Is 99% Good Enough

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Transcript Is 99% Good Enough

Is 99% Good Enough
Randy Johnson BA
Director 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 staffcomfortable 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 policy
Can’t just say it, have to live it.
• Support for the process improvement teams
Must allow teams the time to meet and make
sure that they have adequate resources
• Accessibility
Must be visible within the facility. The staff
need to know who they are.
Quality Culture’s Impact on Patient
Outcomes
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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
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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