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Leading through Deep Impact

Leading through Deep Impact. Jackie Conrad RN, BSN, MBA Improvement Advisor Cynosure Health. Deep Impact. Themes. Courage. Survival. Survival. You can’t predict the future unless you create it. Our HEN Today. The National Landscape. Bottom Line First All 3 Data Streams Show Improvement.

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Leading through Deep Impact

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  1. Leading through Deep Impact Jackie Conrad RN, BSN, MBA Improvement Advisor Cynosure Health

  2. Deep Impact

  3. Themes Courage Survival

  4. Survival You can’t predict the future unless you create it

  5. Our HEN Today

  6. The National Landscape

  7. Bottom Line FirstAll 3 Data Streams Show Improvement • HEN-level Improvement Data show significant increases in the number of hospitals reporting and improving on multiple HACs • Leading indicators data for CY 2012 show improvement in 9 of 10 priority areas • Final 2011 & initial 2 Quarters of 2012 AHRQ National Scorecard shows modest improvement in safety across most areas of harm

  8. Hospitals Continue to Generate Increases in Reporting, Improvement and Achievement on More and More Harm Areas

  9. Leading Indicator Run Charts Detail Improvements on CLABSI, VAP, and SSI

  10. Leading Indicator Run Charts Detail Improvements on Falls, Pressure Ulcers, and Readmissions

  11. Reducing Early Elective Deliveries Nationally(PC-01): Improvement from Baseline Source: August 2013 HEN Submissions. Baseline and Current time periods vary by HEN.

  12. Thank You for AHA/HRET’s Commitments & Results • Commitment: Rapidly ramp up action on EED hard stop policies and reduction in EED rates • Results:As of September 2013, 68% of eligible hospitals were generating a 36% improvement in EED rates • Commitment: Ramp up action on data reporting on multiple HACs – harm across the Board • Results: As of October 2013, 79% of AHA HEN hospitals are submitting data on at least 7 HACs

  13. Going Forward: Our Key Requests to AHA/HRET Hospitals • Address Harm Across the Board; Hold Yourselves Accountable for Mastering the Key Elements of This Work • Leadership & Governance • Patient and Family Engagement • Culture of Safety • Apply the Science of Improvement to Implement Known Practices & Processes in All Harm Areas • Further Ramp Up Reporting & Improvement Across All Harm Areas & Readmissions • Address All 3 Major Adverse Drug Event (ADE) Harm Areas: Anti-Coagulants, Hypoglycemicsand Opiods

  14. HRET HEN Result so far

  15. The Impact is going Deeper • Raising expectations in 2014 • 80% of hospitals reporting on applicable measures • Report on standard measures • Expanded ADE reporting • Opiods • Hypoglycemia • Anticoagulation

  16. Are you Ready?

  17. What Does it Take? • Transformational Leadership • Energy • Teamwork

  18. Transformational Leadership

  19. Question? Have you ever worked for a transformational leader?

  20. How do You Keep your Bucket Full?

  21. Caring

  22. How will you get it all done?

  23. You can’t do it alone

  24. HEN Care • In your organization, is HEN work assigned to a HEN team? • Is reducing harm and readmissions integrated into your organization’s work? • How is PfP aligned with organizational goals?

  25. The Gap • Your story • What’s standing in your way?

  26. Ideas?

  27. Thank YOU!

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