Eliminating Harm Across the Board template training

Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
Eliminating
Harm Across
the Board
Training to use the
HAB Template and
Improvement
Calculator
March 14, 2014
Kansas and
Missouri
Hospital
Engagement
Networks
Virtual Learning Event
Friday, March 14
10:00 to 11:00 am CST
HAB Template Training
Housekeeping
 All
lines are muted. There will be a Q&A
portion at the end of the presentation.
Feel free to type questions and comments
into the chat anytime.
 We are committed to providing access to
information in this webinar to individuals
with disabilities. For special assistance,
contact [email protected].
 This webinar is being recorded. Link to
recording, handout and transcript will be
posted to www.khconline.org (Kansas HEN)
and www.missourihen.com (Missouri HEN).
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Introductions
Presenters
Jackie Conrad, RN, BSN, MBA
Improvement Advisor
Cynosure Health
Chicago, Ill.
Cheryl Ruble, MS, CNS, CCRN
Improvement Advisor
Cynosure Health
San Mateo, Calif.
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Introductions
Kansas and Missouri HENs
Koralyn Barkman, RN, BSN, ACM
Director of Case Management
Utilization Review
Neosho Memorial Regional Medical Center
Chanute, Ks.
Michele Clark, MBA, ABC
Program Director
Kansas Healthcare Collaborative
Topeka, Ks.
Jeanne Naeger, MSN, RN, FNP-BC
Vice President Quality Improvement
Missouri Hospital Association
Jefferson City, Mo.
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Hospital Engagement Network
Goal
To reduce inpatient harm by 40 percent and
readmissions by 20 percent by December 2013 2014.
269 Days Remaining!
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New template:
HAB Template Training
Eliminating Harm Across the Board (HAB)
DO W NL O AD HAB TEM PL AT E AND C AL C UL ATO R AT:
www.hr et -he n.o r g /i nd e x. ph p ?o pti on= co m p ho ca do wn lo ad & vie w =c at eg or y &id = 3 1 8 :h ab -r es ou r c es &I t e mi d = 3 3 4
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
HAB Template Training
Objectives
Upon completion, participants will be
able to:
 Utilize the Improvement Calculator
tool to populate HAB report
 Identify the 2014 updates to the HAB
report and Improvement calculator
 Formulate a plan to prepare HAB
reports for their hospital
 Summarize HAB report expectations
and methods to share within the HEN
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HAB Template Training
Objectives – Kansas and
Missouri HENs
 Become
familiar with HAB template and its
role as part of the HEN and HRET
Improvement Leader Fellowship Programs.
 Understand the difference in uses for the
HAB report and the Hospital Progress Report
as tools for Q.I.
 Define state HEN support structures and
time line for HAB reports.
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
2014 Fellowship
AHA/HRET Improvement
Leader Fellowship
Nine-month program – starts March 19, 2014
Attend 8 virtual sessions, one in-person session
About the ILF
Professional development program for hospitals in the Kansas
and AHA/HRET HEN to build skills in leading improvement. The
curriculum and instruction is led by the Institute for Healthcare
Improvement (IHI) faculty through a blend of networking
events and live-streamed webinars.
Who should participate?
You are encouraged to participate with members from your
hospital team who are driving improvement in your
organization (nurses, physicians, pharmacists, senior leaders
and frontline staff).
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2014 Fellowship
Improvement Leader
Fellowship (ILF)
 IHI Open School modules
 White board videos
 Topic list-serves
 Hospital Story Sharing
 Eliminating Harm Across
the Board (HAB) template
www khconline org/images/2014_IHI_Open_School_Guidebook.pdf
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Why Change?
• The idea of “all harms” or “harm across the board” helps shift organizational culture
• What Else?
11
Moving from Micro
•
•
•
•
Many pieces
Topic related strategies & teams
Competing priorities
Silos
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Many Pieces
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To Macro
•
•
•
•
Big Picture
Cross Cutting Strategies
Cultural Transformation
Unified Approach to Safety
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
One vision, one goal
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How do we make the shift?
Transformational Leadership
Culture of Safety
Transparency
Blame free
Innovation
Empowerment
Story Telling
Systems Approach
Motivate
Reporting
Teach
Learning Environment
Change
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Story Telling
Using Harm Across the Board to tell your hospital story of Harm Reduction
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ISMP Sept 2011
• “Compelling stories draw attention to problems and encourage people to act”
• “exposing humanity in stories serves as a catalyst for change”
• “story telling is a way to inspire and sustain culture change”
• “no matter how powerful the data, there is nothing more powerful than a story to motivate, teach, change”
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
What story do you want to tell?
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This?
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Or This?
A new way of looking at harm data
Harm Across the Board
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Or This?
Number of Patients Harmed per Quarter
Total Number of Harms
45
4
1 CAUTI
1 Fall
4
35
3
3
1 SSI
3 EEDs
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2 EEDs
2
2
2
3 EEDs
15
1
05
0
0
Q1
2012
Q2
Q3
22
Q4
0
Q1
Q22013
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improvement Calculator Updates 2014
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What’s New?
• Hospital name carries over to each slide
• Baseline period (# of months) needs to be entered for each tab
• Percent improvement is based upon most current 3 months
• Quarterly data can be entered
• Harms per discharge tab added to populate the HAB report
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improvement Calculator
Live Demo
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Data flowing to Harm per D/C
• If ADE and ADE2 are both populated ‐only ADE will flow to HAB
• If Falls and Falls with Injury are both populated – only Falls with injury will flow
• If HAPU II and HAPU III are both populated, only HAPU III will populate
• Discharges must be entered into HAB tab for all months for Harm per d/c to populate
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Hospital Story
Neosho Memorial Regional Medical Center
Chanute, KS
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Getting started
• When did you start the process?
• How hard was it?
• What was your experience?
• Advice?
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Ah‐Ha and Proud Moments
Ah‐Ha Moment:
Composite view of “Harm” and facility‐
wide progress in exceeding 40/20 goals.
Proud Moment:
48 EEDs Prevented
$34,956 saved
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How is HAB Helpful?
• What did you learn?
• Who else needs to know?
• How will this change your conversations about harm?
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Harm Across the Board
2014 Updates
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What’s New?
• The report has been streamlined to 7 slides
• Each hospital will display 2 Run Charts
– Harms per Discharge (HAB)
– One topic specific run chart
• This report will take the place of monthly progress reports
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Harm Across the Board (HAB):
Quarterly Update
Hospital: ________________ State: ______ Month: _________
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Improving Harm Across the Board
Insert your Team Motto here
Insert a photo of your hospital and logo here.
Insert a caption, including the name of your hospital and the city and state where you are located, here.
Insert a photo of your Safety Team, including your CEO, here. Insert a caption, including names for the Safety Team and CEO, here.
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Putnam County Hospital
Greencastle, Indiana
QUALITY HEALTH CARE: EVERY PATIENT, EVERY TIME
Presented by the
Quality Champion
Team
•
•
•
•
•
•
•
•
Joni Perkins, RN CNO
L. Annette Handy, RN Qua ity
Mary Beth Kaiser, PharmD Teresa Decker, RN Case Management
Kammie Meek, RN ICU/Medical‐Surgical
Beth Woolums, Credentialing
Katie Bennett, RHIT, Medical Records
Stefanie McCombs, Medical Records
•
•
•
•
•
•
•
Jennifer McGaughey, Laboratory
Sharon Black, RD Nutrition & Dietetics
Crista Miller, RN Clinical IT
Julie Norlin, RN MSN ICU/ED/Medical‐Surgical
Kyle Johnson, PharmD
Deborah Miller, RN Surgery Center
Rachel Hopkins, RN Infection Prevention
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2 Run Charts
• Topic‐specific Run Charts – you pick the topic
• Total Harm per Discharge
• Tips
– Cut and paste graphs from the improvement calculator
– Customize the heading of each slide
– Utilize labels or sub header to tell the story
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Slide 2
Insert a title for your “Total Harms” run chart here, e.g.
Customize “Cut Harm Across the Board in ½”
the Heading
Insert your “Total Harm per Discharge” run chart here, and update this each month. See the example run chart Dec‐13
Oct‐13
Nov‐13
Sep‐13
Jul‐13
Aug‐13
Jun‐13
Apr‐13
May‐13
Mar‐13
Jan‐13
Feb‐13
Dec‐12
Oct‐12
Nov‐12
Sep‐12
Jul‐12
Aug‐12
Jun‐12
Apr‐12
May‐12
Mar‐12
Jan‐12
Feb‐12
Total Harm/Discharge
Total Harm per Discharge
0.1000
0.0900
0.0800
0.0700
0.0600
0.0500
0.0400
0.0300
0.0200
0.0100
0.0000
Jan‐ Feb‐ Mar Apr‐ May Jun‐ Jul‐ Aug‐ Sep‐ Oct‐ Nov Dec‐ Jan‐ Feb‐ Mar Apr‐ May Jun‐ Jul‐ Aug‐ Sep‐ Oct‐ Nov Dec‐
12 12 ‐12 12 ‐12 12 12 12 12 12 ‐12 12 13 13 ‐13 13 ‐13 13 13 13 13 13 ‐13 13
Baseline 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09
Hospital 0.06 0.07 0.04 0.08 0.02 0.03 0.02 0.04 0.03 0.01 0.01 0.02 0.01 0.01 0.02 0.00 0.01 0.00 0.01 0.00 0.01 0.00
Goal
0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04
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2012-2013 Trend in Reducing Harm Across the Board Community Hospital
Total Harm per Discharge
0.0800
Collection of retrospective data
began; data shared with staff
Total Harm/Discharge
0.0700
0.0600
0.0500
0.0400
Baseline 2011 ( 037)
Tools/protocols for
hypoglycemic
management shared
with staff
0.0300
Goal ( 022)
0.0200
0.0100
0.0000
Includes: ADE, Falls with injury, Pressure ulcers, VTE, CAUTI, CLABSI, SSI, VAP
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improvement Calculator
Harm Across the board includes all harms except Readmissions
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Slide 3
Insert a title for your “Topic‐specific” run chart here, e.g.
“2014 Breakthrough in Reducing CAUTI: Journey to Zero”
Insert a your “Topic‐specific” run chart here, and update this each month. See the example run chart below.
Customize the Heading
120.0
100.0
80.0
60.0
40.0
20.0
0.0
Jan‐12
Feb‐12
Mar‐12
Apr‐12
May‐12
Jun‐12
Jul‐12
Aug‐12
Sep‐12
Oct‐12
Nov‐12
Dec‐12
Jan‐13
Feb‐13
Mar‐13
Apr‐13
May‐13
Jun‐13
Jul‐13
Aug‐13
Sep‐13
Oct‐13
Nov‐13
Dec‐13
CAUTI Rate/1,000 Catheter Days
Catheter Associated Urinary Tract Infections
Jan‐ Feb‐ Mar Apr‐ May Jun‐ Jul‐ Aug Sep‐ Oct‐ Nov Dec Jan‐ Feb‐ Mar Apr‐ May Jun‐ Jul‐ Aug Sep‐ Oct‐ Nov Dec
12 12 ‐12 12 ‐12 12 12 ‐12 12 12 ‐12 ‐12 13 13 ‐13 13 ‐13 13 13 ‐13 13 13 ‐13 ‐13
Baseline 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100.
Hospital 105. 66.6 33.3 100. 83.3 45.4 0.00 0.00 52.6 0.00 0.00 52.6 0.00 0.00 52.6 0.00 52.6 0.00 0.00 0.00 0.00 0.00
Goal
60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Zero Fall with Injury for 6 months!
Falls with Injury
5.0
Implemented Hourly Rounding Nov 12
4.5
Fall Rate/1,000 Patient Days
4.0
3.5
Implemented Post
Fall Huddles
Mar 13
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Basel ne
Jan‐12 Feb‐12 Ma ‐12 Ap ‐12 May‐12 Jun‐12 Jul‐12 Aug‐12 Sep‐12 Oct‐12 Nov‐12 Dec‐12 Jan‐13 Feb‐13 Ma ‐13 Ap ‐13 May‐13 Jun‐13 Jul‐13 Aug‐13 Sep‐13 Oct‐13 Nov‐13 Dec‐13
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
2.4
Hosp tal
0.0
4.4
0.0
1.8
1.7
0.0
0.0
0.0
4.6
2.2
4.4
2.6
0.0
2.5
2.3
0.0
2.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Goal
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
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Improvement Calculator
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Slide 4
Risk Profile: The Areas of Risk We Are Committed To Controlling
Annual discharges: __________HAC risk opportunities/discharge: _______
HACs
Estimated annual number of patients at risk in each area ADE
# of discharges: CAUTI
# pts in IP units with catheter in place: CLABSI
# pts in IP units with central lines: Falls
# of discharges: Ob AE
# of women with deliveries: Pr Ulcer
# of discharges: SSI
# of inpatient surgeries: VAP
# of patients on a ventilator:
VTE
# of discharges: EED
# of women with elective deliveries TOTAL
Risk opportunities for harm across the board
Readmit
# of inpatients at risk of readmit: Number of Opportunities
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Risk Profile Tips
• These calculations only need to be completed once. • Use one year of data – may use baseline
• For Patient Counts for CLABSI, CAUTI, VAP. These are only ESTIMATES.
– Divide your device days by average length of stay
– OR
– Use charge master for # of catheter trays ordered, or # of patients with ventilator charges
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Risk Profile: The Areas of Risk We Are Committed To Controlling
Annual discharges: 592 HAC risk opportunities/discharge: 4.5
HACs
Estimated annual number of patients at risk in each area ADE
# of discharges: Number of Opportunities
592
CAUTI
# pts in IP units with catheter in place: CLABSI
# pts in IP units with central lines: Falls
# of discharges: 592
Ob AE
# of women with deliveries: 100
Pr Ulcer
# of discharges: 592
SSI
# of inpatient surgeries: VAP
# of patients on a ventilator:
VTE
# of discharges: EED
# of women with elective deliveries TOTAL
Risk opportunities for harm across the board
Readmi
t
# of inpatients at risk of readmit: 95
76
20
This slide only needs to be completed once to populate the Risk Score Card
20
592
10
2769
592
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Slide 5
Improving Harm Rates (/ Discharge)
Insert a your harm rates per discharge here, using the following table. For non‐applicable topics – please insert “Z”. HACs
Baseline Rate
[time period]
Target Rate
Current Rate
[time period –
last 3 months]
Improvement Status (scale)
ADE
CAUTI
CLABSI
EED
OB
Falls
PU
SSI
VAP
VAE
Total
Readmissions
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improving Harm Rates per Discharge
• Identifies where greatest degree of harm is in the organization to assist in determining where resources and improvement efforts are allocated.
• Harms for each topic are divided by the discharges for the same time period. • This calculation can be found in the Improvement Calculator 47
Improving Harm Rates (per discharge)
HACs
Baseline Rate
CY 2011
Target Rate
40/20 Goal
Current Rate
1-2Q 2013
ADE
0.005
0.003
0
CAUTI
0.005
0.003
0.003
CLABSI
Improvement
Status (scale)
IDEAL
AT TARGET
IDEAL
0
0
0
0.0118
0.0071
0.0032
OB AE
0
0
0
IDEAL
Pr Ulcer
0
0
0
IDEAL
SSI
0.0067
0.004
0
IDEAL
VTE
0
0
0
IDEAL
EED
0.0303
0.0182
0
IDEAL
Total
0.0588
0.0353
0.0062
AT TARGET
Readmit
0.0571
0.0457
0.0421
AT TARGET
Falls with Injury
AT TARGET
Where was the greatest opportunity during the baseline period?
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improvement Calculator ‐
HAC per D/C 49
Estimates of Hospital HAC and Readmission Rates for the Nation (AHRQ)
Table 1: Improving Harms table for 2010 from AHRQ
Harm Across The Board
HAC per discharge (2010)
ADE
CAUTI
CLABSI
Falls
Ob AE
Pr Ulcer
SSI
VAP
VTE
EED
Other
0.049
0.012
0.0005
0.008
0.003
0.040
0.003
0.0012
0.0005
Total HAC
0.145
Readmission
Readmit/discharge
0.144
0.027
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Improving Harm Rates (/ Discharge)
Insert a your harm rates per discharge here, using the following table. For non‐applicable topics – please insert “Z”. HACs
Baseline Rate
[time period]
Target Rate
Current Rate
[time period]
Improvement Status (scale)
ADE
CAUTI
CLABSI
EED
OB
Falls
PU
SSI
VAE
VAE
Total
Readmissions
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Slide 6
Our Hospital Risk Score Card
Insert your hospital risk score card here, using the following table.
Our Safety Mandate
Annual Volume (Discharges)
Total risk: annual harm opportunities
Risks per patients (Total Opportunities)/Discharges)
Number of Risk Areas
Number of PfP Risk Areas Applicable (0 – 11)
Number of PfP Risk Areas Applicable & Adopted
Our Progress
Number of PfP Areas with Major Improvement Opportunity
Number of PfP Areas at Improvement Target
Number of PfP Areas at IDEAL
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Hospital Risk Score Card
Our Safety Mandate
Annual Volume (Discharges)
7298
Total risk: annual harm opportunities
36,613
Risks per patients (Total Opportunities)/Discharges)
5.02
Number of Risk Areas
Number of PfP Risk Areas Applicable (0 – 11)
11
Number of PfP Risk Areas Applicable & Adopted
11
Our Progress
Number of PfP Areas with Major Improvement Opportunity
2
Number of PfP Areas at Improvement Target
3
Number of PfP Areas at IDEAL
5
• Our Safety Mandate – use numbers from Risk Profile
• Number of Risk Areas
– # of Risk Areas Applicable Includes Readmissions. Max is 11
– # Risk Areas Applicable and Adopted. • Our Progress – use Improvement Scale definitions from Improving HACS per Discharge Slide
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Slide 7
Pearls
• Bullet your biggest insights about what worked, and what caused it to work here.
• Include what you “tested” and “learned”
• Include how you will advance this topic over the next month (and beyond). • List the most important drivers of safety that produced these results, but make this list succinct, high‐level and clear. • Include patient and family engagement (PFE), if relevant. 54
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Pearls – Tips
• Provide enough detail about the strategy or tactic to promote spread
– Can the reader get enough information to replicate the idea?
– Provide examples of key cultural change strategies, i.e.
•
•
•
•
•
•
Transparency of data
Front line staff engagement
Senior management support
Seamless transitions
Recognition
Promoting a Culture of Safety
• Share learnings and ideas tested
• How will the strategies be taken to the next level?
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Pearls
• Followed Evidence Based Best Practices
• Focused surveillance
• Transparency with results
• Implementation of checklists
• Standardized products used
• Implemented daily review
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Pearls
• ORGANIZATIONAL CULTURE OF SAFETY PROMOTED FROM SENIOR LEADERS
• Staff Safety Survey results have vastly improved showing Patient Safety Initiatives have been effective at addressing potential harm/safety issues.
• Environmental Patient Safety Rounds are conducted monthly
• Increased reporting of “Near Misses” by front‐line staff reveals an increased awareness of Safety and the Prevention of Patient Harm •
QUALITY IS A STRATEGIC PRIORITY
• Golden Path to Success includes: 1) Strategic Objectives under Quality Pillar 2) department goals that align with strategic objectives; 3) All Staff set annual “My Quality Commitment” goals
•
TRANSPARENCY THROUGHOUT THE ORGANIZATION
• Progress reports to Board of Trustees, Senior Leaders, Quality Council, & various committee meetings
• Scorecards, White Boards, Progress Posters, “Days since last…” posted in each unit for certain healthcare associated conditions • Weekly “GVMH in Action” from CEO, “Capsulized News”
• Town Hall & Staff Meetings
• GVMH Intranet 57
How to Submit/Share
Your Eliminating HAB Reports
• Submit to your State Hospital Association contact
(Indicate whether you want it shared on the HRET HEN list‐serv® on your behalf.)
or
• Submit to the topic list‐serv® that correlates to the topic run chart on your HAB report. (cc: your state hospital representative)
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Questions / Wrap Up
HAB Template Training
HAB v Hospital Progress Report
Eliminating HAB Report
• Tie all aspects of HEN work
together.
• Help track HAB and see
greatest opportunities.
• Promote transparency and
help shift culture.
• Preferred tool for sharing
on HRET-HEN list-serves.
Hospital Progress Report
• In use since 2012.
• Still useful for teams -- Individual
project focus.
• No longer preferred tool for
HRET-HEN list-serve sharing.
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
HAB Template Training
Next Steps – Missouri HEN
 Target:
64 hospital HAB storyboards by
March 31, 2014.
 Submit to Jeanne Naeger,
[email protected].

Indicate whether you want us to submit to
the applicable HRET-HEN List-serve® on your
behalf.
 Contact
MOHEN for assistance – by
phone or in person (as part of site visit)
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HAB Template Training
Next steps: Missouri HEN
List of submitted HABs to date:
















Barton County Memorial Hospital
Boone Hospital Center
Bothwell Regional Health Center
Capital Region Medical Center
Centerpoint Medical Center
Citizens Memorial Hospital
Excelsior Springs Hospital
Fitzgibbon Hospital
Lafayette Regional Health Center
Lake Regional Health System
Mercy Hospital Joplin
Ozarks Medical Center
Salem Memorial District Hospital
Samaritan Memorial Hospital
Scotland County Memorial Hospital
Western Missouri Medical Center
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
HAB Template Training
Next Steps – Kansas HEN
 Target
April 31 for completion of first HAB
template.
 Submit to Michele Clark,
[email protected].

Indicate whether you want us to submit to
the applicable HRET-HEN List-serve® on your
behalf.
 Contact
KHC for assistance – by phone or
in person (as part of site visit)
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Program Resources
HRET HEN List-Serves
List-serves available:
o Adverse Drug Events
o CAH/Rural Hospital Affinity
Group
o ICU Harm (iatrogenic delirium
sepsis acute renal failure failure to
rescue)
o
Infections (CLABSI
o
OB Adverse Events (EED
o
 Go to www.hret-hen.org
 Log in with your facility’s assigned
user name and password.
(Contact your HEN if you don’t know it.)
o
o
o
Cdiff)
CAUTI SSI VAE
hemorrhage preeclampsia)
Other Harm (falls
VTE)
maternal
pressure ulcers
Procedural harm
Readmissions
Others
 Click on the red button to sign up.
Note: Must use hospital email.
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Kansas and Missouri Hospital Engagement Networks
Eliminating Harm Across the Board template training
March 14, 2014
Contact Us
Contact Info
KANSAS HEN
MISSOURI HEN
Michele Clark, MBA, ABC
Program Director
Kansas Healthcare Collaborative
623 SW 10th
Topeka Ks. 66612
Jeanne Naeger, MSN, RN, FNP-BC
Vice President Quality
Improvement
Missouri Hospital Association
4712 Country Club Drive
Jefferson City Mo. 65109
785-235-0763 x1321
[email protected]
573-893-3700 x1326
[email protected]
CYNOSURE HEALTH
Jackie Conrad, RN, BSN, MBA
Improvement Advisor
Cynosure Health
708-995-7788
[email protected]
DO W N L O AD T E M P L A T E AND C A L C UL AT O R AT :
www.h r et -h e n .o r g /i n d e x . p h p ?o p t i o n = co m p h o c a d o w n l o a d & vi e w = c a t eg or y & i d = 3 1 8 : h a b -r e s o u r c e s & I t e m i d = 3 3 4
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