F.A.S.T. Family Activated Safety Team. A Rapid Response for Patient and Family Concerns
|
|
|
- Abigayle Bailey
- 8 years ago
- Views:
Transcription
1 F.A.S.T. Family Activated Safety Team A Rapid Response for Patient and Family Concerns Ellen Noel MN,RN-BC Clinical Nurse Specialist Ellen.Noel@vmmc.org
2 Overview What is F.A.S.T? Why do we need FAST? F.A.S.T. program development F.A.S.T. program implementation What we are learning from our FAST patients.
3 ?
4 I believe in looking reality right in the eye and denying it Garrison Keillor
5 Josie s Story
6 Judy s Story
7 Health Care Process Reliabilities (Un)Reliability 10-1 Outcome/Process Beta blockers for MI; ASA in MI >3 Glycosylated hemoglobin tests/2 yrs Known preventive treatments Adverse events in hospital Deaths in high risk surgery Neonatal mortality General surgery deaths Deaths in routine anesthesia 10-5? 10-6 For further reading, see: McGlynn EA, Asch SM, Adams J, et al.? The quality of health care delivered to adults in the United States. New England Journal of Medicine. 2003;348.
8 Communication Errors 65%
9 Sentinel Events
10 Why F.A.S.T? Sorrel s story, Judy s story and those of many other families 98,000 hospitalized Americans die each year due to errors 1 53% MDs & 66% patients have experienced a healthcare error. 1 48% with serious health consequences F.A.S.T. is our next step toward providing each patient the safest possible hospital care 1 Keeping Patients Safe: Transforming the Work Environment for Nurses. (2004) Institute of Medicine
11 VMPS Methodology and F.A.S.T. Guiding Principles: Zero Defects Transparency Methods: Mistake Proofing: In-Process Inspection Stop the Line: Andon
12 The Customer With the Defective Product Is 100% Dissatisfied The Other 999 Customers Are Invisible
13 Mistakes are Fixed at the Source Within Just After Just Before Downstream A B C Pokayoke Self Check Successive Check Instant Fix Oops, I goofed! Hey, you goofed!
14 Andon: Stop the Line Patient Safety Alert System Medical Emergency Team Family Activated Safety Team
15 An Effective Andon MUST: Signal Action Success
16 Reasons for Activation Reason Rate Rate Rate Totals Overall Rate Pain Management/ Medication Related Communication Breakdown 1 10% 15 42% 13 52% % 0 0% 3 8% 0 0% % Clarification of Orders 1 10% 1 3% 0 0% % Psychological Issues 3 30% 0 0% 0 0% % Discharge Planning 1 10% 4 11% 1 4% % Medical Management 2 20% 3 8% 5 20% % Diet Related 1 10% 0 0% 0 0% % Dissatisfaction w/ Staff 0 0% 3 8% 2 8% % No Data Reported 1 10% 7 19% 4 16% % Totals: University of Pittsburg Medical Center at Shadyside
17 Structure for Success Stakeholders Clarify AIM Sponsors PLAN ACT Key Players DO STUDY
18 F.A.S.T. Program D evelopm ent Tim eline 1. Need Roles and Scripts 1. Lit Review (IH I, U PM C ) 2. Pilot Team Identified 3. P relim inary Planning Complete 1. Rapid Response Team Name Solicited F rom P ilot Unit Staff (FAST) 1. FAST Simulation #1. Test: a. Paging System b. Responders c. P atient R elations 2. Need Process Algorithm 3. Need Sequenced Bedside FAST Simulation #3 GO LIVE CCU FAST Call # 3-6 Dec 07 Jan 08 Feb 08 March 08 April 08 May 08 June 08 July 08 Aug 08 Sept Oct Response Model Identified 2. Perceived Fears Discussed 1. FAST Brochure Complete 2.Tested with Patient F am ily and Staff 1. Table Top Simulation #2 2. Algorithm, Script and Role Revision 1. Tool Kit Complete 2. P ilot Begins on Tele/IMC CCU FAST Call # 1 1. Organization Communication and Rollout Plan Begins CCU FAST C all # 2 1. Walking Rounds to Assess M essaging (Patient, Family and Staff) 2. Walking Round Feedback to Managers and Staff 3. Communication meeting #2
19 Patient / Family activate Family Activated Safety Team By calling 6-FAST from any hospital phone FAST Algorithm PBX paging 5 minutes Responders DAYS 1. Unit ANM/Charge RN 2. Primary RN 3. CCU Charge RN. 4. Unit CNL/CNS Pulled by ANM 5.Unit Director 6. Service Rep. E- Handoff Responders NIGHTS 1. Unit ANM/Charge RN 3. CCU MET RN. 4. Rapid Response Flow RN 2. Primary RN Activate MET No Yes 1. CCU MET RN Screen Physiologically stable? Responder Huddle 1. Initial Action Plan 2. Person accountable for follow up. 3. If handoff anticipated with who and when? 4. Who will notify primary team of call? 5. Document above in progress note/care plan. Patient and Family Action Plan Update HOUR PATIENT F/U Patient and Family Service F/U NOTE: For complex issues the Unit CNL(CNS) is responsible for care coordination until issue resolution. Virginia Mason Medical Center 2008
20 Results F.A.S.T Nature of Call N=20 pain control/ med related clarification of care plan delay in care dissatisfaction with staff 6 communication related 3 psychosocial issues 6 10 environment issue diet related others
21 Results 7 FAST Action Taken N=20 15 managing MD notified required transfer to higher level of care MET activated Service recovery Manager/ Director Contacted Follow up with Primary RN CNL notified Social Services Notified Patient Relations Team 9 Other 8 1
22 Results Patient Response to FAST. " Was there clear direction on how to activate FAST?" Strongly agree Agreee Netural Disagree Strongly disagree
23 Results Patient Response to FAST " Did you feel comfortable calling FAST?" Strongly agree Agreee Netural Disagree Strongly disagree
24 Results Patient Response to FAST "Were your concerns addressed?" Strongly agree Agreee Netural Disagree Strongly disagree
25 Results Would You Call FAST Again? YES NO
26 F.A.S.T. and the Virginia Mason Quality Equation Q = A (O + S) Q: Quality W A: Appropriateness O: Outcomes W: Waste S: Service
27 Did Your Paradigm Shift? Sometimes I've believed as many as six impossible things before breakfast. - Lewis Carroll
28 It s ALL about the PATIENT
VIRGINIA MASON PRODUCTION SYSTEM (VMPS)
Source: Virginia Mason Medical Center VIRGINIA MASON PRODUCTION SYSTEM (VMPS) The Patient is GOD Toyota Production System How it translates to the Virginia Mason Production System Benefits Results Conclusion
Ruchika D. Husa, MD, MS Assistant t Professor of Medicine in the Division of Cardiology The Ohio State University Wexner Medical Center
Modified Early Warning Score (MEWS) Ruchika D. Husa, MD, MS Assistant t Professor of Medicine i in the Division of Cardiology The Ohio State University Wexner Medical Center MEWS Simple physiological scoring
Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH
Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH 3 Agenda Need for Lean in Healthcare Lean at UHS Lean & Green Questions McGlynn EA, Asch
Get With The Guidelines Best Practices: A look at reducing 30-day heart failure readmission rates
Get With The Guidelines Best Practices: A look at reducing 30-day heart failure readmission rates Thank you for joining the webinar! The presentation will begin shortly. *Please make sure your computer
Stacy McLaughlin, RN, MSN. Director of Quality & Performance Improvement
Stacy McLaughlin, RN, MSN Director of Quality & Performance Improvement 25-bed CAH 21 beds: acute / observation / swingbed 4 bed ICU ED volumes: 14,400 encounters/year 5 Clinics: Rural Health / Primary
Wolfson Children s Hospital Jacksonville, Florida
The Use of Advanced Technology to Improve Patient Safety and Flow in a Children s Hospital Wolfson Children s Hospital Jacksonville, Florida Sharon Simmons, MSN, RN, CPN Abby Sapp, BSN, RN, CPN Pediatric
HOURLY ROUNDING HOURL S U P P L E M E N T B E S T P R A C T I C E : S A C R E D H E A R T H O S P I T A L P E N S A C O L A, F L O R I D A
B E S T P R A C T I C E : S A C R E D H E A R T H O S P I T A L P E N S A C O L A, F L O R I D A Today, due to organizations around the country that have implemented hourly rounding, patient falls are
2013 Virginia Mason Medical Center
Objectives Recognize the challenges to Ambulatory Clinic Flow Apply Lean Tools and Methods to Improve Clinic Flow Describe the benefits of Team Based Care A Day in the Life of a Primary Care Provider The
BOARD OF DIRECTORS PAPER COVER SHEET. Meeting date: 29 November 2006 Agenda item: 7.4
BOARD OF DIRECTORS PAPER COVER SHEET Meeting date: 9 November 6 Agenda item: 7. Title: COMPLAINTS REPORT QUARTER 6/7 (1 July 6 3 September 6) Purpose: To update the board on the number and type of complaints
Strategies and Tools to Enhance Performance and Patient Safety
Strategies and Tools to Enhance Performance and Patient Safety Ice Breaker Mod 1 05.2 06.2 Page 2 2 Do No Harm Jess Story Do no Harm Jess' Story Mod 1 05.2 06.2 Page 3 3 Medical Error Have you been affected
Developing the Clinical Nurse Leader Role in the Baptist Hospital of Miami 12 Bed Hospital Model A Best Practice for Care Delivery Redesign
Developing the Clinical Nurse Leader Role in the Baptist Hospital of Miami 1 Bed Hospital Model A Best Practice for Care Delivery Redesign CNL Teleconference Joan Shinkus Clark RN, MSN, CNAA, BC Janet
Introducing a NEW simulation based training program for KGH / HDH Emergency Room Nurses
Introducing a NEW simulation based training program for KGH / HDH Emergency Room Nurses Are you looking to improve your skills in ER nursing care? Have you heard about the benefits of simulation based
Creating a Checklist Culture Chris George, RN MS cgeorge@mha.org
Creating a Checklist Culture Chris George, RN MS cgeorge@mha.org Objectives Benefits of using checklists What makes a good checklist Creating a culture that supports checklists Why do we need checklists?
Melissa Edmister, RN, BSN Clinical Manager Surgical Acute Unit Providence St. Peter Hospital
Melissa Edmister, RN, BSN Clinical Manager Surgical Acute Unit Providence St. Peter Hospital Why do some organizations do well with safety initiatives while others do poorly or fail? The most important
Eliminating inefficiencies with PerfectServe. SUCCESS STORY Elimination of delays in consultant care. perfectserve.com 866.844.
perfectserve.com 866.844.5484 @PerfectServe SUCCESS STORY Elimination of delays in consultant care Hospital: Munroe Regional Medical Center Location: Ocala, FL Beds: 421 Key results: Standardized clinical
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
A Better Discharge Process: Using Lean Six Sigma and Multidisciplinary Collaboration to Improve Patients Experience:
A Better Discharge Process: Using Lean Six Sigma and Multidisciplinary Collaboration to Improve Patients Experience: A Love Story Mike Sawin, BSN, RN Nurse Manager 10W Stephanie Sargent, MHA, RN, Lean
Why Service Matters Susan Osborne RN, MSN, MBA Vice President Service Excellence
Why Service Matters Susan Osborne RN, MSN, MBA Vice President Service Excellence Objectives The Piedmont Journey Current Service Results Importance of personal connection Financial impact for service
American Society of Anesthesiologists. Hosting a Site Visit Program Guide
American Society of Anesthesiologists Hosting a Site Visit Program Guide Introduction In today s rapidly changing health care environment, anesthesiologists must respond to public as well as governmental
Transforming the Healthcare Organization through Process Improvement
WHITE PAPER Whitepaper Transforming the Healthcare Organization through Process Improvement The movement towards value-based purchasing models has made the concept of process improvement and its methodologies
NYSPFP Preventable Readmissions Initiative: Pilot Review and Post Hospital Care
NYSPFP Preventable Readmissions Initiative: Pilot Review and Post Hospital Care June 17, 2014 A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association
Karen Frush, BSN, MD Chief Patient Safety Officer Duke University Health System October 23, 2009
Karen Frush, BSN, MD Chief Patient Safety Officer Duke University Health System October 23, 2009 Share our story Describe a comprehensive patient safety program Discuss culture and its importance in patient
Lean thinking and Six sigma at the level of Clinical Service Delivery
Lean thinking and Six sigma at the level of Clinical Service Delivery Hugh Rogers FRCS Associate, Service Transformation NHS Institute for Innovation & Improvement Healthcare Events 26 th February 2008
Change Management Advisory Council. September, 2010
Change Management Advisory Council September, 2010 Agenda 8:00-8:20: 8:20-8:40: 8:40-9:00: 9:00-9:30: Introduce team; share role of Advisory Council and discussion questions Discuss program overview and
Unstoppable Report Removing a Barrier to Patient Flow by Nursing Process Redesign
Unstoppable Report Removing a Barrier to Patient Flow by Nursing Process Redesign 17th Annual Society for Health Systems Management Engineering Forum February 12-13, 2005 Dallas, Texas Norwalk Hospital
Creating The Perfect Surgical Patient/Family Experience
Creating The Perfect Surgical Patient/Family Experience Wednesday, November 20, 11:00 12:00 p.m. Krista Christensen Administrative Director, Surgical Clinics Virginia Mason Medical Center Julianne Garr,
Kennedy Krieger Institute. Policy and Procedure for Research Involving Nursing Resources. April 2011
Kennedy Krieger Institute Policy and Procedure for Research Involving Nursing Resources April 2011 Policy: Human research projects conducted within the Kennedy Krieger Institute (KKI) that require the
Sanford Improvement Making Lean Work in Healthcare
Sanford Improvement Making Lean Work in Healthcare David Peterson Enterprise Director of Continuous Improvement Outline/Agenda Office of Continuous Improvement Who are we and what do we do? History/Journey
Objectives. Integrating Quality and Safety Throughout a Masters Entry to Nursing Practice Curriculum. The Institute of Medicine.
Objectives Identify emerging views of safety and quality in health care Integrating Quality and Safety Throughout a Masters Entry to Nursing Practice Curriculum Kim Amer, PhD, RN Associate Professor in
Quality and Efficiency of Care Improved with Analytics and Workflow Redesign
Quality and Efficiency of Care Improved with Analytics and Workflow Redesign London Health and Care Leaders Forum June 2, 2015 Simeon Schwartz, MD CEO, WESTMED Medical Group, P.C. WESTMED Medical Group
University of Michigan Health System Program and Operations Analysis. Utilization of Nurse Practitioners in Neurosurgery.
University of Michigan Health System Program and Operations Analysis Utilization of Nurse Practitioners in Neurosurgery Final Report To: Laurie Hartman, Director of Advanced Practice Nurses, UMHS School
Rapid Response System Washington County Hospital
Rapid Response System Washington County Hospital WHAT IS A Rapid ResponseTeam? A TEAM SUMMONED AT ANY TIME BY ANYONE IN THE HOSPITAL TO ASSIST IN THE CARE OF A PATIENT WHO IS CRITICALLY ILL BEFORE A CODE
Complaints Annual Report 2011/2012
Complaints Annual Report 2011/2012 This report incorporates complaints handling for Basingstoke and North Hampshire NHS Foundation Trust and Winchester and Eastleigh Healthcare Trust for the period 1 April
PROJECT MANAGEMENT PLAN <PROJECT NAME>
PROJECT MANAGEMENT PLAN TEMPLATE This Project Management Plan Template is free for you to copy and use on your project and within your organization. We hope that you find this template useful and welcome
Introduction of a Dedicated Admissions Nurse to Improve Access to Care for Surgical Patients
Introduction of a Dedicated Admissions Nurse to Improve Access to Care for Surgical Patients Editor s Note: In Introduction of a Dedicated Admissions Nurse to Improve Access to Care for Surgical Patients
Coming to the Table: Debriefing for Patient Safety NYSPQC Educational Webinar April 24, 2013
Coming to the Table: Debriefing for Patient Safety NYSPQC Educational Webinar April 24, 2013 Christine Arnold, RNC, MS Rita Dadiz, DO Joanne Weinschreider, RN, MS Faculty Christine Arnold, RNC, MS Project
101-301 Guide to Mobile Testing
101-301 Guide to Mobile Testing Perfecto Mobile & Toronto Association of System and Software Eran Kinsbruner & Joe Larizza 2014 What To Do? Great News Your first Mobile Project has arrived! You have been
Complaints Annual Report 2014-15. Author: Sarah Housham, Senior Complaints and PALS Officer
Complaints Annual Report 2014-15 Author: Sarah Housham, Senior Complaints and PALS Officer 1 Rnoh Complaints Annual Report 2014 / 2015 Complaints Handling & the Principles of Remedy Introduction Complaints
How To Help A Nursing Home And Hospital Collaborate
Continuum of Care Bridging the Gap between the Hospital and Nursing Home Scott Wells, RN MSN Tiffany Noller, RN MSN Objectives Name key members involved in hospital/nursing home collaborative Identify
CHILDREN AND YOUNG PEOPLE'S PLAN: PLANNING AND PERFORMANCE MANAGEMENT STRATEGY
CHILDREN AND YOUNG PEOPLE'S PARTNERSHIP BOARD CHILDREN AND YOUNG PEOPLE'S PLAN: PLANNING AND PERFORMANCE MANAGEMENT STRATEGY 1 Introduction 1.1 The purposes of this strategy are to set out: i) the arrangements
Creating teams in primary care Breakout Series 1, Breakout A
Creating teams in primary care Breakout Series 1, Breakout A Tom Bodenheimer MD Center for Excellence in Primary Care UCSF Department of Family and Community Medicine Objectives Discuss some nuts and bolts
Lean Daily Management (LDM) Ralph Seely Lean Consultant (206) 701-3382 http://www.pointb.com
Lean Daily Management (LDM) Ralph Seely Lean Consultant (206) 701-3382 http://www.pointb.com Overview Lean Daily Management (LDM) is the system that allows you to deliver customer value through proper
Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals
Learning Objectives Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals Describe the 5 steps needed to create an effective hospital
MACHA Annual Meeting November 6, 2014 Normal, Illinois. Strategies to increase influenza vaccination rates among college students
MACHA Annual Meeting November 6, 2014 Normal, Illinois Strategies to increase influenza vaccination rates among college students Christie Bellak, MSN, RN Public Health Program Manager Ann Clifton, ANP-BC,
Establishing an Integrated Behavioral Health Program and Practicum Site in a Community-Based Primary Care Center
Establishing an Integrated Behavioral Health Program and Practicum Site in a Community-Based Primary Care Center Christina S. Lee, Ph.D. Dept. of Applied Psychology Northeastern University, Boston, MA
By Debra Davidson, PhD, MSA, MS Luciane Tarter, RN, BSN. SBIRT grant for Behavioral Health APCP. Mo Health Net Health Home Program SBIRT
By Debra Davidson, PhD, MSA, MS Luciane Tarter, RN, BSN 1 2 Team Based Care for Chronic Illness Our journey: 24 months APCP: Advanced Primary Care Practice Grant for Medicare : NCQA Level 3 by 2014 MoHealth
Overview of Lean at URMC
Overview of Lean at URMC Agenda Introduction to Lean at URMC Strategy for Lean at URMC Understanding Waste Introduction to Tools & Techniques 1 Healthcare, As It Is Currently Delivered in The US, is Unsustainable
Endovascular Abdominal Aortic Aneurysm Repair Surgery
Endovascular Abdominal Aortic Aneurysm Repair Surgery You are scheduled for an admission to Cooper University Hospital for Endovascular Abdominal Aortic Aneurysm surgery (EVAR). Please read this handout,
CHANGING YOUR CASE MANAGEMENT MODEL OF CARE. Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center
CHANGING YOUR CASE MANAGEMENT MODEL OF CARE Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center 1 Program Objectives To be able to describe the compliance and regulatory
Content Introduction. Pag 3. Introduction. Pag 4. The Global Fund in Zimbabwe. Pag 5. The Global Fund Grant Portfolio in Zimbabwe.
Content Introduction The Global Fund in Zimbabwe The Global Fund Grant Portfolio in Zimbabwe Capacity Development 2009-2014 Capacity Development and Transition Planning 2014 Overview of the Capacity Development
Physician-Led Emergency Department Optimization Dashboard
Physician-Led Emergency Department Optimization Dashboard Enhancing Efficiencies in the ED and Beyond ehealth 2015: Making Connections June 1, 2015 Dr. Tony Meriano, Chief Medical Information Officer TransForm
EMR UPDATE ON TIME AND ON BUDGET CLINICAL TRANSFORMATION IMPLEMENTATION PLAN
EMR UPDATE ON TIME AND ON BUDGET CLINICAL TRANSFORMATION IMPLEMENTATION PLAN Testing and Build Stability View Only Scanning Interfaces Training Innovative Technology EMR UPDATE COMMUNICATION PLAN Essential
troinet.com How Technology Can Help Boost Your Medical Practice Convenience Rating
How Technology Can Help Boost Your Medical Practice Convenience Rating How Technology Can Help Boost Your Medical Practice Convenience Rating Quality of care is supreme, of course, but patients greatly
Errors in the Operating Room. Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN)
Errors in the Operating Room Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN) What What We All We Strive All Strive For: For: Patient Patient Safety Safety
COMMUNITY HOSPITAL REGISTERED NURSE PRINTED NAME:
COMMUNITY HOSPITAL REGISTERED NURSE EMPLOYEE: PRINTED NAME: REPORTS TO: DEPARTMENT: FMLA STATUS: Date: Director of Med-Surg Nursing Non-exempt PURPOSE: The Registered Nurse is responsible for the ongoing
Maggie Church, RN MSN Special Care Nursery at Lucile Packard Children s Hospital at Stanford
Maggie Church, RN MSN Special Care Nursery at Lucile Packard Children s Hospital at Stanford Decrease adverse events with Evidenced- Based Nasal Gastric Tube insertion in Neonates. The Aim Implement a
Common Mistakes Medical Facilities Make
Common Mistakes Medical Facilities Make What You Can Do To Help Them Michelle Foster Earle, President OmniSure Risk Management Consulting Yo u r s o u r c e f o r p r o f e s s i o n a l l i a b i l i
Web&ACTION Program: Improving Patient Flow Getting Started
Web&ACTION Program: Improving Patient Flow Getting Started Session 3: Overview of the Key Components of an Administrative System Concept Design: A System for Hospital Flow Administrative System *Bed management
2/14/2015. Liz Cooke RN NP
Liz Cooke RN NP Quality of Life studies with HCT pts began at City of Hope in 1991 for Tool validation Retrospective Chart Review in 2000 of 100 HCT patients looking at readmission patterns. (published
IHCA Nurse Manager Training
IHCA Nurse Manager Training Traci Treasure, MS, CPHQ, LNHA Quality Improvement Consultant 22 March 2012 Clinical Quality Care Module 8 self study discussion Theories of Aging Aging Process Altered Physiological
NHS Safety Thermometer. Measuring harm at the point of care
NHS Safety Thermometer Measuring harm at the point of care It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm Hospitals are only
Mistake Proofing Healthcare. Poka Yoke Presented by: Harjeet Bajaj
Mistake Proofing Healthcare Poka Yoke Presented by: Harjeet Bajaj A LITTLE HISTORY POKA YOKE was developed by Shigeo Shingo in the 1960 s s. POKA (inadvertent mistake) & YOKE (prevent) Basically it is
Application of Engineering Principles to Patient Flow & Healthcare Delivery
Application of Engineering Principles to Patient Flow & Healthcare Delivery Jeanne M Huddleston, MD, MS Medical Director, Health Care Systems Engineering Mayo Clinic 2013 MFMER slide-1 2013 MFMER slide-2
Documentation of Health Conditions for Medically Complex Children. Katharine Zuckerman, MD
Documentation of Health Conditions for Medically Complex Children Katharine Zuckerman, MD 0 I. The Problem A. Setting: The Pediatric Coordinated Care Clinic (CCC) at MassGeneral Hospital for Children (MGHfC)
CHANGE MANAGEMENT HOW TO ACHIEVE A CULTURE OF SAFETY
CHANGE MANAGEMENT HOW TO ACHIEVE A CULTURE OF SAFETY Change Objectives Identify the Eight Steps of Change using Kotter s Model for change within your organization Discuss other change management models
Key purpose Strategy Assurance Policy Performance
Trust Board Meeting: Wednesday 11 March 2015 Title Quality Committee Chairman s Report Status History For Information This is a regular report to the Board Board Lead(s) Mr Geoffrey Salt, Committee Chairman
Patient Experience. The Cleveland Clinic Journey. American Medical Group Association Orlando, Florida March 14, 2013
Patient Experience The Cleveland Clinic Journey American Medical Group Association Orlando, Florida March 14, 2013 James Merlino, MD Chief Experience Officer Overview How did Cleveland Clinic change their
*Explain strategies that support utilization management in a health care setting.
Deborah Cutts, Chief Quality Officer 1 Chris Rovinski-Wagner, Coach Captain Discuss utilization management in the context of variation in health care delivery. Explain strategies that support utilization
2008 The Board of Trustees of the University of Illinois
The Case for Candor: Bridging the Patient Safety Medical Liability Chasm: Conflict of interest The Agency for Healthcare Research and Quality [AHRQ] provides substantial funding for my work in patient
Retirement Research Foundation
Nursing Home Social Work Network Welcome! http://clas.uiowa.edu/socialwork/nursing-home-social-work-network This webinar series is made possible through the generosity of the Retirement Research Foundation
APPLICATION FOR LICENSURE AS A NURSING HOME ADMINISTRATOR OF A FACILITY CARING PRIMARILY FOR PERSONS WITH HEAD INJURIES AND ASSOCIATED DISORDERS
This form may be printed, completed and mailed to the address listed below ATTACHMENT G STATE OF NEBRASKA Department of Health and Human Services Division of Public Health - Licensure Unit P.O. Box 94986
Southwark Clinical Commissioning Group Lambeth Clinical Commissioning Group
Getting the Vision Right: A multi-disciplinary approach to providing integrated care for respiratory patients Dr Noel Baxter, GP NHS Southwark CCG Dr Irem Patel, Integrated Consultant Respiratory Physician
The Importance of Care Coordination: The Partnerships
The Importance of Care Coordination: The Partnerships Partnerships for Health for Health Experience A Chronic Disease Prevention and Management Demonstration Project Mike Hindmarsh: Project Leadership
The Victorian Transport Accident Scheme. Heather Evans General Manager, Strategy
The Victorian Transport Accident Scheme Heather Evans General Manager, Strategy Agenda 1. Overview of the Scheme 2. Recent Performance 3. Key Initiatives Who is the TAC fully funded combined no-fault and
Care Management Can We Do It Better?
Care Management Can We Do It Better? Wilma Acosta, Associate Director Protiviti, Inc. Alex Robison, Managing Director Protiviti, Inc. Agenda I. Care Management Challenges II. Compliance Case Studies Intermittently
Re-Engineering Lean Care Management and Automation in a Value-Based World
Re-Engineering Lean Care Management and Automation in a Value-Based World Jerry Green Kristy Sanders March 30, 2016 Housekeeping 1. Using the control panel Use the control panel on the right side of your
All of your product data. Just one click away. More than just a pleasant dream. Intelligent Master Data Management.
All of your product data. Just one click away. More than just a pleasant dream. Intelligent Master Data Management. 02 Diversity is great. But please not with our product master data. Typical problems
Go With The Flow- From Charge Nurse to Patient Flow Coordinator. Donna Ojanen Thomas, RN, MSN Cynthia J. Royall, RN, BSN
Go With The Flow- From Charge Nurse to Patient Flow Coordinator Donna Ojanen Thomas, RN, MSN Cynthia J. Royall, RN, BSN Primary Children s Medical Center About PCMC Not for profit hospital, part of Intermountain
TRANSFORMING HEALTH SYSTEM WITH IT Ain Aaviksoo, MD MPH. Deputy Secretary General for eservices & Innovation Ministry of Social Affairs of Estonia
TRANSFORMING HEALTH SYSTEM WITH IT Ain Aaviksoo, MD MPH Deputy Secretary General for eservices & Innovation Ministry of Social Affairs of Estonia To be discussed 1. From data accumulation to information
Scenario 1. Scenario 2
From the 10 coaching scenarios below, practice at least three within your group of three. Each group member should practice being the coach. Next, construct your own coaching scenario that reflects an
APPENDIX B: QUESTION WORDING AND SURVEY TOPLINE
77 VIEWS ON END-OF-LIFE MEDICAL TREATMENTS APPENDIX B: QUESTION WORDING AND SURVEY TOPLINE TOPLINE March 21-April 8, Note: All numbers are percentages. The percentages greater than zero but less than 0.5%
PATIENT JOURNEY BOARDS
PATIENT JOURNEY BOARDS at Manly, Mona Vale and Hornsby Ku-ring-gai Hospitals Sue Hair : Director of Nursing and Midwifery, Manly Hospital Deb Stewart : Manger Clinical Redesign, Northern Beaches and Hornsby
Texas Nursing: Our Future Depends on It
Texas Nursing: Our Future Depends on It A Strategic Plan for the State of Texas To Meet Nursing Workforce Needs of 2013 Attachment A Detailed Action Plan Developed by: Addressing Nursing Education Capacity
IR Best Practice & the Tools Needed to Achieve it
IR Best Practice & the Tools Needed to Achieve it Belgrade March 2011 Andrew Crockett Senior Specialist Corporate Services Thomson Reuters INTRODUCING THOMSON REUTERS We provide intelligent information
Creating a Pull System in a Push Dominated Environment
Creating a Pull System in a Push Dominated Environment 1 Creating a Pull System in a Push Dominated Environment Todd Schneider, Improvement Advisor Julie Allison, Project Manager Tallahassee Memorial HealthCare
PROJECT NAME: Improving Effectiveness, Promoting Efficiency; the EMR-based Clinical Pathway for Pressure Ulcer Detection, Prevention, and Treatment
PROJECT NAME: Improving Effectiveness, Promoting Efficiency; the EMR-based Clinical Pathway for Pressure Ulcer Detection, Prevention, and Treatment Institution: UT Southwestern Medical Center Primary Author:
Targeting Hypoglycemia in the ICU with Evidence Based Practice Strategies
Targeting Hypoglycemia in the ICU with Evidence Based Practice Strategies Ruth Kleinpell PhD RN FAAN FCCM Rush University Medical Center Chicago Illinois USA Research substantiates the benefit of insulin
Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES. EmPowerHR
EmPowerHR Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health insurance
ACCESS Nursing Programs Session 1 Center Valley Campus Only 8 Weeks Academic Calendar 8 Weeks
Session 1 Academic Calendar August 24, 2015 to October 17, 2015 Tuesday / Thursday, 5:30 pm to 8:30 pm M/W T/TH T/W TH S Saturday lab as scheduled Classes Begin 24-Aug 25-Aug 25-Aug 27-Aug 29-Aug NU205
ACCESS Nursing Programs Session 1 Center Valley Campus Only 8 Weeks Academic Calendar 8 Weeks
Session 1 Academic Calendar August 24, 2015 to October 17, 2015 Tuesday / Thursday, 5:30 pm to 8:30 pm M/W T/TH T/W TH S Saturday lab as scheduled Classes Begin 24-Aug 25-Aug 25-Aug 27-Aug 29-Aug NU205
Data Quality Rating BAF Ref Impact on BAF Risk Rating
Board of Directors (Public) Item 6.4 Subject: Annual Review of Complaints Process Date of meeting: 28 th April, 2015 Prepared by: Lisa Gurrell Patient and family support Manager Presented by: Sue Pemberton
UW Medicine Case Study
Learn Serve Lead April 2013 Association of American Medical Colleges ABOUT THE BEST PRACTICES FOR BETTER CARE CASE STUDY SERIES Better performers from the Best Practices for Better Care initiative, identified
Disclosure. Mayo Clinic. Quality Gets You in the Game, Service Helps You Win ***** How to Give Great Care and Feel Better at the End of Your Day
Quality Gets You in the Game, Service Helps You Win ***** How to Give Great Care and Feel Better at the End of Your Day Jay Kaplan, MD, FACEP President-elect, American College of Emergency Physicians Practicing
S.O.S. Neonatal Skin Risk Assessment Team Membership: Lisa Festle, MSN, RNC-NIC, APRN/CNS Barbara Hering, MSN, RNC-NIC, APRN/CNS
S.O.S. Neonatal Skin Risk Assessment Team Membership: Lisa Festle, MSN, RNC-NIC, APRN/CNS Barbara Hering, MSN, RNC-NIC, APRN/CNS Acknowledgements: NICU Staff Nurses, Wound Ostomy Nurses, Marc Weiss, MD,
Escalating volume for practice
perfectserve.com 866.844.5484 @PerfectServe SUCCESS STORY IPC Healthcare s Memorial City practice: Effectively managing escalating volume with PerfectServe Facility: IPC Healthcare s Memorial City practice
Kick off Meeting November 11 13, 2015. MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF)
Kick off Meeting November 11 13, 2015 MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF) Team Composition Justin Huynh, MD Internal Medicine, Physician Champion Mary Laubinger,
Sustainability: Achieving Clinical and Financial Benefits Through the Use of an EHR
Sustainability: Achieving Clinical and Financial Benefits Through the Use of an EHR Bert Reese SVP and CIO of Sentara Healthcare Sentara Healthcare October 6, 2014 1 Sentara Healthcare 126-year not-for-profit
Improving the Health Care Journey to Cardiac Rehabilitation for Victorian Aboriginal Patients
Improving the Health Care Journey to Cardiac Rehabilitation for Victorian Aboriginal Patients Lorraine Parsons, Manager Programs Raelene Lesniowska, Senior Metropolitan ICAP Project Officer Aboriginal
Manchester City Council Report for Information. Managing Attendance (Real Time Absence Reporting)
Manchester City Council Report for Information Report to: Subject: Overview and Scrutiny Human Resources Subgroup - 25 January 2011 Managing Attendance (Real Time Absence Reporting) Report of: Assistant
2012 HIPAA Privacy and Security Audits
Office of the Secretary Office for Civil Rights (OCR) 2012 HIPAA Privacy and Security Audits Linda Sanches OCR Senior Advisor, Health Information Privacy Lead, HIPAA Compliance Audits OCR 1 Agenda Background