#1: The Board s Leadership Commitment to Quality. Speaker: Tania Daniels Saturday, July 14 9:15 10:15 a.m. Miltona A

Transcription

1 #1: The Board s Leadership Commitment to Quality Speaker: Tania Daniels Saturday, July 14 9:15 10:15 a.m. Miltona A

2 Tania Daniels, PT, MBA For fifteen years, Tania Daniels, has served as the quality and safety expert at the Minnesota Hospital Association (MHA). As vice president of quality and patient safety, she has led MHA s Partnership for Patients Hospital Engagement Network contract resulting in over 15,000 fewer patients being harmed and over 112 million in cost savings. Tania partners with key stakeholders to collaboratively improve health care, including two nationally recognized programs: Minnesota Alliance for Patient Safety (MAPS) in 2006 and Reducing Avoidable Readmissions Effectively (RARE) in 2013.

3 Improving Quality/Safety across Minnesota Place picture here Institute for Healthcare Improvement Triple Aim 1

4 Today s Discussion MHA s Improvement model and results MHA committees and priorities How Board members can get involved with quality and safety MHA s quality and patient safety continuous improvement model 2

5 MHA s quality and patient safety continuous improvement model PLAN CELEBRATE DO ADJUST CHECK Identify issue Surgical: Wrong body part/site Trend Almost 50% did not have site marking or marking was not visualized before surgery/procedure 3

6 Plan Develop Road map How does a Road map work? Member portal One stop tool Gap assessment Linked resources Customize actions Track actions Track progress 4

7 Do Conferences & site visits Pressure Ulcer Conference, July 2017 Medication Safety Conference, August 2017 Regional Falls and Delirium Conference, October 2017 Check Surgical wrong body part/site Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 5

8 Adjust Streamlined Surgery Road map Road map updated by Surgery Committee Best practice elements Prior 98 to 53 now 2017 year end participation 33 hospitals Current participation In participating hospitals 50 hospitals 86% ofroad map best practices in place Celebrate Good catch for safety awards Individuals seeking to nominate an employee or team for the award can visit to complete a nomination form. 6

9 MHA committees and priorities MHA QPS committee structure Additional topics: Law enforcement and healthcare Emergency preparedness Medical Cannabis Oral health and many more 7

10 MHA committees leading quality Over 500 engaged members Over 150 engaged physicians Committees create, publish and update Road maps CMS Hospital Improvement Innovation Network (HIIN) topics Readmissions Pressure ulcers Falls/ Falls with injury Adverse Drug Events (ADE) Venous Thromboembolism (VTE) Safe surgery procedural safety across the board Severe sepsis and sepsis shock Delirium Clostridium difficile (C.Diff) Antimicrobial stewardship Catheter-associated urinary tract infection (CAUTI) Central lineassociated blood stream infection (CLABSI) Surgical site infection (SSI) Ventilator- Associated Event (VAE) Culture Patient and family engagement (PFE) Disparities 8

11 National quality improvement results Report released June 5, 2018 by AHRQ. The AHRQ National Scorecard on Hospital- Acquired Conditionsestimates that 350,000 hospital-acquired conditions were avoided and the rate was reduced by 8 percent from 2014 to Catheter Associated Urinary Tract Infections (CAUTI)

12 HAI Road map implementation & adherence % Best practice implemented (fundamental) 68% 80% 80% CAUTI % improvement July 2015-June

13 How Board members can get involved with quality and safety 11

14 National model for board s role with quality and safety Institute for Healthcare Improvement Triple Aim MHA s Improvement model and results MHA committees and priorities How Board members can get involved with quality and safety 12

15 Thank you! Discussion, comments, thoughts on Trustee s role with statewide quality and safety 13