Harm Across the Board Powerpoint Template

Report
Improving Harm Across the Board
TEMPLATE GUIDE
• Treat harms as events that can be summed
• Focus on harms (outcomes) rather then
preventive measures (process)
• Special conditions can be considered a harm
(e.g., EED, Readmits, …)
• Produce an overall harm trend for the hospital
(**Delete this slide when content of
presentation is complete)
Harms/1,000 discharges
2012 Breakthrough in Reducing HARM:
250 to 50 harms/1,000 discharges
350
300
250
200
150
100
50
0
Q1
Q2
Q3
2010
Q4
Q1
Q2
Q3
2011
Timeframe
Quarter - Year
Q4
Q1
Q2
2012
WHA has created a excel template for all 4 graphs in this template
3
Cut “harm across the board” in half:
60 patients per quarter to under 30
Total # of Harms
Total Harms by Quarter
100
80
60
40
20
0
55
56
64
66
78
52
58
57
30
12
Q1
Q2
Q3
2010
Q4
Q1
Q2
Q3
2011
Timeframe
Quarter - Year
Q4
Q1
Q2
2012
WHA has created a excel template for all 4 graphs in this template
4
2012 Breakthrough in Readmission:
From 20% of discharges to 10% of discharges
Readmission: % Discharges
25
20
15
10
5
0
Q1
Q2
2011
Q3
Q4
Q1
Q2
Q3
Q4
2012
WHA has created a excel template for all 4 graphs in this template
5
2012 Breakthrough in Reducing Readmissions:
From 20 per quarter to 10 per quarter
Readmissions
25
20
15
10
5
0
Q1
Q2
Q3
2011
Q4
Q1
Q2
Q3
Q4
2012
WHA has created a excel template for all 4 graphs in this template
6
Pearls
• Please list the drivers of safety that produced
these results.
• Include one about patient and family
engagement, if relevant
Defining Moment(s) In Our Journey
• Name and date one or two defining moments.
• Moments that caused the organization to
commit to extraordinary safety.
• Moments that resulted in a big breakthrough
in the organization’s ability to deliver safety.
8
Strategies to Drive Results
• What challenges did you encounter that you
were able to overcome to achieve the results
you are presenting here?
• What were the strategies you used to
overcome them?
Risk Profile by Areas of Risk
HACs
Estimated annual number of patients at risk in each area
ADE
# of inpatients:
CAUTI
# pts in IP units with catheter in place:
CLABSI
# pts in IP units with central lines:
Falls
# of discharges:
Ob AE
# of women with deliveries:
Pr Ulcer
# of discharges:
SSI
# of applicable surgical pts:
VAP
# of patients on a ventilator:
VTE
# of inpatients:
EED
# of women with elective deliveries
TOTAL
Risk opportunities for harm across the board
Readmit
# of inpatients at risk of readmit:
Number
Improving Harms by HAC
• Scale: number of hospital-acquired conditions
(HACs) at each level
– IDEAL: level represents what we see as best possible
– At Target: level represents meeting improvement
target
– Progress: level not yet at target
– Opportunity: level represents an improvement
opportunity
(**Delete this slide when content of presentation
is complete)
Improving HAC Rates
(per discharge)
HACs
ADE (Med Rec,
Anticoagulant or
Insulin – Choose
one)
CAUTI
CLABSI
Falls
Ob AE
Pr Ulcer
SSI
VAP
VTE
EED
Readmissions
TOTAL
Baseline
[time period]
Target
Current
[time period]
Improvement Status
(scale)
Our Hospital Risk
Profile & Result
Annual Volume (Discharges)
Total risk: annual harm opportunities
Risks per patients (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
Future Actions to Reduce Harm
• What other actions will you take to reduce
harm in the future?
Photo of Hospital CEO &
Safety Team

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