1. HS460 Project Design and Management for Healthcare Lori Seargeant, MA, RHIA

2. UNIT 7 Overview Read Chapter 14 Respond to the Discussion Board Attend Weekly Seminar: –Review of the current CQI efforts from an acute care hospital. (this will count 60 points for Unit 5) Seminar discussion question: “Why does the application of continuous quality improvement seem to lag in the public sector of health care?” (moved to discussion board) Quiz Begin preparing your Power Point Presentation Submit Project Progress Report

3. CQI at General Hospital, Any Town, USA Lori Seargeant, MA, RHIA HS460 January 30, 2012

4. Objectives To Understand: –the goals of a quality improvement project –how the group is proceeding on the project –the make up of the team –the leadership of the team –the methods used to collect data –the review process used by the team –any revisions they have already put into place

5. The Quality Model FOCUS PDCA –Find an issue –Organize a team –Clarify your knowledge/process –Understand the causes of variation based on data –Select the process to improve –Plan the improvement –Do the improvement as planned –Check the improvement by data collection –Act to standardize or expand the improvement

6. Find a process to improve Significantly Decrease the Occurrence of Food and Drug Reactions –Compromising patient safety –Increasing length of stay

7. Organize a team Multidisciplinary team organized: –Leaders: Quality Manager & Pharmacy Manager Members: Pharmacy Nursing Radiology Patient Access Quality Management Risk Management Information Technology Emergency Department

8. Clarify your Knowledge –Clarify your knowledge/process:

9. Clarify your Knowledge

11. Understand the cause of the variation

12. Inadequate processes for identifying and communicating patient allergies –People –Procedures –Equipment –Policies Select the process to improve

13. PLAN

14. Do Implemented a process for allergy identification to be added to yearly competencies Evaluated the use of forced fields in software Added dieticians as users to enter allergies in AS400 Gave all disciplines the ability to update allergies Revised Drug Allergy Policy and Procedure to include above procedures Developed standardized allergy documentation, Master Allergy Form

15. Do

16. CHECK Education completion Presence of red wrist band for Allergy ID Chart review for presence and completeness of Master Allergy Form Master Allergy Form scanned to Pharmacy

17. ACT Continuously communicate quality initiative goals and results to the appropriate medical staff and hospital employees for review and discussion Individual review of non-compliant indicators with department directors. Individual education/counseling to staff members about areas of non-compliance.

18. Plan for Unit 8 Read Chapter 9: The Human Face of Medical Error. Participate in seminar: –compare and contrast, in detail, iatrogenic negative effects and medical errors. Give examples of each. Work on Power Point Presentation due in Unit 9. Quiz on Unit 7 material.