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ENGAGE! Partnering with Patients and Families to Strengthen Quality and Patient Safety
Track II – Engaging Patients and Families to Prevent Patient Falls June 16, 2016
12:00-1:00pm
Call In Number: 1-310-372-7549
Access Code: 393032
Program materials are on ENGAGE! Member
Portal
http://www.hqinstitute.org/member-portal
Login: ENGAGE Password: HQI2016
Coaching Calls time slots are available • June 23rd • August 4th Call Asma to schedule at (916) 552-7651
Core Topics
1. ADE
2. CAUTI
3. CLABSI
4. EED/OB Harm
5. Falls
6. Pressure Ulcers
7. SSI
8. VAE
9. VTE
10. Readmissions
CalHEN 2.0
Optional Topics
1. C. diff
2. Sepsis
3. Airway Safety
4. Culture of Safety
5. Failure to Rescue
6. Iatrogenic Delirium
7. Radiation Exposure
12-month accelerated improvement SPRINT to reduce inpatient harm by 40% and all-cause preventable readmissions by 20% by September 23, 2016
Objectives: Obtain know-how to construct practical tools for engaging patient
families in preventing patient falls.
Review sample engagement tools by PartnerHealth and others aimed at preventing infections.
Learn communication strategies to activate the families’ use of the tools.
Today’s Learning Objectives
ENGAGE! Track II Program Team
Karen Curtiss
Shweta Krishnan Boris Kalanj
Mary Foley
Priscilla Magano Asma Ahmad
And featuring:
Pat Quigley
Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP
Patricia Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP, Nurse Consultant, Retired Associate Director, VISN 8 Patient Safety Center of Inquiry, is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing and rehabilitation are evident at a national level – with emphasis on clinical practice innovations designed to promote elders’ independence and safety. She is nationally known for her program of research in patient safety, particularly in fall prevention. The falls program research agenda continues to drive research efforts across health services and rehabilitation researchers.
Welcome Christine!
Christine O’Farrell
BSN, CPHQ, CPHRM
Director of Quality
Management
Barton Healthcare
System
South Lake Tahoe
Recognized as a top performing hospital by the Joint
Commission, “A” grade from Hospital Safety Score
70 beds, caring for about 6,000 in-patients a year
PFAC
Why & when initiated, our culture
PFAC influences Barton care and services
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
Committed to Patient Centered Care
Member Sharing: Barton Health
PFAC Family Engagement Initiative
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
Inspired by Engage workshops in February.
Took PartnerHealth’s engagement tools to PFAC during the May meeting.
Reactions were very positive.
PFAC recommended a plan to offer a kiosk with PartnerHealth tools, located in a special area for
families
Families can pick up, look over in comfortable place
Kiosk will have a built-in monitor where Welcome video will play
Kiosk will include storage for materials
Goal is to launch in August
+
Welcome!
Presented by:
Karen Curtiss, PartnerHealth
Mary Foley RN Phd, UCSF School of Nursing
Deep Dive on
Family Engagement
to Prevent Falls
ENGAGE! HQI
June 16, 2016
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
What’s
Sparked for
You?
New family
engagement
ideas and
practices?
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
Sponsored by Hospital Quality Institute
Copyright©2016, PartnerHealth
Today’s “Deep Dive” How to Partner with Families to PREVENT FALLS
Agenda and Objectives
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
Activity Learning Goal Time
Mary Specific information to share with families
about how to support loved ones to prevent
falls taken from our workbook: evidence and
benefits to patient safety.
Obtain know-how to construct practical tools for
engaging patient families in preventing falls – and
if they happen, how to include families in your
huddles
10
Karen Sample tools and rationale for content and
design features: from PartnerHealth and
others.
Review sample engagement tools by
PartnerHealth and others aimed at preventing
falls.
20
Mary
and
Karen
Role play using Safe & Sound communication
rubric..
Learn how to apply communication strategies to
activate family use of tools (using PH head, heart,
hands model).
10
Q and A. Please speak up -- we’d love to hear your thoughts!
Why Focus on Falls?
Why Partner with Families?
• Up to 50% of patients are at risk
• Not just frail, elderly women – all ages, both sexes, all mobility and cognition levels
• When patients fall, 50% suffer injury
• 12.3 more days in the hospital
• 3-10 times greater risk for skilled nursing facility
• 61% increase in patient care cost
• “Hidden costs” just as harmful
• Confidence impaired = lower quality of life
• Fear of falling may be just as disabling as a fall itself
• Additional burden on families for physical and emotional support
Copyright©2016, PartnerHealth
Informed and engaged family-
member Care Partners can be
your “fall police”!
Sponsored by Hospital Quality Institute
More: http://cloud.flipb.com/parthner-
health/PartnerHealth-Engagement-Webinar-
Guide/index.html
Quick Review: Safe & Sound Partnering Rubric
Copyright©2016, PartnerHealth
SHARE FACTS:
Simple info in simple terms
MOTIVATE:
Fuel connection, “We’re in this together!”
Grace notes
Reasons why
Provide ”To Do” Tools:
Transform help-less to help-full
Sponsored by Hospital Quality Institute
S a f e & S o u n d E n g a g e m e n t P r o c e s s Copyright to PartnerHealth, LLC, 2013
Safe & Sound Family Toolkit
To Prevent Falls
Checklist
Shared in Lay Terms
Practical Tools
Put Families on Your Team -- On Guard With You
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
Share Facts
with Family
Their loved one’s…
Blood pressure
Medications that cause drowsiness, confusion
Oxygen saturation levels
Trip hazards in the room, wheels!
Grab bars
Story about someone falling – esp. someone no one would expect to fall (connect the
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
S a f e & S o u n d E n g a g e m e n t P r o c e s s Copyright to PartnerHealth, LLC, 2013
Provide Tools to
Inform, Engage and ACTIVATE
A Simple Hangtag with To-Do’s
to Prevent
(Alternative headlines)
Please call, don’t fall.
Don’t fall for us!
If in doubt, sit it out.
Be kind to your behind….
…Call, don’t fall!
Share a “Deck” of Cards to Play Up Alertness
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
What if Your Patient Falls?
How to Bring Families into the Post-Fall Huddle
Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth
How Can We Activate Families
for Safe & Sound Fall Prevention?
Copyright©2016, PartnerHealth
Our Strengths What are we good at?
What do we already have in place that we believe reduces the chances for a patient Fall?
Our Challenges What have been our past common issues involved in
patient falls that keep me up at night?
What are our weak links?
What could we make even better?
Our Opportunities How can we strengthen the role of families as partners?
Can we help minimize the risk for fall after discharge?
What can we connect – other initiatives that complement?
Good timing? Champions to tap? Cultural imperatives? Climate is right?
Next Steps What specifically can we do? Who will do it? When?
Resources needed? Others to involve?
Sponsored by Hospital Quality Institute
Next Steps & Reminders
Fill out the evaluation for today’s webinar at https://www.surveymonkey.com/r/2T376V7
Individual coaching calls are available upon request on Jun 23 and Aug 4. Contact Asma at (916) 552-7651; or [email protected] to schedule.
Mark next webinar date, Thursday, July 21 on Partnering to Prevent Surgical Complications (12–
1 pm).
Your e-guide is at http://cloud.flipb.com/parthner-health/PartnerHealth-Engagement-Webinar-
Guide/index.html.
Please drop us a note to fill us in on tools you create or would like to try!
If you want to try PartnerHealth tools, call Karen at (847) 208-6074.
Thank you!