Thank you for joining us today. My name is Andrea Price. During the first part of this session, we'll walk through what the data is showing from the ACC Reduce the Risk PCI bleed quality campaign. This will be followed by a presentation from the Ohio State University Wexner Medical Center where Patricia Blake will be sharing their experiences with the campaign. I would love to be in Orlando sharing this great work in person. Unfortunately, 2020 had other plans, and I hope that this on-demand session will be of value to you. There are two learning objectives for this session. Our agenda is below. We'll begin by discussing goals of the campaign. There'll be data results both from the campaign as well as year one data from the CAF PCI registry for campaign participants. We're gonna go through some of the tools that we can use from the campaign that can bring value back to your organization. And as year two comes to a close, we'll discuss next steps, followed by a presentation from Patty Blake from the Ohio State University Wexner Medical Center. The ACC's Reduce the Risk PCI bleed quality campaign is focused on minimizing PCI-associated bleeding risk and saving patient lives through widespread adoption of evidence-based practices to improve the quality of care. The bleeding metric's complex, and working within my own organization, there isn't a one-size-fits-all approach to reducing the incidence of bleeding post-PCI. This campaign was designed to decrease variations in care as well as the incident of bleeding. We wanted to provide a selection of evidence-based tools that could support change within a hospital. We appreciate that all hospital opportunities as well as your available resources are different, and we tried very hard to create something that would be meaningful and helpful to everybody. During the next few slides, I will go over campaign data. At the time of this recording, there are 195 facilities enrolled in the campaign. We are located all across the country with two international locations. The Listserv has been active in a place where participants have been able to collaborate with their professional colleagues. I wanna thank all of you that have submitted questions, and for those of you that have responded. The Listserv has supported shared learnings throughout the entire campaign. For those of you that have been with the campaign for a while, you may remember that about halfway through the campaign, a survey was sent out to participants. It was important for us to see how the campaign was doing to support your local quality improvement efforts. So we asked, how has the campaign changed your practice? Many replied that it's provided increased awareness, both in facility performance, as well as in the prevention of bleeding strategies. One location found the campaign highlighted significant variation in clinical practice, while another found the campaign created an opportunity for open discussions for risk-based decision-making. Many campaign participants adopted tools into their workflow, such as adding the bleeding risk score to the procedural timeout. Some replied the campaign in itself provided the credibility and national support needed to encourage change at the local facility level. Cardiovascular care is a team sport, and some organizations found the campaign provided a higher level of awareness around the topic of post-PCI bleeding events. As procedural access sites continue to transition from femoral to radial, many found ways to create a systematic approach to femoral access, utilizing specific access supplies, ultrasound, and the use of fluoroscopy. The clinical competencies focused on manual sheath removal were found to be very beneficial to many facilities. I'm so grateful for the change the campaign has provided for so many of you, and I greatly appreciate those of you that took the time to share your experience and thoughts about the campaign during the survey. During the survey last year, we asked how you would define success for the campaign. Many of you shared that it would depend upon if there was in fact a decrease in observed bleeding events at your facility. As one of the overall campaign goals, we were also interested to see if the efforts of the campaign resulted in lower bleeding events. So we pulled the baseline data together for the hospitals that have opted into the campaign. Each one of these little blood drops represent 20 individuals that experienced a post-PCI bleeding event in 2018. For our campaign participants, that was a total of 3,522 observed bleeding events post-PCI. 3,522 people may have experienced a longer-than-expected length of stay a blood transfusion, a hematoma, or additional procedure following their PCI. A year into the campaign, we took another look at observed bleeding events for those same facilities. In 2019, there were 2,939 observed bleeding events. That's 583 less people that experienced a bleeding event at the campaign facilities after the campaign. So I've been thinking a lot about what that means and how the campaign has influenced the delivery of care for the PCI population. So 583 people can fill up more than 12 school buses. 583 people could dress 23 Major League Baseball teams with alternates to spare. 583 people is a little more than two less bleeds per day. That's a little less than the average for a participating facility, which I think is great. But when I really thought about the impact of the campaign, I thought about the 583 families that avoided the prolonged hospitalization stays, the additional procedures, and the uncertainties associated with a post-PCI bleeding event. Those 583 people are our spouses, fathers, grandparents, and children. And this is where I wish this conference wasn't virtual. I wish I could see all of your faces and thank you for your partnership with this campaign. It's because you all took the tools, the data, and the shared learnings back to your teams. It's because you asked the difficult questions and you challenged the status quo that resulted in 583 less people experiencing bleeding events after their PCI. Many of you are aware of the resources the campaign has provided. The assessment gives you an initial look at your organization. Each participant completes it when they enroll into the campaign. It may also be repeated to track your improvement efforts through the multiple PDSA cycles. The evidence-based toolkits are grouped together to help identify tools that could improve opportunities identified in your assessments. These resources were designed to bring a number of evidence-based tools that could be looked at to improve your organizational performance. We realized early on into the development of the campaign that there are a number of institutional factors that may influence post-PCI bleeding events. If the champion of your improvement effort is a pharmacist, we have a toolkit to support these efforts. If your facility strongly supports hashtag Radio First efforts, we have tools to keep competencies for femoral access sites. We hope that at least one of these tools support a change within your organization. Over the last two years, we've hosted quarterly webinars. These webinars were a mixture of campaign updates and best-practice sharing from many of our campaign participants. If you missed one or you're new to the campaign, these webinars are recorded and stored on the QII website for review. The Listserv, it's a platform that we were able to connect with each other to ask, how are you doing this, to all of the campaign participants. Speaking from personal experience, the extra vote of confidence from those outside of your organization can help during those tough internal conversations. And finally, for those of you that are seeking ACC Cardiac CAD Lab accreditation, participation in the ACC Reduce the Risk PCI Bleed Campaign is a best practice. Don't forget to include that great quality improvement work in your application. The Reduce the Risk PCI Bleed Campaign was to run for eight quarters, and I don't know where the last two years have gone, but we've entered our final quarter of the campaign. So what's next? Well, I'm not able to share details, but we are hoping for one final webinar to close up the campaign. We hope to release a final tool in the campaign toolkits. So please keep your eyes open for this final webinar later in 2020 or early 2021. Mark your calendars. The CAF PCI calendar year 2020 data deadline is April 15th, 2021. And even after the campaign closes, the campaign assessment and toolkit will remain on the QII website for continued use. Later in 2021, the listserv and dashboards will be closed. There will be an end of campaign survey distributed to participants. I personally ask that you take a few moments to share what went well with the campaign as well as any constructive feedback. Our campaigns are designed to help hospitals improve cardiovascular care. Your feedback will help influence future campaigns. My portion is coming to a close, and I hope you're excited to see how the bleeding campaign has positively impacted patient care during its first year. I'm anxious to see what the second year brings. It's my great pleasure to introduce Patty Blake from the Ohio State University Wexner Medical Center. Like many of you, Patty wears multiple hats for her organization. She's currently responsible for the CAF PCI and LAAO registries within the NCDR suite. She has additional oversight for three clinical registries outside of the NCDR. Patty and her team are not new to the Quality Summit as they were awarded the 2018 People's Choice Award. Last year, I was able to visit Patty during the Ohio Data Managers Meeting, and I am grateful that she has agreed to join us to share her organization's experience with the campaign. Patty? Thank you. Thank you.

ACC Reduce the Risk PCI bleed quality campaign

PCI-associated bleeding risk

evidence-based practices

data results

tools provided