IPRO End Stage Renal Disease Network of New York

Chris Scalamandre RD, CD/N

November 16th , 2011

Chateau Briand

Institute of Medicine Report

Estimated 98,000 people die every year at a cost of $29 Billion dollars from preventable medical errors. If the Centers Disease Control were to include preventable medical errors as a category, it would be the 6th leading cause of death in America.

2

Five Diamond Approach to Patient Safety Program

Assists dialysis facilities to improve both staff and patient awareness of specific patient

safety areas, promotes patient safety values, and builds a culture of patient safety in every

dialysis facility.

3

Patient Safety Culture

Definition: a set of values, beliefs and behaviors that a group of people at each level within an organization share with respect to safety

Benefits: Employees are less likely to engage in unsafe acts Advances in safety performance –includes increased staff participation and safety behavior- like compliancePromotes accident prevention

Patient Safety Culture Continue

How do we achieve a Patient Safety Culture?Based on employee’s perception of the policies, procedures and practices relating to patient safety. High level of management and physician involvementFocus on Safety Education with the facilityOpen and reciprocal communication between staff and managementCommunication style is based on support and is blame free

Five Diamond Approach to Patient Safety

Objectives: To promote patient safety valuesTo create an awareness of patient safety issuesTo help dialysis units learn more about specific areas of patient safetyTo build a patient safety culture in every dialysis unit

Website- Online Program

7

(www.esrd.ipro.org) click on

Website- Online Application

8

Components

Hand Hygiene (Infection Control)Flu VaccinationSlips, Trips and FallsMedication ReconciliationHealth LiteracyPatient Self-Manage Care

Emergency PreparednessSharps SafetyDecreasing Patient & Provider ConflictMissed TreatmentsTransplantationStenosis Surveillance

Patient Safety Principles (required)

Components con’tEach topic is a complete educational moduleTools and resources are located on the Network website.Required and optional activities Power Points for staff in-service presentationsPosters for displayGames and activities to engage patients

Website- Mandatory Module

11

Details

The application to register is on the websitePatient Safety Principles module is mandatory –includes staff safety attitude questionnaireAll other modules are chosen based on facilities needs or aligned with corporate priorities Once module is completed the requested information is sent to the Network Ex. Project Reporting form etc.

Details con’t

13

All participants completing at least one component or more will be recognized with a certificate.

Certificate will include either one diamond, two diamond etc to designate Diamond status.

Recognition

Five modules completed = Five-Diamond Patient Safety FacilityPlaque to display in unit designating achievement of Five Diamond statusAcknowledgement in Network NewsletterListed on WebsiteNetwork encourages facilities to market themselves as a Five-Diamond Patient Safety Facility.

The following schedule applies to Five-Diamond Status:• Achievement between 1/1/2011and 1/1/2012

is valid until 1/1/2013

Providers may renew their diamond status for another year by completing two additional modules.

15

Five-Diamond Status Schedule

Benefits

Value added project for Network to promote provider staff development and educationSupports national CMS goal to promote patient safetyFavorable to the DOHStimulates more creative projects at the provider level

Network Goals

10% of Network 2 facilities will be registered and 50% of those facilities will have achieved at least One Diamond by the end of 2011.

17

Where are we Now??

79 facilities (32% of NW2) have registered to the Program30 facilities have achieved at least one diamond 1 5-Diamond Patient Safety Facility

Facility status are updated regularly on our website

Recognition consent form is requested by each participant of the program

18

What’s next?

Continued communication and follow up with facilities who registered

Modules are being updated.

Continued marketing of the project via mailings using our brochure

Reaching out to providers via emails, phone calls and Webex demonstrations

19

For More Information

Chris Scalamandre RD, CD/N(516)-209-5578 ext 203 (or 516-209-5203)cscalamandre@nw2.esrd.net

Carol Lyden RN, MS, CNN(516) -209-5578 ext. 302 (or 516-209-5302)clyden@nw2.esrd.net

CORPORATE HEADQUARTERS

1979 Marcus AvenueLake Success, NY 11042-1002

REGIONAL OFFICE

20 Corporate Woods BoulevardAlbany, NY 12211-2370

www.esrd.ipro.org