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Alabama Hospital Association

General Information

This page provides information on a number of quality-related topics.


October 16, 2018 Quality Forum  - Watch entire Quality Forum video by clicking here. (Individual sessions can be viewed.)

Updates on CMS Quality Reporting for Hospitals and Physicians – Akin Demehin, MPH, Director of Policy, American Hospital Association Powerpoint Slides, Video link for session
Understanding Star Ratings and Learning How to Improve on Claims-based Measures – Overview from Akin Demehin on the methodology behind the ratings. Powerpoint Slides Hospital Speakers: Stefanie Ledbetter, RN, BSN, MSHI, Business Analytics, Clinical Decision Support, Clinical Documentation Integrity, EAMC, and Nicki Ware, RN, BSN, MBA, Executive Director of Quality at EAMC Handout - Hospital Checklist for Claim-based Measures, Video link for session
Appropriate Imaging – Jim Duncan, MD, PhD, FSIR, Professor of Radiology, Vice Chair for Quality and Safety, Washington University School of Medicine Powerpoint Slides, Video link for session


Tools from the Excel Class for Clinicians (held on July 10 and July 13) Instructors were Stefanie Ledbetter and Rosemary Blackmon. 


Quality Reporting Key Links - Fact sheet with important links to information on reporting quality measures to CMS, NHSN and the Joint Commission.


April 3, 2018 Quality Forum 

  • Improving Clinical Documentation - (video link) Dr. Kathleen Bowen (EdiPhy Advisors) and Jennifer Bratz (Baptist Medical Center South) Powerpoint
  • Mitigating Ligature Risk - (video link) Debra McGuire (Brookwood Health System) Powerpoint


October 3, 2017 Quality Forum  Value Based Purchasing Update - Keith Granger, CHS Regional President and Market CEO for Alabama, covers the importance of quality measurement to patient's care and to a hospital's bottom line. Watch the video here. Click here for the slides.

Medication safety toolkit - information for providers and consumers

Archived Education (webinars, power points, etc.)

Quality Residency Class Materials from 2018 Class - Included on this page are all of the slides, tools, guidelines, and tools shared from various hospitals participating in the class. Topics include: Orientation Guides, Key Components of Hospital Quality Programs, Quality Improvement Methods/Tools, Excel Classes/How to use Data, Patient Safety, Culture of Safety, Safety Data Analysis, Trigger Tools, Introduction to Infection Prevention, Improving Documentation and Coding to support quality outcomes, Leadership, Change, Teams/Communication Strategies,Triple Aim Topics, Patient Experience, Care Transitions, and Case Management.

2018 IP Boot Camp - Included on this page are all of the slides, tools, guidelines, and tools shared from various hospitals participating in the class. Topics include: Epidemiology 101, Prevention of Transmission, HAI Prioritiy focus on CDI, The Enviroment and Why it matters, The Surveyors are in the Lobby!, HAI with focus on CLABSI, NHSN Basics, Microbiology 101 (Kristin Reeves), ADPH validations and TAP reports (Melanie Chervony), Culture of Culturing, Garcia articles (for cost of inappropriate culturing - Blood Cultures, Blood Culutre Contamination costs, Urine culture costs),Twelve Deadly Diseases, Speaking Points for Flu, Antibiogram - example from EAMC, Cleaning in the world of IPs, Cleaning Accountability Guide, AC Teams (Lisa McAuley), Data - How do you have your Data tell your Story, How to Wear Multiple Hats in a Small Hospital - (Cathy Hodge and Katie Hopper),  Antibiotic Stewardship, Articles for bringing front-line nurseses into the ABS program,  Cdiff - Examples of diarrhea decisions tree.

New overview for IPs - from the Colorado Hospital Association

Quality/IP Basics - job descriptions and other resources for new quality directors and infection preventionists

Other Resources (policies, checklists, articles, etc.)