Gabriela Ramirez, PhD, MPH Cindy Healy, RN, MS, CPHQ Susan Tocco, MSN, CNS, CNRN, CCNS

1. Improving Harm Across the BoardReport on Behalf of Orlando Health System Hospitals: Arnold Palmer Hospital (APH) Dr. P. Phillips Hospital (DPH)South Seminole Hospital (SSH) Winnie Palmer Hospital (WPH)Orlando Regional Medical Center (ORMC) Our Strategic Vision: Orlando Health will create a patient-first clinically integrated new model of care in collaboration with our medical staff to pursue seamless, quality outcome-driven extraordinary care. Gabriela Ramirez, PhD, MPH Cindy Healy, RN, MS, CPHQ Susan Tocco, MSN, CNS, CNRN, CCNS

2. Orlando Health Pressure Ulcer Rates Over TimeJanuary 2011 - December 2012 This is being highlighted because we have achieved a 45% reduction in the rate of harm based on this methodology.

3. Orlando Health Early Elective Deliveries Over Time January 2011 – December 2012 This is being highlighted because we have achieved a 36% reduction in the rate of harm from 2011 to 2012 based on this methodology.

4. Winnie Palmer Hospital Has Improved HAC Rates (per discharge) This is being highlighted because the facility achieved a 31% reduction in the rate of harm based on this methodology.

5. Our Amazing Quality Leadership Teams Winnie Palmer Hospital Arnold Palmer Hospital Orlando Regional Medical Center Dr. P. Phillips Hospital South Seminole Hospital

6. Pearls • Insights from former long term team member who was harmed • Harm was “humanized” • Patient First Strategy from visionary CEO • Corporate wide quality structure in place led by Chief of Quality and Transformation and VP of Patient Care Services • Unit level transparency/data reporting • Used pilot units and hospitals for tests of change • Implemented quality triads: physician, nurse manager, and unit practice council chair as key conduits for change messages

7. Orlando Health Risk Scorecard Our Hospital Risk Score Card