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© 2009 On the CUSP: STOP BSI Physician Engagement
© 2009 Learning Objectives To understand what is meant by physician engagement To learn strategies to enhance physician engagement at management and staff levels
© 2009 What Have We Learned So Far? Work involves technical problems – Evidence – Measurement Adaptive problems – Engagement of nurses, physicians, leaders – CUSP – Daily goals – Competing priorities
© 2009 Science of Safe Safety: Principles of Safe Design Standardize what we do – Eliminate defect Create independent check – Make it visible Learn from Mistakes These principles apply to technical and team work
© 2009 Basic Components and Process of Communication Elizabeth Dayton, Joint Commission Journal, Jan. 2007
© 2009 Improving ICU Culture by Creating Trust Caring – Keep Patients as your North Star – Preventable harm is not tenable – Tell your own Josie Story Competent – Learn from mistakes and implement teamwork tools (CUSP)
© 2009 Stages of Support Aversion Apathy Engaged
© 2009 Strategies for Physician Engagement Management level – Assign physician leader for project ICU director, chief medical officer or senior physician – Obtain support from hospital for this persons time – Create Compact Clearly define what is expected of them Review performance regularly
© 2009 Example: ICU Physician Leader Compact Hospital will provide support percent of physicians time In return, physician will do the following – Monitor and improve quality Implement CUSP and StopBSI Report rates of CLABSI and learning from defects to senior leaders and board – Hold regular meetings with ICU team – Involve other members of Medical staff in quality – Work with hospital to clarify what will be measured, who will measure it, and who will produce reports – Implement ICU physician staffing Review performance quarterly
© 2009 Strategies for Physician Engagement Staff level – Create containing vessel to dialogue with physicians (eliminate decoding errors) M and M, grand rounds, quality meetings – Identify and overcome barriers Clinician, Intervention, System – Communicate prior to start of project No surprises who, what, when, where, how – Listen to those who resist – Reward physician and nurse leaders News letters or presentations to senior leaders
© 2009 Strategies for Physician Engagement Tune to WIFM – Please resist loss not change – Try to surface and mitigate real and perceived loss Time is likely a major concern – Perceived losses often much greater than real – Perceived loss high when communication is low
© 2009 Manage Communication At each step or meeting clarify – Message – Who needs to know Assume that all staff have patient as north star Remind staff they are participating in something greater - ohana
© 2009 Action Plan Ensure you have physician leader for this project Create Compact for this role Create containing vessel for communication Develop plan for communication Listen to physicians to surface and mitigate loss
On the CUSP: STOP BSI Physician Engagement. Immersion Call Overview 1.Project overview 2.Science of Improving Patient Safety 3.Eliminating CLABSI 4.The.
Physician Engagement. Learning Objectives To relate what is meant by physician engagement To discuss strategies at management and staff levels to enhance.
© 2009 On the CUSP: STOP BSI Nurse Empowerment.
Nurse Empowerment On the CUSP: Stop BSI. Learning Objectives To understand the importance of nurse empowerment To consider the regulatory and accreditation.
© 2009 On the CUSP: STOP BSI Nurse Empowerment Christine A. Goeschel RN MPA MPS ScD (candidate) Tennessee Center for Patient Safety December 2, 2009.
Building Your CUSP Team Part I Michael Rosen, PhD August 28, 2012 Armstrong Institute for Patient Safety and Quality Conference Number(s):
© 2009 On the CUSP: STOP BSI Implementing Daily Goals.
© 2009 On the CUSP: STOP BSI Senior Leadership of Quality and Safety Initiatives in Health Care.
CSTS Staff Empowerment Christine A. Goeschel ScD MPA MPS RN.
Who We Are ~Where We are Going. Slide 2 Workshop Objectives Describe the purpose and vision of the ICU Safe Care Initiative/Comprehensive Unit-Based Safety.
Building Your SUSP Team Part I Armstrong Institute for Patient Safety and Quality.
CSTS: The Cardiovascular Surgical Translational Study Senior Leadership of Quality and Safety Initiatives in Health Care Peter J. Pronovost, MD, PhD The.
Improving ICU Care Through Teamwork Chris Goeschel RN MPA MPS
Patient Safety Leadership Peter Pronovost MD PhD Professor, Schools of Medicine and Public Health Director, JHU Quality & Safety Research Group.
Seeing a Way Forward Peter Pronovost, MD, PhD Johns Hopkins University.
© 2009 On the CUSP: STOP BSI Overview of STOP-BSI Program.
Learning Objectives 2 Identify characteristics of successful teams and barriers to team performance Understand the importance of your CUSP team Develop.
Learning Objectives Review key steps of the CUSP Toolkit Learn how Just Culture principles can augment CUSP 2 Introduce Just Culture principles.
Unit 2 Principles of Quality and Safety for HIT Improving Patient Safety Component 12/Unit21Health IT Workforce Curriculum.
Quality Improvement Principles of Quality and Safety for HIT Lecture b This material (Comp12_Unit2b) was developed by Johns Hopkins University, funded.
Toward Eliminating Central Line Associated Blood Stream Infections.
© 2011 Melinda Sawyer, RN, MSN, CNS-BC Armstrong Institute for Patient Safety and Quality The Comprehensive Unit-based Safety Program (CUSP)
© 2009 On the CUSP: STOP BSI The Comprehensive Unit-based Safety Program (CUSP): An Intervention to Learn form Mistakes and Improve Safety Culture.
Improving Care Through Technical & Adaptive Work Chris Goeschel RN MPA Director, Patient Safety &Quality Initiatives JHU Quality & Safety Research Group.
Staff Safety Assessment 1. Learning Objectives To understand Step 2 of CUSP:Identify Defects To understand how to Implement the Staff Safety Assessment.
Building Your SUSP Team Part II. Learning Objectives Define your SUSP team composition and roles and responsibilities of team members Discuss the role.
Identifying Defects Chris Goeschel June Identifying Defects What DO you know? What SHOULD you know?
Obtaining Results Desire Vessel Execute Culture is a vessel to cross the quality chasm.
11/10/20111 On The Cusp Journey: Sentara CarePlex Hospital Gail J. Rudder RN, CRNI Infection Preventionist November 10 th, 2011.
Building a Team. Slide 2 Immersion Call Overview Week 1: Project overview Week 2: Science of Improving Patient Safety Week 3: Eliminating CLABSI Week.
© 2009 On the CUSP: STOP BSI The Science of Improving Patient Safety.
THIS PRESENTATION/PUBLICATION/ OR OTHER PRODUCT IS DERIVED FROM WORK SUPPORTED UNDER A CONTRACT WITH THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ)
Learning Objectives 2 2 Explain the role of the senior executive in addressing technical and adaptive work Identify characteristics to search for when.
1 Surgical Unit-Based Safety Program Proposed Resources for Partnership for Patients Terri Conner, Ph.D. Nybeck Analytics Partnership for Patients.
© 2009 On the CUSP: STOP BSI Identifying Barriers to Evidence-based Guideline Compliance.
Small and Rural Critical Access Hospitals July 19, 2011.
The Johns Hopkins Comprehensive Unit-based Patient Safety Program (CUSP) Peter Pronovost, MD, PhD, Johns Hopkins Univeristy.
© 2009 On the CUSP: STOP BSI Building a Team. © 2009 Learning Objectives To understand the central importance of your ICU quality improvement team To.
Comprehensive Unit Based Safety Program A webinar series for QI Managers, Nurse Leaders and others supporting healthcare improvement in Wisconsin’s.
Aim: Advance the adoption of proven strategies to improve the reliability, safety and quality of care received by patients in Tennessee hospitals.
© 2009 On the CUSP: STOP BSI Christine A Goeschel RN MPA MPS ScD (candidate) Tennessee Center for Patient Safety December 2, 2009.
Thomas Davis, CRNA Chief CRNA The Johns Hopkins Hospital.
Senior Leader Engagement AHRQ Safety Program For Long-Term Care: HAIs/CAUTI Module 2: Senior Leader Engagement.
The Team Check-up Tool. Slide 2 Learning Objectives To understand the tool we use to: – Describe the anticipated activities of your ICU quality improvement.
Medication Reconciliation in Home & Community Care Jo Dunderdale, RN, MA Program Development & Planning Leader Home & Community Care Vancouver Island Health.
Small Rural/CAH Learning Community Meeting May 23, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.
Patient/Family Centered Safe Care: Putting Patients First Quality Improvement and Patient Safety Everyone Has A Role and Responsibility.
NEXT STEPS Armstrong Institute for Patient Safety and Quality 1.
Disclosures Nothing to disclose No discussion of “off-label” use of medications.
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