1. 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

2. 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

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

4. 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

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

6. 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)

7. 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.

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

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

10. 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

11. 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

12. 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.

13. 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%

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

15. 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

16. 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

17. 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)?

18. 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 OR
tools/cusptoolkit/toolkit/culturecheckup.html

19. 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

20. 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

21. 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?

22. 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

23. 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.

24. 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

25. 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.