Abertawe Bro Morgannwg University Health Board 1,000 Lives Plus Launch May 11 th 2010
The Task Set local reduction targets for Mortality Harm Develop a plan to deliver this improvement
The Approach Establish a meaningful baseline for mortality and harm Agree achievable but stretching improvement targets Identify key drivers of performance Agree key intervention areas Develop Actions Implement Actions Monitor effect Performance Review
ABMU Hospital Mortality Reduction Target Reduction Targets 2010/11 < /12 <100
The Plan Maintenance Programmes/Mandatory Measures 1,000 Lives Leadership Walkarounds Critical Care and Rapid response General Medical & Surgical Care Medicines Managements Pressure Ulcers Surgical Complications 2010 – 2011 Priorities 1,000 Lives Plus
1,000 Lives Plus Reduce Mortality Reduce Harm DriversAimsInterventions Hand Washing Bare Below Elbows Policies review/implementation Fractured Neck of Femur Stroke Thrombo-prophylaxis Falls Prevention SBAR Discharge Interface WHO Checklist Initial Review In Depth Investigation Coding (including GTT) Infection Control Pathway Development Communication Mortality Review Data Quality
1,000 Lives Plus Priorities Infection Control Hand washing Bare below elbows Policies Pathways Fractured Neck of Femur Stroke Thrombo-prophylaxis Communication SBAR Discharge Interface WHO Surgical Checklist Mortality Review 2*2 Matrix Data Quality Coding Infection Control C Difficile Rates Bed Days Lost Pathways % Operated /24hrs Pathway Compliance Communication Compliance Perfect Discharge Audit Score Compliance Mortality Review % Completed Reviews Data Quality Completeness & Timeliness Drivers & InterventionsTests of Change/Indicators