SSM Health Care’s

Foundation of Safety and Care

STEPPS: Producing Effective Medical Teams

to Achieve Optimal Patient Outcomes

AHRQ Annual Conference Sept. 10, 2008

Andy Kosseff, MD

SSM Health Care Medical Director

Why is STEPPS So Important Now

• Fragmentation of care

• Multiple initiatives – are patients safer

• Electronic health records

• Care giving doctors and nurses are the heart of a safety culture

SSM’s Progress

• Started TeamSTEPPS training in Oct., 2007

• Have trained 400 clinicians on 3 pilot units

• Established outcomes measurement plan for each unit trained

• Will train another 300 clinicians in 2008

STEPPS Outcome Measures

• Number of serious and sentinel events

• Adverse Outcome Index (OB) /Trigger tool

• AHRQ Patient Safety Culture Survey

• Patient, physician, and nurse satisfaction surveys

• Nurse turnover rate

Additional Aspects of STEPPS Training

• It is acceptable communication training

• It sets a standard for performance on

clinical units – agreed upon by bedside clinicians

Operationalizing STEPPS

• Prework Introduction to Administrative Council Introduction to doctors and nurses on unit to be trained Measurement Start training

• Implementation Coaches to sustain implementation

Monthly STEPPS Steering Team meeting Sequential tools and concepts implementation Outcome data feedback Train new doctors and nurses

SSM Customization

• Focus on core teams

• Use clinical cases from units being trained

• Make initial Fundamentals training 4 hours

• Use as a foundation of safety and care

What We Should Have Known

• Doctors and nurses on both sides of the podium

• Training is the easy part

• Not all STEPPS trainers are trainers

• Understand advocacy and assertion clearly

• Separate teamwork training from EHR implementation

SSM’s STEPPS Future

• Intensive support for all trained units

• Train our own trainers

• Simulation training

• Broad use of STEPPS on all clinical units

Please contact Andy Kosseff for further information or discussion Andy_Kosseff_MD@ssmhc.com 608-238-1337