IPRO End Stage Renal Disease Network of New York Chris Scalamandre RD, CD/N

1. IPRO End Stage Renal Disease Network of New York • Chris Scalamandre RD, CD/N • November 16th , 2011 • Chateau Briand

2. Institute of Medicine Report • Estimated 98,000 people die every year at a cost of $29 Billion dollars from preventable medical errors. If the Centers Disease Control were to include preventable medical errors as a category, it would be the 6th leading cause of death in America.

3. Five Diamond Approach to Patient Safety Program • Assists dialysis facilities to improve both staff and patient awareness of specific patient safety areas, promotes patient safety values, and builds a culture of patient safety in every dialysis facility.

4. Patient Safety Culture • Definition: a set of values, beliefs and behaviors that a group of people at each level within an organization share with respect to safety • Benefits: • Employees are less likely to engage in unsafe • acts • Advances in safety performance –includes increased staff participation and safety behavior- • like compliance • Promotes accident prevention

5. Patient Safety Culture Continue • How do we achieve a Patient Safety Culture? • Based on employee’s perception of the policies, • procedures and practices relating to patient safety. • High level of management and physician • involvement • Focus on Safety Education with the facility • Open and reciprocal communication between staff • and management • Communication style is based on support and is blame free

6. Five Diamond Approach to Patient Safety • Objectives: • To promote patient safety values • To create an awareness of patient safety issues • To help dialysis units learn more about specific areas of patient safety • To build a patient safety culture in every dialysis unit

7. Website- Online Program (www.esrd.ipro.org) click on

8. Website- Online Application

9. Components Patient Safety Principles (required) Hand Hygiene (Infection Control) Flu Vaccination Slips, Trips and Falls Medication Reconciliation Health Literacy Patient Self-Manage Care Emergency Preparedness Sharps Safety Decreasing Patient & Provider Conflict Missed Treatments Transplantation Stenosis Surveillance

10. Components con’t • Each topic is a complete educational module • Tools and resources are located on the Network website. • Required and optional activities • Power Points for staff in-service presentations • Posters for display • Games and activities to engage patients

11. Website- Mandatory Module

12. Details • The application to register is on the website • Patient Safety Principles module is mandatory –includes staff safety attitude questionnaire • All other modules are chosen based on facilities needs or aligned with corporate priorities • Once module is completed the requested information is sent to the Network Ex. Project Reporting form etc.

13. Details con’t • All participants completing at least one component or more will be recognized with a certificate. • Certificate will include either one diamond, two diamond etc to designate Diamond status.

14. Recognition Five modules completed = Five-Diamond Patient Safety Facility • Plaque to display in unit designating achievement of Five Diamond status • Acknowledgement in Network Newsletter • Listed on Website • Network encourages facilities to market themselves as a Five-Diamond Patient Safety Facility.

15. Five-Diamond Status Schedule • The following schedule applies to Five-Diamond Status: • Achievement between 1/1/2011and 1/1/2012 is valid until 1/1/2013 • Providers may renew their diamond status for another year by completing two additional modules.

16. Benefits • Value added project for Network to promote provider staff development and education • Supports national CMS goal to promote patient safety • Favorable to the DOH • Stimulates more creative projects at the provider level

17. Network Goals • 10% of Network 2 facilities will be registered and 50% of those facilities will have achieved at least One Diamond by the end of 2011.

18. Where are we Now?? • 79 facilities (32% of NW2) have registered to the Program • 30 facilities have achieved at least one diamond • 1 5-Diamond Patient Safety Facility • Facility status are updated regularly on our website • Recognition consent form is requested by each participant of the program

19. What’s next? • Continued communication and follow up • with facilities who registered • Modules are being updated. • Continued marketing of the project via mailings using our brochure • Reaching out to providers via emails, • phone calls and Webex demonstrations

20. For More Information Chris Scalamandre RD, CD/N (516)-209-5578 ext 203 (or 516-209-5203) cscalamandre@nw2.esrd.net Carol Lyden RN, MS, CNN (516) -209-5578 ext. 302 (or 516-209-5302) clyden@nw2.esrd.net CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY 11042-1002 REGIONAL OFFICE 20 Corporate Woods Boulevard Albany, NY 12211-2370 www.esrd.ipro.org