GAPP Coaching Call Procedural Harm Working Session September 18, 2014 Lynne Hall Jan Ratterree Jean Allred.

GAPP Coaching CallProcedural Harm Working Session

September 18, 2014

Lynne HallJan RatterreeJean Allred

Learn. Act. Improve. Spread.Learn. Act. Improve. Spread. Keep the Drum Beat Going.Keep the Drum Beat Going.2

Hospital Sharing

• Successes– Developed a communication tool (paper form) that follows the patient

through the surgery department that incorporates key elements

– Members of anesthesia care team initiate a time-out prior to the induction of anesthesia. This incorporates aspects of the patient history, physical, and labs etc. that effect anesthesia care.

– Anesthesia block supplies are stocked in a portable cart that aids in the efficiency of block procedures. All supplies are charged in the omnicell as "Kit". The nurse picks the appropriated block, e.g. spinal, epidural, etc. and all the supplies are charged at once which decrease time nurse spend pulling different supplies.

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Hospital Sharing

• Roadblocks –– We are showing on the TOC’s that we have hard-wired the checklist but

the data does not always reflect this work.

– Deep dive into your data

– Areas to address:• PSI:6 Iatrogenic Pneumothorax Rate (per 1,000 discharges)

• PSI:9 Perioperative Hemorrhage or Hematoma Rate (per 1,000 discharges)

• PSI:15 Accidental Puncture or Laceration Rate (per 1,000 discharges)

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Let’s look at the Data!

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These spikes all represent 1 event.

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Learn. Act. Improve. Spread.Learn. Act. Improve. Spread. Keep the Drum Beat Going.Keep the Drum Beat Going.


WORKER SAFETY DATA COLLECTION 2013 Benchmark and Monthly Reporting

LINK TO DATA SUBMISSION:

https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/LEAPTGAPPDataSubmission.aspx

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2013 OSHA and MONTHLY DATA REPORTING (GHA Website Survey)

1. TCIR RATE:

NUMERATOR: Total number of OSHA recordable incidents occurring for time period (2013 or Monthly) = ____

DENOMINATOR: Total number of hours worked by all employees for time period (2013 or Monthly) = ____

2. DART RATE:

NUMERATOR: Total number of OSHA recordable incidents resulted in days away, restricted or transferred for time period (2013 or

Monthly) = ___

DENOMINATOR: Total number of hours by all employees in the for time period (2013 or Monthly) = ____ 15


EMPLOYEE TURNOVER REPORTING(GHA Website Survey)

TURNOVER NUMERATOR:

Total Number of Employees who left in 2013 and for each Month = ____

TURNOVER DENOMINATOR: (Total Number of Employees in the beginning of the Year / Month = __)

+(Total Number of Employees at the end of the Year / Month = __)

Divided by 2 for an average # of employees


Transparency Criteria for LEAPT

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Remindershttp://www.healthcarecommunities.org/Communities/MyCommunities/PartnershipforPatients/PartnershipforPatients/Calendar.aspx


GAPP Updates

• Mandatory Meeting Attendance – Coaching Call and Sepsis Discussion Second Thursday of month. Must

complete an evaluation– If you miss a call you can listen to the recording within 1 week. Complete eval

if applicable, and notify topic lead that you listened to get credit.

• Data Submission: – Due 3rd or each month – send to Lynne Hall ([email protected])

• TOC (1 for sepsis and 1 for additional topic area)

• Checklist (1 per hospital)

– Worker Safety Data (if in WS group) Send to Jean Allred ([email protected])

• due 15th of month (about 45 days after end of reporting month).

• Next Coaching Call

– Workers Safety Working Session September 15th , 1 -2 pm

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GAPP Coaching Call Procedural Harm Working Session September 18, 2014 Lynne Hall Jan Ratterree Jean Allred.

Documents

drum beat

total number of employees

total number of hours

time period

data submission

anesthesia block supplies

time nurse

year month