Hospital Improvement Innovation Network

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What is a HIIN?


Hospital Improvement Innovation Networks, commonly known as "HIINs," are strategically aligned work groups that bring together clinical professionals in hospitals to collaborate on harm reduction initiatives in the Medicare program by 1) identifying effective strategies for harm reduction and 2) educating hospitals and providers about those tactics.

What Does a HIIN Do?


Working at the regional, state, national, or system level, HIINs:
  • Connect clinical professionals in learning networks, or collaboratives. 
  • Provide collaboratives with a variety of programs, each created to support a specific harm-reduction initiative with the power to improve patient safety.
  • Conduct intensive, workshop-style trainings to educate clinical professionals on measure to make patient care safer.
  • Provide hospitals with technical assistance, as they work toward quality measurement goals.
  • Develop and implement tracking systems capable of monitoring hospital progress in meeting quality improvement goals.
  • Identify high-performing hospitals and hospital leaders who can serve as coaches and/or faculty to other hospitals.
  • Support communication and collaboration among participating facilities and professionals.

How is AHA Involved in HIIN Work?


In 2012, the Centers for Medicare and Medicaid Services (CMS) created a partnership known as the Partnership for Patients (PfP) that aimed to reduce hospital acquired conditions (HACs) and readmissions. This began what was known as Hospital Engagement Networks (HENs) that had two rounds (HEN 1.0 & HEN 2.0). An AHRQ report showed an estimated 125,000 fewer patient deaths in hospitals and $28 billion in health care costs savings from 2010-2015 due to reductions in HACs. This decline occurred during the time of the PfP program where there was focused attention to reduce adverse events.

On September 28, 2016 the Centers for Medicare and Medicaid Services (CMS) awarded contracts to 16 Hospital Improvement Innovation Networks as a part of the integration of the Partnership for Patients (PfP) Hospital Engagement Networks (HEN) into the Quality Improvement Network-Quality Improvement Organization (QIN-QIO) program. An updated AHRQ Report, which includes preliminary data from 2014-2017, shows a 13 percent HAC reduction, $7.7 billion in healthcare costs savings, and an estimated 20,500 lives saved.

More than 4,000 hospitals across 16 Hospital Improvement Innovation Networks (HIINs) are now participating in Partnership for Patients. 

The Arkansas Hospital Association is a member of the Health Research and Educational Trust HIIN (HRET-HIIN), the largest and most diverse HIIN, with over 1,600 participating hospitals, 34 state hospital associations, 6 QIN-QIOs and more. Among AHA members, 54 hospitals and health systems are participating in the HRET-HIIN. 

Founded in 1944, the Health Research and Educational Trust is the not-for-profit research and education affiliate of the American Hospital Association.

The stated mission of HRET is to transform health care through research and education: "HRET’s applied research seeks to create new knowledge, tools and assistance in improving the delivery of health care by providers and practitioners within the communities they serve. HRET’s mission is to transform health care through research and education. HRET’s applied research seeks to create new knowledge, tools and assistance in improving the delivery of health care by providers and practitioners within the communities they serve."


AHA STAFF CONTACT



Pam Brown,
RN, BSN, CPHQ
VP of Quality and Patient Safety
(501) 224-7878
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