February 2023 Utilization Report

Looking at the average daily volumes, there is a noted increase in utilization across most hospitals going from January to February 2022. Acute care admissions increased by two percentage points compared to pre-COVID baselines going from -17% in January to -11% in February, while Emergency Department admissions changed from -28% to -24% in the same time period. On the other hand, observation admissions remained consistent at 6% over baseline, and average daily ambulatory surgeries saw the biggest increase in volumes going from -9% below baseline in January to 3% over baseline in February. Average daily psychiatric admissions are the only metric that saw a slight decline in volumes from January to February (see Fig. 1). Digging further, all hospitals except for two saw a decline in psychiatric admissions this month, three of which had their lowest volumes in the past 15 months as presented in Table 7 of the report.

New Opioid Response Podcasts Released

Dr. Laura Haselden, an emergency medicine physician and podcast host, discusses topics such as X-Waiver, Buprenorphine Dosing, Prescribing, Safety and Clinical Decisions and Understanding Precipitated Withdrawal. Three new podcasts have been added to our training library.

Introduction to the Literature Review and Background of Peer Services
This podcast introduces the literature, evidence, and training on the use of peer support and counseling, and shares perspective and recommendations.

Peer Recovery Coach vs. Outreach Coach: The Peer’s Role and Training and Skills
This podcast introduces a peer recovery and outreach coach in the District of Columbia, and discusses the difference between a peer recovery coach and outreach coach.

The Invaluable Perspective and Expertise as a Peer Recovery Coach with Lived Experience
This podcast discusses patient encounters and approaches to patient care, including methods of patient motivation, patient hesitancy to take Suboxone, and the importance of a peer network.

New Patient Safety & Quality Resources for DCHA Members Only

DCHA uploaded new resources for members only for the following topics:

  • COVID Response Support
  • Health Equity
  • Opioid Response
  • Quality Measures
  • Staff Wellness
  • 护理过渡
  • Hospital Related Data Resources

To access resources, you must have a DCHA account with a username and password.

Access Member Resources Create a DCHA Member Account

January 2023 Utilization Report

强调
A slight increase in utilization metrics compared to pre-COVID baselines was observed for January 2023 compared to December 2022 except for emergency department visits which declined by one percentage point going from -27% below the pre-COVID baseline to -28%. Acute care admissions went from -20% below baseline in December to -17% this month, while psychiatric admissions increased from -35% to -27% below baseline. Observation patient visits jumped above the pre-COVID baseline during January 2023 going from -7% below to 6% over baseline (See Fig. 1). Although total admissions for specialty care hospitals went down this month, St Elizabeths and BridgePoint Hospital Capitol Hill showed their highest volume in the past 15 months as presented in Table 4 of the report.

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A Year of Challenges and Successes: Moving Forward Together in the Health Care Landscape

The past year was full of challenges as we evolved during a post-pandemic time. Constant pressures on the healthcare system, ongoing workforce shortages and financial insecurities forced leaders to think of new approaches to sustain critical services and programs. Hospitals across the country continue to report an alarming rise in patients who become caught in limbo in emergency departments; experiencing delays due to a number of factors that result in poor patient outcomes, staff dissatisfaction and unnecessary costs.

Longer emergency department stays are more common for patients needing behavioral health treatment than for patients with other diagnoses and conditions. Patients with acute psychiatric issues often wait in hospital emergency departments for three to five days or more before they can be admitted to an inpatient behavioral health facility, according to a September 2021 article published in NEJM Catalyst Innovations in Care Delivery.

However, there are solutions to these challenges. Health care facilities and states who have implemented the XFERALL (pronounced transfer-all) solution have seen faster patient transfers and better patient care. XFERALL (a company created by clinicians who recognized this patient transfer issue) creates a virtual network for hospitals, health care facilities and mobile crisis units to connect to one and other to both send and receive behavioral health patients in need. Eliminating the tedious actions of calling, faxing and finding the correct facilities to transfer patients to. This can all be accomplished with the XFERALL platform.

Health care facilities using XFERALL have experienced lower costs and an impressive 86% reduction in patient transfer times on average. Patient transfers coordinated via the XFERALL platform experienced an additional 25% decrease in 2022 compared to 2021 demonstrating consistent improvements expediting patient transfer intake process.

In 2022, XFERALL saved it’s partners more than $61.9 million in costs and revenue allowing hospital leaders to invest in critical programs, their teams and the communities they serve. Together we can achieve better results through our commitment to bring resources to the provider community in the District of Columbia.

Through our partnership, XFERALL and DCHA are dedicated to working together to improve access to care. 

New Advanced Planning Solution Launches March 8

CRISP DC will launch a new cloud-based advance care planning solution to all District providers at no cost. Through an initiative led by the DC Department of Health Care Finance and DC Health, CRISP DC collaborated with A|D Vault to embed its advance care planning platform, MyDirectives for Clinicians, in the Health Information Exchange (HIE). The benefits of accessing MyDirectives for Clinicians are plentiful, including an user-friendly platform integrated in the CRISP DC HIE and the ability to create, upload and view new digital advance care planning forms as required across all patient care teams with access to the DC HIE. The forms include DC Most, National POLST, Psychiatric Advance Directive, and Universal Advance Digital Directive (uADD).

Starting on March 8, users will be able to scan and upload existing advance care planning documents; display forms in the DC HIE anytime and anywhere across the continuum of care; and ensure other care teams, such as ambulatory providers and DC Fire and EMS responders, can access the information to honor the patient’s care decisions. CRISP DC will host webinars to answer questions and demonstrate this new solution.
  • March 8: 8 am, Noon, 5 pm
  • March 10: 8 am, Noon
  • April 5: 8 am, Noon, 5 pm
  • April 7: 8 am, Noon

Patient Safety & Quality Poster Competition is Open

Calling all health care professionals for DCHA’s Patient Safety and Quality Poster Competition. The Patient Safety & Quality Poster Competition is organized to encourage hospitals and health care providers to present their original work. All winning abstracts will be presented during the annual Patient Safety & Quality Summit on November 14, 2023.

Purpose:  The purpose of the competition is to emphasize quality improvement methodology, provide a venue to share innovative and effective educational programs, showcase unique community projects, and encourage networking among medical peers with similar interests.

Theme: Managing Change: Adapting Safety and Quality Initiatives in an Environment of Competing Priorities

Cash Awards: $1,000 for 3 Bronze Winners; $2,000 for 2 Silver Winners; and $3,000 for 1 Gold Winner

Deadline: June 30, 2023

Questions: Eden Cunningham, 240-441-0057, ecunningham@dcha.org

 

New Series of Opioid Response Podcasts Released

Dr. Laura Haselden, an emergency medicine physician and podcast host, will discuss topics such as X-Waiver, Buprenorphine Dosing, Prescribing, Safety and Clinical Decisions and Understanding Precipitated Withdrawal.

All About the X-Waiver: Buprenorphine Dosing
This podcast will discuss the X-waiver, which is needed to prescribe medication for the treatment of opioid use disorder.
Buprenorphine: Background, Safety & Considerations for Clinical Decisions
This podcast will focus on buprenorphine as a form of MOUD that is most accessible from the ED, with details on the basic pharmacology, safety, buprenorphine with naloxone, and other background to support clinical decision making for patients.
Understanding Precipitated Withdrawal
This podcast will focus on understanding participate withdrawal and patient considerations when prescribing buprenorphine.
Prescribing Buprenorphine in the ED: Effective Strategies for Physicians
This podcast will provide more information on which patients would benefit from buprenorphine in the ED, how to use peer recovery coaches and preparing for next steps for patients after they received buprenorphine.

DCHA Hospitals Donate 1,000+ Pairs of Socks to Local Charity

Thank you to the hospitals who participated in DCHA’s Warm the Sole Sock Drive: Psychiatric Institute of Washington, St. Elizabeths, Howard University Hospital, and The George Washington University Hospital. DCHA staff and the Clyde Group also donated to the sock drive to help the homeless community and others in need this season. Collectively, more than 1,000 pairs of socks were donated to DCHA Associate Member Catholic Charities. A special shout out to Howard University Hospital who donated more than 400 pairs of socks alone!

This year we are providing case management services to over 200 migrant families living in the motels on NY Avenue NE.  200 families primarily from Venezuela… that is about 900 people.  LOTS of KIDS!!! This has been a huge humanitarian effort above and beyond our regular work running homeless shelters and our community mental health agency. I say that because donations of new items like this are so much help.

–Denise Capaci, Executive Director, Catholic Charities of the Archdiocese of Washington

 

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