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Quality and Safety Now Key to Hospital Success

CUSP: Comprehensive Unit-based Safety Program (CUSP): An Intervention to Learn from Mistakes and Improve Safety Culture Denise M. Flook, RN, MPH, CIC Director, Workforce Development/ Infection Prevention. Quality and Safety Now Key to Hospital Success.

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Quality and Safety Now Key to Hospital Success

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  1. CUSP: Comprehensive Unit-based Safety Program (CUSP): An Intervention to Learn from Mistakes and Improve Safety Culture Denise M. Flook, RN, MPH, CIC Director, Workforce Development/ Infection Prevention

  2. Quality and Safety Now Key to Hospital Success • Payers , including the government, and public demand more efficient, safer care • Limited resources will necessitate efficiency

  3. Healthcare Reform Has Fast Tracked Accountability for Care • Payment reform : Value based purchasing • Quality measurement and improvement • Nonpayment for HACs • Eventual loss of payment for substandard care • Consumer reform: Transparency • Quality measures and HACs will be publically reported on Hospital Compare web site

  4. The challenge is how do we get there and sustain the best care?

  5. On the CUSP: StopBSI – An International Collaborative • National effort to eliminate CLABSIs in hospitals • Modeled after Michigan Keystone Project - expanded beyond ICUs • Joint project of Johns Hopkins Quality Safety Research Group, led by Dr. Peter Pronovost, AHRQ, AHA HRET • Over 30 states participating, more to follow • 2 year time frame • Important component: Developing a Comprehensive Unit Safety Program, i.e. culture of unit based on ownership/accountability

  6. Safety Improvement Is A Two Part Process

  7. Comprehensive Unit-based Safety Program (CUSP): An Intervention to Learn from Mistakes and Improve Safety Culture • Educate staff on science of safety http://www.safercare.net/OTCSBSI/Staff_Training/Entries/2009/9/6_1._The_Science_of_Improving_Patient_Safety.html. • Identify defects • Assign executive to adopt unit • Learn from one defect per quarter • Implement teamwork tools Pronovost J, Patient Safety, 2005

  8. Ensure Patients Reliably Receive Evidence Pronovost: Health Services Research, 2006

  9. Teamwork Tools • Call list • Daily goals • AM briefing • Shadowing • Culture check up Pronovost JCC, JCJQI

  10. Other Improvement Tools • Lean/Six Sigma • Process Reliability • Team Stepps • Huddles • SBAR • Other tools

  11. Decreasing Georgia CLABSI RATES

  12. Challenges Reported By Hospitals • A lack of time to work on project • Senior leadership support • Lack of engagement of staff

  13. It Goes Back to Leadership – On All Levels • Engagement , commitment, communication is foremost • Provide education • Provide resources • Visibility and transparency • Feedback • Investigation and ownership of outcomes and improvement

  14. It Takes All Kinds…… • Bedside Clinicians • Physicians • Executive Leadership • Managers • Seasoned professionals • New generation of clinicians • Internal/external Patient Safety experts • Professional experts • National experts , researchers • State leaders – QIO, PHA, Public Health • Internal and external peers • Statisticians

  15. StopBSI Web Site • Tools, Education , Resources • http://www.onthecuspstophai.org.

  16. Denise M. Flook, RN, MPH,CIC Director, Workforce Development/Infection Prevention 770-249-4518 dflook@gha.org.

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