Marcia Baker Sandy Cox 2 By the Numbers 3 Strategic Dashboard NH Institute of Safety amp Quality Data Updated 2282022 kcr Target reached or exceeded Moving toward target Target not met or moving away from target ID: 1047816
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1. FINAL PRESENTATION Patient safety journey; building a safety culture that drives resiliency Marcia Baker Sandy Cox
2. 2By the Numbers
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5. Strategic DashboardNH Institute of Safety & Quality | Data Updated 2/28/2022 | kcrTarget reached or exceededMoving toward targetTarget not met or moving away from targetLONG-TERM GOALS: 2020 TO 2022Safety and Quality0.19Continuing to reduce serious safety events across the system is critical to delivering safe and high-quality care for our patients. This long-term goal focuses on further reducing our serious safety event rate (SSER). This long-term goal will be scored based on the rolling 12-month data available in January 2023 for the rate of serious safety events per 10,000 adjusted patient days across our system. Acute care facilities, hospital based ambulatory surgery centers, freestanding ambulatory surgery centers, Novant Health Medical Group and Novant Health MedQuest facilities will be included. Baseline: Serious Safety Event Rate = 0.29 Serious safety event rateDECEMBER20210.23GOALSTARGET
6. Institute of Safety & Quality Mission StatementVisionNovant Health will deliver the highest quality outcomes with zero patient harm for every patient, every time.MissionWe will achieve our vision through collaboration, partnerships, and education, generating a culture in which patient harm is unthinkable and high-quality outcomes are expected for every patient, every time.
7. 7Recent quote“I have never seen anything like it. You hear it, you sense it, you see it and you feel it. You can tell everyone is commitment and focused on safety - It’s not from just one or two, but everyone I’ve encountered- from the front-line team members to the executive team. I have worked at many hospitals and systems over the years and again, never seen anything like it”…… ~ New Physician Executive Leader
8. 8Novant Health journey to high reliability and the building blocks to resiliency.
9. Setting the expectation and commitment to zero harm!Began the safety journey to high reliability 2008- 2009 - HPI clientFoundation to safety cultureAssessing our current safety environmentDeveloped our universal skill / safety behaviors and error prevention tools Education - expectationsFDNH leadership workgroupsFocus on accountability. Safety HuddlesIntroduction of safety coach programsAdoption of Performance Management Decision Guide
10. First Do No Harm: Use 5 - Saves Lives47/73
11. The Evolution of First Do No Harm FDNH
12. Adopting and integrating universal skills / safety behaviors
13. Daily unit and facility safety huddles
14. Find and Fix System CausesLeaders remove barriers that impede team members from performing effectively and take active steps to find and fix the holes in the Swiss Cheese before they lead to patient or employee harm.Safety Check-in - Start the Clock on Safety Critical IssuesRounding to Influence Safety Top problem lists with Action Plans - eRLs, Rounding ideas, SSEs, PSEs Set the Tone of Safety FirstLeaders show the way by setting expectations and setting good examples. Leaders model, inspire, train and encourage team members to keep themselves and others safe each and every day. - Safety First in Every Meeting - Thank those who Voice Safety Concerns- Safety First in Decisions – What’s best for the Patient? - Communicate Lessons from Safety Events- Encourage Error, Problem and Event Reporting - Measure Harm using SSERBuild and Reinforce AccountabilityLeaders make reliability a reality by building a culture of collegial teamwork where sound practice habits are adopted by all to reduce human error. Leaders reinforce good habits, correct poor ones, never punish honest mistakes, yet are not afraid to hand out fair consequences to those who choose to adopt reckless behaviors.- Scanning to Influence with 5:1 Feedback- Just Culture using the Performance Management Decision Guide Red Rules to Communicate Safety Absolutes Novant Health High Reliability Leadership Methods
15. Culture of safety - All themes led to a strong safety foundationFDNH Safety RebootSecret weapon - MarketingSecret sauce – Safety Coaches
16. For internal use only16Patient Safety Coaches Safety Coaches are recognized informal leaders in their area; resource for safety.Safety Coaches have a passion for the identification and promotion of safety for patients, visitors, and teammates.Safety Coaches are advocates for patients and teammatesSafety; Speaking up when you see a safety concern.Safety Coaches support and elevates safety behaviors to develop sharp-end skill acquisition and habit formation. Safety Coaches help reach high reliability status and achieve ZERO harm for all.
17. Little did we know what was around the corner!47/73
18. COVID DeltaOmicronSurge.. Again, Again!Endemic Pandemic
19. We are all responsible for safetyNovant Health has made a commitment to zero preventable harmWe have the ability reduce errors We have an obligation to prevent harm from errors from reaching our patients and team members
20. 20Strong Foundation of Safety - culture in actionBattle ready – safety and reliability were the foundation to shift and flex with the ever-changing challenges: Universal skill / safety behaviorsDaily unit and facility safety huddles Daily COVID strategy huddles (twice a day) / Processes well - established Leader rounding well established but took on a unique look. Other units reimaged to be care for the COVID patients. Teamwork - Sense of pride to help. ALL IN; supporting the cause mentalityOther units adopting critical COVID units
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22. 22Carl’s CornerWeekly conversations with CEO, Carl ArmatoLeaders from various services providing updates on recent changes, Weekly updated on COVID numbers, Supplies, resourcesLavender rooms: Spiritual Care Chaplains to provide support to our team members in acute distress.Chaplaincy support: Morning meditate at huddle EAP Business related groups (BRGs)Massage chairsUnits adopting other units Community support Rallied to support local facilities with snacks, foods, etc. Krispy Kreme : Free boxes of donuts per week.Local first responders provided drive by parades to honor local hospital heroesSupport for the team – Transparency – Trust
23. Novant Health Serious Safety Events by monthIncludes acute care facilities, hospital based ambulatory surgical centers (HOPDs), Free-standing ASCs, NHMG, and NH MedQuest facilities. .Secure / Confidential – Patient Safety Work Product (PSWP)SURGEDecember SSER: 0.192019 REV Baseline SSER: 0.29Current Reduction: 34.48%2009 Baseline SSER: 0.86 Overall Reduction: 77.91%SURGESURGE
24. Novant Health Leapfrog Hospital Safety Grades: Fall 2021
25. 25Marketing visual Zoom virtual backgroundsElevator Wraps Screen Savers
26. 26Self-care is NOT selfish..
27. Re·sil·ience – the capacity to recover quickly from difficulties; toughness…- The ability to spring back in shape!
28. 28We are not broken by crisis – We are Stronger
29. Novant HealthMarcia Baker 336-747-0029mcbaker@novanthealth.orgSandy Cox704-617-3853sjcox@novanthealth.orgAvailable for questions on the Press Ganey PSO online community Thank You.