FHA HIIN Safety Culture Measurement Informational Webinar May 7, 2018
Mission to Care HIIN Collaborative Focus 20% reduction in all cause harm 12% reduction in readmissions By September 2018 (possible option year) Hospitals 93 hospitals 32 new to HIIN Funds Children s Quality Collaborative Programs Transforming Care at Bedside Safety Culture tool & benchmarking Team STEPPS Improvement Leaders Fellowship Patient Family Engagement UP Campaign 2
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Setting the Stage 4
Today s Webinar What are the changing mandates regarding safety culture? What is being offered to FHA HIIN Hospitals? How can our hospital sign up for this FHA HIIN offering?
THE JOURNEY TO ZERO HARM Patient Centric Outcomes (including access, affordability, etc.) Employee Engagement & Staff Safety Patient Safety (HACs, PSIs, etc.) Patient Experience Feedback Safety Culture 6
A Mandate for Improving Safety Culture There can be no higher priority today for health care leaders than eliminating the barriers to a strong and vibrant culture of safety. Mark Chassin, MD President & CEO, The Joint Commission Source: Chassin, M., Improving The Quality Of Health Care: What's Taking So Long? Health Affairs, 32, no.10 (2013):1761-1765
Changing Mandates regarding Safety Culture Increased focus from Joint Commission Increased focus from LeapFrog Increased Transparency Required
Are you on Target?
FHA HIIN Offering Access to the best approach to safety culture measurement in the industry - ensuring actionable data to simplify and accelerate improvement. Benefits: Best practices from over 200 clients Industry leading Safety Culture analytics portal Faster turn around time of results Higher response rates w/ automated RR Dashboards Automated trending capability Full project management support Access to your raw data files YOU ALWAYS OWN YOUR DATA More time to share and act on your results less time analyzing! Complimentary Data Submission to AHRQ 10
Florida Hospital Participation
Participation Continues to Improve
Overall Percent Positive Response (By Hospital) Overall Percent Positive Response 100% 80% 60% 40% 20% FHA 2017 Benchmark: 65.7% 0% 77.5% 76.9% 74.8% 73.9% 73.1% 73.1% 71.2% 70.8% 69.8% 68.6% 66.7% 65.5% 64.4% 63.5% 61.8% 61.1% 60.1% 57.5% 54.9% 54.1% 50.1% 46.6% = Exceeds benchmark by 5% = Within bounds of benchmark = Below benchmark by 5% 13
FHA 2017 Difference to National Benchmark N = 14,967 Trailing Benchmark Exceeding Benchmark Freq of Event Reporting 7.2% Feedback about Error 5.4% Teamwork Across Units Handoffs & Transitions Org Learning 1.3% 1.8% 1.7% Teamwork Within Units 0.7% Communication Openness Nonpunitive Response Management Support Overall Perceptions -0.1% -0.5% -0.9% -1.0% Supervisor/Manager Expectations -1.8% Staffing -2.9% = Exceeds benchmark by 5% = Within bounds of benchmark-4% -2% 0% 2% 4% 6% 8% = Below benchark by 5% 14
Safety Culture Measurement 15
Hospital Survey of Patient Safety Culture Funded by AHRQ Developed by Westat Released 2004 biannually Most widely used patient safety culture tool globally 42 questions divided into 12 patient safety culture composites Two types of percent positive response measurements Question level and composite level *AHRQ Publication No. 18-0025-EF 16
Broad Changes in 2018 Benchmarks DEMOGRAPHICS 7% decrease in hospital participation 14% decrease in total number of respondents DIFFERENCES Decline in Org Learning and Staffing Improvement in Mgr Expectations, Feedback About Error, Communication Openness, Teamwork Across, & Nonpunitive Response No change in overall percent positive response (OPPR) 17
Daily Response Rate Dashboards
Understanding & Analysis 19
Portal Overview 20
Analysis & Reporting 21
Ongoing Support, Webinars & Collaboration
DeSoto Memorial Hospital s Story 23
Lori Colucci, Patient Safety Officer Our experience Easy to implement Very minimal effort Value Actionable Data Analytics Portal Ability to put data to use
DeSoto s Improvement
Doctors Memorial Hospital 26
Debi Seagroves, Risk & Quality Manager "I recommend Beterra to anyone who wants to improve their patient safety. Our organization was working with the Florida Hospital Association, HIIN and we were introduced to Beterra and offered their services. The employees of Beterra were eager to help every step of the way and kept us informed on the progress of our patient safety survey. Once we completed the survey the Beterra team explained the results and went out of their way to make sure I understood so that I could present it to our Medical Staff and Board of Directors. I loved working with them and hope to work closer with them in the future. Thank you Beterra!"
Project Timeline Milestone Mar Apr May June July Aug Sept Oct Beterra Support Safety Culture Webinars Quarterly Newsletter Informational Webinar Project Kickoff Cohort 2 Planning & Communication May 29 @ 1pm ET Survey Measurement Period Understanding Results & Analysis FHA Collaborative Benchmark Webinar
Next Steps 1. To participate, complete and send in your SIGN UP CONTACT FORM: https://bit.ly/2k0ubcu 2. Register for the May 29 Kick-off Webinar: https://cc.readytalk.com/r/4kbkdggo8az9&eom Contact the FHA HIIN Team if you have any questions: Luanne MacNeill, Quality Initiatives Coordinator - luannem@fha.org Kim Streit, VP of Healthcare Research & Information - kims@fha.org (407) 841-6230
www.beterra.com hello@beterra.com 30
QUESTIONS 31