DETROIT – The Center for Medicare and Medicaid Innovation (CMMI) has made a major funding commitment to Henry Ford Hospital, providing a nearly $4 million grant to decrease the incidence and cost of hospital-acquired pressure ulcers while improving patient mobility and comfort.
The three-year Health Care Innovation Challenge project, titled, “Mobility, the Sixth Vital Sign” will be centered on:
- Decreasing the number of hospital-acquired pressure ulcers
- Decreasing the cost of hospital-acquired pressure ulcer care
- Decreasing the immobility-related ventilator-associated pneumonias
- Improving patient satisfaction and comfort
“Loss of mobility and decreased activity are a common feature of modern hospital-based care and can lead to complications like pressure ulcers and slow recovery,” says Aamir Siddiqui, M.D., Division Head of Plastic and Reconstructive Surgery at Henry Ford Hospital.
“This is an issue our caregivers are already passionate about and the funds give Henry Ford the opportunity to make an impact on a larger scale by using evidence-based interventions to prevent complications instead of just treating the problems.”
It is estimated that the savings will be greater than $11 million, based on costs to Medicare after hospital discharge for patients who develop pressure ulcers. Similar savings for Henry Ford Hospital are expected because of fewer care needs and shorter lengths of stay while patients are hospitalized.
“The real focus is on educating all members of the care team on the importance of mobility and giving them the tools to accomplish the tasks,” says Gwen Gnam, vice president of Patient Care services and Chief Nursing Officer at Henry Ford Hospital.
“We will be implementing learning initiatives to educate caregivers as well as providing them with real-time bedside pressure monitors for visual feedback regarding when and how to reposition patients in the intensive care units."
The monitors also include held-hand and web-based access for smartphones, tablets and computers.
Hospital-acquired pressure ulcers – often known as bed sores – are a significant problem related to immobility. Up to 1 million patients per year are impacted by these pressure ulcers in the United States. It is also estimated that financial impact of pressure ulcers is several billion dollars annually. Pressure ulcers occur in approximately 500,000 Medicare inpatient stays each year.
The CMMI fosters health care transformation by finding new ways to pay for and deliver care that improve care and health while lowering costs. The Center identifies, develops, supports, and evaluates innovative models of payment and care service delivery for Medicare, Medicaid and CHIP beneficiaries using an open, transparent, and competitive process. Established by the Affordable Care Act, the Center for Innovation is a new engine for revitalizing and sustaining Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) and ultimately for improving the health care system for all Americans.