Use of Technology for System-wide Situational Awareness Jared Shapiro DrPH(c), PhD(c), MPH, CEM, CHEP, CHSP, NRP System Director, Environmental Health and Safety 1
Notable Centers of Excellence Children s Hospital at Montefiore Montefiore Einstein Center for Cancer Care Montefiore Einstein Center for Heart and Vascular Care Montefiore Einstein Center for Transplantation Teaching Research Academic Medical Hospitals Primary & Specialty Care Home Care ~2,200 Faculty ~1,450 Residents & Fellows ~740 Allied Health Students ~2,100 Graduate & Undergraduate Nursing ~200 Home Health Aides ~100 Social Workers Clinical Translational Health Services Community 11 Hospitals 3,236 Total Beds 150 Skilled Nursing Beds 1 Freestanding ED 1 Rehabilitation Hospital Advanced Primary Care Mental Health Substance Abuse Sub-specialty Care Dental School Based Health Centers Mobile Health Home Health Programs Primary Care House Call Program Telehealth Short and long term care Community Health Corporate Functions Information Technology CMO ~30,000 Employees ~3,500 Physicians ~ 4,300 Medical & Allied Health Staff ~4,060 Integrated Provider Association Providers ~3,350 Employed ~5,650 RN/LPN ~4,200 NYSNA ~12,700 1199 850 RNs Workforce Health Education Community Advocacy Wellness Disease Mgmt. Nutrition Obesity Prevention Physical Activity Reduce Teen Pregnancy Lead Poisoning Prevention Finance Legal Strategic Planning Purchasing Compliance Marketing Public Affairs Human Resources Clinical support Network applications Care Management (~ 360K Covered Lives) Disease Management Care Coordination Telemedicine Pharmacy Education 2
Integrated Delivery System Our Locations 3,236 Total Beds Across 11 Hospitals Including 132 beds at the Children s Hospital at Montefiore (CHAM) 86 NICU/PICU beds 150 Skilled Nursing Beds 200 Sites Including Hutchinson Campus Hospital without Beds 1 Freestanding Emergency Department First in New York State 68 Primary Care Sites 21 Montefiore Medical Group Sites 23 School Health Clinics 16 Mental Health/Substance Abuse Treatment Clinics 73 Specialty Care Sites 3 Multi-Specialty Centers 4 Pediatric Specialty Centers 12 Women s Health Centers 10 Dental Centers 5 Imaging Centers 3 3
ENVIRONMENTAL HEALTH AND SAFETY EOC Rounding Tool Fire Safety/Investigations Construction Site Safety Post Construction Hazardous Materials Compliance Emergency Management ENVIRONMENT OF CARE/ EMERGENCY MANAGEMENT RADIATION AND LASER SAFETY Radiation Badging Lead Apron Inspections Safety Rounding Laser Safety Program Therapy Procedures LABORATORY SAFETY WORKPLACE SAFETY Laboratory Rounding Chemical Compliance Waste Minimization Waste Removal and Tracking Chemical/Biological Research USP 797/USP800 Ergonomic Assessments Complaint Investigation Injury Investigation and Prevention Needlestick Prevention Facility Planning 4
OUR CLIENTS MNR MOSES NYACK WEILER ST. LUKE S AECOM EH&S MMC WAKEFIELD WHITE PLAINS HUTCH MMV REAL ESTATE PROPERTIES (300) WS BURKE 5
Montefiore Health System Safety Officer Jared Shapiro Chair EOC Committee System Associate Vice President Engineering and Environmental Services Paul Jennings (Utilities Management/LSC) System Director Biomedical Engineering Michael Dowd (Medical Equipment) System Sr. Director Security Lonnie Trotta (Security Management) System Emergency Manager Michael Moculski Chair EM Committee (Emergency Management) System Fire Safety Manager Philip Del Vecchio (Fire Safety) New Rochelle Safety Manger Mount Vernon Safety Manger Westchester Sq/ Weiler/Hutch Safety Manger Wakefield/DOSA/SATP Safety Manger Off Site Clinics/ Locations Safety Manger Moses/CHAM Safety Manger Ronald Svrchek Ronald Svrchek Paolo Impellizzeri Domenic Baratta Marcus Johnson Andrew Von Deesten Schafer Extended Care Safety Manger Ronald Svrchek MMV Methadone Maintenance Program Safety Manger Ronald Svrchek SATP Real Estate Facility Manager Alex Torres DOSA Real Estate Facility Manager Alex Torres School Health Site Manager Marvin Foster SATP Safety Coordinator Prince Dankwah DOSA Safety Coordinator Sean Lucy 6 Environment of Care Reporting Structure
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The Results Readiness Rounds Solution Proves to be Successful Quality Observations It is expected that in 2017 Montefiore will make over 120,000 quality observations, managed entirely on the Readiness Rounds platform. Performance Improvement Using the Readiness Rounds Top 10 Failing approach, Montefiore has numerous performance improvement efforts underway. The staff uses the Readiness Rounds PI dashboards to manage and trend performance improvement progress, assuring objective data is always available. 8
9 Overall Score
10 Readiness Rounds Follow up Completion
11 Top 10 Failing
12 Top 10 EOC Failing by Campus
13 JC Standards by Facility
The Results Readiness Rounds Solution Proves to be Successful Corrective Actions In 2016 alone, over 6,000 items identified as needing action and correction have been managed in the Readiness Rounds closed-loop follow-up process, ensuring that all items found failing are indeed corrected. Quality Observations It is expected that in 2017 Montefiore will make over 120,000 quality observations, managed entirely on the Readiness Rounds platform. Performance Improvement Using the Readiness Rounds Top 10 Failing approach, Montefiore has numerous performance improvement efforts underway. The staff uses the Readiness Rounds PI dashboards to manage and trend performance improvement progress, assuring objective data is always available. Transparency & Accountability The Readiness Rounds platform is now providing Montefiore s EH&S department staff a level of transparency and accountability not previously achievable, greatly improving outcomes. 14
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16 Sharps Injuries at Montefiore
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VIOLATION ACCOUNTABILITY 378 Active Buildings 8 Portfolio Groups 29 Active Users 18
OPEN VIOLATIONS BY AGENCY 2 19 45 38 138 DEP DSNY DOHMH DOT SIDEWALK HPD 365 141 155 112 DOB DOB ECB FDNY NOV FDNY VO 19 Conf ident ia l
CURRENT STATE OF COMPLIANCE AGENCY COUNT BALANCE DOB 15 $45,867 DOHMH 50 $34,500 FDNY 25 $28,844 $109,186 ECB OVERPAYMENTS DSNY 19 $2,452 DEP 3 $2,286 DOITT 1 $1,000 TOTAL 113 $114,949 $ 42,500 TOTAL DOB ADMIN FEES PAST YEAR 20
DIVING INTO THE NUMBERS 130 160 64 22 890 Paid but Uncorrected DOB ECB Violations Open FDNY NOVs Compliance status is open or remaining balance due Open EVCAT or ACC1 DOB Elevator Violations Open HPD Violations issued in past year (3 Class C) Open DOB Job Applications 21
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23 All Hazards Approach
24 Incident Command
MRN Metropolitan Resilience Network 25
IntelHS Login Screen 26 2
IntelHS StatRep Submission 27 2
IntelHS Administrator Summary 28 2
IntelHS Administrator (Drill-down View) 29 2
IntelHS StatRep Reports 30 2
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