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Networking Group on Patient and Family

Engagement

April 15, 2015

Purpose

• To establish a networking group of hospital staff whose role includes patient and family engagement (PFE) activities.

• The Tennessee Center for Patient Safety (TCPS) provide support to hospitals in implementing and furthering PFE efforts.

Patient and Family Engagement

A set of beliefs and behaviors by patients, family members, and health professionals and a set of organizational policies, procedures and interventions that ensure both the inclusion of patients and families as central members of the healthcare team and active partnerships with providers and provider organizations.1

1Adapted from Maurer M, Dardess P, Carman KL, et al. Guide to Patient and Family Engagemnet: Environment Scan Report. AHRQ Publication No. 12-0042-EF. Rockville, MD: AHRQ; May 2012.

Patient-Centered Care

• Patient- and family-centered care is an approach to healthcare that shapes policies, programs, facility design, and staff day-to-day interactions. It leads to better health outcomes, wiser allocation of resources, and greater patient and family engagement.

• Sorrell King • Ridley Barron • Christopher Jerry • Julia Hallisy • Helen Haskell • ….

Patient’s Voice

• December 2011 – December 2014 • 61 acute care facilities • Focus on readmissions, HAI (CAUTI, CLABSI,

VAP/VAE, SSI), and HAC (falls, pressure ulcers, VTE)

• New topics generated by Partnership for Patients – OB adverse events (including EED) – Adverse drug events – Patient and family engagement

THA HEN Program

Revised 4-8-15

THA Board Aim: Zero Preventable Harm Partnership for Patient Goals:

• Decrease hospital-acquired conditions by 40% • Reduce hospital readmissions by 20%

SSI

MDROs Healthcare- Associated Infections

Hospital- Acquired

Conditions MRSA

CLABSI CAUTI

VTE

FALLS PU

Partnership for Patients Topics

TCPS State Initiatives

Leadership Culture

Patient/Family Engagement

HEN – Hospital Engagement Network HAI – Healthcare-Associated Infection HAC – Hospital-Acquired Condition MDRO – Multi-Drug Resistant Organism MRSA – Methicillin-resistant Staphylococcus aureus CDI – Clostridium Difficile SSI – Surgical-Site Infection CLABSI – Central Line-Associated Bloodstream Infection CAUTI – Catheter-Associated Urinary Tract Infection VAP – Ventilator-Associated Pneumonia VAE–Ventilator-Associated Events VTE – Venous Thromboembolism PU – Pressure Ulcer ADE – Adverse Drug Event OB – Obstetrical Adverse Event and Early Elective Deliveries

Readmissions OB VAP/VAE

CDI ADE

Partnership for Patients (PfP) PFE Measure #1

Hospital staff conducts discharge planning with every patient who has a scheduled admission, allowing questions or comments from the patient or family.

Partnership for Patients (PfP) PFE Measure #2

Hospital conducts shift change huddles for staff and does bedside reporting with patients and family members in all feasible cases.

Partnership for Patients (PfP) PFE Measure #3

Hospital has a dedicated person or functional area that is proactively responsible for patient and family engagement and systematically evaluates patient and family engagement activities.

Partnership for Patients (PfP) PFE Measure #4

Hospital has an active Patient and Family Engagement Committee or at least one former patient who serves on a patient safety or quality improvement committee or team.

Partnership for Patients (PfP) PFE Measure #5

Hospital has one or more patient(s) who serves on a governing or leadership board and serves as a patient representative.

How would you describe your facility’s progress toward PFE ?

a. Not yet started.

b. Have begun considering how to better involve patients and family members and doing so where possible.

c. Actively working toward increasing engagement of patients and family members.

d. Patient- and family-centered care is fully integrated into our operations.

Polling Question 1

PFE Metrics

PFE Metrics

Which strategies will be most useful to your facility going forward?(Check all that apply).

a. Education (webinars, conference calls) b. Tools and resources (evidence-based, website) c. In-person education/training/networking d. Peer-to-peer assistance e. Expert faculty(state/national level)

Polling Question 2

How often should this group meet by webinar?

a. Not necessary b. Monthly c. Every other month d. Quarterly e. 2-3 times a year

Polling Question 3

Polling Question 4 How often should this group meet in person? a. Not necessary b. 3-4 times a year c. Twice a year d. Once a year

• Comments? • Questions? • Requests? • Offers?

Input

• TCPS electronic weekly newsletter • TCPS website

http://www.tnpatientsafety.com • TCPS Report Distributor Data feedback and comparisons • AHRQ Hospital Survey on Patient Safety

Culture • IHI Open School for Health Professions

TCPS Resources for Hospitals

• The Tennessee Center for Patient Safety is providing free access in 2015 to the IHI Open School curriculum for employees and trustees of our safety partner hospitals. 30 online, self-paced courses including 89 lessons and

corresponding expert resources—videos, case studies, podcasts, featured articles, exercises, networking

Topic areas: Patient Safety; Improvement Capability; Quality, Cost, and Value; Person- and Family-Centered Care; Triple Aim for Populations; Leadership; and Graduate Medical Education

Over 35 continuing education contact hours available for CME, CNE, CPHQ and ACPE credit

Certificate of completion

IHI Open School

Spring Regional Meetings Knoxville—Tuesday, April 21, 2015 Jubilee Banquet Facility

Nashville—Tuesday, April 28, 2015 THA Offices

Memphis—Thursday, April 30, 2015 Marriott Memphis East

Register at www.tnpatientsafety.com

Patrice Mayo, VP/Operations Director pmayo@tha.com 615-401-7434

Contact Info