Strategies for Improvement in Patient Safety: Our Journey to a ... - NAHC

Strategies for Improvement in Patient Safety: Our Journey to a High Reliability Organization

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Strategies for Improvement in Patient Safety Our Journey to Becoming a High Reliability Organization

Faculty

Abirammy Sundaramoorthy, M.D.

Internal Medicine System High Reliability and Safety Officer University Hospitals Health System Adjunct Clinical Assistant Professor, Lake Erie College of Osteopathic Medicine Clinical Instructor, University Hospitals of Cleveland

Anne L. McKinney, MSN, RN, BA, NE-BC

VP University Hospitals Home Care, Inc. CNO, Agency Administrator University Hospitals Home Care Services

Valerie Reese, M.Ed

VP Hospice of the Western Reserve at University Hospitals, LLC. Director, System Hospice Services University Hospitals Home Care Services

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University Hospitals (UH) | Cleveland, OH

? $4+ billion in annual revenue ? Super regional health care system

? 18 hospitals & 50+ health centers ? 200 primary & specialty physician offices ? 6,236 UH providers/physicians network ? UH ACO members: 574,776 ? Nationally recognized academic medical center ? 5th largest private employer in Ohio ? Total employees: 28,000

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UH Home Care Services - Statistics

Average Daily Census 2000 Patients

Admissions ? 7,329 Medicare ? 2,562 Medicare FFS ? 1,892 Medicaid ? 2,906 Other

Visits ? 197,416 billable visits

Employees ? 210 Field Clinicians ? 125 Office Staff

Revenue $8 Million Annual

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Hospice Services through Joint Venture

? JV launched Jan. 1, 2019 ? Caring for 300+ hospice patients per day ? Increased admissions to hospice services

by 300% in first 6 months ? Improved quality and patient experience

scores in all domains ? Access to home-based palliative care

services ? Access to pediatric services ? Hospice and palliative care education

extended to outpatient physician practices and inpatient clinical teams ? $900,000 1st Year Projected Revenue

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Objectives

Identify and describe the three basic principles of a High Reliability Organization (HRO)

Explain how error prevention promotes Population Health strategies

Describe effective strategies to involve staff at all levels to sustain the tenets of a HRO

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The WHY

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Prevalence of Medical Errors in Healthcare

? Preventable harm is third leading cause of death ? 200,000 deaths from sepsis ? 140,000 teamwork and communication errors ? 100,000 from DVT ? 100,000 from HAI ? 100,000 diagnostic errors ? 74,000 decubitus ulcers

? One third of patients are not listened to or respected

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