2017 HQI Holiday Message
Seasons Greetings from all at HQI!

Post Julie Morath, RN Julianne Morath, RN, MS, CPPS

Dear Colleague,

As the holidays approach and 2017 draws to a close, I want to thank you for your support of the Hospital Quality Institute (HQI) over the last year on behalf of the team at HQI.

We want to recognize the accomplishments hospitals have made to improve the care to Californians through advances in delivering safe and reliable high quality care. This summer, HQI became the recipient of the American Hospital Association’s Dick Davidson Quality Milestone Award for Allied Association Leadership to improve health care quality on behalf of our collective efforts to bring excellence to scale. Shortly after, HQI hosted its 4th Annual Conference in Monterey, continuing with the themes of Respect, Reliability, and Resilience. Our nationally and internationally recognized speakers provided shared knowledge, tools, and resources with over 450 colleagues. We are preparing for next year.

You inspire our mission and have made valuable contributions so that we can best serve you. Below is a snapshot of our accomplishments in 2017:

CHPSO Patient Safety Organization

CHPSO grew to over 400 healthcare members across 10 states and reached a milestone of over 1.4 million safety event reports in their database. They offered 20 safe table meetings to members on specific topics, such as opioid management. Understanding of cesarean delivery experience was increased through CHPSO event reports and published in the study Promoting Optimal NTSV Delivery Rates (PONDR), a grant funded by the California Health Care Foundation.

HealthCare Reliability Organizing (HCRO)

HCRO was launched to introduce practices of high-reliability distinctive for the people-intensive and highly complex nature of care delivery. Grounded in the socio-technical science and developed in collaboration with world-leading reliability experts and hospital teams, HCRO is demonstrating that sustainable healthcare reliability can be achieved.

Hospital Improvement Innovation Network (HIIN)

Health Services Advisory Group and HQI were selected as one of 16 national organizations to continue efforts in reducing preventable hospital-acquired conditions and readmissions. Through 2019, these HIINs will work to achieve a 20% decrease in overall patient harm and a 12% reduction in 30-day hospital readmissions as a population-based measure from the 2014 baseline.


The Hospital Quality Intelligence Initiative (HQI2) was launched this year in partnership with ArborMetrix. HQI2 is on track to be the one-stop source for California hospitals to produce actionable intelligence to support improvement. The HQI analytics team converts data into information about quality performance.

Partnership for Patient Experience (P4Px)

Following extensive inquiry into Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data for California hospitals, HQI uncovered a strong link between survey scores and response rates. From these findings HQI developed California HCAHPS Improvers Playbook and issued a Call to Action with guidance to increase HCAHPS response rates and address noise at night.

The Journey to a Quiet Night Toolkit was developed to offer best practices to reduce noise and maintain a quiet healing environment. Our new QuietNight™ Mobile App is a mobile tool designed to measure noise in hospitals. The app registers and tracks baseline as well as startle noise and provides actionable guidance when noise levels are moving to unacceptable levels. It is available free of charge on iTunes for Apple iOS mobile devices.

HQI was the 2017 recipient of a grant, States Targeting Reduction in Infections via Engagement (STRIVE), awarded by the Centers for Disease Control and Prevention (CDC), designed to facilitate state‐based relationships to align Healthcare-Associated Infection (HAI) prevention efforts among state health departments, QIO/QIN/HIINs, LTACH systems and State Hospital Associations.

Another grant HQI received in 2017 was through the Agency for Healthcare Research and Quality (AHRQ) with a focus to target CLABSI and CAUTI in intensive care units. There are 16 units currently enrolled in the focused collaborative across the state.

We are grateful to those hospital staff who contributed to HQI’s Guidelines on Reducing Harm from Respiratory Depression in Non-ICU Patients Through Risk Mitigation and Respiratory Monitoring, released last month.

Thank you again for contributing to the success of health care in California with HQI. Happy holidays and we look forward to another great year with you in 2018.


Julie Morath, RN, MS, CPPS
President and CEO
Hospital Quality Institute