tmit webinar 8/16/2012 -...

TMIT WEBINAR 8/16/2012

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1© 2012 TMIT

Welcome to

News in Continuing Educationand Professional Development

From Knowledge to Competency

Hosted by TMIT

For resource downloads go to:

www.safetyleaders.org

2© 2012 TMIT

Charles Denham, MD

Chairman, TMITEditor-in-Chief, Journal of Patient Safety

Adjunct Professor, Health Services EngineeringMayo College of Medicine

Chairman, Global Patient Safety ForumChairman, Leapfrog Safe Practices Sub-program

TMIT High Performer WebinarAugust 16, 2012

Welcome

3© 2012 TMIT

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6© 2012 TMIT

If you wish to follow us on Twitter,go to: http://twitter.com/TMIT1or use #safetyleaders hashtag

Also, go to:www.facebook.com/SafetyLeaders

and related sites


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7© 2012 TMIT

TMIT Mission

Accelerate performance solutions thatsave lives, save money, and build valuein the communities we serve andventures we undertake.

8© 2012 TMIT

The following panelists certify:

that unless otherwise noted below, each presenter provided full disclosure information, does notintend to discuss an unapproved/investigative use of a commercial product/device, and has nosignificant financial relationship(s) to disclose. If unapproved uses of products are discussed,presenters are expected to disclose this to participants.

Regina Holliday: Has no relevant financial interests in this presentationJann T. Balmer: Employed by University of Virginia School of MedicineJennifer Dingman: Has no relevant financial interests in this presentation

Charles Denham: Chairman, TMIT; TMIT education grantee of CareFusion and AORN with co-production byDiscovery Channel for Chasing Zero documentary and Toolbox including models, education grantee of GEwith co-production by Discovery Channel for Surfing the Healthcare Tsunami documentary and Toolboxincluding models. HCC is a contractor or former contractor for GE, CareFusion, and Siemens.Chasing Zero® is a registered trademark of CareFusion

Disclosure Statement

9© 2012 TMIT

TMIT certifies that:

• No funder or educational grantor had any influence or anydirect contact with researchers, analysts, or hospital leaderscontracted with TMIT involved in generation of models,impact calculators, or consensus panels.

• Confidentiality of collaborators, patient data, and populationdata has been and will be strictly maintained.

Disclosure Statement

10© 2012 TMIT

Voice of the Patient and Family

Jennifer Dingman

Founder, Persons United Limiting Substandardsand Errors in Healthcare (PULSE), Colorado Division

Co-founder, PULSE American DivisionTMIT Patient Advocate Team Member


11© 2012 TMIT

Panelists

Charles Denham Regina HollidayJann Balmer Jennifer Dingman

12© 2012 TMIT

Charles Denham, MD

Chairman, TMITEditor-in-Chief, Journal of Patient Safety

Adjunct Professor, Health Services EngineeringMayo College of Medicine

Chairman, Global Patient Safety ForumChairman, Leapfrog Safe Practices Sub-program


Safe Practice Overview& Critical Test Results: Do You Have a Rory Staunton Story?


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1313© 2012 TMIT

Information Transferand Clear Communication

Medication Management

Healthcare-AssociatedInfections

Condition- &Site-Specific Practices

Consent & Disclosure

Culture

Workforce

Consent and Disclosure

2010 NQF Report

© 2006 HCC, Inc. CD000000-0000XX 14© 2012 TMIT

Culture

1515© 2012 TMIT

Direct Patient Input: A structureand system should be establishedto obtain direct feedbackfrom patients about theperformance of the organization.Patient satisfaction surveysare not enough.

16© 2012 TMIT

S.U.C.C.E.S. and Switch

SimpleUnexpectedConcreteCredibleEmotionalStories

1717© 2012 TMIT

Quaid D, Thao J, Denham CR. Story power: The secret weapon. J Patient Saf 2010 Mar;6(1):5-14.

1818© 2012 TMIT


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1919© 2012 TMIT 2020© 2012 TMIT

Captain Sullenberger: Learning from Aviation

21© 2006 HCC, Inc. CD000000-0000XX 22© 2012 TMIT 22

At the Leadership-Practices-Technology Intersection

Leadership

PracticesTechnology

The High Performance Envelope

2323© 2012 TMIT 24© 2012 TMIT

TRUTH HEAD

TRUST HEART

TEAMWORK HANDS

TRAININGVOICE


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25© 2012 TMIT

Jann Torrance Balmer, RN, PhD

Director, Continuing Medical EducationUniversity of Virginia School of Medicine


High Performance Continuing Educationand Professional Development

LINKING CONTINUING

PROFESSIONAL DEVELOPMENT TO

PATIENT SAFE PERFORMANCE

Jann T. Balmer RN PHD

Director, Continuing Medical Education

University of Virginia School of Medicine

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CHANGES TO HEALTH CARE

EXPECTATIONS

Institute of Medicine Reports – 1999-2010

Highlight the fragmentation of healthcaredelivery that compromises patient outcomes andincreases cost

Inadequate coordination of care that incorporatesa patient-centric focus in care

Proliferation of systems that support thehealthcare system that may not be directlyrelated to improved patient outcomes

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CORE ELEMENTS IN CONTINUING

PROFESSIONAL DEVELOPMENT

Profession-specific continuing educationand learning – (CME/CNE/CPE ) providesessential knowledge and skills specific to theindividual professional about theirresponsibilities

Interprofessional education – two or moreprofessions learn with, from, and about eachother to improve collaborative practice and thequality of care (CAIPE 2002)

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LINKING PROFESSIONAL DEVELOPMENT TO

PATIENT SAFE PERFORMANCE

Educational context needs to be consistent withpractice settings

Requires multiple strategies that incorporateprofession-specific CE with interprofessionaleducation that is patient-centric/systems-based

Profession-specific CE should address requiredperformance elements/competencies for eachprofession

Interprofessional CE – clarifies roles andresponsibilities of each team member,communication and overall team work

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ASSESSMENT OF CURRENT AND POTENTIAL

FOR BEST ACHIEVABLE PERFORMANCE

Assess systems processes and issues that affectpatient outcomes

Assess individual profession knowledge, skills,and abilities for competence

Determine patient-centric needs, requirementsconsistent with current standards of care

Identify team members essential to optimumpatient outcomes

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PROFESSIONAL ENGAGED IN OVERSIGHT

OF HEALTHCARE DELIVERY

Profession-specific CE is monitored by thenational licensing boards and professionalorganizations

Systems based care monitored by JointCommission, CMS, and other healthcareregulatory agencies

Quality Improvement Initiatives – focus onmonitoring/tracking organizational performance(AHRQ, IHI, NQF)

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THE IDEALIZED DESIGN FOR COMPREHENSIVE

CPD AND PATIENT SAFE CARE

Create an overall education plan that identifieseducational programming specific to the patientsafety goals for the institution

Educational initiatives/programs need to betailored to the practice environments, strengths,and needs of the organization/setting

Seek alternatives that leverage existingresources and build on mission and desiredoutcomes for the organization

Provide support to healthcare professionals andteams

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BEST ACHIEVABLE PERFORMANCE

ALL HOSPITALS

Outline priorities for education and patientsafety performance expectations

Determine which educational programs areinstitution-specific and need to be addressedwithin the hospital/organization

Outline external resources for profession-specificCE that can be accessed by healthcareprofessionals

Create a master plan for educationalprogramming – interprofessional education

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HOSPITALS

Perform analysis about currentpractices/approaches that meet desirable patientoutcomes

Identify gaps in performance

Outline strengths in knowledge, skills, andperformance that can be leveraged intoimprovement plans for gap areas

Design or license educational programming thatsupports the mission/objectives of optimumperformance

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HOSPITALS

Review existing education/performanceimprovements – and revise

Ensure that all healthcare professionals aremembers involved in the design andimplementation of the CPD program

Create case-based forums that focus on patientsafe care and organizational priorities

Example: Morbidity and Mortality conferences –historically physician only – make team-based

Example: Best practice conference – highlightteam-based performance that meets/exceedsperformance

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HOSPITALS – EXAMPLES

Example 1: Morbidity and Mortality conferences– historically physician only – make team-based

Example 2: Best practice conference – highlightteam-based performance that meets/exceedspatient safe performances

Determine which criteria and elements arespecific to Best Achievable Performance withinyour hospital

Create consistent analysis measures forassessment and review of cases

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CAREFUL CONSIDERATIONS

Size and services provided by the hospital

The needs and priorities of critical accesshospitals are going to be very different than fortertiary care hospitals

Determine the healthcare professional engagedin the delivery of care – team members

The numbers and characteristics of thehealthcare team members will change based onthe services provided by the hospital

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SUMMARY – LINKING CPD AND


Create an education plan that meets the specificneeds of your hospital/institution

Link the education and patient safety approachesinto a comprehensive plan to enhance individualand team performance

Make optimum patient care the core value for allefforts

Give all healthcare professionals a voice in theprocess

Scale the effort to your mission and goals forpatient safe care.

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39© 2012 TMIT

Panelists

Charles Denham Regina HollidayJann Balmer Jennifer Dingman

40© 2012 TMIT

Regina Holliday

Patient Rights Arts Advocate


Partnership with Patients SummitOverview

Partnership with Patients

A presentation before CMS/Partnership for Patients, June 13, 2012, by Regina Holliday

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Two Measurable Goals

Keep patients from getting injured or sicker.

By the end of 2013, preventable hospital-acquiredconditions would decrease by 40% compared to2010.

Help patients return home without complication.

By the end of 2013, preventable complications during atransition from one care setting to another would bedecreased so that all hospital readmissions would bereduced by 20% compared to 2010.

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CMS Innovation Center is investing up to $1 billion for two Partnership for Patients initiatives:

Hospital Engagement Networks (HENs)Organizations awarded funding by CMS tocollaborate with hospitals to find solutions toimprove patient safety and quality

1.HAC (Hospital-Acquired Condition) 2.HAI(Hospital-Acquired Infection) 3.OB adverse events 4.Reduce Readmissions

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CCPT Community-based Care Transitions Program

To aid in care transitions from inpatient hospitalto other care settings, improve quality, and reducereadmissions.

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What can patients do to reduce healthcare harm?

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Patient, Family, & Community-Driven Care

Chronic Care Model

CommunityResources &PoliciesSelf-management Support

Health SystemHealthcare Organization

Delivery System DesignDecision Support

Clinical Information Systems

InformedActivated

Patient

Prepared,Proactive

Practice Team

FamilyCaregiverSelf

Pop cultureFriends

NeighborsCivic organizations

Religious institutionsSocial media

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PENs Patient Engagement Networks

A PEN is really good at writing about injustice and then telling the whole world.

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Street ArtinHealthcare?

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~Patient Safety Posters as Art

~Funded Art Competitions to designeye-catching posters to address

~Artists donate designs for the cause

Set of 10 of these18x24 $99.00

Joint Commission

Free to downloadJoint Commission

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1-800-Number for Healthcare Harm

This 1-800 vender is contracted withMore than 800 facilities for reports of violationsfrom patients or providers

Pro-Publica Patient Harm on FacebookMore than 700 members are members of this onlinegroup, reporting instances of harm nationwide.

When Twitter AttacksWhen we have no recourse we will complain online

QR Code Guerilla Action

Could placement of a QR direct patients to help?

If we want to address harm we must be able to report it…

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A name tag defines us51

What if we had a resource that depicted the reality of care visually?

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Patient Education

Who taught you how to be a patient?

Look at children as they play

They play “school.”They play “house.”They play “store.”

And they play “doctor”?

How can we own our patientexperience if we are not included?

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Include the Patient Voice

We must encourage every committee,sub-committee, and hospital boardto actively recruit and include patientsin every aspect of the care process fromdesign to implementation to resolution.

SpeakerLink.org

From the exam room to the board room.

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Welcome to the Walking Gallery.

Telling the patient story one jacket at a time.

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Technology and Design should be the wind at your back, not your face.

Social Media ~ HIT ~ UX design ~ Meaningful Use ~ Venders ~ Programmers ~ Patient Portals

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Patients are really goodat connecting the silos of care.

To make this goal we must all worktogether hand in hand.

It is a partnership for all.

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To register/sponsor and get hotel/other info, go to:https://partnershipwithpatients.eventbrite.com/?nomo=1

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This conference is two-fold in its mission. We will be working on strategies for grass-rootssupport of the Partnership for Patients campaign. We will also help enable patients byproviding a place to network, learn, and grow as patient advocates that focus on healthpolicy. You can read more about this on our website.

59© 2012 TMIT

Voice of the Patient and Family

Jennifer Dingman

Founder, Persons United Limiting Substandardsand Errors in Healthcare (PULSE), Colorado Division

Co-founder, PULSE American DivisionTMIT Patient Advocate Team Member


tmit webinar 8/16/2012 -...

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