Guides And Reports

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Guides and ReportsAim 1: Better CareThis is a listing of all guides and reports organized via the Triple Aim: better health,better care and lower cost.The Imperative for Strategic Workforce Planning and Development:Challenges and OpportunitiesFebruary 2017The AHA’s 2016 Committee on Performance Improvement (CPI) engaged hospitalleaders and experts in the field to identify key workforce challenges. These arechallenges that already exist today and are expected to be further exacerbatedas transformation continues and pressures mount with the various dynamics ofa changing payment and delivery system.Next Generation of Community HealthFebruary 2017The American Hospital Association 2016 Committee on Research was chargedwith exploring what the next generation of community health may look likeas hospitals redefine themselves to keep pace with the changing health carelandscape. The committee released this work in the form of a report.Retail Health Strategies for Hospitals: Case Studies from the FieldJanuary 2017In response to a rapidly transforming health care environment, hospitals andhealth systems across the United States are exploring retail-oriented, consumerfocused care strategies. This issue brief provides case studies from five hospitalsand health systems that have entered the retail health care field.Redefining the H Case Study Series: Part 2November 2016Hospitals are working to achieve all elements of the Triple Aim by redesigningtraditional ways of delivering care to patients and the community. This collectionof case studies features three hospitals and health systems.Preventing Patient FallsOctober 2016This guide describes the types of risks that lead to patient falls, the root causesfor those risks and the solutions designed to reduce them. Several case studiesin the guide highlight individual hospitals and their experiences preventing falls.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 1: Better CareGuides and ReportsCreating Effective Hospital-Community Partnerships to Build a Cultureof HealthAugust 2016This guide, released with support from the Robert Wood Johnson Foundation(RWJF), focuses on how hospitals and communities can develop and sustainpartnerships. HRET conducted 50 interviews with hospital, health system andcommunity leaders from 25 diverse communities to determine common themesand successful approaches for developing effective collaboration.Redefining the Hospital: Case StudiesOctober 2015Hospitals strive to achieve the Triple Aim. This collection features case examplesfrom three health care systems: Lee Memorial Health System, Fort Meyer, Fla.,Summa Health System, Akron, Ohio, and Norton Healthcare, Louisville, Ken.The Association Between Patient and Family Engagement Practicesand Patient ExperienceJuly 2015This slide presentation covers the findings of a 2013-2014 survey conductedby HRET and the Gordon and Betty Moore Foundation on patient and familyengagement practices and their association with patient experiences.Improving Patient Safety Culture through Teamwork andCommunication: TeamSTEPPS June 2015Health care teams that communicate effectively reduce the potential for humanerror, resulting in enhanced patient safety and improved clinical performance.TeamSTEPPS —Team Strategies and Tools to Enhance Performance and PatientSafety—is designed to improve patient safety through effective communicationand teamwork skills.Partnering to Improve Quality and Safety: A Framework for Workingwith Patient and Family AdvisorsMarch 2015To truly transform care, hospitals and care systems must effectively engagepatients and their families. This guide, developed by the Symposium for Leadersin Healthcare Quality, presents a framework for engaging patients as advisorson quality and patient safety initiatives.Equity of Care: A Toolkit for Eliminating Health Care DisparitiesJanuary 2015This toolkit is a user-friendly “how-to” guide to help accelerate the eliminationof health care disparities and ensure hospital leadership and staff reflect thecommunities they serve.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 1: Better CareGuides and ReportsA Framework for Stratifying Race, Ethnicity and Language DataOctober 2014This guide provides a framework for hospitals and care systems to stratifypatient race, ethnicity and language data and use them to identify and addresshealth care disparities.Reducing the Risks of Wrong-Site Surgery: Safety Practices from TheJoint Commission Center for Transforming Healthcare ProjectSeptember 2014As part of the Joint Commission Center for Transforming Healthcare wrongsite surgery project, eight U.S. hospitals and ambulatory surgery centersmeasured the risks of wrong-site surgery in their perioperative processes,pinpointed the contributing causes and developed specific solutions targeted toeach one.Diversity and Disparities: A Benchmark Study of U.S. Hospitalsin 2013June 2014This updated chartpack offers a snapshot of some common strategies used toimprove the quality of care that hospitals provide to all patients, regardless ofrace or ethnicity.The Second Curve of Population HealthMarch 2014This guide builds upon prior AHA reports that outlined a road map for hospitalsand care systems to use as they transition to the second curve of populationhealth. The tactics described in this guide provide a framework for initiativesthat hospitals and care systems could pursue to develop an institutionalinfrastructure that supports population health.Rising Above the Noise: Making the Case for Equity in CareNovember 2013This slide presentation highlights the business imperative for equity of care. Theinformation shows that achieving equity in care is imperative to improving thehealth of the population and improving care efficiency, effectiveness and patientsatisfaction.Reducing Health Care Disparities: Collection and Use of Race,Ethnicity and Language DataAugust 2013This guide provides a four-step approach on how to obtain an accurate REALdata set and discusses how hospitals and care systems can use this data toreduce health care disparities.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 1: Better CareGuides and ReportsEliminating Catheter-Associated Urinary Tract InfectionsJuly 2013This guide describes a three-step action plan from the On the CUSP: Stop CAUTIproject, which helps hospitals and care systems achieve and sustain reductionsin CAUTI infection rates: 1. Communicate that infection reduction is anorganizational priority 2. Provide implementation support 3. Celebrate success,and support sustainability and spread.Checklists to Improve Patient SafetyJune 2013To improve patient safety and quality outcomes, health care professionalsare using multiple methods to reduce patient incidences and eliminatemedical errors. One method being implemented more often is the checklist.This guide includes a checklist, developed by Cynosure Health, for each ofthe 10 areas in the Partnership for Patients Hospital Engagement Network.Diversity and Disparities: A Benchmark Study of U.S. HospitalsJune 2012This chartpack offers a snapshot of common strategies used to improve thequality of care hospitals provide to all patients, regardless of race or ethnicity.The survey results highlight that advancements are being made in key areasthat can promote equitable care, such as collecting demographic data, providingcultural competency training, and increasing diversity in leadership andgovernance.Health Care Leader Action Guide to Effectively Using HCAHPSMarch 2012This guide describes how HCAHPS data should be used in context with otherinformation about organizational performance, and it highlights culturalelements necessary to build a firm foundation for success. Once thesefoundational elements have been considered, the guide outlines a five-stepapproach to using HCAHPS effectively to improve the patient experience, qualityand safety.Improving Perinatal SafetyFebruary 2012Early elective deliveries have been proven to increase the risk of adverse healthoutcomes post delivery for both mother and child. As a result, many hospitalsand health systems are trying to eliminate elective deliveries before 39 weeks.This guide provides a framework for the quality improvement project, metrics tomeasure progress and leading case examples.Eliminating Health Care Disparities: Implementing the National Call toAction Using Lessons LearnedFebruary 2012This guide looks at nine hospitals and health systems and summarizes eachorganization’s key successes toward providing equity in care in one of threeareas: increasing the collection of race, ethnicity, and language preferencedata, increasing cultural competency training for clinicians and support staff, orincreasing diversity in governance and management.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 1: Better CareGuides and ReportsImproving Health Equity Through Data Collection AND Use: A Guidefor Hospital LeadersMarch 2011This guide explores key strategies that hospitals that have adopted to collectrace, ethnicity, and primary language data about their patients and use thedata in efforts to overcome disparities in care.Hand Hygiene Project: Best Practices from Hospitals Participating inthe Joint Commission Center for Transforming Healthcare ProjectNovember 2010This multi-case study describes how eight hospitals used Lean Six Sigmato examine and improve work processes and identify causes and targetedsolutions for failure to clean hands.AHA Research Synthesis Report: Patient-Centered Medical HomeSeptember 2010This synthesis report presents an overview of the patient-centered medicalhome (PCMH), including key features; discussion of federal, state, and privatesector medical home models; and considerations for hospitals interested indeveloping a PCMH.Health Care Leader Action Guide on Implementation of ElectronicHealth RecordsJuly 2010This report provides a roadmap to help senior executives develop a strategyto use EHRs that advances the organization’s ability to deliver care that issafer, more effective and efficient.Health Care Leader Action Guide to Reduce Avoidable ReadmissionsJanuary 2010This guide helps hospital leaders assess, prioritize, implement and monitorstrategies to reduce avoidable readmissions during hospitalization, as well asat discharge and post-discharge.HRET Disparities ToolkitUpdated in 2010This toolkit provides a comprehensive approach to the collection of race,ethnicity and primary language data and offers guidance on how to improvequality of care and reduce health care disparities.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 2: Better HealthGuides and ReportsDeterminants of Health Series: Housing and the Role of HospitalsAugust 2017As part of our work to Advance Health in America, the AHA and HRET arelaunching a series of guides on how hospitals can address the determinants ofhealth such as food, housing and education, to improve the environment wherepeople live, work and play. “Housing and the Role of Hospitals” is the secondguide in this series.Determinants of Health Series: Food InsecurityJune 2017As part of our work to Advance Health in America, the AHA and HRET arelaunching a series of guides on how hospitals can address the determinants ofhealth such as food, housing and education, to improve the environment wherepeople live, work and play. “Food Insecurity and the Role of Hospitals” is thefirst guide in this series.Community Health Initiatives at the American Hospital AssociationJune 2017This work focuses on highlights from our work in community health inseveral areas, including health equity and eliminating care disparities,community health workers, violence and safety, health system and communitycollaborations to advance health, and determinants of health.Health and Wellness Programs for Hospital Employees: Results from a2015 American Hospital Association SurveyOctober 2016The American Hospital Association fielded a survey to hospitals in 2010 and2015, to identify current and emerging best practices in health and wellnessprograms for hospital employees. This HPOE report illustrates and describesresults from the surveys.Applying Research Principles to the Community Health NeedsAssessment ProcessJuly 2016This guide, released by the Health Research & Educational Trust with supportfrom the Patient-Centered Outcomes Research Institute, focuses on applyingresearch principles to the CHNA process.Engaging Patients and Communities in the Community Health NeedsAssessment ProcessJune 2016Released by the Association for Community Health Improvement and HRETwith support from the Patient-Centered Outcomes Research Institute, thisguide presents a model for engaging patients, their families and communitymembers at each step of the CHNA process.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Aim 2: Better HealthGuides and ReportsFoster G. McGaw Prize for Excellence in Community Service: Profilesof 2015 Winner and FinalistsJune 2016This guide features case studies of the 2015 Foster G. McGaw Prize winner andfinalists. Each case study covers the background of the health care organizationand describes several initiatives that are improving the health and well-being ofits communities.Improving the Patient Experience Through the Health Care PhysicalEnvironmentMarch 2016This HPOE guide, a collaboration with the American Society for HealthcareEngineering, explores ways hospital and health system leaders can use thephysical environment to improve the patient experience.Triple Aim Strategies to Improve Behavioral Health CareFebruary 2016This guide describes strategies, action steps and examples for hospitals,health systems and community stakeholders working together to develop awell-coordinated, accessible, affordable and accountable system for deliveringbehavioral health care.Care and Payment Models to Achieve the Triple AimJanuary 2016Two AHA committees, the 2015 Committee on Research and 2015 Committee onPerformance Improvement, released a joint report, “ Care and Payment Modelsto Achieve the Triple Aim,” which addresses how hospitals can develop newdelivery systems and innovative payment models that best meet the needs oftheir organizations and communities.Approaches to Population Health in 2015: A National Survey ofHospitalsAugust 2015HRET and ACHI, in partnership with the Public Health Institute, conducted asurvey of hospitals and health care systems to assess the state of populationhealth efforts in 2015. This report highlights how population health initiatives arestructured and the process of assessing community health needs.Hospital Approaches to Interrupt the Cycle of ViolenceMarch 2015Hospitals and care systems are uniquely positioned to play an integral rolepreventing violence in their communities. Evidence shows that hospital-basedviolence intervention programs reduce violence, save lives and decrease healthcare costs. This guide offers hospital leaders a model for hospital-based violenceintervention that can be tailored to each community’s unique needs.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Guides and ReportsSignature Leadership SeriesSignature Leadership SeriesAim 2: Better HealthLeadership Toolkit for Redefining the H: Engaging Trustees andCommunitiesJanuary 2015A report from the AHA’s Committee on Research and Committee on PerformanceImprovement examines the changing health care landscape and provides anoverview of engagement strategies. It can serve as a leadership checklist forworking with both communities and trustees.Hospital-based Strategies for Creating a Culture of HealthHospital-basedStrategies forCreating aCulture of HealthOctober 2014This report provides background on the Robert Wood Johnson Foundation’svision to build a Culture of Health and discusses how hospitals are contributingto community health improvement, including the findings of HRET’s review of300 community health needs assessments.October 2014Building a Leadership Team for the Health Care Organization of theFutureApril 2014Building aLeadership Teamfor the HealthCare Organizationof the FutureApril 2014AHA and Spencer Stuart conducted a survey of hospital and care system seniorexecutives to examine how the shift toward the second curve is affecting theleadership, talent, strategic priorities and organizational models of health careorganizations. This guide includes results of the survey on how health careleaders are approaching new management roles, recruiting, promoting seniorleaders and overcoming gaps in skills.Integrating Behavioral Health Across the Continuum of CareFebruary 2014IntegratingBehavioral HealthAcross theContinuum of CareIntegrating behavioral health and physical health services across all care settingsand in the community moves an organization toward a seamless system of careoffering patients the services they need, when they need it. This guide explainsthe value of integrating physical and behavioral health services, the importanceof measuring integration efforts and strategic questions to assist leaders.February 2014Your Hospital’s Path to the Second Curve: Integrationand TransformationJanuary 2014This AHA Committee on Research report outlines strategies to help hospitalsand care systems accelerate organizational transformation as they move fromvolume- to value-based systems and business models. The report providesguiding questions and a comprehensive assessment that may lead health careorganizations toward a customized path or series of paths for transformation.Managing an Intergenerational Workforce: Strategies for HealthCare TransformationJanuary 2014This AHA Committee on Performance Improvement report calls to actionhospitals and care systems to build an organizational culture developing andnurturing employees of all ages to provide excellent patient care. The guideoutlines three key strategies for leaders to implement.For more information on guides and reports, visit:hret.org/guides-reportsUpdated September 2017

Signature Leadership SeriesSignature Leadership SeriesFocus on Population HealthSignature Leadership SeriesAim 2: Better HealthSignature Leadership SeriesGuides and ReportsLeading Improvement Across the Continuum: Skills, Tools and Teamsfor SuccessOctober 2013Leading ImprovementAcross the Continuum:Skills, Tools and Teamsfor SuccessOctober 2013This guide provides two new frameworks, the Improvement Continuum andthe Leadership Action Model, for conceptualizing and planning improvementactivities. Equipped with these frameworks, leaders will be better able todesign and implement improvement efforts of varying scope across diversetopics.A Leadership Resource for Patient and Family Engagement StrategiesJuly 2013A LeadershipResource for Patientand FamilyEngagement StrategiesThis resource gives leaders concrete, practical steps grounded in evidencebased research to improve patient and family engagement in theirorganizations.July 2013Becoming a Culturally Competent Health Care OrganizationBecoming a CulturallyCompetent HealthCare OrganizationJune 2013The Role of Small and Rural Hospitals and Care Systems in EffectivePopulation Health PartnershipsJune 2013The Role of Small andRural Hospitals andCare Systems inEffective PopulationHealth PartnershipsTo become an effective population health manager, a hospital must createeffective partnerships. This guide describes how small and rural hospitals andcare systems can develop effective population health partnerships that balancethe challenges and opportunities in providing health management.June 2013Metrics for the Second Curve of Health CareMetrics for theSecond Curve ofHealth CareApril 2013Building on health care futurist Ian

Retail Health Strategies for Hospitals: Case Studies from the Field January 2017 In response to a rapidly transforming health care environment, hospitals and health systems across the United States are exploring retail-oriented, consumer-focused care strategies. This issue brief provides case studies from five hospitals

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