1. Improving Harm Across the Board Hospital Name Location Presenter Photo of Hospital Photo of Presenter Note hospital safety vision, principle

2. TEMPLATE GUIDE Treat harms as a events that can be summed. Focus on harms rather then preventive measures. Special conditions can be considered a harm (e.g., EED, Readmits, …) Produce an overall harm trend for the hospital

3. Risk Profile by Areas of Risk HACsEstimated annual number of patients at risk in each area ADE# of inpatients: CAUTI# pts in IP units with catheter in place: CLABSI# pts in IP units with central lines: Falls# of discharges: Ob AE# of women with deliveries: Pr Ulcer# of discharges: SSI# of applicable surgical pts: VAP# of patients on a ventilator: VTE# of inpatients: EED# of women with elective deliveries Readmit# of inpatients at risk of readmit: Other# of inpatients at risk TOTALRisk opportunities for harm across the board

4. Improving Harms by HAC Scale: number of HACs at each level IDEAL: level represents what we see as best possible At Target: level represents meeting improvement target Progress: level not yet at target Opportunity: level represents an improvement opportunity

5. HACsBaseline [time period] TargetCurrent [time period] Improvement Status (scale) ADE CAUTI CLABSI Falls Ob AE Pr Ulcer SSI VAP VTE EED Readmit Improving HAC Rates (per discharge)

6. Our Hospital Risk Profile & Result Annual Volume (Discharges) Total risk: annual harm opportunities Risks per patients (Total Opportunities)/Discharges) Number of PfP Harm Areas Applicable (0 – 11) Number of PfP Harm Areas Applicable & Adopted Number of PfP Areas at Improvement Target Number of PfP Areas at IDEAL

7. 7 Hospital Trend In Reducing HARM Harms/1,000 discharges

8. Please list the drivers of safety that produce these results Pearls Note the few most defining drivers

9. Photo of Hospital CEO and Safety Team