NPSF Research Grants Program - NPSF Patient Safety Congress

Clinical Therapeutics, Hospital Corporation of America
Health care organizations are increasingly accountable for patient safety–sensitive
measures of performance. Using outcome data to drive improvement efforts
is a behavioral expectation and key competency for executive, quality, and
service line leaders. Inquiries from stakeholders serving HCA’s facilities revealed
misconceptions about appropriate use of aggregated patient safety data,
with voluntarily reported event data as a rate-based metric being particularly
problematic. In response, HCA’s Clinical Services Group defined and applied “best
use” data models to inform improvement efforts for commonly reported patient
safety problems.
Upon completing this session, attendees will be able to:
• IIdentify strategies for using aggregated patient safety data effectively
• Outline how to avoid common pitfalls in the use of voluntarily reported data
• Identify data analysis methods that support transparency and sustain a culture
of safety
ENGiNEERiNG WORkFLOW AND LEvERAGiNG tEChNOLOGY
SeSSion 502: Building an integrated Outpatient
Safety Program
1.0 contact hours for physicians, pharmacists 232-999-12-147-L05-P
(activity type- Application), nurses, healthcare risk management, healthcare quality
and healthcare executives
Michael H. Kanter, MD, Medical Director for Quality and Clinical Analysis, Southern
Californian Permanente Medical Group
Andrea E. Smith, RN, BSN, PHN, Regional Safety Net Consultant, Clinical
Operations, Southern California Permanente Medical Group
Kaiser Permanente Southern California’s Outpatient Safety Net Program has
shown promising outcomes from a centrally coordinated approach to ambulatory
patient safety. Given the large amounts of laboratory data generated in the
system, the solution developed needed to involve use of information technology
and computerized records. This Safety Net Program covers KPSC’s 3.5 million
members and leverages an integrated delivery system to track and/or follow up
with abnormal lab results, medication monitoring, and patients with potentially
harmful drug interaction risks.
Upon completing this session, attendees will be able to:
• Identify where opportunities might exist in their organizations to systematically
address patient safety issues outside of the traditional inpatient setting
• Outline specific patient populations within four primary areas of outpatient
safety: medication monitoring, potentially harmful interaction avoidance,
necessary follow-up care, and diagnosis
• Plan an outpatient safety program by creating a series of centralized safety nets
to catch important tests not properly followed up, drugs not properly monitored,
and missed follow-up care
FRIDAY
@theNPSF will be tweeting from
Congress. Use the hashtag
#NPSF365 to follow the
conversation.
hOt tOPiCS
SeSSion 503: Developing a Second victim Support
Structure: implementing RiSE at the
Johns hopkins hospital
1.0 contact hours for physicians, pharmacists 232-999-12-148-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executives
Cheryl Connors, RN, MS, Nurse Manager, Pediatric Clinical Research, Johns
Hopkins Hospital
Hanan Edrees, MHSA, DrPH Candidate, Doctoral Student/Patient Safety Coach,
Johns Hopkins Hospital
This session will explore the effects of the Resiliency in Stressful Events (RISE)
Team, which was created to provide support to “second victims” of medical
adverse events.
Upon completing this session, attendees will be able to:
• Identify the “second victim” potential in adverse events
• Describe the solution and process developed to resolve the problem of
“second victims”
• Outline a plan for developing a support structure for providers who are
“second victims” that will lead to accountability throughout the organization
and community
iNtEGRAtiNG CARE CONtiNuuM
SeSSion 504: integrating around the Patient: the Power
of the Full System Activated
1.0 contact hours for physicians, pharmacists 232-999-12-149-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executives
Alide Chase, Senior Vice President, Quality and Service, Kaiser Permanente
Amy Compton-Phillips, MD, Associate Executive Director, Quality, The
Permanente Federation
Kaiser Permanente quality professionals will discuss their programs for increasing
patient safety and involvement, including HealthCare Ombudsman/Mediator
(HCOM) whose mediators are skilled communicators working to address concerns
of patients, families, staff, and providers and to resolve conflicts; KP Northwest’s
Patient Bundle, an integrated end-to-end process for transitioning patients from
the hospital to the home and keeping them out of the hospital; breast cancer
Complete Care program of screening, diagnosis, and treatment; and Family
Violence Prevention Program.
NPSF Annual Patient Safety Congress 2012 14 Patient Safety 365