Investments for implement the patient safety programs

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Apresentação de Derek Freeley e Stephen Muething durante o O SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil. Derek Freeley é Vice Presidente Executivo do Institute for Healthcare Improvement (IHI), tem responsabilidades executivas por conduzir estratégias do IHI em cinco áreas de atuação: desenvolvimento de habilidade; cuidado centrado no paciente e família; segurança do paciente; qualidade; custo e valor; e grande foco em populações. Antes de integrar a equipe do IHI em 2013, foi diretor geral de saúde e assistência social e diretor executivo do National Health Service (NHS) na Escócia. Stephen Muething é Médico, Vice Presidente de Segurança no Cincinnati Children’s Hospital Medical Center (CCHMC), Professor Associado de Pediatria e um pediatra atuante. Durante a primeira década de sua carreira clínica atuou desenvolvendo a assistência pediátrica, tanto no âmbito ambulatorial quanto hospitalar, em uma região rural no sudeste de Indiana, Estados Unidos

Transcript of Investments for implement the patient safety programs

Page 1: Investments for implement the patient safety programs

Investments for Implementation

November 5 2013

Sao Paolo

Derek Feeley

Stephen Muething

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3 key investments

LeadershipInfrastructureQuality Improvement Capability

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A Mindset Shift and a Resource Shift?

Standards Bundles

Guidelines Real time data

Audit PDSA cycles

Inspection Doing with…..

Doing to……

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IHI Leadership Framework

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High Impact Leadership Behaviors

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Lessons Learned

1. Establish and Oversee Specific System-Level Aims at the Highest Governance Level

2. Develop an Executable Strategy to achieve these Aims3. Channel Leadership Attention to System-Level

Improvement4. Put Patients and Families on the Improvement Team5. Make the Chief Financial Officer a Quality Champion6. Engage Physicians7. Build Improvement Capability

IHI Seven Leadership Leverage Points

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Infrastructure

MeasurementProgram ManagementCommunicationsPhysician EngagementTools – checklists, ‘how to’ guides etc

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IHI Breakthrough Series – a collaborative infrastructure

Select

Topic (develop

mission)

Planning

Group

Develop

Framework

& Changes

Participants (10-100 teams)

Prework

LS 1

P

S

A D

P

S

A D

LS 3LS 2

Supports

Email Visits

Extranet Assessments

Monthly Team Reports

Congress,

Guides,

Publications

etc.

A D

P

SExpert

Meeting

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Quality Improvement Capability

Getting the right ‘dose’A group of highly skilled improvement experts (Improvement Advisers)Patient safety officersPoint of care staff with knowledge of basic concepts and modelsFellowships

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Some examples from IHI offeringsThe following list gives an overview of many of the capabilities that IHI offers. Some of these services are existing public enrollment programs, while others can be customized for your organization.Improvement Advisors/Experts: By training select individuals within the organization to become Improvement Advisors (IAs) or quality/safety experts and coaching them to get results on the strategic improvement initiatives they are working on.Training and Professional Development: By helping the organization deliver key professional development programs in quality and safety, enabling it to build capacity in the region. Such programs may include: Executive Quality Academy, Improvement Science in Action, and Breakthrough Series College.Innovation and Research & Development: By training the organization on how to establish and manage an effective research and development method that will enable innovation.Testing and Adopting an Evaluation Framework: By facilitating the application of an evaluation framework that will enable the organization to identify improvement efforts that are ready for spread.Dissemination and Spread Capacity: By training the organization in how to spread best practices and share knowledge widely.Data Experts and Analysts: By helping existing resources within the organization to further develop the skills needed for measurement and data analysis.


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