7/18/2012. Transforming Care at the Bedside (TCAB) Tania Daniels, VP Patient Safety July 18, MHA Patient Safety

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1 Transforming Care at the Bedside (TCAB) Tania Daniels, VP Patient Safety July 18, 2012 MHA Patient Safety Patient Safety Top Priority at MHA since 2000 Launched Minnesota Alliance for Patient Safety (MAPS) Commissioned the MHA Patient Safety Committee Championed the Minnesota Adverse Health Event Reporting Law, 2003 Launched Calls to Action on top reported adverse events, st state to roll-out Transforming Care at the Bedside (TCAB), 2010 Received a 2-3 year Federal Contract: Partnership for Patients Hospital Engagement Network (HEN),

Minnesota Adverse Health Event Reporting Law, 2003 Launched Calls to Action on top reported adverse events, 2006 1 st state to roll-out

2 Partnership for Patients Hospital Engagement Network (HEN) National public/private partnership to improve the quality, safety and affordability of healthcare Center for Medicare and Medicaid Services (CMS) Innovation Center allocated $1 billion in funding $500 million Care Transitions $500 million Hospital Engagement Networks Goals by the end of 2013: Decrease preventable hospital-acquired conditions 40% Decrease preventable hospital readmissions 20% 2 Partnerships For Patients 26 Hospital Engagement Networks (HEN) MHA 1 of 12 Regional/State Hospital Associations Over 4,100 hospitals participating Good participation in Minnesota 104 in MHA HEN 22 in another HEN 2 year contract Dec. 9, 2011-Dec Optional 3 rd year through Dec

preventable hospital-acquired conditions 40% Decrease preventable hospital readmissions 20% 2 Partnerships For Patients 26 Hospital Engagement Networks (HEN) MHA 1 of 12 Regional/State

3 10 Hospital-Acquired Conditions Good alignment with existing MHA safety priorities: Pressure ulcers Falls Readmissions Infection: Surgical site infection (SSI), Central line associated blood stream infection (CLABSI), and Ventilator-associated pneumonia (VAP) New roadmaps being developed for: Obstetrical adverse events Adverse drug events Venous thromboembolism(vte) Catheter associated urinary tract infection (CAUTI) 2 Additional topics MAPS Patient Safety Culture Roadmap Transforming Care at the Bedside (TCAB) 4 Transforming Care at the Bedside (TCAB) A national effort founded by Robert Wood Johnson Foundation and Institute for Healthcare Improvement (IHI) Supported by Aligning Forces for Quality and American Organization Nursing Executives (AONE) The program engages leaders at all levels of the organization, especially frontline staff 5 3

tract infection (CAUTI) 2 Additional topics MAPS Patient Safety Culture Roadmap Transforming Care at the Bedside (TCAB) 4 Transforming Care at the Bedside (TCAB) A national effort founded by Robert

4 TCAB Goals TCAB is about empowering front line staff to create innovative ideas to: Improve the quality and safety of patient care Increase the vitality and retention of nurses and other frontline staff Engage and improve the patient and family experience Improve the effectiveness of the care team 7 4

vitality and retention of nurses and other frontline staff Engage and

5 The TCAB Process Front-line team generates new ideas Brainstorming or Snorkel Testing Ideas and Measuring Outcomes Rapid-cycle small tests of change- one staff, one patient, one shift Implementing and Spreading Successful Changes Collaborative Learning and networking with other TCAB teams 8 TCAB Results Julie Weegman, MA, RN, OCN, Director of Nursing Medical/Surgical Services Regions Hospital Brittany Barden, RN, frontline staff nurse Regions Hospital 5

Collaborative Learning and networking with other TCAB teams 8 TCAB Results Julie Weegman, MA, RN, OCN, Director of

6 Measurement for Success Transforming Care at the Bedside Safe & Reliable Care Vitality & Teamwork Patient & Family Centered Care Value-added Care Processes Decrease in falls and harm from falls Decrease Pressure Ulcers Reduce med errors Reduce Voluntary RN Turnover Optimize clinician and staff communication Give front line teams authority to act to improve care Patients willing to recommend hospital 95% of time Customize care to patient s needs and values Increase nurse time at bedside to greater than 60% Improve admission/ discharge process 10 MAPS 6

Optimize clinician and staff communication Give front line teams authority to act to improve care Patients willing to recommend hospital

7 Upcoming Events MAPS Culture Preconference: October 24 th MAPS Executive Leadership Summit: Oct. 26 Target audience: Hospital CEOs and Board of Directors Interactive workshop facilitated by Dr. Jim Reinersten Effectively managing competing priorities in our rapidly changing health care environment Strategies to address top barriers such as engaging medical staff on cultural and patient safety issues will be discussed TCAB cohort III: March/April Thank you! Questions, please contact Tania Daniels: 13 7

Jim Reinersten Effectively managing competing priorities in our rapidly changing health care environment Strategies to address top

U.S. Department of Health & Human Services May 7, 2014. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings

U.S. Department of Health & Human Services May 7, 2014 New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings The data in this report shows a substantial nine percent