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Healthcare-Associated Venous Thromboembolism (HA-VTE) Prevention Challenge

About the Challenge
Be a part of the solution! Tell us how you prevent VTE in your setting!

Posted By: Centers for Disease Control and Prevention
Category: Ideas
Submission Dates: 5 p.m. ET, Nov 02, 2015 - 11:59 p.m. ET, Jan 10, 2016

View the Winners at: http://www.cdc.gov/ncbddd/dvt/ha-vte-challenge.html

The Problem:

Venous thromboembolism (VTE), blood clots occurring as deep vein thrombosis (DVT), pulmonary embolism (PE), or both, is an important and growing public health issue. Prevention of healthcare-associated VTE (HA-VTE) is a national hospital safety priority. Many HA-VTEs can be prevented, but VTE prevention strategies are still not being applied regularly or effectively across the United States.

The Challenge:

To support and promote HA-VTE prevention, HHS and CDC announce the 2015 HA-VTE Prevention Challenge. The challenge will bring prestige to organizations that invest in VTE prevention, improve understanding of successful implementation strategies at the health system level, and motivate health systems to strengthen their VTE prevention efforts. The top-judged organizations found to have implemented innovative and effective VTE prevention strategies will be recognized as HA-VTE Prevention Champions. CDC will document these successful strategies and highlight the systems, processes, and staffing that contributed to exceptional VTE prevention outcomes achieved by Champions. Champions will receive a cash prize (if eligible) and other forms of recognition.

The Goal:

To identify hospitals, multi-hospital systems, hospital networks, and managed care organizations that have implemented an innovative and effective VTE prevention strategy using one or more interventions (e.g. VTE protocols and order sets, risk assessment, electronic alerts, clinical decision support tools, performance monitoring systems and dashboards, patient and/or provider education and awareness, post-discharge follow-up, etc.) designed to increase VTE prevention.

The Solution?

There is no one solution! We are looking for successful programs from all types of hospitals—small and large, urban and rural, academic, private, public, federal, and international. In short, we want to know what was successful in your setting!

Entrants of the HA-VTE Prevention Challenge will be asked to describe the VTE prevention strategy and the specific intervention(s) (e.g. implementation of VTE protocols and order sets, risk assessment, electronic alerts, clinical decision support tools, performance monitoring systems and dashboards, patient and/or provider education and awareness, post-discharge follow-up, etc.), methods, and systems used to implement, support and evaluate the strategy. Entrants will be asked to submit at least one quantitative measure showing an increase of VTE prevention (e.g. # of patients assessed for VTE risk, # of at risk patients receiving appropriate VTE prevention, # of patients and/or providers receiving education on VTE prevention, etc.) and/or decrease in HA-VTE rates for the organization’s population of interest.

The Prizes:

An estimated 7 of the highest scoring U.S. non-federal hospitals, multi-hospital systems, hospital networks and managed care organizations will be recognized as HA-VTE Prevention Champions and will receive a cash award of $10,000. A maximum of $70,000 will be awarded in this challenge. Additional honorable mention awards, pending availability of funds, may be made if the judges identify more than 7 deserving entries.

Winning submissions from U.S. Federal entities and international entities will be eligible for non-monetary recognition.

In addition, all Champions will be recognized by the CDC. Documentation of the clinical systems and strategies used by Champions to improve VTE prevention will be promoted and shared on the CDC website and attributed to Champions.

The Judging:

Challenge submissions will be evaluated by a panel of three to five judges from CDC and other HHS agencies using the information provided on, and in accordance with, the nomination form. The judges will score the nomination form using a rubric based on the following evaluation criteria: methods (30% of score); results (50% of score); and feasibility/utility (20% of score) of the strategy and interventions associated with the intended outcome of interest. Nominees with the highest score will be required to participate in a process to verify their data. Final selection will take into account all the information form the nomination form, the background check, and data verification. Geographic location and population treated may be used to break any ties in the event of tie scores at any point in the selection process. An estimated 7 organizations will be recognized as prize winners.

Some Champions will participate in a post-challenge telephone interview. The interview will include questions about the strategies employed by the organization to achieve high rates of VTE prevention, including barriers and facilitators for those strategies. The interview will focus on systems and processes and should not require preparation time by the Champion. The estimated time for the interview is one hour, which includes time to review the interview protocol with the interviewer, respond to the interview questions, and review a summary report about the Champion’s practices. The summary will be written as a success story and will be posted on the CDC website.

How to Enter:

Challenge launches Monday, November 2, 2015 @ 5:00 pmTo enter, go to vte-challenge.com and submit your entry.  Submissions through challenge.gov will not be accepted.  Questions about the Challenge should be directed to havtechallenge@cdc.gov with the word “Challenge” in the subject line.

Judges
A Panel of Judges from CDC, AHRQ and other HHS agencies will evaluate submissions based on the stated judging criteria
Judging Criteria

Methods - 30%

Problem Statement
The extent to which the applicant clearly states and demonstrates a comprehensive understanding of the need for VTE prevention within their healthcare setting.

Strategy
The extent to which the applicant develops and describes a feasible scientifically sound strategy to adequately achieve the intended intervention outcomes.

Intervention(s)
The extent to which the applicant was able to accurately develop and carry out the proposed intervention to address the needs of the target population.

Variables and metrics
The extent to which the applicant was able to define data collections variables and measures of effectiveness consistent with the intervention and which are likely to measure the intended outcomes.

Results - 50%

Adequate time period for measurement
Was the time frame for follow-up sufficient (at least 6 months) to measure the outcomes of interest?

Results
The extent to which the applicant was able to accurately analyze and interpret the results consistent with the intervention and measure the intended outcomes.

Success
The extent to which the intervention(s) increased VTE prevention in the healthcare setting.

Magnitude
The extent to which the increase in VTE prevention was sufficient to be described as a “best practice” for VTE prevention.

Reflection
The extent to which the applicant clearly states and demonstrates a comprehensive and insightful understanding of keys for success, challenges, and limitations within their healthcare setting.

Feasibility & Utility - 20%

Sustainable
The extent to which the intervention(s) can be easily and routinely monitored and updated within the healthcare setting.

Scalable
The extent to which the intervention(s) can be applied to diverse populations and/or applied to other (external) settings.

Utility
The extent to which the organizational strategy and associated intervention(s) may result in reduced HA-VTE rates over time.

How to Enter

The Challenge launches Monday, November 2, 2015 @ 5:00 pm. 

To enter, go to vte-challenge.com and submit your entry.

Submissions through challenge.gov will not be accepted. Entries must be submitted electronically through the submission portal by January 10, 2016.   A copy of the nomination form is below to get you started.

HA-VTE Prevention Challenge Nomination Form


Entrants of the HA-VTE Prevention Challenge will be asked to describe the VTE prevention strategy and reasons that support the strategy choice developed by their organization. In addition, entrants will be asked to describe the specific intervention(s) (e.g. implementation of VTE protocols and order sets, risk assessment, electronic alerts, clinical decision support tools, performance monitoring systems and dashboards, patient and/or provider education and awareness, post-discharge follow-up, etc.), methods, and systems used to implement, support and evaluate the strategy. Entrants will be asked to submit at least one quantitative measure showing an increase of VTE prevention (e.g. # of patients assessed for VTE risk, # of at risk patients receiving appropriate VTE prevention, # of patients and/or providers receiving education on VTE prevention, etc.) and/or decrease in HA-VTE rates for the organization’s population of interest. Each measure submitted must include two data points: one for the control or pre-intervention period and a second for the post-intervention period. Control/pre-intervention and post-intervention measures must cover a period of at least six months.

The VTE prevention rates achieved should be for the organizations entire patient population observed as outlined in their strategy and intervention methods, not limited to a sample. Data on subpopulations is allowed, but must be inclusive of all patients seen during the stated time period of study. Examples of ineligible data submissions include VTE prevention interventions limited to treatment cohorts from clinical trials of novel anticoagulant drugs.

The estimated burden for completing the nomination form is 30 minutes to 1 hour.

FOR FURTHER INFORMATION CONTACT: havtechallenge@cdc.gov

Prizes
7 HA-VTE Prevention Champions ($10,000/Champion) $70,000.00 An estimated 7 of the highest scoring U.S. non-federal hospitals, multi-hospital systems, hospital networks and managed care organizations will be recognized as HA-VTE Prevention Champions and will receive a cash award of $10,000 each.
Recognition Winning submissions received from U.S. Federal entities and international entities will be eligible for non-monetary recognition. All Champions will be recognized by CDC. Documentation of clinical systems and strategies used by Champions to improve VTE prevention will be promoted and shared on the CDC website and attributed to Champions.

4 Discussions for "Healthcare-Associated Venous Thromboembolism (HA-VTE) Prevention Challenge"

  • Show Replies [+]
    Hope Gonzales RN, BSN
    Is there a specific time frame you are looking for to be discussed in our nomination form? For example we began changes/implementation related to VTE prevention in June of 2013. Do you want the time line from initiation to present?

    • Reply
      Challenge Manager
      Thank you for your comment and interest in the Challenge. Our rules require at least 6 months between measurements but you may submit a longer period of observation if data are available.

    • Reply
      Challenge Manager
      Thank you for your comment and interest in the Challenge. Consideration of adverse events will be incorporated into the judging of the prevention strategy. During judging, experts familiar with VTE prevention will evaluate the comprehensiveness of each prevention strategy, which includes the soundness and utility of it.

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Rules

Eligibility Rules for Participating in the Competition: 

To be eligible to win a monetary prize under this challenge, an individual or entity—

(1) Shall have completed and submitted the nomination form in its entirety to participate in the competition under the rules promulgated by HHS/CDC;

(2) Must be a hospital, multi-hospital system, hospital network or managed care organization, incorporated in and maintaining a primary place of business in the United States that provides inpatient medical care for patients.

(3) May not be a Federal entity or Federal employee acting within the scope of their employment (Federal entities or employees are eligible to participate in the challenge; however, they are not eligible to receive a monetary prize. Federal entities are eligible for non-monetary recognition only.);

(4) Shall not be an HHS employee working on their applications or submissions during assigned duty hours;

(5) Shall not be an employee or contractor at CDC;

(6) Federal grantees may not use Federal funds to develop COMPETES Act challenge applications unless consistent with the purpose of their grant award.

(7) Federal contractors may not use Federal funds from a contract to develop COMPETES Act challenge applications or to fund efforts in support of a COMPETES Act challenge submission;

(8) Must agree to participate in a data validation process to be conducted by a CDC-selected contractor. To the extent applicable law allows, data will be kept confidential by the contractor and will be shared with the CDC in aggregate form only; i.e., the VTE prevention coverage rate for the practice not individual data;

(9) Must have a data management system (electronic or paper) that allows HHS/CDC or their contractor to check data submitted;

(10) Individual nominees and individuals in a group practice must be free from convictions or pending investigations of criminal and health care fraud offenses such as felony health care fraud, patient abuse or neglect; felony convictions for other healthcare-related fraud, theft, or other financial  misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances as verified through the Office of the Inspector General List of Excluded Individuals and Entities. http://oig.hhs.gov/exclusions/background.asp 

Individual nominees must be free from serious sanctions, such as those for misuse or mis-prescribing of prescription medications. Such serious sanctions will be determined at the discretion of the agency consistent with CDC’s public health mission. CDC’s contractor may perform background checks on individual clinicians or medical practices.

(11) Health systems must have a written policy in place that conducts periodic background checks as described in (10) on all providers and takes appropriate action accordingly. In addition, a health system background check may be conducted, as deemed necessary, by CDC or a CDC contractor that includes a search for The Joint Commission sanctions and current investigations for serious institutional misconduct (e.g., attorney general investigation). CDC’s contractor may also request the policy and any supporting information deemed necessary.

(12) Must agree to accept the monetary prize and be recognized if selected, and agree to participate in an interview to develop a success story that describes the systems and processes that support VTE prevention. Champions will be recognized on CDC websites. Strategies used by Champions that support VTE prevention may be written into a success story, placed on CDC websites, and attributed to Champions.

An individual or entity shall not be deemed ineligible because the individual or entity used Federal facilities or consulted with Federal employees during a competition if the facilities and employees are made available to all individuals and entities participating in the competition on an equal basis.

By participating in this challenge, an individual or organization agrees to assume any and all risks related to participating in the challenge. Individuals or organizations also agree to waive claims against the Federal Government and its related entities, except in the case of willful misconduct, when participating in the challenge, including claims for injury; death; damage; or loss of property, money, or profits, and including those risks caused by negligence or other causes.

By participating in this challenge, individuals or organizations agree to protect the Federal Government against third party claims for damages arising from or related to challenge activities.

Entrants who are a U.S. federal hospital, multi-hospital system, hospital network or managed care organization that provides inpatient medical care for patients may apply for non-monetary recognition. No monetary prize will be awarded.

Entrants who are an international hospital, multi-hospital system, hospital network or managed care organization that provides inpatient medical care for patients may apply for non-monetary recognition. No monetary prize will be awarded.

Additional Information: 

Information received from nominees will be stored in a password protected file on a secure server. The challenge website may post the number of nominations received but will not include information about individual nominees. The database of information submitted by nominees will not be posted on the website. Personal information collected and stored from nominees will only include general details, such as the organization name, address, and contact information of the nominee. This type of information is generally publically available. The nomination form and submission will collect and store only aggregate clinical data through the nomination process; no individual identifiable patient data will be collected or stored. Confidential or propriety data, clearly marked as such, will be secured to the full extent allowable by law.

Information for selected Champions, such as the hospital or health system’s name, location, VTE prevention outcomes, and practices that support HA-VTE prevention will be shared through press releases, the challenge website, social media, and other HHS/CDC resources. Summary data on the types of systems and processes used to increase VTE prevention will be shared in documents or other communication products that describe generally used practices for successful VTE prevention. HHS/CDC will use the summary data only as described.

Compliance with Rules and Contacting Contest Winners: 

Finalists must comply with all terms and conditions of these official rules, and winning is contingent upon fulfilling all requirements herein. The finalists will be notified by email, telephone, or mail after the date of judging.

Payment of the Monetary Prize:

Monetary prizes awarded under this challenge will be paid by electronic funds transfer and may be subject to Federal income taxes. HHS will comply with the Internal Revenue Service withholding and reporting requirements, where applicable.

Privacy:

Personal information provided by entrants on the nomination form through the challenge website will be used to contact selected finalists. Information is not collected for commercial marketing. Winners are permitted to cite that they won this challenge.

The names, cities, and states of selected Champions will be made available in CDC’s educational materials on VTE prevention and at recognition events.

General Conditions:

The HHS/CDC reserves the right to cancel suspend, and/or modify the challenge, or any part of it, for any reason, as HHS/CDC’s sole discretion.

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