Transcript Clinical Leadership Institute - The Mississippi Rural Hospital Alliance

Clinical Leadership Institute
Debbie Logan MHA, RN
LaNelle Weems MSN, RN
Clinical Leadership Institute
• Collecting, tracking and measuring a total patient
harm rate;
• Monitoring the overall patient safety within your
organization;
• Employing major strategies to improve patient care
everywhere, every time and for every patient;
• Identifying harms that occur within your
organization;
Clinical Leadership Institute
• Developing and implementing a quality plan to
eliminate preventable harms and readmissions
along with the specific cost savings to your
organization;
• Implementing best practices to reduce harm &
preventable readmissions within 30 days;
• Educating and building improvement capacity;
Clinical Leadership Institute
• Providing education on Clinical Topics, Leadership,
& Safety Culture; and
• Participating in the applicable goals of the Better
Care, Smarter Spending, and Healthier People:
Improving Our Health Care Delivery System
established by the U.S. Department of Health and
Human Services (press release Jan.26, 2015) and
any future HEN initiatives via the Centers for
Medicare and Medicaid (CMS).
Quality Improvement Project
Take a Stand! Wash Your Hands.
Montfort Jones Memorial Hospital
Hand Hygiene Committee
Mid-Project Presentation
Who We Are
An interdepartmental group of hospital employees.
Long, Medium and Short Term Outcomes
• LONG TERM: To improve proper hand hygiene
adherence to 90% or above at our facility.
• MEDIUM TERM: To reduce our adherence
deficiency by half before the end of 2015.
• SHORT TERM: Educate and enlist staff in the
importance of proper hand hygiene in the
healthcare setting.
Montfort Jones Memorial Hospital
Most Recent 3-Month Harms/Discharge (% Improvement)
0.1833(10%)
Three month period ending:
Apr-14
Number of Harms Prevented to Date Not Including
Readmissions
98
Cost Savings to Date
$
75,000
(Based on average $NA cost per HAB)
Estimated Number of Harms to Prevent in Order to be at
Goal Rate by Next Month
Most Recent 3-Month Harm Rate: 1 Harm per 5 discharges
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BAPTIST MEDICAL CENTER YAZOO
SURVEY SEEKERS
Baptist Medical Center Yazoo
Most Recent 3-Month Harms/Discharge (% Improvement)
0.0207(60.1%)
Three month period ending:
Aug-14
Number of Harms Prevented to Date Not Including Readmissions
35
Cost Savings to Date
$
105,000
(Based on average $NA cost per HAB)
Estimated Number of Harms to Prevent in Order to be at Goal Rate by
Next Month
Most Recent 3-Month Harm Rate: 1 Harm per 48 discharges
0
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Eliminating HAB A Change for the Better
North Sunflower Medical Center, a critical access
hospital in the heart of the Mississippi Delta, is
located in Ruleville, MS.
“Take me to Ruleville.”
North Sunflower Medical Center exists to improve
the lives of people in the Delta. We work together
with the community as a family.
Our Safety Team is comprised of:
Kimberly Eastland, CQO
Marianne Eastland, RN, Sam Miller, RN, COO,
Lisa Miller, RN, DON, Danielle Ervin, MLT, Kim
Runnels, RT, Carmen Oguz, PhD, PT Carmalita
Cosue, RPh, Hanna Barrett, RN
Pearls
• We found that adding a Discharge planner has helped our
patients get a better understanding of their medications and
expectations for their return home.
• Implementing a Good Catch program has helped identify
adverse drug events before they get to the patient.
• Starting a Foley log has helped track the correct amount of
insertions and catheter days.
• We recently started a handwashing campaign and are
anxious to see the results.
Pearls
• Reviewing all falls to drill down to causes, times,
any other pertinent data
• Established a fall team to review data and make
recommendations
• Reporting on falls and goals to the hospital board.
Baptist Medical Center Leake
0.0620(69%)
Most Recent 3-Month Harms/Discharge (% Improvement)
Three month period ending:
Aug-14
Number of Harms Prevented to Date Not Including Readmissions
87
Cost Savings to Date
$
194,000
(Based on average $NA cost per HAB)
Estimated Number of Harms to Prevent in Order to be at Goal Rate by
Next Month
Most Recent 3-Month Harm Rate: 1 Harm per 16 discharges
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