THA Hospital Improvement Innovation Network (HIIN) Monthly Check-In 11-15-17

HIIN Quarterly Survey Patient and family engagement (PFE), leadership, and diversity 5 minutes to complete Submit to Jennifer McIntosh by fax to 615-242-4803 or email to jmcintosh@tha.com Due on or before Thurs., Nov. 30

HRET HIIN Data Milestones Participation Improvement October 2016 through October 2017 Readmissions through Sept. 2017 Due by December 29

Report Distributor Reminders Data should be current for HIIN project (October 2016 and forward) Data is due the end of each month for the previous month – including “zeroes” Report Distributor is refreshed monthly (20th) Data submission Outlook calendar reminder Data entry assistance available--contact Jennifer McIntosh jmcintosh@tha.com

Upcoming Opportunities Site visits 2018 resilience webinar series by Dr. Bryan Sexton Sepsis consultation service Workplace Violence Prevention Summit IHI Fellowships through HRET

Sepsis Consultation Service By Angela Craig, APN, MS, CCNS Consultation service provided on-site at your facility Service tailored to meet your areas of interest or need Costs covered by THA HIIN for THA HIIN hospitals Contact Rhonda Dickman for more information: rdickman@tha.com 615-401-7404

Workplace Violence Prevention Summit for Hospital Leaders Thursday, November 30th National and local presenters: Sonya Greck, VP Behavioral Health, Mission Health, Asheville, NC Similar issues: behavioral health, opioids Health system has large urban and small rural facilities

Workplace Violence Prevention Summit for Hospital Leaders National and local presenters: Tom Grady and Dr. Steven Sumner, CDC Innovative example of hospital partnership with law enforcement to reduce community violence

Workplace Violence Prevention Summit for Hospital Leaders Other key topics: Trauma Informed Care, Nancy Purtell, HCA Local hospital strategies: Hardin Medical Center Jackson-Madison County General Hospital UT Medical Center – Knoxville 5.0 ACHE-Q, CNE credits Travel assistance for THA HIIN hospitals

Workplace Violence Prevention Summit for Hospital Leaders Register at: http://www.cvent.com/d/ptqpvd Announcements in TCPS weekly newsletter Emails to HIIN Main Contacts and Worker Safety Contacts For more information, contact Rhonda Dickman at rdickman@tha.com or 615-401-7404

HRET HIIN QI Fellowships A Quality Improvement Collaboration Between HRET HIIN and IHI

History of HRET HEN/HEN 2.0/HIIN Fellowships The HRET’s first fellowship (Improvement Leaders Fellowship, or ILF) started with the original Hospital Engagement Network (HEN) Target was clinical leaders, directors, VPs and frontline improvement project team leaders Goal: In two years, develop over 1,000 Improvement Leaders in hospitals focused on reducing harm and readmissions The model included 21 conference days across the country (Chicago, San Francisco, Phoenix, Indianapolis, etc.) as well as nine educational webinars and IHI Open School Courses Three tracks: Junior, Senior and Champion Over 2,500 participants took part in the ILF program

History of HRET HEN/HEN 2.0 Fellowships Second iteration of the fellowship was the Action Leader Fellowship during HEN 2.0, also in partnership with IHI This was solely virtual based, no more in-person meetings Fellows were to attend at least eight out of 10 webinars and produce a quality improvement project at the end of the program Two tracks: Foundations and Experienced Between both tracks, just over 100 fellows graduated

HRET HIIN QI Fellowships The newest version of the fellowship program is the Quality Improvement fellowship in partnership with IHI Involves participating in a certain amount of webinars, based on the track, as well as completing several IHI Open School courses and completing a QI project Two tracks: Foundations for Change and Accelerating Improvement

What Did the QI Fellows Learn? Foundations for Change: Key concepts of the Model for Improvement Importance of setting an aim statement at the start of an improvement project Identify the processes that make up the PDSA cycle Identify ways to have team members to drive improvement

What Did the QI Fellows Learn? Accelerating Improvement: Discuss common barriers to improvement Learn communication strategies for engaging physicians and leadership Understand the difference between fundamental and reactive change Demonstrate the linkage between PDSAs, Change Ideas, Drivers, and the Aim Interpret a run chart Develop your project’s family of measures

Certificate When fellows graduate the program, they receive a certificate of completion In order to complete the program, the fellows need to stay actively engaged, submit a final project based on a HIIN topic, participate in the majority of educational webinars and take several IHI Open School courses Between the two tracks, over 125 fellows will graduate

Fellowship’s Link to HIIN Fellows must select a harm topic to be the focus of their aim statement Some examples include: Increase the use of the Sepsis Bundle components, on patients who have sepsis or septic shock, from 60% to 90% by December 31, 2017. Reduce hospital-wide readmission rate to less than or equal to 2.7% by June 30, 2017. Reduce facility-acquired heel and foot pressure ulcers on adult inpatients to zero by October 1st 2017.

Fellows of All Shapes and Sizes HRET HIIN involved a variety of professions within the QI fellowship, including: Front-line nurses Quality leaders Chaplains Physicians Social workers Data analysts

The Big Picture The biggest goal of the fellowship program is to continue to sustain and spread the quality improvement that the fellows have started in their hospitals. Quality improvement doesn’t end with the fellowship!

HRET HIIN PFE Fellowship The 2018 PFE education strategy is still being worked out. The 2017 PFE Fellowship was designed to support and build the skills of employees who act as PFE liaisons as well as Patient Family Advisors (PFA). The goal was to participate as a team to use PFE strategies to reduce hospital acquired conditions (specifically, HIIN harm topics)

THANK YOU!

Questions and comments?