1. Patient/Family Centered Safe Care: Putting Patients First Quality Improvement and Patient Safety Your Role in Patient/Family Centered Safe Care

2. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 2 Partnership for Patients (PfP) The CMS Partnership for Patients has set an ambitious goal for all U.S. hospitals: Reduce preventable all-cause harm rates by 40% in your organization by the end of 2013 2

3. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 3 HHS Partnership for Patients (PfP) Our hospital is part of a national movement for the triple aim to Put Patients First and make patient care: safer more reliable less costly 3

4. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 4 As part of PfP Our Hospital Pledges To: Make achieving the goals of Putting Patients First, harm reduction and improved care transitions to reduce readmissions a priority of our Board of Directors, senior leaders, clinicians, and staff; Support clinicians and staff working for and with us and engage patients and families in order to make care safer, improve communication, and increase coordination by implementing proven systems and processes; and Learn from and share with others our experiences with Putting Patients First, making care safer and more coordinated. 4

5. Learn. Act. Improve. Spread. Keep the Drum Beat Going. Putting Patients First: 40/20 by ‘13 Goals: ­ Change culture to be Patient Focused, Staff Driven ­ Reduce hospital acquired conditions by 40% ­ Reduce readmissions by 20% ­ Increase patient/family engagement ­ Reduce all cause harm

6. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 6 Aim: To Reduce All Cause Harm All preventable harm must be addressed to reach the goal but these are the areas of focus to begin: (Hospital can star their priorities) Adverse Drug Events (ADE) (includes Medication Reconciliation) Catheter-Associated Urinary Tract Infections (CAUTI) Central Line Associated Blood Stream Infections (CLABSI) Injuries from Falls and Immobility Obstetrical Adverse Events (First: Early Elective Deliveries) Pressure Ulcers Surgical Site Infections Venous Thromboembolism (VTE) Ventilator-Associated Pneumonia (VAP) 6

7. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 7 Safe Care Not Only Important to Our Patients…. but also to Hospital Success Payment for care is now based on quality not volume Value Based Purchasing – Medicare payment incentives/penalties to promote: Achievement of high quality care Improvement in care quality – Annual Market update increased or reduced beginning October 2102 up to 2% by 2017. – Payment based on quality measures and Patient satisfaction (HCAPHS) – Better scores higher payments, low scores lower payments Nonpayment for Hospital Acquired Conditions – Higher payment withheld if condition not present on admission Payment penalties for readmissions Public Reporting of Quality and Patient Satisfaction Scores 7

8. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 8 Where We Are Today Show Hospital's Quality Data (You can obtain hospital data from PHA web site.Contact your Quality Director for instructions and password or contact Faizah Muheb at fmuheb@gha.org. )fmuheb@gha.org 8

9. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 9 Our Hospital's Goals (Consult with your Quality staff for goals. Quality director can consult with PHA staff for assistance in developing your goals). 9

10. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 10 In Order to Provide Patient/Family Centered Safe Care Everyone Must: Work Together to Promote: ­ Patient/Family focus and engagement ­ Boundarilessness, seamless care ­ Unconditional team work ­ Speed and agility of change ­ Decreased cycle time to improvement ­ Repetition, testing, and evolving in real time ­ Reliability, standardization and spreading what works If you’re not working together, you’re not doing your job!

11. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 11 Quality Improvement Tools We Use (Enter What Your Hospital Uses) PDSA Reliable Systems Design Comprehensive Unit-Based Safety Program (CUSP) – Daily Goals – Learning from Defects TeamSTEPPS – Huddles – Briefs/Debriefs – SBAR Lean/Six Sigma (Refer to QI Tools Presentation for more information) 11

12. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 12 Your Role in Putting Patients First Lead the Patients First movement on your unit Become a partner with our senior leaders, other leaders, fellow staff to be relentless about putting patients first Participate in providing solutions, ideas and participating in teams that address improving care and increase efficiency

13. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 13 Recommit to Being a Patient Advocate Include your patients and their families in all of your interactions that relates to their care Hold each other accountable for safe patient care Speak Up! for Safe Patient Care 13

14. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 14 All Hands on Deck Focusing on Our North Star – the Patient 14

15. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 15 Renew Your Sense of Purpose When we do what’s right for the patient the numbers will follow…..

16. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 16 Take the Putting Patients First Pledge We pledge to: Make achieving the goals of Putting Patients First, harm reduction and improved care transitions to reduce readmissions priority of our Board of Directors, senior leaders, clinicians, and staff; Support and working with each other in engaging patients and families in order to make care safer, improve communication, and increase coordination by implementing proven systems and processes; and Learn from and share with others our experiences with (Putting Patients First), making care safer and more coordinated. 16

17. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 17 For More Information Contact: Hospital contact information 17