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Past Issues > June 2011

Featured Articles

Dear Reader
Quality Talk
QIOs in Action
Dear Reader
Jean Moody-Williams, R.N., MPP

An introduction from Jean Moody-Williams, R.N., MPP, Director, Quality Improvement Group, CMS Office of Clinical Standards and Quality.

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Quality Talk
Dr. Eric A. Coleman, M.D., M.P.H.
Eric A. Coleman, M.D., M.P.H., Creator of the Care Transitions Intervention

Eric Coleman, M.D., M.P.H., creator of the Care Transitions InterventionSM, shares his insights on improving health quality for patients as they move from one setting of care to another.

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QIOs in Action
Map of the United States highlighting featured states

A roundup of QIO, provider and partner accomplishments, recognitions and other noteworthy happenings.

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In This Issue:

Dear Reader
Quality Talk
QIOs in Action
Zeroing in on Pressure Ulcers
Bringing Together the Community for Sustainable Reductions in Hospital Readmissions
View from the Top
In First Person
NY QIO Empowers Minority Communities to Better Manage Diabetes
Best Practices
Small red zeros with a large white zero
Zeroing in on Pressure Ulcers

Ascension Health shares best practices from its multi-year “Journey to Zero” initiative, which prevented pressure ulcer formation in 67 hospitals nationwide.

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Quality Frontlines
Doctor talking to senior male patient
Bringing Together the Community for Sustainable Reductions in Hospital Readmissions

Lessons learned from the Colorado QIO’s Care Transitions project include the importance of using a community-based approach.

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View from the Top
CEO of Orca Partners, LLC Tom Van Dawark
View from the Top

Tom Van Dawark brought a quality and safety perspective from the marine transportation industry to Virginia Mason Health System’s board.

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In First Person
Young woman's hand holding the hand of an elder woman
In First Person

Help managing advanced heart disease meant that Judy Peraino could plan her wedding—and her mother was well enough to attend it.

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Health Disparities
Three women holding fruit and vegetables
NY QIO Empowers Minority Communities to Better Manage Diabetes

IPRO’s diabetes self-management training reaches New York City beneficiaries in their neighborhoods, with classes in Spanish and for the visually impaired.

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Trivia

According to the Guidelines for Pressure Ulcer Prevention and Treatment developed by the National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (2009), which of the following interventions for pressure ulcer prevention has the strongest base of clinical evidence?

A. Using a pillow under the patient’s calves to “float” heels above the mattress
B. Applying skin emollients to hydrate dry skin in order to reduce the risk of skin damage
C. Offering high-protein mixed oral nutritional supplements and/or tube feeding in addition to the usual diet to individuals with nutritional risk and pressure ulcer risk because of acute or chronic diseases, or following a surgical intervention
D. Ensuring that a complete skin assessment is part of the patient risk assessment screening policy in place in all health care settings
check answer!

“C” has support from controlled trials, which is the strongest form of evidence. The other interventions are supported by clinical studies, indirect evidence or expert opinion, which also are valid. For more information, download the NPUAP-EPUAP Pressure Ulcer Prevention Quick Reference Guide

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QIO News is a publication of the Centers for Medicare & Medicaid Services' (CMS) Office of Clinical Standards & Quality, and is brought to you by VHQC, the Communications QIO Support Center, under contract with CMS. VHQC/CommQIOSC/6/22/2011/1115.