Ohio Patient Safety Institute (OPSI)

1. Ohio Patient Safety Institute (OPSI) Patient Safety Organization (PSO)

2. The Patient Safety And Quality Improvement Act of 2005 (PSQIA) • Authorized the creation of Patient Safety Organizations

3. PSO Patient Safety Activities Authorized by the PSQIA • Efforts to improve patient safety and quality of health care delivery • Collection and analysis of patient safety work product (PSWP) • Development/dissemination of information to improve patient safety such as recommendations, protocols, or best practices • Use PSWP for encouraging a culture of safety and providing feedback/assistance to minimize patient risk • Maintain procedures to preserve confidentiality of PSWP • Security measures with respect to PSWP • Use qualified staff • Operation of a patient safety evaluation system (PSES) and provision of feedback to participants in a PSES

4. Who is OPSI? The Ohio Patient Safety Institute is a Patient Safety Organization, which is a subsidiary of the Ohio Health Council, that was founded by: • the Ohio Hospital Association, • the Ohio State Medical Association, • and the Ohio Osteopathic Association.

5. OPSI PSO Designation • OPSI has been designated as a Patient Safety Organization (PSO), by the Agency for Healthcare Research and Quality on February 11, 2009

6. OPSI PSO Mission Statement • The Ohio Patient Safety Institute (OPSI) is the leader and catalyst in transforming healthcare into a reliable safe delivery system • In pursuit of our mission, the primary activity of OPSI PSO is to conduct activities designed to improve patient safety and the quality of healthcare delivery

7. Who can join OPSI? • An individual or entity licensed or otherwise authorized under State law to provide health care services; or • Any other individual or entity specified in the regulations promulgated by the Secretary

8. Why Join OPSI? • To share and learn in a legally protected environment in accordance with The Patient Safety and Quality Improvement Act of 2005 • To improve patient safety and quality • To use Patient Safety Work Product (PSWP) for encouraging a culture of safety • To identify and reduce the potential risks associated with care of patients • To take advantage of the benefits of membership

9. When We Collaboratively SHAREWe LEARN Examples of De-Identified Types of Information Shared: • Adverse Events • Near Misses • Unsafe Conditions

10. How We Learn--Through • Data Analysis and Feedback • Comparative Data • Analysis of RCAs • Research Request • Webinars • User Groups • OPSI PSO Navigator • Other Publications

11. Federal Legal Protections of the PSQIA: Privilege and Confidentiality Protections • Patient Safety Work Product (PSWP) is privileged and confidentiality

12. Benefits of Membership • Privilege and confidentiality protection of Patient Safety Work Product (PSWP) • Utilization of Patient Safety Evaluation System (PSES) • Access to a web-based, patient safety reporting system, which complies with the data standards, AHRQ common formats • Analysis and aggregation of patient safety data

13. Benefits of Membership (Continued) • Identification of trends and problems • Obtain expert help in understanding events • Active participation in promoting patient safety • Share best practices • Access to real time reports • Availability of customized reports • Access to publications, newsletters, alerts

14. Benefits of Membership (Continued) • Participation in user groups • Participation in patient safety webinars • Ability to submit research requests for patient safety matters • Ability to request an evaluation and critique of RCA submitted

15. Establish a Patient Safety Evaluation System • DECIDE WHAT TO PROTECT: • Event Reports • RCAs • Predictive Analysis • Peer Review • PI/QI Committee • Patient Safety Committee • Infection Control Committee • Board Safety Committee

16. Reporting to OPSI PSO • Data will be reported using AHRQs common formats • OPSI PSO has partnered with ECRI Institute PSO to utilize a web-based patient safety reporting system • Secure process for reporting

17. Reporting Adverse Events • Events can be uploaded from an organization’s reporting system (mapping to the Common Formats), or • Events can be entered manually

18. Submitting RCAs and Other Documents • Root cause analysis can be submitted for feedback and analysis

19. Thank you!