing information about adverse events, their contributing factors and root causes. These meetings are offered quarterly and promote learning from adverse events and near misses to prevent harm in the future.
  • Overall, there was a 7 percent improvement in measures related to leadership and decision-making in hospitals. This indicates that staff feel they have a voice within their organizations and can contribute to decision-making conversations, in addition to feeling their supervisors were more accessible and provided better performance feedback and clearer communication with regard to expectations.
  • While burnout rates continue to be a concern among clinical support personnel, nurses and technicians, clinical social workers showed the largest improvement of any role type, with a 23 percent reduction in workload strain.

Our top priority is caring for patients, their families and our communities. Michigan hospitals are pursuing person- and family-centered care since these efforts lead to significant improvements in the quality of care and patient safety. 

  • Making meaningful partnerships with patients and families is a critical component of creating a culture of person- and family-centered care. It means working with patients and families and making an effort to actively engage them in their care, rather than doing things to or for them.
  • In recognition of the powerful role person- and family-centered care can have on patient outcomes, the MHA Board of Trustees set a 2016-17 program year goal that all Michigan hospitals have a functioning patient and family advisory council (PFAC) and/or have patient/family advisors on existing quality and safety improvement teams.
  • To date, 114 hospitals (86 percent) have established a PFAC and/or partnered with patient/family advisors on existing improvement teams.

Michigan hospitals, along with hospitals in Wisconsin and Illinois, are working together to reduce 11 areas of patient harm over three years. The effort is beginning to yield meaningful results when it comes to quality of care and patient safety.

  • The Great Lakes Partners for Patients (GLPP), a joint quality improvement program between the MHA, Illinois Health and Hospital Association and Wisconsin Hospital Association, is part of the Centers for Medicare & Medicaid Services Hospital Improvement Innovation Network (HIIN) contract with the MHA Health Foundation. The partnership unites the quality improvement strengths of three statewide hospital associations, guiding participating members through a variety of best practices, collaboratives and resources to reduce the following 11 areas of harm over three years. To date, these improvement efforts have resulted in an estimated cost savings of more than $17 million and a significant reduction in the number of harmful events.
    • Adverse drug events
    • Central line-associated blood stream infections (CLABSI)
    • Catheter-associated urinary tract infections (CAUTI)
    • Clostridium difficile (C.diff) bacterial infection
    • Injuries from falls and immobility
    • Pressure ulcers
    • Sepsis and septic shock
    • Surgical site infections
    • Venous thromboembolism
    • Ventilator-associated events
    • Readmissions
  • Michigan hospitals participating in the GLPP HIIN have achieved the following reductions:
    • 6.5 percent reduction in the sepsis mortality rate from 2014 to 2016
    • 24 percent reduction in CAUTI rates from 2015 to 2017
    • 44 percent reduction in CLABSI from 2015 to 2017
    • 5 percent reduction in incidents of methicillin-resistant staphylococcus aureus (MRSA)
    • 15 percent reduction in Clostridium difficile (C.diff)
    • 27 percent reduction in colorectal surgical site infections from 2014 to 2016
    • 22 percent reduction in postoperative pulmonary embolism and/or deep vein thrombosis from 2014 to 2016
  • Focus areas for Michigan in the coming year include the following areas:
    • Pressure ulcers
    • Adverse drug events
    • Falls
    • Readmissions
    • Sepsis
    • VAE
    • SSI – hips and knees
    • Health equity

Additional Resources

MHA Keystone Center: A Certified Patient Safety Organization

About the MHA Keystone Center

The MHA Keystone Center is supported and led by leaders in healthcare throughout the state. Learn about the leaders who are working together to build a safer tomorrow, and about the guiding mission, vision and values of the MHA Keystone Center. 

Read the Full Report

cover of PDF version of report

Download a PDF of the full report to learn about everything the MHA Keystone Center is doing to promote high quality healthcare in Michigan. 

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Leading Michigan to Better Health

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