How did they partner with patients for safety? A webinar with the Patient Safety Champion Awards Finalists
•
1 recomendación•1,700 vistas
Canadian healthcare organizations are taking patient and family engagement to new heights and the best of the best want to share the secrets of their success with you!
Recomendados
Recomendados
Más contenido relacionado
La actualidad más candente
La actualidad más candente (20)
Similar a How did they partner with patients for safety? A webinar with the Patient Safety Champion Awards Finalists
Similar a How did they partner with patients for safety? A webinar with the Patient Safety Champion Awards Finalists (20)
Más de Canadian Patient Safety Institute
Más de Canadian Patient Safety Institute (20)
Último
Último (20)
How did they partner with patients for safety? A webinar with the Patient Safety Champion Awards Finalists
- 1. Patient Safety Champion Awards December 13, 2016
- 2. Framing • About the Champion Awards • Purpose of webinar: celebrate and inspire • Take at least one practical idea to implement • Agenda • Johanna Trimble, Michael Garron Hospital • Q&A • Alifa Kahn and Adrienne Zarem, Charles Pharand • Q&A • Montreal Children’s Hospital, Lyndhurst Spinal Cord Rehabilitation Team • Q&A
- 3. Your Questions • What did you learn form this initiative that has the most impact in helping to keep patients safe? • How to get started? • How to team up with patients for patient safety? • How to spread to other departments? • How to engage management and patients? • Looking for • Innovative ways to partner • Best practices • Transferable initiatives
- 5. Ed Kry Cathy Litwin Candy Garossino Joanna Price Sonya Green-Hache Amir Karmali Thank YOU Judging Panel
- 6. Moderator Cathy Litwin Member, Patients for Patient Safety Canada
- 7. Johanna Trimble Community Engagement Advisory Network Vancouver Coastal Health
- 8. Volunteer Champion Award Johanna Trimble, PFPSC Webinar, December 13, 2016
- 9. BC Polypharmacy Risk Reduction Initiative & Fraser Health Authority Polypharmacy Risk Program
- 10. Faculty, Call for Less Antipsychotics in Residential Care
- 11. Lecturing the 1st Year Medical Students at UBC in Community Geriatrics (involving the family in care)
- 12. UBC Life Sciences Lecture Hall Note students listening with rapt attention : )
- 13. Public member helping with the development of the Rxisk.org website tools: Interaction Checker shown below
- 14. Development team for medstopper.com (physician version) and the upcoming public version of the tool.
- 15. Preventing Overdiagnosi s Conference, Oxford, UK 2014 Workshop presenter with Dr. Dee Mangin and Dr. Claes
- 16. Provincial appointment to the BC Patient Safety and Quality Council
- 17. “How do you remain outsiders when you work within?” Sir Liam Donaldson Patient Safety Envoy, W.H.O. We never forget why we’re doing this work.
- 18. To honour those we love who have suffered harms and to make meaning for ourselves from what could be seen as an arbitrary tragedy. To make sure this doesn’t happen to anyone else.
- 19. Why we need to do this work.
- 20. A picnic in the garden with Fervid Dedicated to Fervid Trimble 1917 – 2008
- 22. Partnering with Patients for Quality & Safety at MGH Canadian Patient Safety Institute Webinar December 13, 2016 Mari Iromoto, Director Quality & Innovation 1
- 23. 23 Michael Garron Hospital at a glance Lean Process Improvement Methods
- 24. 24 A philosophy of partnering with patients Boardroo m Planning & Projects Bedside Board Quality Committee Patient Experience Panel Choosing Wisely Committee Medical Quality & Patient Safety Committee Research Ethics Board Unit Patient Experience Panels Strategic Plan Task Forces Quality Improvement Plan Patient Centred Care Plan Mobility Strategy Hiring Panels My Story Patient Stories & Videos Care Planning Bedside Shift Exchange Discharge Planning Care Rounds
- 25. 25 A culture of embedding the patient voice Patient Videos Post- Discharge Phone Calls Patient Relations Patient Satisfaction Surveys Social MediaLeadership Rounding
- 26. 26 Partners In Care My Story Care Rounds IDEAL Patient Discharge Bedside Shift Exchange Patie nt Vide os Post- Discharg e Phone Calls Patient Relations Patient Satisfacti on Surveys Social Media Leadershi p Rounding Patient Stories 10Units Create Discharge Plans with Patients and Families
- 27. 27 Partners In Continuous Improvement My Story Care Rounds IDEAL Patient Discharge Mobility Strategy Family Presenc e Policy Patient Rights & Responsibilities Mock Room Design Strategic Planning Bedside Shift Exchange Patie nt Vide os Post- Discharg e Phone Calls Patient Relations Patient Satisfacti on Surveys Social Media Leadershi p Rounding Patient Stories Infusion Pump Satisfactio n ED Redesign 20 Projects Co-Designed By Patient Experience Panel Mobility Infection Control Advance Care Planning Family Presence Quality Improvement Patient Rights & Responsibilities
- 28. 28 Thank You! Mari Iromoto Director, Quality, Operational Excellence, Privacy & Innovation mirom@tegh.on.ca @mari_iromoto[ ]
- 29. Alifa Kahn and Adrienne Zarem Family Leaders Holland Bloorview Kids Rehabilitation Hospital Adrienne Zarem Alifa Khan
- 30. Charles Pharand Volunteer Ambassador Bruyère Continuing Care’s Saint-Vincent Hospital CharlesPharand
- 31. Montreal Children’s Hospital The Three Musketeers (L to R): Drs. Samara Zavalkoff, Nadine Korah, and Sasha Dubrovsky
- 33. Overview 1. What sparked the project 2. The project 3. Lesson learned through partnership
- 35. We Should Talk | Montreal Children’s Hospital Physicians for patient safety Samara Zavalkoff | Nadine Korah | Sasha Dubrovsky
- 36. We Should Talk | Montreal Children’s Hospital The Problem Not everyone at the Montreal Children’s Hospital communicates when a concern arises, thereby compromising safe care.
- 37. Multi-disciplinary team, including family advisors
- 38. We Should Talk | Montreal Children’s Hospital The Vision Inspire 100% of staff and patients to effectively communicate with the goal of eliminating preventable harm
- 39. We Should Talk | Montreal Children’s Hospital Raise awareness and measure performance Our Strategy
- 40. Inpatients We Should talk Dashboard 2014-15 Target vs 2014-15 vs target 73% 0% 41% 13% 87% -1% 14% 0% 44% -3% 219Nb of selected cases : Ytd result diff %Reference result Listening to patients/families Encouraged to ask questions Treated with courtesy/respect Know how to report safety concerns Comfortable speaking up Cumulative result comparison (Year to date) 37% 77% 0% 5% 1% 41% 14% 86% 55% 73% 0% 20% 40% 60% 80% 100% Comfortable speaking up Know how to report safety concerns Treated with courtesy/respect Encouraged to ask questions Listening to patients/families Always/Yes sometimes Quarter Q1 Q2 Q3 Q4 Year 2013-2014 2014-2015 2015-2016 82% 69% 81% 63% 69% 78% 74% 67% 0% 25% 50% 75% 100% 62% 41% 41% 40% 51% 55% 58% 53% 0% 25% 50% 75% 100% 92% 80% 91% 86% 78% 91% 86% 86% 0% 25% 50% 75% 100% 16% 15% 12% 15% 12% 15% 16% 12% 0% 25% 50% 75% 100% 44% 39% 50% 42% 28% 0% 25% 50% 75% 100% Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014-2015 2015-2016 Unit ACU B06N B06S B07N B08 B09 K1589 N/A Summary Listeningto patients/families Encouraged to ask questions Treated with courtesy/respect Know how to report safetyconcerns Comfortable speakingup Average % of "Always" OCT 2015 JAN 2016 MAY AUG 2017
- 41. Inpatients We Should talk Dashboard 2014-15 Target vs 2014-15 vs target 73% 0% 41% 13% 87% -1% 14% 0% 44% -3% 219Nb of selected cases : Ytd result diff %Reference result Listening to patients/families Encouraged to ask questions Treated with courtesy/respect Know how to report safety concerns Comfortable speaking up Cumulative result comparison (Year to date) 37% 77% 0% 5% 1% 41% 14% 86% 55% 73% 0% 20% 40% 60% 80% 100% Comfortable speaking up Know how to report safety concerns Treated with courtesy/respect Encouraged to ask questions Listening to patients/families Always/Yes sometimes Quarter Q1 Q2 Q3 Q4 Year 2013-2014 2014-2015 2015-2016 82% 69% 81% 63% 69% 78% 74% 67% 0% 25% 50% 75% 100% 62% 41% 41% 40% 51% 55% 58% 53% 0% 25% 50% 75% 100% 92% 80% 91% 86% 78% 91% 86% 86% 0% 25% 50% 75% 100% 16% 15% 12% 15% 12% 15% 16% 12% 0% 25% 50% 75% 100% 44% 39% 50% 42% 28% 0% 25% 50% 75% 100% Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014-2015 2015-2016 Unit ACU B06N B06S B07N B08 B09 K1589 N/A Summary Listeningto patients/families Encouraged to ask questions Treated with courtesy/respect Know how to report safetyconcerns Comfortable speakingup Average % of "Always" OCT 2015 JAN 2016 MAY AUG 2017 Campaign Visible to >80% in the MCH Reached >850 000 via social media 1/3 families encouraged by campaign to communicate 1/2 staff report lanyards help cue to action
- 42. When something’s not right, we need to listen. When something’s not right, tell us, we are listening. Data to drive vital behaviors AWARENESS INTERNAL >80% EXTERNAL >18000 DATA DRIVEN CONTINUOUS IMPROVEMENT COMMUNICATION WITH PATIENT UP BY 10-15% SAFETY CULTURE NO CHANGE EDUCATION MUTUAL LEARNING MINDSET LEAN SIX SIGMA UNIT BASED ROUNDS QUALITY PROGRAM UNIT-BASED CONTINUOUS QUALITY IMPROVEMENT LEAN MANAGEMENT SYSTEM EXECUTIVE WALK ROUNDS QUALITY DASHBOARDS COMMUNICATION IS KEY TO A LEARNING ORGANIZATION, IN WHICH PARTNERSHIP LEADS TO QUALITY CARE AND POSITIVE EXPERIENCES FOR STAFF AND PATIENTS/FAMILIES A HOSPITAL WHERE KIDS CAN BE KIDS, PARENTS ARE PARTNERS, AND STAFF ARE SMILING
- 43. We Should Talk | Montreal Children’s Hospital • Value of learning together • Focus on vision • Slow down to go fast • Scope creep (ex. research) • Sustainability planning Lessons learned through partnership
- 44. We Should Talk | Montreal Children’s Hospital Quotes from Aaron Fima (family advisor) “Dedicated and bright people at the MCH; really want to make a difference” “Family advisor is crucial to help improve patient safety and keep healthcare providers focused on what matters most”
- 46. Lyndhurst Spinal Cord Rehabilitation Team SandraMillsandHeatherFlett
- 47. Implementation of the Patient-Oriented Discharge Strategy (PODS) in SCI Rehab 47 Heather Flett Sandra Mills Advanced Practice Leader Patient and Family Educator Canadian Patient Safety Institute Champion Award Webinar December 13, 2016
- 48. SCI Rehab PODS Pilot • 1 of 8 pilot hospitals in OpenLab Early Adopter Initiative • Between January 2, 2015 – March 31, 2015: Built a project team including 2 Patient Advisors Conducted patient & staff focus groups/interviews Pre-pilot survey of patients discharged in February Adapted PODS template and process to SCI rehab Staff education Pilot implementation Evaluation 48
- 49. Aims of SCI Rehab PODS: • Consolidate rehab learning • Identify outstanding patient needs before discharge • Enhance self-efficacy • Reduce anxiety prior to discharge • Provide a written summary in patient’s words and an individualized contact list for first month at home 49
- 50. What is SCI Rehab PODS? 1. An SCI-focused PODS document • Medications • Care Plan • Signs, Symptoms and What to do’s • Appointments • Individualized Contact List 2. Teach-back style PODS meeting that uses self-management best practices led by a neutral clinician facilitator 50 In patient’s own words
- 52. Pilot Study Results (% that strongly agreed) 52 Question Pre-PODS (Feb patients) PODS Pilot I understand the purpose of my medications and when to take them 42% 83% I understand how to manage my daily care 41% 67% I understand what symptoms to look for and what to do 33% 83% I know my follow up appointments 42% 67% I know who to call with questions 33% 83% When I left hospital I felt confident about my discharge 25% 50%
- 53. Results PODS pilot participants were also asked about the document and meeting in greater detail Question % Agree or Strongly Agree The document itself has been useful since you went home 84% The PODS meeting helped me understand what to do at home 60% It was helpful to have a Patient Advisor present for the meeting 80% 53
- 54. SCI Rehab PODS: Current State • As of May 2015 → full implementation • New SCI rehab standard of care! • 7 trained neutral facilitators • 2 PODS schedulers • Resource neutral, no additional $ • Positive feedback from patients and staff 54 “I feel like I am ready to go home now.” “I was so surprised he could articulate what he needs to do at home!”
- 55. 55 PODS Completion Rate May 2015 – March 2016 Total D/C Patients PODS Eligible* Total PODS Completed % PODS Completion 253 247 239 97% April 2016 – November 2016 219 207 204 99%
- 56. Take Away Messages SCI Rehab PODS: • enhances safe transitions between rehabilitation and home • consolidates learning through teach-back and establishes an individualized plan for community transition • is patient-centred with a focus on safety, self management and building confidence 56
- 57. Thank-you Sandra.Mills@uhn.ca Heather.Flett@uhn.ca www.uhnopenlab.ca 57 With special thanks to the SCI Rehab PODS team: Melanie Alappat, Dionne Rockley, Josh Forbes, Anthony Simas, Carol Scovil, Helen Morris, Anellina Ventre, Cathleen Wu, Chris Alappat, Filomena Mazzella, Ruth Tonon, Stacey Budden Executive sponsors: Joanne Zee & Dr. Mark Bayley
- 58. Next Steps Champion Awards http://www.patientsafetyinstitute.ca/en/Events/PatientChampionAwards/Pages/default.aspx HealthCareCAN – Patient-Centred Experience Design Program http://www.healthcarecan.ca/learning/courses/patient-centred-experience-design-program-paced/ Patient Engagement Resources Canadian Patient Engagement Network Accreditation Canada Leading Practices Database Canadian Foundation for Healthcare Improvement Resource Hub http://www.patientsafetyinstitute.ca/en/toolsResources/Patient-Engagement-Resources/Pages/default.aspx Patients for Patient Safety Canada www.patientsforpatientsafety.ca For more information or to contact the speakers email patients@cpsi-icsp.ca
- 59. 2017 Champion Awards June 12-13, 2017 National Health Leadership Conference Vancouver