DCHA Emergency Management Committee Standardizes Series of Emergency Codes Across the District’s Hospitals

Emergency codes are important announcements to ensure facilities operate in accordance with their mission and to the best of their capabilities. The Department of Homeland Security released a report in 2008 citing the importance of using standardized plain language codes. The report writes, “The use of plain language (clear text) in emergency management and incident response is a matter of public safety, especially the safety of emergency management/response personnel and those affected by the incident. It is critical that all those involved with an incident know and use commonly established operational structures, terminology, policies and procedures. This will facilitate interoperability across agencies, organizations, jurisdictions and disciplines.” The guidelines for standardized emergency codes have also been promoted by The Joint Commission for events or threats that can inflict harm on hospital staff, patients and visitors.

The District of Columbia Hospital Association’s (DCHA) hospital leaders see the value in creating uniform systems that enable their staff to be adequately informed during an emergency as well as equipping visitors with adequate information to protect themselves. This was important for the District’s hospitals as many of our staff are employed by multiple hospitals and often work between facilities. The DCHA Emergency Management Committee (EMC) completed a standardization initiative to enhance the emergency preparedness and response efforts for District hospitals’ staff, the patients they serve, and the communities they protect.

Leveraging the collective expertise, the EMC reviewed all member hospital codes for a series of emergency events/alerts. The Committee agreed to use a combination of color and plain language following national trends and best practices. It was further determined the minimum requirement for implementation would be to standardize the nomenclature (with a focus on plain language) and definition for the select emergency codes across the hospitals. Each facility would be given the flexibility to designate their color code for the specific emergency as they deemed appropriate.

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District of Columbia Hospital Association’s Statement on the Partnership Announcement for the New Saint Elizabeths’ East Acute-Care Hospital

Washington, DC – August 10, 2018 – The District of Columbia Hospital Association continues to support the efforts of the Mayor and the Council of the District of Columbia’s Committee on Health to address the delivery of health services to all District residents, and the immediate need to improve access to comprehensive health services for residents of Wards 7 and 8.

Last October, DCHA released a position paper entitled: Health Care Services on the District’s East End: A Vision for Access and Sustainability. In that paper, we laid out our strategy for improving health care in the Eastern side of the city. DCHA and its members continue to support an East End Health Care strategy that includes:

• An integrated and sustainable health care system that includes a right-sized acute care facility, other appropriate services and leverages existing health care partners and resources.
• Appropriate primary, specialty, diagnostic, emergency, acute and post-acute care services based on the current and future needs of the community and market dynamics.
• Education and training for future health care professionals.
• Recognition of the need and inclusion of appropriate resources to address the social determinants of health that create barriers to achieving better health outcomes.

This announcement represents the first step towards establishing a community-wide infrastructure that integrates multiple levels of health care delivery — including preventive, appropriate specialty and post-acute care. DCHA continues to be a committed partner with the District to ensure any investment will be sustainable, while addressing the health care of all residents, particularly those in Wards 7 & 8.

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A copy of Health Care Services on the District’s East End: A Vision for Access and Sustainability can be found here.

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DCHA Celebrates and Salutes Quality Programs in D.C. Hospitals and Health Care

2018 marks 40 years of the District of Columbia Hospital Association’s (DCHA) collaboration with members on important issues facing D.C. hospitals and the community. This past year, D.C. hospitals adopted a resolution of commitment to foster a culture of quality and patient safety that drives positive health outcomes for patients, staff and the community. DCHA is proud to be involved in facilitating collaborative actions and convening community stakeholders to drive improvement across the District of Columbia and the region.

We celebrate the work of our members and the broader D.C. health care community in improving patient safety and health care quality through innovative practices that disrupt the status quo. The works and successes presented in the Quality Showcase publication represent the dedication of D.C. health care leaders to continuously strive toward better care, better experiences, and better outcomes for those we serve.

The Quality Showcase publication features 17 best practices from D.C. hospitals and the health care community.

Clarification from Providence Hospital on Available Services

This is to clarify a previous communication regarding Providence Hospital operations. Providence’s Emergency Care Center remains open, fully staffed, and available to serve the District of Columbia community, with the same range of services that we have always provided to support our emergency care patients, including an inpatient unit, lab, diagnostic imaging, respiratory care, discharge planning, and other ancillary services and support.

Following helpful discussions with elected officials, the Department of Health, the DC Hospital Association, and members of the community, Providence will continue to operate the emergency care center through April 30, 2019, as previously described.

Further, Providence will continue to maintain primary care services both on campus and at the Perry Clinic, outpatient behavioral health services, the Center for Infectious Disease, Carroll Manor, and services at the Police & Fire Clinic and Catholic University of America Student Health.

For patients seeking to get in touch with their physician, Providence has established a dedicated call center—202-854-7000—to direct patients in that regard. Call center hours will be 7:30 am – 5:30 p.m., Monday through Friday.

DCHA Announces the Reinstatement of the DC Chapter of the American Organization of Nurse Executives at Launch Party

The DCHA Chief Nursing Officer Committee hosted a launch party on Jan. 24 at the Psychiatric Institute of Washington to celebrate the reinstatement of the D.C. Chapter of the American Organization of Nurse Executives (ONE|DC). More than 60 nurse leaders attended the launch of ONE|DC for a night of celebration and professional networking.

 

The vision of ONE|DC is to shape the future of nursing and health care for the District of Columbia through innovative leadership, evidence-based practice and education. ONE|DC will consist of nurse leaders and nurses aspiring to be leaders from all care settings. This includes, but not limited to, nurse executives, administrators, nurse managers, nurse educators, nurse quality managers, nursing staff leaders and researchers from across the District of Columbia. With the endorsement of DCHA, at the local level ONE|DC will serve as a self-governing community that will provide a platform for nurse leaders from both the clinical and academic setting to be able to network, share best-practices, and leverage collaboration efforts around safety, quality and the advancement of nursing practice within and around the District.

 

A kick-off meeting has been tentatively scheduled for February 22.  Stand by for announcements and watch for updates at dcha.org/ONEDC. For more information, contact Brendan Sinatro @ bsinatro@dcha.org.​

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DCHA Awarded Grant to Initiate Medication Assisted Treatment for Opioid Use Disorder in District Hospitals

The District of Columbia Hospital Association (DCHA) has been awarded a grant to establish and implement an Emergency Department (ED) Medication Assisted Treatment (MAT) Induction program at MedStar Washington Hospital Center, Howard University Hospital and United Medial Center to identify and provide access to immediate substance use treatment for individuals with opioid use disorder (OUD). In 2017, DC experienced 279 deaths related to opioid overdose.

This induction program will ensure that persons with OUD have the opportunity to make the decision to accept treatment during their visit to the emergency room. Following the initial treatment received at the hospital, patients will be rapidly connected through a warm hand-off to community-based provider(s) for sustained treatment. The program will train all hospital ED staff in the screening, brief intervention, referral to treatment (SBIRT) approach and connect patients to peer recovery coaches while still at the hospital to provide support as they begin their treatment and recovery journey. Peer recovery coaches will also follow-up with patients after they leave the ED to verify if they were successfully connected to recovery support services.

“DCHA and our members are proud to be part of the solution to help individuals get the treatment they need at the right time and the right place. Evidence has shown that initiating early interventions, such as MAT to treat OUD, at the first point of care saves more lives. We are excited to work in collaboration with our member hospitals and the DC government to launch this most important program as a critical step in battling this terrible epidemic,” said Jacqueline D. Bowens, President and CEO of DCHA.

DCHA will partner with the Mosaic Group, which has more than six years of experience working with hospitals on this approach, and the McClendon Center, which has expertise in recruiting and screening applicants for peer recovery coaching positions, to successfully implement the ED MAT Induction program. Hospitals are currently in the planning stages, including setting timelines and engaging key stakeholders. Beginning this month, hospitals will be reviewing and adjusting clinical processes and workforce needs to prepare for safe MAT implementation.

“We are committed to improving the health of our community and turning the tide on the District’s burgeoning opioid epidemic,” said Jeffrey Dubin, MD, chief medical officer at MedStar Washington Hospital Center. “With the DCHA grant funding, these peer recovery coaches, based in our emergency department, will be instrumental in connecting patients with serious opioid issues to treatment and recovery.”

The ED MAT Induction program will be established through $668K of funding from the State Targeted Response grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). It will continue to be supported through $700k of funding from SAMHSA’s State Opioid Response grant provided to the DC Department of Behavioral Health.

“Partnering with DCHA on this effort strengthens our ability to reach residents with OUD to give them another opportunity to get connected to treatment,” said Dr. LaQuandra Nesbitt, Interim Director of the DC Department of Behavioral Health. “This is another example of our commitment to putting multiple measures in place to stem the tide of the opioid epidemic and save the lives of Washingtonians.”

Consumer Guide & Video to Help Understand Hospital Price Transparency

The Centers for Medicare & Medicaid Services issued its final payment system rule for 2019. The rule contains a transparency provision, that went into effect Jan. 1, 2019. It requires hospitals to provide medical pricing information to the public.

This document is designed for the consumer and/or patient to help you understand the complex system of hospital billing and patient charges for medical procedures. Our goal is to assist you in finding your out-of-pocket costs and avoid surprise charges.

This document includes common terms and definitions, frequently asked questions and the right questions to asks hospitals, providers and insurance companies to understand medical charges.

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Specialty Hospitals Strive Toward Better Care, Better Experiences and Better Outcomes

DCHA Quality Showcase-Specialty Hospital Edition

D.C. hospitals adopted a resolution of commitment to foster a culture of quality and patient safety that drives positive health outcomes for patients, staff and the community. We at DCHA are proud to be involved in facilitating collaborative actions and convening community stakeholders to drive improvement across the District of Columbia and the region.

We celebrate the work of our members, in this edition specifically showcasing D.C. specialty hospitals in improving patient safety and health care quality through innovative practices that disrupt the status quo. The works and successes presented in this publication represent the dedication of D.C. health care leaders to continuously strive toward better care, better experiences, and better outcomes for those we serve.

This issue, devoted to D.C. specialty hospitals, features stories from:

  • BridgePoint Hospital Capitol Hill: Improving Quality of Life…One Goal at a Time!
  • MedStar National Rehabilitation Hospital: Collaboration Program Strengthens Patient Medication Literacy at Discharge
  • St. Elizabeths Hospital: Making a Difference with Positive Behavior Support
  • MedStar National Rehabilitation Hospital: Tackling the Issue of Pain Management
  • St. Elizabeths Hospital: Creative Arts Therapies: Bridging Consumer and Community
  • Psychiatric Institute of Washington: Partnerships in Care Coordination: Addressing Readmissions and the Opioid Epidemic
  • MedStar National Rehabilitation Hospital: Adaptive Yoga: Tool for Recovery in Rehabilitation
  • St. Elizabeths Hospital: Teaching Our Next Generation of Clinicians to Be Culturally Competent
  • Trusted Health Plan: Integrated Care With a Person-Centered Touch: Wellness Within Reach

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Be Part of Celebrating and Supporting Local Heroes that Impact the Health and Wellness of the D.C. Community

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Never Underestimate the Power of a Giving
Individual to Make a Difference in the World

It takes a lot of local heroes to keep a community healthy. DCHA is hosting its first awards luncheon to celebrate and honor D.C. Health Heroes whose inspiring and extraordinary acts make the health and wellness of their community a better place. These special people are the quiet and dedicated yet unsung members of the community who are making a difference to improve the health and well-being in their own neighborhoods and across the City.

Please join us for our annual celebration of hospitals and to honor the spirit of giving at our inaugural Health Heroes Awards Luncheon. Health Heroes are nominated by D.C. Councilmembers to represent their respective wards and constituencies and come from a range of backgrounds, including health care providers, community activists, youth, elder advocates, business leaders, etc. Most importantly, the common denominator for all awardees is their demonstrated passion, commitment and dedication to promoting healthy communities. This event will lift your spirits and renew your faith in the power all of us have to make the world a better place.

Event Details
September 19, 2019
11:30 am – 1:30 pm
Marriott Marquis
901 Massachusetts Ave. NW
Washington, DC 20001

Event Flyer
Sponsor Information

DCHA Hosted First Meeting of the Mayor’s Commission on Healthcare Systems Transformations

DCHA was happy to host and be part of a thoughtful group of health care advocates serving on the Mayor’s Commission on Healthcare Systems Transformations. The first meeting on June 25 was a productive discussion of member priorities and concerns, along with approval of the bylaws. The Commission will consist of six subcommittees:

  1. Equitable Geographic Distribution of Acute, Urgent and Specialty Care
  2. Access to Critical Care and Urgent Care Services
  3. Emergency Room Overcrowding & General Reliance on Inpatient Hospital Care
  4. Allied Health Care Professionals
  5. Discharge Planning & Transitions to Care
  6. Value-Based Purchasing of Health Care Services

The Commission was established on June 3 to make recommendations to the Mayor on the strategies and investments necessary to transform health care delivery in the District of Columbia. The Commission’s work shall focus on developing recommendations that address the current stresses in the District’s health care system, while specifically targeting the following issues: improving access to primary, acute, and specialty care services, including behavioral health care; addressing health system capacity issues for inpatient, outpatient, pre-hospital and emergency room services; and promoting an equitable geographic distribution of acute care and specialty services in communities east of the Anacostia river.

Meeting minutes from June 25, 2019

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