The Leapfrog NQF Safe Practices Briefing

1. The Leapfrog NQF Safe Practices Briefing Carol Ferguson, RN, MSN Director of Patient Safety and Performance Improvement Texas Medical Institute of Technology Patient Safety Officers College September 15, 2004

2. The Leapfrog NQF Safe Practices Submitter’s Briefing • Background • NQF Safe Practices Survey • Scoring Algorithm for NQF SP • Submitter’s Toolbox: Five Stages Prepare Plan Collect Assess Submit

3. The Leapfrog NQF Safe Practices Submitter’s Briefing • Background • NQF Safe Practices Survey • Scoring Algorithm for NQF SP • Submitter’s Toolbox: Five Stages Prepare Plan Collect Assess Submit

4. What is Leapfrog? • Founded in 2000 • More than 150 large health care purchasers • More than 34 million Americans • More than $62 billion in health care expenditures

5. Leapfrog Mission Trigger giant leaps forward in the safety, quality and affordability of health care • Informed health care decisions - Surveys • High-value health care through P-4-P Programs • 24 “Roll-Out” Regions to arrive at aggressive but feasible targets

6. 24 “Roll-Out” Regions

7. What is the National Quality Forum (NQF)? • The NQF, a non-profit voluntary consensus standards setting organization • Membership represent both Public and Private sectors

8. NPSF NQF Member Organizations

9. Safe Practice Background • “National Quality Forum Safe Practices for Better Healthcare: A Consensus Report” was developed to help standardize evidence based safe practices of care. • The Leapfrog NQF Safe Practices ‘Leap’ is using these safe practices to survey hospital performance

10. NQF Safe Practices for Better Healthcare: A Consensus Report • 30 Safe Practices Criteria for Inclusion • Specificity • Benefit • Evidence of Effectiveness • Generalization • Readiness

11. The Leapfrog NQF Safe Practices Submitter’s Briefing • Background • NQF Safe Practices Survey • Scoring Algorithm for NQF SP • Submitter’s Toolbox: Five Stages Prepare Plan Collect Assess Submit

12. The Leapfrog NQF Safe Practices ‘Leap #4’ • NQF- endorsed 30 high-priority Safe Practices to be universally applied in relevant clinical care settings • Includes Leapfrog’s initial 3 safe practices • Leapfrog will now assess hospitals’ progress on the remaining 27 safe practices

13. www.leapfroggroup.org Click Here

14. Click Here

16. Development of this New Survey • Survey Tool developed by Texas Medical Institute of Technology (TMIT) • 27 practices weighted according to patient safety impact, combined into a single score (1,000) • Relative ranking compared to other hospitals - placed into quartiles • First Public Results to be released in mid-July 2004

17. The Leapfrog NQF Safe Practices Submitter’s Briefing • Background • NQF Safe Practices Survey • Scoring Algorithm for NQF SP • Submitter’s Toolbox: Five Stages Prepare Plan Collect Assess Submit

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20. The Leapfrog NQF Safe Practices Submitter’s Briefing • Background • NQF Safe Practices Survey • Scoring Algorithm for NQF SP • Submitter’s Toolbox: Five Stages Prepare Plan Collect Assess Submit

21. Click Here to Obtain Submitter’s Checklist

22. Prepare Plan Collect Assess Submit Stage 1: Prepare • Obtain hard copy or digital PDF version of the NQF Safe Practices for Better Health Care: A Consensus Report • Print a hard copy of the Leapfrog survey and Frequently Asked Questions (FAQs) • Organize Survey Submission team

23. Click Here for NQF Report Order Form

25. www.safetyleaders.org/nqfsp Click Here to Buy PDF

26. Click Here to Download survey Click Here to Download FAQs

27. Plan Prepare Collect Assess Submit Stage 2: Plan • Pull a team of “internal experts” together to help answer the survey Including: • Nursing • Pharmacy • Infection Control • Surgical Services • Administration • Assign team member responsibilities for individual survey questions • Develop Survey Submission Plan

28. Plan Collect Prepare Assess Submit Stage 3: Collect • Each team member collects source documents to support survey question answers • Inventory source documents to each Safe Practice; establish a filing system as resource for gap analysis and future survey submissions • Perform gap analysis to determine what documents are missing that need to support remaining survey questions

29. Plan Assess Collect Prepare Submit Stage 4: Assess • Create a draft survey to determine baseline score • Identify pre-submission actions that can be immediately implemented to finalize an answer to any survey questions. • Identify Commitment answers to survey questions to optimize survey score • Prepare potential Commitment Scenarios (see example)

30. Example Commitment Scenario Baseline Score: No Commitments: 375 points Add Potential Commitments: • Establish direct and regular briefings of our trustees/board of directors by a Patient Safety Officer • Publicly disclose implementation of (or compliance with) NQF safe practices applicable to the organization. • Dedicated line item budget allocation to various specific patient safety practices Potential Optimized Score: 525 points

31. Plan Assess Collect Prepare Submit Stage 5: Submit Final CEO Briefing • Review baseline survey score • Make decisions regarding immediate pre-submission actions • Present optimized score with commitments • Give recommendations for Performance Improvement Projects

32. Plan Assess Collect Prepare Submit Stage 5: Submit (Continued) Submit to Leapfrog Web Site: www.leapfrog.medstat.com • Obtain CEO agreement to certify submission • Acquire a Security Code from the Leapfrog Web Site Create Follow-up Action Plan

33. Click Here to Submit Survey Click Here to Obtain Security Code