small and rural critical access hospitals july 19, 2011
TRANSCRIPT
Small and Rural Critical Access Hospitals
July 19, 2011
Agenda
• Denise Flook and Lorna Martin• Applying CUSP in the Small and Rural Critical
Access Hospital• Using CUSP Beyond CLABSI and CAUTI
• Critical Access Hospital Team Leaders• Paul Frigoli, Grant Regional Health Center• Illinois Critical Access Hospital Team Leader
• Suggestions for future calls
Denise M. Flook, RN, MPH, CICDirector, Workforce Development & Infection
Prevention
Lorna Martin, RNPatient Safety & Quality Improvement Specialist
Applying CUSP in the Small and Rural Critical Access Hospital
Quality and Safety are Now Key to Hospital Success
• Payers, including the Government and the public, demand more efficient, safer care
• Limited resources will necessitate efficiency
The Challenge
• How do we provide and sustain the highest quality and safest care for every patient, every time in the current environment of diminishing resources?
• It is easy to think that simply implementing a checklist is the path to better outcomes, but Changing culture is the key to sustained safety and improved outcomes for patients
Safety/Quality Improvement is a Two-Part Process
What is CUSP?
• Comprehensive Unit-based Safety Program• An intervention to learn from mistakes and improve
safety culture for sustained improved patient outcomes
8
The CUSP Steps
1. Develop a team2. Assign executive to adopt unit3. Educate staff on science of safety4. Identify and prioritize defects5. Implement teamwork tools6. Provide timely feedback7. Learn from defects – Have staff investigate each occurrence
Adapted from Pronovost, Patient Safety, 2005
CUSP is a Continuous Effort
• Add science of safety education to orientation• Learn from one defect per quarter; share or post
lessons • Use quality improvement and teamwork tools that
best meet the hospital/unit’s needs• Feed back timely data; investigate each event
Walking Through the Process
Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcerson the Unit•Develop a team -- Include staff nurses•Gather baseline data•Have first team meeting; educate on science of safety, data, goals•Research the evidence-based practices that eliminate pressure ulcers
The CUSP/Improvement Intervention
It Goes Back to Leadership – On All Levels
• Engage, commit• Communicate • Provide education• Provide resources• Be visible and transparent• Give feedback• Investigate and own outcomes and improvement
Keep the Focus
• There are challenges ahead, but everyone must not lose sight of our North Star – the patient -- who must be kept in the center of all we do
• Your commitment, leadership, and persistence are essential to patient quality and safety
References• Pronovost P, Weast B, Rosenstein B, et al. Implementing and validating a
comprehensive unit-based safety program. J Pat Safety. 2005; 1(1):33-40.
• Pronovost P, Berenholtz S, Dorman T, et al. Improving communication in the ICU using daily goals. J Crit Care. 2003; 18(2):71-75.
• Pronovost PJ, Weast B, Bishop K, et al. Senior executive adopt-a-work unit: A model for safety improvement. Jt Comm J Qual Saf. 2004; 30(2):59-68.
• Thompson DA, Holzmueller CG, Cafeo CL, et al. A morning briefing: Setting the stage for a clinically and operationally good day. Jt Comm J Qual and Saf. 2005; 31(8):476-479.
CUSP Resources
• Contact your State Hospital Association quality director for more information about CUSP initiatives
• Visit the On the CUSP: Stop HAI project Web site: www.onthecuspstophai.org
Hearing From Your Peers
Paul FrigoliQuality Director
Grant Regional Health CenterLancaster, WI
Agenda
• Why we joined the CLABSI & CAUTI projects• Barriers and successes • Key lessons
Val Pfoutz, RNICU DirectorKSB Hospital
Dixon, IL
Agenda
• Why we joined the CLABSI & CAUTI projects• Barriers and successes • Key lessons
CUSP Resources
• Contact your State Hospital Association quality director for more information about CUSP initiatives
• Visit the On the CUSP: Stop HAI project Web site: www.onthecuspstophai.org
Hearing From You
• What should future small & rural critical access hospital supplemental calls address?
• What resources can you share with others? • What additional resources would help you
improve patient safety?