Post on 13-Dec-2014
description
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Taking Control in an Era Of Intolerance
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Quality lives when:
our structures and systems maximize the potential
that we will get it right the first time.
our structures and systems minimize the risk that an
error will make it all the way to the patient.
our structures and systems ensure that our care is
consistent with the newest knowledge that offers our
patients optimal health and well being.
our structures and systems maximize the potential for
our patients to trust us and be loyal to us.
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
James Reason 1990
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
James Reason 1990
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Margin for Quality
Hu
man
Perfo
rman
ce
Performance Demand
Performance Potential
Margin for
Quality
(change)
FatigueDistractionStressSkill Deficits
New ServicesShort StaffingNew Outside RequirementsDownsizing
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Health care is in trouble because the costs associated with “poor quality” are just too high!
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Cost of Poor Quality Rework (getting it right on the second try)
Diagnostics (cost of discovering what went wrong)
Dealing with patient complaints
Re-inspections
Write-offs
Penalties
Liability costs
Non-payment for never events
Non-payment under pay-for performance
Loss of reputation and goodwill
Soft quality
Loss of patient volume
Staff turn-over
Cost of defensive medicine
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Cost of Quality Program Quality program overhead (staff, equipment, etc.)
Quality control activities
Quality auditing
Preventive maintenance
Diagnostics (cost of discovering what went
wrong)
Inspection preparation and rework
Re-inspections
Practice of defensive medicine
Accreditation readiness
Managing your change management engine (cost
of implementing improvement plans and managing
them to hold the new performance
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Today’s Quality Programs:
Structures and systems that promote getting it right
the first time
Defenses that minimize the risk of an error making it
all the way to a patient
Structures and systems that deliver care consistent
with the newest knowledge that offers patients optimal
health and well being within the constraints set by their
disease processes
Interactions that maximize the potential our patients
will trust us and be loyal to us
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
The act of benchmarking
Practice + Practice + Practice Practice +
PROCESS
(Procedure)
Darlene D. Bainbridge & Associates, Inc. ©
Practice +
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Protecting Our Patients Today
Time-outs in the Operating Room
Writing “Not Here”
Validating With Patient
Frontline Care Givers
Marking Surgical Sites
PATIENT
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
The Oldest Living Defense in Depth
Electronic Validation and Flags
Pharmacy Validation
24 Hour Chart Checks
Individual Transcribing Work
Double Noting by Nurses
PATIENT
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Orie
nta
tio
n
Qu
alit
y Im
pro
ve
men
t
Ris
k M
anagem
ent
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Quality Improvement Quality
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Bringing It All Together Under One
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Quality
Assurance
Quality
Improvement
Performance
Improvement
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Risk
Prevention
Risk
Management
Quality
Assurance
Quality
Improvement
Performance
Improvement
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Infection Control
Do we live by the
standards of good
infection control and
prevention in order to
protect our patient,
workforce and public?
Do we take
appropriate actions to
improve our infection
control practices
when the opportunity
is identified and strive
to be better for
tomorrow than we are
today?
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Risk
Prevention
Quality
Assurance
Quality
Improvement
Performance
Improvement
Do we advance
organizational
performance by ensuring
that infection control
proactively makes the
appropriate contributions
to any multidisciplinary
improvement initiatives
where the risk of
infection can be a
variable.
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Utilization Review
Do we ensure the effective
utilization of services and
resources in the delivery of
patient care to ensure the
delivery of the best
possible care and protect
our patients in a fiscally
responsible manner ?
Do we take appropriate
actions to improve our
utilization of resources
in the delivery of
patient care when the
opportunity is
identified and to
always strive to be
better for tomorrow
than we are today?
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Risk
Prevention
Quality
Assurance
Quality
Improvement
Performance
Improvement
Do we advance
organizational
performance by ensuring
that utilization review
proactively makes the
appropriate contributions
to any multidisciplinary
improvement initiatives
where the resource
allocation can be a
variable.
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Safety
Do we comply with current
standards and practices of
safety to protect our
patients, workforce and
public for physical harm?
Do we take
appropriate actions to
make our physical
environments safer
when the opportunity
is identified and to
strive to always be
better tomorrow than
we are today?
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Risk
Prevention
Quality
Assurance
Quality
Improvement
Performance
Improvement
Do we advance
organizational
performance by
ensuring that safety
proactively makes the
appropriate
contributions to any
multidisciplinary
improvement initiatives
where the risk of
physical harm can be a
variable.
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Utilization
Review
HIPAA
PrivilegingCredentialing
Safety
EducationPeer Review Orientation
Infection
Control
Risk
Prevention
Risk
Management
Quality
Assurance
Quality
Improvement
Performance
Improvement
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Quality defines and manages the standards that create the patient experience to be what today’s environment demands
Patient satisfaction measures our success in creating the right patient value propositions
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Effective quality programs in today’s environment are largely dependent on the existence of systems designed to get things right the first time and defenses that minimize the risk of errors making it all the way to the patient.
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Minimal
Compliance
Standards
Clinical
Standards
Service
Standards
Compliance Making Organization
Strategically Successful
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Come Visit Us Where We Strive for
Good
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
Come Visit Us Where Strive for
Excellence
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
An effective quality
safety net manages
the patient
experience to a
successful
conclusion!
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
The Patient Experience
The Patient Experience
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
The Patient Experience
The Patient Experience
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
The Patient Experience
The Patient Experience
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Does your quality program:
maximize the potential for your people to get it right the first time?
minimize the risk that an error will make it all the way to the patient?
ensure that your care is consistent with the newest knowledge that offers our patient optimal health and well being?
ensure that your structures and systems maximize the potential for your patients to trust you and be loyal to you?
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Does your quality program:
invest your quality resources wisely in order to
maximize the return on your investment?
minimize the operational, financial and
reputational impact of “poor quality”?
bake a great patient experience?
Darlene D. Bainbridge & Associates, Inc. ©
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Our future is our choice. Those decisions we make today are a choice up and until tomorrow arrives. They then become our reality.
595 Lyndon Road
Cuba, New York 14727
Phone 716-676-3635
Fax 716-676-2404
darlene@ddbainbridgeassoc.com
Darlene D. Bainbridge & Associates, Inc. ©