Dr Carmen Adams This presenter has nothing to disclose Drivers of Quality and Safety The Quality Leader Goal Drivers Focus Areas Do No Harm Evidence Based Care Appropriate Care Setting amp Managing Transitions ID: 600457
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Slide1
P1
Kaiser Permanente Northern California: Set-up Phase
Dr. Carmen
Adams
This presenter has nothing to discloseSlide2
Drivers of Quality and Safety
The Quality Leader
Goal Drivers Focus Areas
Do No Harm
Evidence Based Care
Appropriate Care Setting & Managing Transitions
Teamwork
Safe Culture
Prevent Infections
Prevent Falls
Prevent Pressure UlcersMedication Safety Surgical SafetyPerinatal SafetyCritical Care Safety
Acute Myocardial InfarctionHeart FailurePneumoniaSurgical Care Improvement Program StrokeSepsisMaternal Child Health Quality Goals
Advanced Illness Care Planning Care Transitions under developmentAppropriate Post-Hospital CareSlide3
#1 cause of hospital mortality
40+ % of all deaths
At the Heart of Hospital Mortality… is the GermSlide4
In Our Daily Practice
We miss it
We underestimate it
We under treat it
We cause it
Find and name it
Stratify risk
Treat it reliably
Prevent itSlide5
Building the Bridge for 21 Kaiser Permanente Medical Centers
Mortality
Diagnostic
Spring 08
Sepsis Design Team
Pilot
Sepsis
Summit
Nov 08
21 Hospital Spread
Prioritize
Standardize Process & Measures
Create Vehicle for Change
Implement
ImplementSlide6
Critical Steps to Redesigning
2. Stratify Risk
2. Standardize
3. Create Vehicle for Change
4.
Implement, Measure, Collaborate
1. PrioritizeSlide7
Table Top
Bedside
Prove and Improve
Create First Adopters and Advocates
Gather and Test Implementation Tools: Playbook
Build the Standard and the Measurement Strategy and Test Them
Standardize
SUMMITSlide8
Blueprint for Change: A Common Framework
All Patients with Infection are screened forSlide9Slide10
Teach and Test: Creating a Measurement Strategy
Time of Dx
1 hour
2 hours
6 hours
6-12 hours
Antibiotics
Central Line
MAP
CVP
ScvO
2
at Goal
Lactate Clearance
Do Not Delay for ICU
Antibiotics
Treat it reliablySlide11
Destination
Constructing a Vehicle for Change
Leadership alignment
Standardization / Systemization
Project Management
Data that drives
Compelling Story
Vehicle for Change
O
wnership
U
niformity Reliability Sustainability
Compelling Case for ChangeSlide12
QUESTIONS?