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FrequentlyAskedQuestions
WhatisaPSO?
PSOsarefederallycertifiedentitiesthatsharethegoalofimprovingthesafetyandqualityofhealthcaredeliverybycollecting,aggregatingandanalyzinghealthcareeventdata(akaPatientSafetyWorkProductorPSWP)withoutthefearoflegaldiscovery,toenabletheidentificationandreductionofpatientandconsumercarerisksandhazards.
DoPSOsreceivefederalfunding?
No,PSOsdonotreceiveanyfederalfunding.CanIjoinmorethanonePSO?
Yes,providersmaybelongtoasmanyPSOsastheywish.PSO’scollaborateratherthancompete.
WhatarethebenefitsofaPSOmembershipandwhyshouldIjoin?WorkingwiththeNCQCPSOoffersmanybenefits,including:• SharedLearning
ThePSOfacilitatesashared-learningapproachatalocal,stateandnationallevelwherehospitalsandproviderscanlearnfromeachother,makefasterimprovementsandreducethecostoflearning.Our“SafeTables”provideauniqueforumthatfacilitatesharedlearninginaprotectedspace.
• PooledexpertiseMemberstapintothecollectiveintelligenceofpatientsafetyexpertsandinnovators,translatingintoexponentialimprovementsclinicallyandeconomically.TheNCQCPSOalsoworkswithstatehospitalassociations,universities,governmentagencies,otherPSOsandqualityandsafetyinstitutesnationwide.
• LegalProtectionsThePatientSafetyActprovidestwotypesofprotection;confidentialityandprivilegeprotections.TheHealthandHumanServicesOfficeofCivilRightsmonitorstheconfidentialityprovisionsandprivilegeprotectionsareenforcedbythejudicialsystem,whichlimitorforbidtheuseofprotectedinformationincriminal,civil,administrativeorotherproceedings.(PatientSafetyRuleSection3.206).
• DataanalysisforpreventionThePSOcollectsdetailedpatientsafetydataunavailablethroughregularpublicchannels.ThisrichdatasetallowsthePSOtoidentifypatternsthatcouldsuggestunderlyingorsystemiccausesofpatientrisksandhazardstopreventtheirfutureoccurrenceandreducepatientharm.
• RegulatoryYourorganizationwillbeeligibletohelpQualifiedHealthPlans(QHPs)meettheAffordableCareActSection1311(h)thatrequiresthemtocontractwithhospitalsthatusepatientsafetyevaluationsystems(PSES)andimplementcomprehensivehospitaldischargeprograms,andtocontractwithhealthcareproviderswhoimplementhealthcarequalityimprovementmechanisms.(PatientProtectionandAffordableCareAct;HHSNoticeofBenefitandPaymentParametersfor2017)
• UniquebenefittosmallhospitalsWeknowstaffinsmallerhospitalsoftenwearmanyhats.WorkingwiththeNCQCPSOhelpssmallerhospitalsdeliverhighqualitycareandmeetregulatoryandaccreditationdemandsbyprovidingoftenneededpatientsafetyandqualityresources.
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WhatspecificprotectionsdoIreceivebybelongingtoaPSO?
ThePatientSafetyandQualityImprovementActof2005(PSQIA),PublicLaw109-41andruleprovideprivilegeandconfidentialityprotectionstospecifictypesofinformationdevelopedwhenaproviderworkswithaPSO,suchasthedatacollectedandreportedtoPSOsbyprovidersandthecommunicationsandfeedbackaproviderreceivesfromthePSO.Subjecttocertainspecificexceptions,thedatareportedtoPSOsmaynotbeusedincriminal,civil,administrative,ordisciplinaryproceedings.(seePatientSafetyRuleSection3.206).(https://www.pso.ahrq.gov/faq#privacy-purpose)
Whatistheimportanceoftheprivacyandconfidentialityprotectionsfordata?Thestrongprivacyandconfidentialityprotectionsareintendedtoencouragegreaterparticipationandrobustdatasubmissionbycreatingapsychologicallyandlegallysafespacetoreportanddiscusssafetyevents.Byestablishingstrongprotections,providersmayengageinmoredetaileddiscussionsaboutthecausesofadverseeventswithoutthefearofliability.Ultimately,participationwillresultinmoreopportunitiestoidentifyandaddressthecausesofadverseevents,therebyimprovingpatientsafetyoverall.
WillPSOactivitiesprohibitpatients,consumersandtheirfamiliesfrombeingabletoseeklegalactionformedicalerrors?
• ThesubmissionofdatatoaPSOdoesnotaffecttheabilityofpatientsortheirfamiliesfromseekinglegalactionifamedicalerrorhasoccurred.
• Atthesametime,datasenttothePSOcannotbedisclosedormadeavailableforlitigationunlessacriminaleventhasoccurred.
Areadverseeventstheonlydataprotectedbylaw?
No.ThePSOcollectsandanalyzesmanytypesofsafetyandqualitydatathatareprotected.Thisprovidesatrueandaccuratepictureofhealthcareatyourinstitution.Anydata,suchasadverseevents,reports,records,memoranda,analyses(suchasrootcauseanalyses),orwrittenororalstatements(orcopiesofanyofthismaterial)whichcouldimprovepatientsafety,healthcarequality,orhealthcareoutcomescanbesubmittedtothePSO.IfthisdataisassembledbyyouforreportingtothePSOanditissubmitted,itisprotected.
Wearenotlookingforlegalprotection.Whyshouldwejoin?• It’sGoodBusiness!ParticipationinanyPSOisvoluntaryanddoneonacontractualbasis.
However,Insurers,qualitygroups,payers,employersandthepubliclookfavorablyonhospitalsandproviderswhoparticipateinPSOactivitiesanddesiretoimprovepatientsafetyandthequalityofhealthcaredelivery.
• Youshouldjoinifyouwanttoimprovethequalityandvalueofhealthcareinthecommunitiesyouserve.TheprimarypurposeofPSOsistoshare,learnandimprovesafety.Thelegalprotectionsaresecondaryandexisttoencourageproviderstoparticipatebycreatinga“safespace”todoso.
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IstheNCQCPSO“listed”byAgencyforHealthcareQualityandResearch(AHRQ)?• Yes.WehavebeencontinuallylistedsinceDecember10,2008.Wewereoneofthefounding
PSOsinthecountry.• AnAHRQlistedPSOhasanofficialsealofapprovalbythefederalgovernment.IfaPSOisnot
listedbyAHRQ,privilegeandconfidentialityprotectionsofthePatientSafetyActwillnotapply.TofindoutifaPSOislisted,visitAHRQ’swebsiteforFederally-ListedPSOs,updatedweekly.https://www.pso.ahrq.gov/listed
HowmanyhealthcareorganizationsparticipateintheNCQCPSO?
112healthcarefacilitiesaremembersoftheNCQCPSO.
Arethereanysmallandruralhealthcarefacilitymembers?
Yes.Thereare15hospitalsunder51beds.
ABOUTTHENORTHCAROLINAQUALITYCENTERPSO
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WhattypesofprovidersareworkingwiththeNCQCPSO?TheNCQCPSOworkswithprovidersacrossthecontinuumofcare:Hospitals,behavioralhealth,ASCs,generalandspecialtymedicaloffices,HomeCareandHospice,andLong-termCare.
DoesthePSOprovidedirectassistancetoitsclientsordoesituseconsultants?
Ourstaffdirectlyworkswithourmembers.Andbeinglocalwecanrespondquickly.Staffwillworkwithyouone-on-onetodeterminethemostsuitableapplicationofPSOservicesforyourorganization.WealsocalluponexternalresourcesfromtheranksofN.Chospitalsanduniversities.Webringinnationallyknownexperts,too,inanefforttoprovideyouwithnewinsightsandideas.
WillthePSOhelpyousetupapatientsafetyevaluationsystem?
ThePSOwillassistyouandprovideyouwithallthenecessaryresourcesandstaffguidancetosetupyourpatientsafetyevaluationsystem(PSES).Weprovideone-on-onesupporttoensureyourPSESmatchesyourorganization’sneeds.
Whatkindofdata/informationiscollectedbytheNCQCPSO?
• TheNCQCPSOcurrentlycollectsdatabasedonAHRQ’s“commonformats”.Adverseeventsincludeoccurrencesthattakeplaceinacute-caresettings,suchasretainedforeignobjectaftersurgery,aswellaseventsthatoccuracrossthecontinuumofcaresuchasfallsandpressureulcers.
• ThePSOcollectsdataon“nearmisses,”whichareeventsthatcouldhavecausedharmbutdonotreachthepatient.
• RootCauseAnalysis(RCAs)arealsocollectedandanalyzed.HowdoesthePSOhandleyourdata?
Inthestrictestofmanner.ThePSOcomplieswithPatientSafetyRulestocollectandcontainsubmitteddatainasafeandsecureenvironment.PoliciesandproceduresthatoutlinethecontainmentoftheCenter’sdataisavailableuponrequest.
DoesthePSOuseAHRQ’sCommonFormats?
Yes.ThePSOcollectsdatausingAHRQ’sCommonFormats.IfAHRQCommonFormatsarenotavailableforaspecificprovidertype,thePSOcreatesacceptableformatsfordatacollectionbasedonmultiplelevelsofinputandindustryanalysis.
HowdoesthePSOcollecteventinformation?
ThePSOemploysasoftwaresystemthatfacilitatessecureelectronicdatatransferfromanyinternaleventreportingsystem.Aplatformisavailabletoallowmanualentryofeventinformation.Ourgoalistomakedatasubmissionhasslefree.
CanIanalyzecomparativedataandcreatereports?
Yes.Oursystemprovidesyouwiththeabilitytoanalyzeandrunyourownreports.Youcancompareyourdatawithaggregateddatasetssuchasstate,nationalandvariouscohorts.
NCQCPSOPSWPCOLLECTIONANDPROTECTION
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HowdoIjointheNCQCPSO?
JoiningtheNCQCPSOiseasy.Tostarttheprocesscontactourteambyphoneat919-677-4123,byemailncqc_pso@ncha.orgorcompleteashortformrequestingareturncallfromsomeoneonourteam.
WhatisthecosttojointheNCQCPSO?
AswithmostPSO’s,theNCQCPSOchargesaminimalannualfeetoprovideservicesandsupportstoitsmembers.Organizationspayaflat,perhospitalratewithsubstantialdiscountsgiventohospitalswith50orfewerstaffedbedsandtonon-acutefacilities.Toreceiveapricingquoteforyourorganization,pleasecontactDeanHiggins,[email protected]
WhatactivitiesandserviceswillIreceivebybeingaNCQCPSOmember?
Service/Product Description
PSOOperationalSupport • CustomizedassistancesettingupandmaintainingPSOoperationalinfrastructure
• Staffengagementandtrainingatalllevels• AssistwithaddressingbarrierstoactiveandmeaningfulPSO
engagement
SafeTables • Regional,confidentialforumsfocusedontrendingsafetytopics
• Facilitateddiscussionandsharingofbestpracticestoreduceharm
DataReportingandAnalysis
• Secureandautomatedprocessforreportingsafetyevents• State-levelbenchmarking• Federalandstate-levelconfidentialityandprotectionofPSO
data• Analysisandfeedbacktoidentifytrendsandopportunitiesfor
improvement• Ondemandfacilityandsystemlevelreporting
EducationandCollaboration
• Freeanddiscountedwebinars,workshops,andannualconference
• On-demandresourcesandlearningmodules• AccesstootherPSOmembersfornetworkingandshared
learning
BECOMINGANCQCPSOMEMBER
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• Patientsafetytrainingandcertificationassistance• Connectiontonationalsafetyexpertsandcollaborative
learningopportunities
PSOMemberNewsletter • Bi-monthlynewsletterhighlightingpatientsafetytopics,bestpractices,andPSOactivities
AlignedNCQualityCenterServices
• PatientandFamilyEngagementfocusedguidance• AccesstoNCQCpatientsafetyandqualityimprovementtools,
resources,andcontentexperts• DiscountsonNCQCpatientsafetyorientedconsultingservices
TolearnmoreabouttheNCQPSOandoureventscheckoutourwebsite
https://www.ncqualitycenter.org/patient-safety-organization-2/