supporting quality care nurs 274 nursing leadership darlene lopresto, bsn, rn,c graduate student fsu
TRANSCRIPT
Supporting Quality CareSupporting Quality Care
NURS 274 NURS 274 Nursing LeadershipNursing Leadership
Darlene LoPresto, BSN, RN,CDarlene LoPresto, BSN, RN,CGraduate Student FSUGraduate Student FSU
MICHIGAN LEGISLATURE 95th Legislature Regular Session
Michigan Compiled Laws Complete Through PA 169 and includes 172-184 and 204 of 2010 PUBLIC HEALTH CODE (EXCERPT)
Act 368 of 1978Part 172 NURSING
Section 333.17201SectionDefinitions; principles of construction.Section 333.17208SectionLicensed practical nurse; health profession subfield.Section 333.17209SectionRenewal of license to practice as trained attendant; eligibility; “practice as a trained
attendant” defined; original license prohibited; licensed psychiatric attendant nurse considered licensed practical nurse.
Section 333.17210SectionRegistered professional nurse; issuance of specialty certification; qualifications.Section 333.17211SectionPractice of nursing or as licensed practical nurse; license or authorization required;
use of words, titles, or letters.Section 333.17212SectionRegistered professional nurse; ordering, receiving, or dispensing complimentary
starter dose drugs.Section 333.17213SectionLicensure as registered professional nurse; graduate of nurse education program
located outside of United States; requirements.Section 333.17221SectionMichigan board of nursing; creation; number and qualifications of members; terms.Section 333.17224, 333.17225SectionRepealed. 1989, Act 201, Imd. Eff. Oct. 23, 1989.Section 333.17231SectionHonorary license; "advanced illness" defined; name of section.Section 333.17241SectionNursing education program; application to conduct; evidence required; evaluation;
inspection; report; approval; continuation of existing programs; accreditation by national board or organization; education program for psychiatric attendant nurses or trained attendants prohibited.
Section 333.17242SectionInspection of approved nursing education program; report; notice of deficiency; removal from list of approved programs; hearing.
committed to improving health care safety continuously improve quality of care accreditation of health care organizations accreditation is a risk-reduction activity reduce the risk of adverse outcomes
HFAP determines a facility’s ability to deliver high quality patient care by using our CARE methodology.
This process includes an in-depth review of both open and closed patient records as well as direct observation of care provided.
http:www.ahrq.gov
Clinical Information Clinical Practice GuidelinesCurrent and archived Clinical Practice Guidelines — beta blockers practice advisory — treating tobacco use and dependence
•Tobacco CessationU.S. Public Health Service Clinical Practice Guideline: Pathfinder page links to materials that help tobacco users quit.Surgeon General Reports: The latest information to help people quit smoking, and to help health care professionals treat tobacco use and dependence.
Public Transparency
Broad scale quality initiative Consumers compare facilities Informed choices Better public information
Public Transparency
www.healthgrades.com www.mihospitalinform.org www.hospitalcompare.hhs.gov www.hospitalconnect.com www.wedmd.com
Public Transparency
http://www.healthgrades.com/hospital-directory/michigan-mi/patient-safety-HGSTA7662386230092
The Consumer Assessment of Healthcare Providers
and Systems (CAHPS):Health care organizations use CAHPS results to: Assess the patient-centeredness of care; Compare and report on performance Improve quality of care. standardized surveys of patients' experiences
http://www.hospitalcompare.hhs.gov/hospital-compare.aspx?hid=230037&lat=41.8933451&lng=-84.6269824&stype=GENERAL&&stateSearched=MI
Benchmarking
A benchmark is a specific quantitative standard for an outcome with which you compare your own institution.
(Ellis & Hartley, 2009)
Risk Management
Policies, procedures, & practices involved in identification, analysis, assessment, control, and avoidance, minimization, or elimination of unacceptable risks. (www.businessdictionary.com)
RM Focus
Studies QA findings and trends Think ahead about defense strategies Proactive identification and elimination of
risk areas institution wide Patient and family are
informed
Incident Report Process
Root Cause Analysis:
Goal = Answer: What happened? Why did it happen? What do you do to prevent if from
happening again?
Incident Report Process: Five Why’s Technique
Example:Problem Statement: You are on your way home from work and your car stops
in the middle of the road.
1. Why did your car stop? - Because it ran out of gas.
2. 2. Why did it run out of gas? - Because I didn't buy any gas on my way to work.
3.3. Why didn't you buy any gas this morning? - Because I didn't have any money.
4. 4. Why didn't you have any money? - Because I lost it all last night in a poker game.
5. 5. Why did you lose your money in last night's poker game? - Because I'm not very good at "bluffing" when I don't have a good
hand.
Incident Report Process: Systems Focus
Not one person’s fault Involves people and/
or processes System failure
results in error
Never Events:
•Effective October 1, 2008•No reimbursement•Must note if ‘Present on Admission”•Requirements of ‘Never Event’ occurs: -Report event -Root cause analysis -Waive costs -Apology
Michigan Magnet Status
Beaumont Hospital Troy MI 2009 Bronson Methodist Hospital Kalamazoo MI 2009 Children's Hospital of Michigan Detroit MI 2008 DMC Huron Valley Sinai Hospital Commerce Township MI 2009 Detroit Receiving Hospital and University Health Center Detroit MI
2009 Holland Community Hospital Holland MI 2007 Munson Medical Center Traverse City MI 2006 Oaklawn Hospital Marshall MI 2009 Sparrow Hospital Lansing MI 2009 Spectrum Health-Blodgett Hospital Grand Rapids MI 2009 Spectrum Health-Butterworth Hospital Grand Rapids MI 2009 Spectrum Health-Helen DeVos Children's Hospital Grand
Rapids MI 2009 William Beaumont Hospital Royal Oak MI 2004