Call for Storyboards!

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Call for Storyboards!

• The 2014 Quality Patient Safety Roadmap will
  feature keynote speakers, panelists and
  storyboard sessions focused on engaging patients
  and families in eliminating harm across the
  board.
• Submit your harm across the board storyboard to
  share your organizations experience in
  eliminating harm and be featured during the
  storyboard sessions at Roadmap! Details on how to
  complete the storyboard template and submission
  details are included in this slide deck.
• Please contact slhq_at_aha.org with any questions.

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Eliminating Harm Across the Board (HAB) Template
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Objectives

• Understand what the Eliminating HAB report is and
  how it is a helpful tool in improving care.
• Understand how to complete your Eliminating HAB
  report.
• Understand how to submit your Eliminating HAB
  report.
• Know who to contact if you have questions.

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How is Eliminating HAB applicable to SLHQ?
The Patient
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Your W(hats) I(n) I(t) F(or) M(e) WIIFM

• The Eliminating HAB report will
• Help shift your organizational culture
• Put a face on harm
• Tell a compelling story to support change
• Promote transparency
• Engage patients and their families and/or Patient
  and Family Advisory Council (PFAC) members and
• Help you track your overall harm per discharge
  and identify the greatest opportunities for
  eliminating harm.

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Eliminating HAB Storyboard Example
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Sharing Your Eliminating HAB Storyboard at
Roadmap
In 2013, Roadmap participants shared their HAB
storyboards with colleagues. In 2014, the Roadmap
HAB storyboards will focus on engaging patients
and families in eliminating harm.
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The Eliminating HAB Template Eight key slides
and tips for how to complete them.
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Insert Hospital Name HereInsert Your Motto Here,
e.g. Our Bottom-line Line is Patient Safety
Customize the motto
Slide 1
Customize the team info.
10
Insert a title for your Total Harms per
Discharge run chart heree.g., Cut Harm Across
the Board in ½
Customize the heading
Slide 2
Insert your total harm run chart
11
Insert a title for your topic-specific run
chart here e.g.,
2014 Breakthrough in Reducing CAUTI Journey to
Zero
Customize the heading and slide based on which
specific measure you want to highlight.
Slide 3
Insert a topic-specific run chart
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Risk Profile Areas of Risk We Are Committed To
ControllingAnnual discharges __________ AEA
risk opportunities/discharge _______
Customize the risk opportunities/discharge
Customize the annual discharges
Slide 4
AEAs Estimated annual number of patients at risk in each area Number of Opportunities
ADE of discharges
CAUTI pts in IP units with catheter in place
CLABSI pts in IP units with central lines
Falls of discharges
EED of women with elective deliveries
OB of women with deliveries
HAPU of discharges
SSI of inpatient surgeries
VAE of patients on a ventilator
VTE of discharges
TOTAL Risk opportunities for harm across the board
   
Readmit. of inpatients at risk of readmit
Note AEA Adverse Event Areas
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Improving Harm Rates (/ Discharge)
Insert a your harm rates per discharge here,
using the following table.
For
non-applicable topics please insert Z.
Slide 5
AEAs Baseline Rate time period Target Rate Current Rate time period last 3 months Improvement Status (scale)
ADE
CAUTI
CLABSI
Falls
EED
OB
HAPU
SSI
VAE
VTE
Total
         
Readmit.        
Customize the baseline, target and current rates
and improvement scale
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Hospital Risk Score Card
Insert your risk score card here, using the
following table
Slide 6
Our Safety Mandate Our Safety Mandate
Annual Volume (Discharges)
Total risk annual harm opportunities
Risks per patients (Total Opportunities)/Discharges)
Number of Risk Areas Number of Risk Areas
Number of Risk Areas Applicable (0 11)
Number of Risk Areas Applicable Adopted
Our Progress Our Progress
Number of Areas with Major Improvement Opportunity
Number of Areas at Improvement Target
Number of Areas at IDEAL
Customize your score card
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How We Engage Patient/Family Advisors in
Eliminating HAB
Slide 7
Engaging Patient/Family Advisors
Customize the Model for Improvement, answering
the questions to best describe your hospitals
eliminating HAB journey
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Our Results and Pearls
Slide 8
Results A concise description of what you
achieved, as it relates to eliminating HAB and
engaging PFAs.
Customize your responses
Pearls Bullet your biggest insights about what
worked and how. - Include what you tested and
learned. - Include how you will advance this
topic over the next month (and beyond). -
List the most important drivers of safety that
produced these results. Make this list
succinct, high-level and clear. - Include
the PFA insights, thoughts and feedback
PFA Quote Insert a PFA quote here about
eliminating HAB.
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Eliminating HAB Template Examples and Tips
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How we Incorporated a Patient/Family Advisor
(PFA) into our Journey to Eliminate HAB
Patient/Family Advisors Suggestions for
reducing ADE
Slide 7 (EXAMPLE)
Reduce the incidence of preventable adverse drug
events
14 ADEs/month to 8 ADEs/month
Have pictures of medications taken at the bedside
for patients and families
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Our Results and Pearls
Slide 8 EXAMPLE
Results Reduced ADE by 25 over 6 months.

• Pearls
• Two patient/family advisors were on the ADE
  committee
• They shared the various ways that they organized
  medications at home and suggested that providing
  patients with pictures of the pills they were
  taking in the hospital (since some looked
  different than what they were taking at home)
  would help patients and families to know what
  they were being given and why
• At discharge patients received up to date
  medication lists that included pictures

I always taped a pill on to the medication list
for my father so he knew what he was taking. It
was so meaningful to share this idea and to see
it help other patients
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Run Chart Tips

• Cut and paste graphs from the improvement
  calculator
• www.aha-slhq.org / Resources / Using Data for
  Improvement
• Customize the heading of each slide
• Utilize labels or a subheader to tell the story

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The Improvement Calculator
Tip Access the Improvement Calculator here!
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Risk Profile Tips

• These calculations only need to be completed once
• Use one year of data using baseline
• For Patient Counts for CLABSI, CAUTI, VAE
• Use charge master for of catheter trays
  ordered, or of patients with ventilator
  charges, or divide your device days by average
  length of stay

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Improvement Scale Tips
IDEAL level represents what we see as best
possible or ZERO harms At Target level
represents meeting improvement target Progress
level not yet at target Opportunity level
represents an improvement opportunity
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Hospital Risk Score Card Tips

• Our Safety Mandate use s from Risk Profile
• Number of Risk Areas Applicable - includes
  Readmissions (the max. 11)
• Our Progress use Improvement Scale definitions
  from Improving AEAs per Discharge Slide
• Total Risks per patient is calculated from total
  harm opportunities divided by total discharges
  per applicable risk areas, e.g. - if no vents. or
  births 8

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Pearl Tips

• Provide enough detail about the strategy or
  tactic so others can easily replicate
• Provide examples of key cultural change
  strategies. For example
• Transparency of data
• Front line staff engagement
• Senior management support
• Seamless transitions
• Recognition
• Promoting a Culture of Safety
• Share learnings and ideas tested
• Highlight how strategies be expanded and spread

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Submission Process

• We encourage you to submit your Eliminating HAB
  Report for the upcoming Quality Safety Roadmap
  Meeting, as well as on our SLHQ Members
  LISTSERV
  AHA-SLHQ_at_ahals.aha.org
• For more details - please contact us! See the
  following slide for contact information.

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Questions? Contact Us!

• Website www.aha-slhq.org
• Email slhq_at_aha.org
• LISTSERV AHA-SLHQ_at_ahals.aha.org
• Phone [phone]
• Office 155 N. Wacker Dr., Ste. 400
• Chicago, IL 60606

Dr. Maulik Joshi Senior Vice President, AHA and
President, HRET (mjoshi_at_aha.org)
Charisse Coulombe, Vice President, HRET
(ccoulombe_at_aha.org)
Jessica Blake, Senior Program Manager, HRET
(jblake_at_aha.org)
Natalie Erb, Administrative Fellow, HRET
(nerb_at_aha.org)