December 3, 2014 Lauren Benishek, PhD & Sallie Weaver, PhD How to Debrief your HSOPS Results with your Frontline Staff A training call for HSOPS coordinators December 3, 2014 Lauren Benishek, PhD & Sallie Weaver, PhD Armstrong Institute for Patient Safety and Quality

You enable JHAH teams’ success At the end of this webinar, you should be able to: Download your unit’s complete HSOPS results from the JHAH online portal Describe the importance of debriefing your HSOPS results with your frontline staff Conduct a HSOPS debrief session with your frontline staff

Downloading your HSOPS Safety Culture Survey RESULTS Part I Downloading your HSOPS Safety Culture Survey RESULTS

How To Find Your Team’s HSOPS Results Your HSOPS coordinator can download a copy of your aggregate survey report from the JHAH Online Portal https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI.aspx

How To Find Your Team’s HSOPS Results Select “My Reports” from the “My Network” drop down menu

How To Find Your Team’s HSOPS Results Project: Select “JHAH” Tool: Select “HSOPS for JHAH” Network: Select your ICU Report: HSOPS Report (not Detailed Report)

How To Find Your Team’s HSOPS Results Alternative method: How To Find Your Team’s HSOPS Results The same HSOPS Report can also be downloaded from your HSOPS App Dashboard after your survey period closes.

Interpreting HSOPS Safety Culture Survey Results Part II Interpreting HSOPS Safety Culture Survey Results

HSOPS Aggregate Report Interpreting Your Team’s HSOPS Results Survey response rate (Pages 4-6, 29-34) Johns Hopkins Hospital

Composite score (Page 7-8) HSOPS Aggregate Report Interpreting Your Team’s HSOPS Results Composite score (Page 7-8) 71% of team members who responded to the survey felt positively about the teamwork within their work area Interpreting Composite Scores: The big picture view Higher is better Only 16% of team members felt that there was clearly a non-punitive response to error in their work area

Individual Question Scores (Pages 9-26) HSOPS Aggregate Report Interpreting Your Team’s HSOPS Results Individual Question Scores (Pages 9-26) Percent positive = Green Percent neutral = Yellow Percent negative = Red

Questions provide a deeper dive HSOPS Aggregate Report Interpreting Your Team’s HSOPS Results Questions provide a deeper dive NOTE: Due to rounding totals may not add exactly to 100% Tip: For positively worded items, more GREEN is better.

Interpreting Your Team’s HSOPS Results HSOPS Aggregate Report Interpreting Your Team’s HSOPS Results Questions provide a deeper dive Tip: For negatively worded items, more RED is better. NOTE: Due to rounding totals may not add exactly to 100%

Part III Using your HSOPS results for improvement How to debrief your results with frontline staff

What is Debriefing? Debrief survey results with all your team members Debriefing is a semi-structured conversation among frontline clinicians and staff that is usually led by a designated facilitator Encourages open communication, transparency, and interactive discussion across all levels of the work area between disciplines Engages clinicians and staff in generating and implementing their ideas about how to create an effective safety culture in their work area

Units that debrief around safety culture perform better Making HSOPS Data Meaningful Units that debrief around safety culture perform better Data is data. Debriefing turns data into useful information. Debriefing accelerates improvement.1 YES NO Units who used semi-structured debriefing of culture survey achieved 10.2% Reduction in Infection Rates Units who did not debrief survey results achieved 2.2% Reduction in Infection Rates

Create a Debriefing Plan How many debriefing sessions will be held? Who will facilitate each debriefing session?  When will debriefing(s) be held? Where will debriefing(s) be held? Who is responsible for taking notes and recording ideas from each session? If you conduct more than one debriefing session, who is responsible for collating notes and ideas for improvement from the different sessions? How will the CUSP team ensure there is follow-up on the action items from the debriefing session(s)?

Tip: Download the Culture Check Up Tool at either Culture Check Up Tool is a document used by Debriefing Facilitator to guide conversation and improvement planning Download from either the JHAH project page or the AHRQ website Tip: Download the Culture Check Up Tool at either https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI/HSOPS.aspx OR www.ahrq.gov/professionals/education/curriculum- tools/cusptoolkit/toolkit/culturecheckup.html

Making HSOPS Data Meaningful HSOPS debriefings with CUSP culture check-up tool Who Should Use the CUSP Culture Check-up Tool? Safety culture debriefing facilitators Helps to guide the discussion and record group decisions What is the Purpose of this Tool? Understand the unit culture Use teammates’ feedback to predict and avoid barriers Use feedback to leverage the team’s strengths https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI/HSOPS.aspx

CUSP Culture Check-Up Tool Steps Identify general strengths and weaknesses of your unit culture Get specific about behaviors and attitudes that make up those strengths and weaknesses Select opportunities for growth Develop a strategy for addressing growth opportunities Put plan into action Evaluate results and share progress every 3 weeks

Culture Check Up Tool Brainstorming culture discussion items Statement To Be Discussed Unit Safety Assessment Score % What does this statement mean to you? How accurately does the unit score reflect your experience on this unit? Share examples. How would it look (what behaviors or processes would we see) in this unit if 100% of staff responded “agree strongly” with this item? Identify at least one actionable idea to improve unit results in this area. What are the next steps and how will we accomplish them?

Making HSOPS Data Meaningful How do I use the CUSP culture check-up tool? Share culture results with everyone on the unit during a survey debriefing Bring together team members from your work area Follow your debriefing plan Take notes and recognize recurring themes Encourage open, honest discussion about making the culture of your work area the best it can be

Making HSOPS Data Meaningful How do I use the CUSP culture check-up tool? Focus on identifying system issues that the group can work on improving together instead of as individuals. Don’t use it to point fingers at specific individuals Use the tool to structure meetings and guide conversation. As a group, complete all steps in this worksheet.

Communicating with Upper Management Get your leadership involved! Schedule a brief, face-to-face meeting Explain the project purpose and goals Share your hopes for their involvement Invite departmental and executive leaders to debriefing and follow-up sessions Send short, one-page briefs or memos sharing project goals and progress updates Include precise action items for the leadership

Schedule your first debrief sessions for What’s Next? Review the survey report for your ICU(s) Distill the information into 3-5 key slides Plan debriefing strategy to share results with team Be prepared to listen Ask for feedback Ask teammates to help come up with solutions Schedule your first debrief sessions for Sunday, January 11, 2015 The Armstrong team will be on site and very excited to join the conversation.