Upstream Quality: Getting Out In Front of Report Cards

---------------- August 25, 2016

Claire Manneh, MPH

Director of Programs

CHPSO, a Division of the Hospital Quality Institute

TEL: 916-552-7683

cmanneh@chpso.org

Regional PSF Contacts

Jenna Fischer, CPPS

Vice President of Quality & Patient Safety

Hospital Council of Northern & Central California (HCNCC)

TEL: (925) 746-5106

jfischer@hqinstitute.org

Alicia Munoz, FACHE

Vice President of Quality Improvement & Patient Safety

Hospital Association of San Diego & Imperial Counties (HASDIC)

TEL: (858) 614-1541

amunoz@hqinstitute.org

Julia Slininger, RN, BS, CPHQ

Vice President of Quality & Patient Safety

Hospital Association of Southern California (HASC)

TEL: (213) 538-0766

jslininger@hqinstitute.org

Statewide Webinars

Flyer w/registration links will be provided in a follow up email . . .

How to participate in today’s

Webinar presentation

• At the telephone prompt, please be sure to enter your unique audio pin located in your Webinar audio pane.

• We will have time for Q&A at the end of the presentation.

• Submit your text question using the Questions pane.

• Lines will be muted until the Q&A • A recording will be available with all

materials in a follow-up email

Today’s webinar is presented by

Julie Morath, RN, MS, CPPS – President and

CEO of the Hospital Quality Institute, and

she is a founding and a current member of

the Lucian Leape Institute, National Patient

Safety Foundation, and served as

Commissioner of The Joint Commission.

Meet Today’s Presenter

Upstream Quality: Getting

Out In Front of Report

Cards Patient Safety First Statewide Webinar

August 25, 2016

Julianne Morath, RN, MS, CPPS

Hospital Quality Institute

Performance Is In The Headlines

Big Players

100% Compliance

0% Defect

Key Performance Indicators

Pennsylvania Hospital - 1754

Number of Patients - 117

Diagnosis

• Cancer

• Lunacy

• Dropsy

• Consumption

Metrics

• Cured

• Relieved of Symptoms

• Irregular Behavior

• Discharged Incurable

• Taken away by friends

• Dead

• Left in the hospital

Report Cards Are Not New

Can You Outrun Report Cards?

There Are No Shortcuts

Manage vs React

What Is Your Internal Story?

How Are You Telling It?

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The Transparency Conundrum

Questions You Should Ask:

Connecting the Dots

1. Is there a systemic view, e.g. planning process,

strategy, design, drivers, measures?

2. Are there measures that answer whether or not

strategy is advancing, i.e. Is care getting better, or

worse?

3. How were the measures selected?

4. Why are the measures important to our hospital,

patients, workforce, and community?

Questions You Should Ask

5. Is there a coordinated process?

6. Can all staff leaders answer the following

questions?

• How does “this” compare to past?

• How does “this” compare to best-of-class?

• What are we doing to improve and close the performance gap?

• What can we predict from what we know?

• What might be unintended consequences of our improvement efforts?

6. How do we engage front line caregivers,

physicians, and patient and families?

Organizational Strategy

1. What’s Important

2. Prepare Leaders and Boards

3. Identify Measures

4. Monitor Trend Over Time

5. Fidelity to Purpose

6. Improve, Get Better

Leading Forward At Every Turn

Questions?

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