Kentucky Hospital Improvement Innovation Network -

CROSS-CUTTING Approaches to Improvement

HIIN Core TopicsCore Topics

1. Adverse Drug Events –anticoagulation, hypoglycemia, opioid safety

2. CAUTI

3. CLABSI

4. C. Difficile*(& antimicrobial stewardship)

5. Surgical Site Infection

6. Ventilator Associated Events

7. Falls with Injury

8. Pressure Ulcer/Injury

9. Readmissions

10. Sepsis and Septic Shock*

11. Venous Thromboembolism2

Additional Topics1. Addressing Malnutrition in the

Inpatient Setting

2. Airway Safety

3. Diagnostic Errors

4. Harm Across the Board Reporting/All-Cause Harm

5. Hospital Culture of Safety**

6. Iatrogenic Delirium

7. Multi-Drug Resistant Organisms**

8. Undue Exposure to Radiation

**HRET will have a strong focus on

MRSA and Hospital Patient Safety

Culture throughout project*New core topics

Cross-Cutting Strategies

What do we mean by Cross-Cutting?

• Strategies or approaches that will cut across several of the focus areas,

impacting one or more.

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Cross-Cutting Example

Hand Hygiene –

SSI

CAUTI

CLABSI

VAE

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Cross-Cutting Strategies

So how do we operationalize Cross-Cutting Strategies?

• Identify them as such

• Educate teams and staff

• Measure and monitor them as Process Measures

• Measure and monitor associated Outcome Measures

• Provide feedback to teams, leaders, and staff

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Cross-Cutting Strategies

Cross-Cutting Resources for HIIN:

1. HRET/Cynosure UP Campaign• Soap UP, Get UP, Wake UP, and possibly more

2. K-HIIN Delirium and the Elderly Patient Mini-Collaborative• Healthcare-Associated Infections, Falls,

Malnutrition, Pressure Ulcer/Injury

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Topic Soap UP Get UP Wake UP

ADE

CAUTI

CLABSI

SSI

VAE

Falls with Injury

Sepsis & Septic Shock

Pressure Ulcer Injury

VTE

Readmissions

Cdiff

Strategies for Success

Strategy 1: Disseminate latest evidence, tools, and

best practices to the field

Strategy 2: Coaching and Technical Assistance

Strategy 3: Peer-to-Peer Sharing and Identifying Best Practices

Strategy 4: Building Improvement Capacity

a. Action Leader Fellowship – Foundational and Experienced Levels

b. Patient and Family Engagement Fellowship

c. Seed Innovation Grants

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Strategies for Success

Strategy 5: Cross-Cutting Interventions

a. Patient and Family Engagement

b. Health Care Disparities

c. Leadership Engagement

d. UP Campaign

e. Treating aging patients and recognizing/addressing delirium

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Closing Quotes and Thoughts..

Being a success in life is just like photography. Just focus on

what’s important, develop from the negatives, and if things don’t

work out, take another shot.

If you do what you’ve always done, you’ll

get what you always get.

Our greatest fear should not be of failure, but of

achieving great success in things that don’t

matter. – Frances Chan

"Knowledge rests not upon truth alone,

but upon error also.“ — Carl Jung10

There are no secrets to success. It is the result of preparation, hard work, and learning from failure.” - Colin PowellPatients suffer if we refuse to learn from others. Make your brain a

global brain. --Don Berwick

Success is the sum of small efforts, repeated day

in and day out. ~ Robert Collier

If a project fails, is it a failure of will,

ideas, or execution?

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Questions?

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