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PSO SUCCESSES: REALIZING THE POTENTIAL OF THE PSQIA          and performed by Clarity PSO have yielded strong and positive insights and results for our client organizations. The table overleaf demonstrates some of those patient safety activities, followed by some of the changes that have been made as a result of these activities.


Some of the changes noted among our clients through their participation with Clarity PSO include:


• The beginning trend of decreasing events associated with harm to patients in the hospital setting, while encouraging greater overall reporting of safety concerns and events. • A concentrated focus on raising awareness in ambulatory/outpatient settings of events that can lead to harm and capturing those events in real-time for accelerated interventions and more coordinated RQS management across the continuum of care.


• New practice guidelines being designed and implemented to address potential system issues that became clear through PSO data analysis  of specialty national practice guidelines.


IMPACT OF THE PPACA                       and the creation of an insurance marketplace.


Part of the PPACA legislation highlights what will be required of hospital providers who desire to work with the Health Insurance Exchanges (HIX) in the insurance marketplace, ie, a phased-in approach (through 2017) that will require all hospitals with more than 50 beds to work with a PSO if intending to contract through the HIX. To date, hospitals have been somewhat reluctant to participate with a PSO, but this provision will encourage/require that participation.


THE WAY FORWARD FOR PSOS  


• Maximize existing resources by focusing attention on the areas where the data suggest it is needed most in terms of harm reduction and system changes.


• Increase knowledge sharing and awareness-building in a safe place protected from discovery.


• Take a system-wide view of events that may be happening, accelerate decision-making in terms of needed interventions, and support sustainable change over the long term. • Enhance your culture of safety and watch it spread throughout your organization. Ultimately, AHRQ (and HHS) have a goal to create a national repository of data that can be used by all providers to create positive change in


Annual 2014 | HEALTHCARE RISK MANAGEMENT REVIEW | 15


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