Building Your CUSP Team Part I Michael Rosen, PhD August 28, 2012 Armstrong Institute for Patient...
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Building Your CUSP Team Part I Michael Rosen , PhD August 28, 2012 Armstrong Institute for Patient Safety and Quality Conference Number(s):800-779-9891 Participant Code:4757941
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Transcript of Building Your CUSP Team Part I Michael Rosen, PhD August 28, 2012 Armstrong Institute for Patient...
Building Your CUSP Team Part IMichael Rosen , PhD
August 28, 2012
Armstrong Institute for Patient Safety and Quality
Conference Number(s):800-779-9891
Participant Code:4757941
On Boarding Call Schedule –Tuesdays 8/21–9/25 @ 2:00
Program Introduction August 21, 2012• Building CUSP team – August 28, 2012• Science of Safety – September 4, 2012• CUSP Part 2 – September 11, 2012• VAP Evidence – September 18,2012• Daily Goals Review – September 25, 2012• Early Ambulation– August /30/2012
CUSP Comprehensive Unit Based Safety Program; VAP Ventilator Associated Pneumonia
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Learning Objectives
• Describe the importance of your CUSP team• Develop a strategy to build a successful team• Define roles and responsibilities of team
members• Identify characteristics of successful teams
and barriers to team performance
An overview of the CUSP team
The Armstrong Institute Model to Improve Care
Comprehensive Unit based Safety
Program (CUSP)
1. Educate staff on science of safety
2. Identify defects
3. Recruit executive to adopt unit
4. Learn from one defect per quarter
5. Implement teamwork tools
Translating Evidence Into
Practice(TRiP)
1. Summarize the evidence
2. Identify local barriers to implementation
3. Measure performance
4. Ensure all patients get the evidence
• Engage• Educate• Execute• Evaluate
Eliminating Ventilator Associate
Pneumonia
• Emerging Evidence
• Local Opportunities to Improve
• Collaborative learning
http://www.hopkinsmedicine.org/armstrong_institute
Technical Work Adaptive Work
The CUSP Team
• Understands that patient safety culture is local• Composed of engaged frontline providers who
take ownership of patient safety• Includes staff members who have different levels
of experience and perspectives• Meets regularly (weekly or at least monthly)• Has adequate resources including protected time
– 2 to 4 hours per week for a team leader, surgeon, anesthesia, nurse, and infection preventionist
Team Performance
Outputs
• Performance
• Attitudes
• Behaviors
Inputs
• Environment
• Hospital &
Unit Context
• Team Composition
• Task Design
Processes
• Inside Team
• Outside Team
• Team Traits
CUSP Team Members
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• Physician champion
• Nurse champion
• Project lead/ unit champion
• Respiratory Therapist
• Infection Control
• Executive Partner
• Frontline staff
• Nurse Educator
• ICU Nurse Manager
• Pharmacist
• Hospital Patient Safety
• Chief Quality Officer
• Staff from Safety, Quality or Risk Mgmt Office
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Team Composition
• A team leader
• Champions (nurse and physician)
• Local “opinion leaders”
• People with diverse opinions
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Team Composition
• Someone outgoing
• Someone who sees the big picture
• Someone detail-oriented
• Everyone dedicated
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Successful teams have…
• Reliable Processes
– Education and engagement activities
– Communication
– Leadership support/buy-in
– Conflict (and conflict resolution)
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Successful teams have…(cont.)
• Norms
– Valuing individual contributions
– Cohesion (team unity)
– Goal agreement
– Self-assessment of knowledge /skills
– Participation of team members
• Role clarity
FORMING YOUR CUSP TEAM
Engage Core CUSP Team Members
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• Physician champion
• Nurse champion
• Project lead/ unit champion
• Respiratory Therapist
• Infection Control
• Executive Partner
• Frontline staff
• Nurse Educator
• ICU Nurse Manager
• Pharmacist
• Hospital Patient Safety
• Chief Quality Officer
• Staff from Safety, Quality or Risk Mgmt Office
Tips for Engaging Physicians on the CUSP Team
1. Identify physician leaders
2. Create a forum for this role
3. Listen to physician concerns
4. Develop plans to address concerns
5. Reward physician leaders
6. Create a vehicle for communication
7. Develop a plan for communications
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Physician Engagement Strategies
• Create a Compact (an Agreement) with management– Clearly define what is expected of physicians– Review performance regularly
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Example Physician Champion Compact
• Hospital will provide support for percent of physicians’ time
• In return, physician will do the following:– Monitor and improve quality
• Implement CUSP and VAP interventions• Hold regular meetings with team• Involve other members of Medical staff in
quality• Report VAP rates and learning from defects
results to senior leaders and board
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Example Physician Champion Compact
• Further, physician will do the following:
– Work with hospital to clarify what will be measured, who will measure it, and who will produce reports
• Meet quarterly to discuss progress
Tips for Scheduling Your Meetings
• Incorporate CUSP meetings into ongoing educational activities to ease scheduling challenges– Regularly scheduled nurse training– Grand rounds for physicians– Invite RNs to joint grand rounds
• Create incentives for participating– Educational credit for participation
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Establishing clear roles and responsibilities on your CUSP team
Action Items
• Form your team with an appreciation of the importance of WHO is on the team
• Complete the CUSP Team Membership Form
• Plan to attend Part II of Building your CUSP Team
Armstrong Institute for Patient Safety and Quality
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Questions or Comments?
Contacts
– Karol G. Wicker, MHSSenior Director, Quality Policy & Advocacy
Maryland Hospital Association
– Mary Catanzaro RN BSMT CIC Project Manager HAIs
Hospital and Healthsystem Association of Pennsylvania
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