Transcript Slide 1
Welcome to the NQF Safe Practices for Better Healthcare Webinar: Optimizing a Workforce for Optimal Safe Care (Safe Practices 9-11) Hosted by NQF and TMIT Attendee dial-in instructions: Toll-free Call-in number (U.S./Canada): 1-866-814-8482 (direct number, no code needed) For the webinar slides handout, go to: www.safetyleaders.org 1 Welcome and Safe Practice Overview Charles Denham, MD Chairman, TMIT Co-chairman, NQF Safe Practices Consensus Committee Chairman, Leapfrog Safe Practices Program Safe Practices Webinar January 21, 2010 Toll-free Call-in number: 1-866-814-8482 2 3 4 Panelists Charles Denham Ann Rhoades Charles Denham: Welcome and Safe Practice Overview Ann Rhoades: Off the Wall Leadership Gerald Winslow: A View from the Culture Officer Toll-free Call-in number: 1-866-814-8482 Gerald Winslow 5 Panelists Victoria L. Rich Peter Angood Victoria L. Rich: Putting Principles to Action Peter Angood: Critical Care Manpower Mary Foley: Roles for the Patient Advocate Toll-free Call-in number: 1-866-814-8482 Mary Foley 6 Roles for the Patient Advocate Mary Foley, RN, MS, PhD(c) Associate Director, Center for Nursing Research and Innovation, University of California San Francisco School of Nursing Safe Practices Webinar January 21, 2010 Toll-free Call-in number: 1-866-814-8482 7 8 Changes of 2006 Version to 2009 Update Practice Line-Up Changes: • From 30 to 34 Practices • Culture Practice Elements Broken Up into 4 Practices • 2 Practices Discontinued • 4 Medication Management Practices Combined into 1 • 2 Communication Practices Combined into 1 • 8 New Practices Added • CMS Care Settings Defined • Patient and Family Involvement Section Added Final Report: • Format Structure Preserved • Lightly Edited Text of Most Practices • New Practices • Updated References • Corrections and Clarification • Care Setting Clarification Using CMS Classification • Measures To Be Considered (in formulation) • Soft Copy Document Hyperlinks • Crosswalk Tables • Glossary 9 Toll-free Call-in number: 1-866-814-8482 10 Harmonization – The Quality Choir Toll-free Call-in number: 1-866-814-8482 11 Culture Consent & Disclosure Consent and Disclosure Workforce Information Management and Continuity of Care Medication Management Healthcare-Associated Infections Condition- & Site-Specific Practices Toll-free Call-in number: 1-866-814-8482 12 Culture Structures and Systems Culture Meas., FB., and Interv. Team Training and Team Interv. ID and Mitigation Risk and Hazards CHAPTER 2: Creating and Sustaining a Culture of Patient Safety (Separated into Practices] Leadership Structures and Systems Culture Measurement, Feedback, and Interventions Teamwork Training and Team Interventions Identification and Mitigation of Risks and Hazards Consent & Disclosure Consent and Informed Consent Life-Sustaining Treatment Care of Caregiver Disclosure Workforce 2009 NQF Report Nursing Workforce Direct Caregivers CHAPTER 3: Informed Consent and Disclosure • Informed Consent • Life-Sustaining Treatment • Disclosure • Care of the Caregiver CHAPTER 4: Workforce • Nursing Workforce • Direct Caregivers • ICU Care ICU Care Legend: No Material Changes Information Management and Continuity of Care Patient Care Info. Material Changes Read-Back & Abbrev. Labeling Studies Discharge System CPOE CHAPTER 5: Information Management and Continuity of Care Patient Care Information Order Read-Back and Abbreviations Labeling Studies Discharge Systems Safe Adoption of Integrated Clinical Systems including CPOE New Medication Management CHAPTER 6: Medication Management Medication Reconciliation Pharmacist Leadership Role Including: High-Alert Med. and Unit-Dose Standardized Medication Labeling and Packaging Med. Recon. Pharmacist Systems Leadership: High-Alert, Std. Labeling/Pkg., and Unit-Dose Healthcare-Associated Infections Influenza Prevention Hand Hygiene Sx-Site Inf. Prevention VAP Prevention Central V. Cath. BSI Prevention MDRO Prevention UTI Prevention Condition-, Site-, and Risk-Specific Practices Wrong-site Sx Prevention Contrast Media Use Organ Donation Press. Ulcer Prevention Glycemic Control DVT/VTE Prevention Falls Prevention Anticoag. Therapy Pediatric Imaging CHAPTER 7: Hospital-Associated Infections • Hand Hygiene • Influenza Prevention • Central Venous Catheter-Related Blood Stream Infection Prevention • Surgical-Site Infection Prevention • Care of the Ventilated Patient and VAP • MDRO Prevention • UTI Prevention CHAPTER 8: • Wrong-Site, Wrong-Procedure, Wrong-Person Surgery Prevention • Pressure Ulcer Prevention • DVT/VTE Prevention • Anticoagulation Therapy • Contrast Media-Induced Renal Failure Prevention • Organ Donation • Glycemic Control • Falls Prevention • Pediatric Imaging 13 LEADERSHIP STRUCTURES and SYSTEMS Patients and Community Values Systems Structures Leadership Structures and Systems Culture Measurement, Feedback, and Intervention Teamwork Training and Skill Building Behaviors Outcomes Identification and Mitigation of Risks and Hazards NQF 34 Safe Practices 14