[PolicyMedical Webinar] Policies and Procedures for Patient Safety

PATIENT SAFETY WEBINAR SPONSORED BY POLICYMEDICAL

POLICIES & PROCEDURES FOR PATIENT SAFETY

Nicola Heslip, Director of Product Content Management at PolicyMedical

Nicola (RN BSN LNC CPHQ CPSO) has been working in the healthcare industry for nearly two decades and has years of experience writing policies for hospitals, as well as reviewing policies for regulatory compliance. She is on the Joint Commission’s exclusive list of consultants that assist staffing agencies and other healthcare entities with certification and accreditation.

Your Webinar Host:Daisy Jiang

Marketing Specialist PolicyMedical

YOUR PRESENTER: NICOLA HESLIP

POLICIES &

PROCED

URES FO

R PATIENT SAFETY

WEBIN

ARWebinar Agenda

Part I: Educating Staff on Patient Safety Measures

Part II: How To Discover Patient Safety Champions

Part III: The ROI of Patient Safety

Part IV: Where Practice Meets Policy for Fall Prevention

Part I: Educating Staff on Patient Safety Measures

Patient safety principles should be part of your organization’s core. Your foundation.

Pillar Structure

> People

> Cost

> Service

> Growth

> Patient Safety

At orientation, all employees should understand how they can directly or indirectly impact patient care. Situational awareness.

Have a discussion with staff about JUST CULTURE.Demonstrate how staff should report patient events.

Demonstrate how staff should report patient events.

Management should be trained by HR about corrective action. Follow a standardized model (eg. James Reason’s model)

Part II: How To Discover Patient Safety Champions

Who can be a patient safety champion?

• Executives

• Managers

• Front line staff

• Housekeepers

Engaging a Patient Safety Champion

1.Ask a manager – they know their staff

2.Round on a unit and talk to staff about patient safety topics

3.Attend a leadership meeting about recruiting patient safety champions

4.Talk to the CMO about recruiting physicians

Keeping a Patient Safety Champion

1.Give them access to education material (eg. core measures)

2.Help them build relationships (eg. with PSO/PI team)

3.Tap into their leadership qualities & passions

4.Give them time

Recommended reading: “Role of champions in the implementation of patient safety practice change” from Healthcare Quarterly 12 (sp) 2009:123-128 by Soo et al (University of Toronto)

Part III: The ROI of Patient Safety

Patient satisfaction results drag down hospitals’ value-based purchasing (VBP) scores.

Through the “Hospital Compare” program, CMS will use VBP to calculate Medicare reimbursements.

Meade, Bursell and Ketelsen: nurses who performed hourly rounds increased patient satisfaction.

Wong and Cummings: found connection between leadership’s positive behavior & decrease in adverse events

Weingart et al: patient incidents reflected a deficiency in “service” (eg. waits, delays, communication breakdowns)

Next Steps: Understanding the Patient Safety & Patient Satisfaction Link1. Actively engage patients & families in patient safety initiatives

2. Have staff complete a culture of safety survey

3. Analyze the results of both employee and patient satisfaction surveys

4. Focus on nursing comments

5. Focus on communication of clinical information scores

6. Look at trends with patient complaints, employee feedback & adverse events

7. Review ratings related to the admission process

8. Look at ratings related to the discharge process

9. Look at noise ratings

10. Be proactive!

“I’m much more likely to judge a hospital experience on the communication skills of the nursing staff & physicians...”

When staff don’t have the tools they need to find procedures, they are dissatisfied & display negative behavior to patients.

Part IV: Where Practice Meets Policy for Fall Prevention

1/3 of the elderly over 65 years falls each year. Falls account for 25% of all hospital admissions and 40% of all nursing homes.

Use an evidence based tool (eg. Morse or John Hopkins) to assess fall risk.

ATTENTION: your policies should explain what fall risk tool the hospital is using. Policies & practice should match.

Folks most at risk are older than 85 years and...

Fall Prevention 1. Validate the process with tracers and staff interviews

2. Vet the documentation

3. Chart review

4. Visit the patient and family

5. Fall reduction and performance improvement

6. Have a team

7. Recruit a champion

8. Share the data

9. PDCA

QUESTIONS?

Contact UsNicola Heslipnicola@policymedical.com

Daisy Jiangdaisy@policymedical.com

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