Transcript STEP Jeopardy Completed Game

Hosted
by
The STEP collaborative
Rules
• You must answer in the form of a question
– (we might be a little generous here)
• You have 5 seconds to answer once you buzz in
– (not going to be generous with this one)
• You lose points for incorrect or absent answers
• There are 2 role play daily doubles with a 600
dollar maximum wager
• The winning team gets a secret major prize!
Facts and Figures
What am I?
What went wrong?
100
100
100
200
200
200
300
300
300
400
400
400
500
500
500
What is a handoff?
According to the Joint Commission,
“The primary objective of THIS
is to provide accurate information about a
[patient]'s care, treatment,
and services; current condition;
and any recent or anticipated
changes” at the time of a transition in care.?
1,2
What is Person (P)?
The responsible party
for the handoff
or the party receiving
the handoff.
1,3
What is No “input (I)” or “Your turn (Y)” portion of
handoff?
Dr. Jones gives a quick
presentation of an infant he
wants to admit to the hospital
with jaundice. Dr. Robins
wonders if mom’s blood type
is known but before she can ask
the conversation has ended. What went wrong?
1,4
What is PCP/Clinic notification of discharge/transfer ?
According to a study by the University HealthSystems
Consortium, patients receiving
this measure had a lower incidence of unplanned
readmissions within 7 days compared
to patients who did not receive this measure
2,2
What is input (I) or Your Turn (Y)?
This part of the transition
determines how well
the receiver knows the patient
and what they can add to the
understanding of the
patient’s illness?
2,3
a role play must make it clear who is going to follow up
on these test results
DAILY DOUBLE: ROLE PLAY
Joe was admitted for pneumonia. He has had
5 prior episodes of pneumonia, 3 episodes of cellulitis,
and 1 prior episode of osteomyelitis. Because of his
recurrent infections an immune deficiency
workup was performed. You and a member of
your team must role play the part of the discharging
hospitalist and receiving primary physician
using PRIMARY. Who is going to take
ownership of the follow up of this testing?
2,4
What are “Sentinel Events”?
Between 1995 and 2006, poor handoffs
were the leading root cause of these events which are,
defined as any unanticipated event in a healthcare
setting resulting in death or serious physical or
psychological injury to a person or persons, not
related to the natural course of illness.
Clue: Name means “warning.”
3,2
What is medical course (M)?
The concise summary of the key
events in the patient’s
hospitalization or recent care.
3,3
What is No Responsible party (R) assigned?
Upon discharge from the hospital a patient
with abdominal pain,
Was scheduled for an outpatient open MRI
not available in the hospital.
No one followed up on the results.
The patient subsequently ruptured her
abdominal aneurysm at home and died.
What went wrong?
3,4
What are Primary Care Providers (PCP)?
According to a study by Bodenheimer in the NEJM,
< 50% of THESE received
info about discharge plans/ medications when their
patients were discharged from the hospital.
.
4,2
What is assessment (A) (yes he is 114 years old)?
Patient Joe Smith is a 114 year old
who was admitted with a
hypertensive crisis.
His blood pressure has
improved and he is now ready
for discharge.
4,3
What is Incomplete identification of the Patient (P)?
When Dr. Johnny Fever discharged
Cameron Poe,
a 45 year old male newly positive for HIV,
Dr. Johnny Dep thought the results were
for Cameron Poe, a 25 y/o female.
Cameron (female) was shocked when
Dr. Dep called her with the news.
What went wrong?
4,4
Essential elements of PRIMARY must be performed
DAILY DOUBLE: ROLE PLAY
You (the primary care physician) would like to admit
Mary Dementia, an 83 year old with new UTI and
worsening confusion who has a past medical history
of dementia to your local hospitalist.
Her family has been increasingly concerned about her
independent function and thinks after admission she
needs to live in a supervised setting.
You and a member of your team must role play
this care transition using PRIMARY.
5,2
What is Responsible party (R)?
Joe’s renin level is pending and
should be back in 3 days.
Would you be able
to check on that?
5,3
What is no reason (R) for transition explained?
(No contact between surgeon and primary doctor)
Mrs. Robinson was seen in surgery clinic for
a planned resection of an intrabdominal mass.
The surgeon asked her to go to her primary doctor
for pre-operative clearance. Mrs. Robinson
saw her primary doctor and talked about her
abdominal pain and anxiety and left with analgesic
and anxiolytic prescriptions. Surgery was postponed
when during the pre-operative checklist
it was discovered she was not cleared for surgery.
What went wrong?
5,4