How do you spell better teamwork and communication? TeamSTEPPS! November 30, 2017

Transcription

1 How do you spell better teamwork and communication? TeamSTEPPS! November 30, 2017

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3 Objectives of the call: Learn more about the experience of each organization on their TeamSTEPPS journey. Discover how each organization has been working to implement TeamSTEPPS. Learn how you can use TeamSTEPPS to improve teamwork, communication and patient safety in your practice and your organization. 3

4 Guest Speakers from the American Hospital Association: Jennifer Braun Chris Hund

5 TeamSTEPPS in the U.S. AHA Team Training Chris Hund, MFA and Jen Braun, MPH

6 WHAT IS TEAMSTEPPS? Team Strategies and Tools to Enhance Performance and Patient Safety An evidence-based teamwork system designed to improve: quality, safety and efficiency of health care Practical and adaptable Provides ready-to-use materials for training and ongoing teamwork 6

7 GOAL Produce highly effective teams who optimize the use of information, people and resources to achieve the best outcomes. 7

8 WHY NOW? Cause of death in the United States: Heart disease: 611,000 Cancer: 585,000 Medical error: 251,000 COPD: 149,000 Suicide: 41,000 Firearms: 34,000 Motor vehicle: 34,000 Makary, M., & Daniel, M. (2016). Medical Error The Third Leading Cause of Death in the U.S. BMJ,

9 HISTORY OF TEAMSTEPPS IN THE U.S. DoD MedTeams ED Study To Err is Human IOM Report Executive Memo from President JCAHO National Patient Safety Goals Institute for Healthcare Improvement 100K lives Campaign TeamSTEPPS Patient Safety and Quality Improvement Act of 2005 TeamSTEPPS Released to the Public TeamSTEPPS National Implementation Program Began Centers for Medicare and Medicaid Services Partnership for Patients Campaign National Implementation of CUSP TeamSTEPPS 2.0, TeamSTEPPS Online, and TeamSTEPPS for Office-Based Care TeamSTEPPS Advanced Course Medical Team Training

10 TEAMSTEPPS ACROSS THE CARE CONTINUUM Versions: Core Curriculum, Office-Based Care, Long-Term Care, Rapid Response, LEP All available for free at 10

11 NATIONAL IMPLEMENTATION OF TEAMSTEPPS Courses In-person at our Regional Training Centers Online National conference Technical assistance Monthly webinars Hotline New content development Evaluation 11

12 SUCCESS OF NATIONAL IMPLEMENTATION 6,419 participants at Master Training Courses 32,976 individuals attended monthly webinars 3,293 attendees at six national conferences 42,688 participants in the national program 12

13 REGIONAL TRAINING CENTERS 13

14 SUCCESS STORY: METROHEALTH Background Implemented TeamSTEPPS in 2013 Became a RTC in 2014 Successes Staff training Reduced C. difficile by 36% Reduced blood clots which resulted in cost savings of nearly $500,000 OR and Central Sterilization increased the quality of their trays from 30% to almost 100% 14

15 WHAT NEXT? AHA S TEAM TRAINING Commitment to continuing to offer: Courses at Regional Training Centers across the United States An annual conference Free monthly webinars Growing the movement by: Fostering partnerships with a diverse group of individuals and organizations Creating new, innovative material Working to support implementation at individual health systems 15

16 TEAM TRAINING NATIONAL CONFERENCE 16

17 CONTACT INFORMATION Web: Phone:

18 Guest Speakers from Michael Garron Hospital: Debbie Gillis Karen Chapman

19 TeamSTEPPS Implementation at MGH November 2017 Create Health. Build Community.

20 Goals Review current state of TeamSTEPPS implementation at MGH. Share stories and lessons learned about the implementation of TeamSTEPPS Tools in the MGH ICU. How you can do it too!

21 TeamSTEPPS Implementation Journey at MGH 2014 Development of competency framework. Sets groundwork for need for enabling behaviours Roll-out of communication tools to IPP staff. ICU pilot. Chief of Staff Quality and Safety Team 2015 Roll-out of selected communication tools to RNs, RPNs, PCAs. Embedded in orientation. Master Trainer certified in ICU Development of a Quality Plan Integration of TeamSTEPPS tools in competency renewal and resuscitation programs

22 2015 Initial Training: Communication Tools Feedback CUS

23 Lessons Learned Giving feedback challenging skill Constant reinforcement Leadership engagement

24 Implementation of TeamSTEPPS Tools In the MGH ICU November 2016

25 TeamSTEPPs Tools Implemented in MGH ICU Team Briefing CUS SBAR Bedside Safety Check List Closed Loop Feedback ( Call-Back ) Team Huddle Critical Event Debriefing

26 Quality and Safety Planning Engagement-all stakeholders Review of present state, including incident reports, patient safety survey, work being done Our Goal: Thoughtfulness not to create new work and to increase our coordinated efforts for alignment across the organization

27 You can do it too! Start Simple Repetition/embed it Make it Stick

28 Start Simple and Make it Easy Leadership involvement Briefing - template CUS SBAR Closed Loop Communication Huddles Debriefing - template

29 Repetition Reintroduce/ remind Reinforce Integrate into other programs or training

30 Make it Stick Include in debriefings Accountability feedback annual reviews Embed into organizational standards Physician and leadership engagement

31 Our Priorities System Early Warning Systems Team High Performing Teams Individual Speak Up for Safety

32 Guiding Principles and Alignment with Corporate Priorities and Opportunities Optimizes the use of information, people and resources Increases team awareness and clarify team roles and responsibilities = alignment with strategic directions of the organization

33 Next Steps: Confirm roles and responsibilities to coordinate our focus Align with our QIP process including metrics Monitor and early planning for sustainability Develop corporate implementation plan including evaluation strategy Build capacity for future roll-out by training additional master trainers

34 Questions? 825 Coxwell Avenue Toronto, Ontario M4C 3E7 T: F: Create Health. Build Community.

35 Guest Speakers from the Canadian Patient Safety Institute: Tricia Swartz

36 Patient safety movement Halifax Symposia on Medical Error Build a Safer System report CPSI established (SHN in 2005) 2003 Canadian Adverse Events Study 2004 PFPSC groundwork & established DoD MedTeams ED Study 1999 To Err Is Human IOM Report 2015 Three ground breaking reports released which necessitated a change in thinking 1.36

37 Why now? Cancer 75,112 Heart Disease 49,891 Patient Safety Incidents 28,000 Cerebrovascular Disease 13,400 Chronic Lower Respitory Disease 11,976 Accidents 11,425 Diabetes Mellitus 7,045 Statistics Canada (Table ) 2013; RiskAnalytica

38 Risk Analytica diagram Cost to our system

39 Patient safety today and future Patient safety incidents resulted in 28,000 death across Canada in acute and homecare (2013) Over the next 30 years 400,000 pt. safety incidents (PSI) within home care and acute care This equates to an additional 2.75 billion in healthcare costs The Patient Safety Incidents and costs incurred as considered preventable

40 What s Next? TeamSTEPPS Canada Master Trainer Education Centres Pilot project to launch January 2018 in partnership with Health Quality Council of Alberta TeamSTEPPS Canada call series and community building details to be announced soon TeamSTEPPS Master Trainer education through CPSI

41 Questions