The following 6-slides are the HAB template.

However, please contact your WHA Improvement Advisor as they have

most of the data to help you complete the template.

Improving Harm Across the Board(Hospital Mission/Safety Motto)

Photos of Hospital, Improvement Team(s)s and CEO

List of team members name to provide recognition

Hospital Name

Total Number of Patients Harmed

• Insert harm run chart and annotate with improvement efforts

• Your WHA Improvement Advisor can provide you with a graph

Initiative Specific Run Chart(provide an appropriate title)

• Insert initiative run chart and annotate with improvement efforts

• Your WHA Improvement Advisor can provide you with a graph

Improving Harm Rates (per Discharge)HACs Baseline

[year]Target Rate Current Rate

[year]Improvement Status

ADE .049

CAUTI .012

CLABSI .0005

EED .03

OB Harm .003

Falls .008

PU .040

SSI .003

VAE .0012

VTE .0005

TOTAL

Readmissions .144

Risk ProfileAnnual Volume (Discharges) ####

Total Risk: annual Harm Opportunities ####

Risk per patient (Total Opportunities/Discharges) #

Number of Pfp Harm Areas Applicable (0-11) ##

Number of Pfp Harm Areas Applicable & Adopted #

Number of Pfp Areas at Improvement Target #

Number of Pfp Areas at IDEAL #

Pearls and Insights

• Include:– What you have learned and improved– How you will advance other topics– Patient and family engagement– Most important drivers of improvement