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Ohio Patient Safety Institute (OPSI) Patient Safety Organization (PSO) 2 The Patient Safety And Quality Improvement Act of 2005 (PSQIA) • Authorized the creation of Patient Safety Organizations 3 PSO Patient Safety Activities Authorized by the PSQIA 1. 2. 3. 4. 5. 6. 7. 8. Efforts to improve patient safety and quality of health care delivery Collection and analysis of patient safety work product (PSWP) Development/dissemination of information to improve patient safety such as recommendations, protocols, or best practices Use PSWP for encouraging a culture of safety and providing feedback/assistance to minimize patient risk Maintain procedures to preserve confidentiality of PSWP Security measures with respect to PSWP Use qualified staff Operation of a patient safety evaluation system (PSES) and provision of feedback to participants in a PSES 4 Who is OPSI? The Ohio Patient Safety Institute is a Patient Safety Organization, which is a subsidiary of the Ohio Health Council, that was founded by: • the Ohio Hospital Association, • the Ohio State Medical Association, • and the Ohio Osteopathic Association. 5 OPSI PSO Designation • OPSI has been designated as a Patient Safety Organization (PSO), by the Agency for Healthcare Research and Quality on February 11, 2009 6 OPSI PSO Mission Statement • The Ohio Patient Safety Institute (OPSI) is the leader and catalyst in transforming healthcare into a reliable safe delivery system • In pursuit of our mission, the primary activity of OPSI PSO is to conduct activities designed to improve patient safety and the quality of healthcare delivery 7 Who can join OPSI? • An individual or entity licensed or otherwise authorized under State law to provide health care services; or • Any other individual or entity specified in the regulations promulgated by the Secretary 8 Why Join OPSI? • To share and learn in a legally protected environment in accordance with The Patient Safety and Quality Improvement Act of 2005 • To improve patient safety and quality • To use Patient Safety Work Product (PSWP) for encouraging a culture of safety • To identify and reduce the potential risks associated with care of patients • To take advantage of the benefits of membership 9 When We Collaboratively SHARE We LEARN Examples of De-Identified Types of Information Shared: • Adverse Events • Near Misses • Unsafe Conditions 10 How We Learn--Through • • • • • • • • Data Analysis and Feedback Comparative Data Analysis of RCAs Research Request Webinars User Groups OPSI PSO Navigator Other Publications 11 Federal Legal Protections of the PSQIA: Privilege and Confidentiality Protections • Patient Safety Work Product (PSWP) is privileged and confidentiality 12 Benefits of Membership • Privilege and confidentiality protection of Patient Safety Work Product (PSWP) • Utilization of Patient Safety Evaluation System (PSES) • Access to a web-based, patient safety reporting system, which complies with the data standards, AHRQ common formats • Analysis and aggregation of patient safety data 13 Benefits of Membership (Continued) • • • • • • • Identification of trends and problems Obtain expert help in understanding events Active participation in promoting patient safety Share best practices Access to real time reports Availability of customized reports Access to publications, newsletters, alerts 14 Benefits of Membership (Continued) • Participation in user groups • Participation in patient safety webinars • Ability to submit research requests for patient safety matters • Ability to request an evaluation and critique of RCA submitted 15 Establish a Patient Safety Evaluation System • DECIDE WHAT TO PROTECT: ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ Event Reports RCAs Predictive Analysis Peer Review PI/QI Committee Patient Safety Committee Infection Control Committee Board Safety Committee 16 Reporting to OPSI PSO • Data will be reported using AHRQs common formats • OPSI PSO has partnered with ECRI Institute PSO to utilize a web-based patient safety reporting system • Secure process for reporting 17 Reporting Adverse Events • Events can be uploaded from an organization’s reporting system (mapping to the Common Formats), or • Events can be entered manually 18 Submitting RCAs and Other Documents • Root cause analysis can be submitted for feedback and analysis 19 Thank you!