1. Intermountain-led CMS Hospital Engagement Network Falls Prevention July 11, 2014 Affinity Call Marlyn Conti –Patient Safety Initiatives Manager Intermountain Quality and Patient Safety

2. Outline for Discussion Review of data through Q1 2014 ‘High performers’ – Identify and ask what they are doing? Falls recommended metrics “Just-one-thing” – updated document 2014 plans for improvement: – Reach out to low performers to provide assistance – Continue Webinars for sharing

3. Overall Progress Through 2013 This is a 24.2% reduction from baseline which was below national benchmark

4. Intermountain HEN 2012- Q1 2014 submitting Inpatient Falls with Injury Started at 0.65 Down to 0.47 in Q4, Red line is baseline

5. Intermountain HEN 2012- Q1 2014 submitting Inpatient Falls with Injury

6. Intermountain HEN 2012-Q1 2014 submitting Hospitals Inpatient Falls Total number of falls is increasing while Falls with injury is reducing. Might be better reporting?

7. Intermountain HEN 2012-13 submitting Hospitals Inpatient Falls Number of reporting hospitals has dropped slightly. May increase the rate

8. HEN Falls Measures Metric specification resource manual http://www.henlearner.org/wp- content/uploads/2012/03/HEN_measure_Feb5.pdf http://www.henlearner.org/wp- content/uploads/2012/03/HEN_measure_Feb5.pdf Submission schedule: – May 20, 2014: for data through March 2014

9. HEN Falls Measures Inpatient Falls

10. HEN Falls Measures Falls with Injury

11. High Performing Hospital Highlight… Most Improvement Inpatient Falls Most Improvement OREM COMMUNITY HOSPITAL SANPETE VALLEY HOSPITAL - CAH SOCORRO GENERAL HOSPITAL PROVIDENCE SEASIDE HOSPITAL LOS BANOS MEMORIAL HOSPITAL SEVIER VALLEY MEDICAL CENTER LINCOLN COUNTY MEDICAL CENTER BAYLOR REGIONAL MEDICAL CENTER AT PLANO PARK CITY MEDICAL CENTER HILLCREST BAPTIST MEDICAL CENTER Lowest Rates ALTA BATES SUMMIT MEDICAL CENTER ALTA VIEW HOSPITAL AMERICAN FORK HOSPITAL BAYLOR ALL SAINTS MEDICAL CENTER AT FW BAYLOR HEART AND VASCULAR HOSPITAL BAYLOR MEDICAL CENTER AT CARROLLTON BAYLOR MEDICAL CENTER AT GARLAND BAYLOR MEDICAL CENTER AT IRVING BAYLOR MEDICAL CENTER AT WAXAHACHIE BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE

12. High Performing Hospital Highlight… Most Improvement Inpatient Falls with Injury Most Improvement SUTTER LAKESIDE HOSPITAL SUTTER COAST HOSPITAL DELTA COMMUNITY MEDICAL CENTER LINCOLN COUNTY MEDICAL CENTER PROVIDENCE PORTLAND MEDICAL CENTER PROVIDENCE NEWBERG MEDICAL CENTER UPPER CONNECTICUT VALLEY HOSPITAL CASSIA REGIONAL MEDICAL CENTER BAYLOR REGIONAL MEDICAL CENTER AT PLANO PARK CITY MEDICAL CENTER Lowest Rates ALTA BATES SUMMIT MEDICAL CENTER ALTA VIEW HOSPITAL AMERICAN FORK HOSPITAL BAYLOR ALL SAINTS MEDICAL CENTER AT FW BAYLOR HEART AND VASCULAR HOSPITAL BAYLOR MEDICAL CENTER AT CARROLLTON BAYLOR MEDICAL CENTER AT GARLAND BAYLOR MEDICAL CENTER AT IRVING BAYLOR MEDICAL CENTER AT WAXAHACHIE BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE

13. Just One Thing Matrix Recommendations Getting StartedWorking HarderAhead of the Curve Implement standard Assessment tools, protocols and prevention strategies (high level of evidence) Appoint “leads” to drive improvement & identify or champion teams that includes unit level nursing, quality, patient safety, physical therapy and pharmacy services. (high level of evidence) Implement decision algorithms and/or computerized decision support in the electronic medical record to target interventions based on patient specific risk factors

14. Set Organizational priorityIdentify Risks and GapsDevelop Monitoring SystemsDesignate ChampionsIntegrated Nurse Charting and Care PlansRepeat Cycles of ‘Plan-Do-study-Act’ Getting Started and Keeping it going!

15. Fall Event #1 Case 1: 9:13:48 AM Pt noted during rounding sleeping soundly @ 0200, was not woken up. Pt found on floor by CNA @ 0240. Pt reports going to the bathroom on her own, took herself off the CPM, SCD, and went to the bathroom without a walker, stated "I really needed to go to the bathroom, that's why I didn't call," fell backwards and hit her head on the side of the counter. Pt alert and orient before and after fall. Pt noted previously using the call light for help, and agreed at the beginning of the shift to call when help is needed, but decided to be noncompliant this time. VS done. No abnormality. Post fall: Only noted injury is hematoma to left forehead. Dr. MJ notified, no new orders given except to monitor patient during the night. Pt re-educated about fall risks, bed alarm activated, sign on door, and monitored frequently. Post fall: Pt re-educated about fall risks, bed alarm activated, sign on door, and monitored frequently.

16. Fall Event #2 Case 2: 12:43:55PM Aide was sitting at desk documenting end of shift vital signs when patient's bed alarm went off. Aide stood up look through the doorway and saw patient on knees next to the side of the bed. Bed alarm and side rails were in place at the time of the fall. When asked patient reported he wanted to roll onto his side. Lift was used to return patient to the bed, vital signs obtained RN notified, RN assessed patient, palpated joints. Patient reports pain on palpation of patella and anterior aspect of knees and shins bilaterally. Post Fall: MD notified, Family Notified. Could have possibly been prevented if patient had a sitter in the room. Nursing and CNA staff had repeatedly reinforced to Patient, the hospital safety protocols for ambulation and transfer require staff assistance.

17. Fall Event #3 Case 3: You have identified 10 patients on your unit with a high risk for falls, what intervention do you implement? Based on your experience, which interventions are the most effective? How would you document the assessment and intervention(s) for the patient in your EHR? What type(s) of performance feedback would be available at the unit level?

18. Fall Event #4 You are a nurse manager on a 40 bed MedSurg unit with a hospital mandate to reduce falls with limited resources. Issue: Identify patients at risk for falls. How would you identify the patients? How would you stratify the individual patient’s risk? Who would screen the patient? What key factors contributed to the decision? How would you document the assessment and intervention(s) for the patient in your EHR? What type(s) of performance feedback would be available at the unit level?

19. Fall Event 5 Budget cuts have forced reduction in the number of patient care techs (PCT) and nursing staff. What tactics would you use to minimize fall risk? How would you maintain what you have implemented?

20. Fall Prevention Best Practice Use our HEN bundle to assess practice? Or use the Veterans Integrated Service Network 8 (VISN 8) Road Map? http://www.mnhospitals.org/Portals/0/Documents/ptsafety/falls/falls-prevention- roadmap.pdf http://www.mnhospitals.org/Portals/0/Documents/ptsafety/falls/falls-prevention- roadmap.pdf

21. 2014 plans for improvement Reach out to low performers to provide assistance. Held regional workshop in Plano Texas Shared case studies Collect and share best practices across network hospitals Review/revise 2013 proposed prevention bundle Conduct participant practice survey Next webinar plans? Questions Issues barriers