Is 99% Good Enough

Randy Johnson BADirector of Marketing

THE HEART HOSPITAL Baylor Plano

Quality Culture

What is a quality culture?• Quality of care delivered is primary focus of

the health care facility• Building a trust relationship with the staff-

comfortable with reporting near misses, errors, and problems

• Reporting structure without fear of retaliation

Quality Culture

• Emphasis on finding fault with processes not people

• Everyone strives to identify best practices• Everyone focuses on opportunities to improve

processes to improve patient safety and patient satisfaction

Process Improvement Teams

Process Improvement Teams• Multidisciplinary teams• Goal is to look at processes and determine

ways to improve• Plan, implement and evaluate strategies

geared toward improvement

Transparency

• Leads to increased trust in the facility’s integrity

• Assists consumers in making informed health care choices

• Inspires health care facilities to strive for excellence

Supportive Administration

• Open door policyCan’t just say it, have to live it.

• Support for the process improvement teamsMust allow teams the time to meet and make sure that they have adequate resources

• AccessibilityMust be visible within the facility. The staff need to know who they are.

Quality Culture’s Impact on Patient Outcomes

• Decrease in never events• Decrease in adverse events• Decrease in length of stay• Increase in patient involvement in plan and

implementation of care

Quality Culture’s Impact on Patient Outcomes

• Increased family involvement in patient care• Increase in open communication among

caregivers and with patients• Increased visibility of Administration on the

patient care units

Why do we care?

• We want good outcomes for our patients• We want a good reputation for our facility• We want to know we have done the absolute

best we can for our patients• We want to make the world a better place• We want to make a difference

Did you know? If 99% is good enough, then:

• - 12 newborns will be given to the wrong parents daily.

• - 103,260 income tax returns will be processed incorrectly this year.

• - Two plane landings daily at O' Hare International Airport in Chicago will be unsafe.

• - 18,322 pieces of mail will be mishandled in the next hour.

Did you know? If 99% is good enough, then:

• - 291 pacemaker operations will be performed incorrectly this year.

• 880,000 credit cards in circulation will turn out to have incorrect cardholder information on their magnetic strip

• - 20,000 incorrect drug prescriptions will be written in the next 12 months

Did you know? If 99% is good enough, then:

• - 107 incorrect medical procedures will be performed by the end of the day today.

• - 2,000,000 documents will be lost by the IRS this year.

• - 22,000 checks will be deducted from the wrong bank accounts in the next 60 minutes.

What does Quality Look Like?Patti Grant

Patti Grant

• An IP at Medical City Dallas Hospital, Dallas , Texas with just under 20 years experience

• Served on various APIC DFW Chapter as Historian, Secretary, Board Member, Program Chair and has been Chair of the Governmental Affairs Committee since 2002

• With APIC International Headquarters she is a member of Board of Directors

• Member Texas HAI Advisory Panel

Patti Grant

• Is serving her 2nd term on the Editorial Review Board of the American Journal of Infection Control

• 1994 GREAT 100 Nurse for TNA District 3&4• 1997 APIC New Investigator Award• 2001 Gerry Haynes Award Winner• Writes bi-monthly column for Hospital

Infection Control & Prevention “iP Newbie”

What does Quality Look Like?

Judy Prescott• Manager, epidemiology for Baylor university

Medical Center Dallas, Texas• IP and member of APIC for 29 years• Served her APIC Chapter as President, Board

Member, Education Committee Chair, Governmental Affairs Committee Chair, and a member of multiple committees

• Served as National APIC Program Chair for Baltimore Conference in 1999, Nominating Committee, Bylaws, and the Education Committee Novice Practitioner Task Force

Judy Prescott

• Presented at the national, state and local levels

• Serves as an Infection Prevention Consultant for rural hospitals, long term care facilities, and local industry and is published.

• Served 2 terms as President of TSICP• Provided testimony before Texas Legislative

Task Force on Medical Waste Management

Judy Prescott

• 1991 recipient of the TSICP Gerry Haynes Memorial Award for Excellence in hospital Infection Control

• 2000 GREAT 100 Nurse of DFW Metroplex• 2001 Nursing Excellence Finalist in Mentoring

given by Nurseweek Magazine• Hero of Infection Prevention in 2007 by APIC

What does Quality Look Like?

Charlotte Wheeler

Charlotte Wheeler

• Lead Infection Preventionist Baptist St Anthony’s in Amarillo, Texas since 2003

• Elected by Amarillo Health District as a member of the Medical Expert Advisory Committee on upcoming medical and pandemic planning issues

• Addressed MRSA seen in community by education of staff and physicians decreasing hospital acquired MRSA in hospital. Implemented system to alert staff of admission of MRSA pt

Charlotte Wheeler

• Presenter for THA Best Practice 100,000 lives Austin, Texas May 2006 (Reducing Central Line Infections)

• Successful Hand Hygiene Campaign launched motivating all staff to improve hand hygiene compliance. Visual audit results increased by greater than 75% 2004-2006

• Nurse of the month July 2007

Charlotte Wheeler

• TNA Nurse of Excellence Award 1992• Employee of the year 1990• Certified in Infection Prevention since 2005• Member of Texas HAI Advisory Panel• President TSICP 2006-2007• Past President TSICP 2008-2010