VPSO Sponsored Webinar The Situation Room: Daily Leadership Huddle Rebecca Hill, MA, MHA, CPPS September 26, 2017

Housekeeping Slides were sent this morning Webinar is being recorded Please use the “telephone” option Audio pin prompt All participants are muted Raise your hand Ask a question Warm up I would just like to review some general house keeping items before we get started… just in case you are new to this webinar platform. Slides were sent out this morning to those that were registered. If you registered late, you can also access the handouts in the handouts section of the go to webinar platform. This webinar is being recorded so it can be shared with others who are unable to attend live. We do ask that you please dial in using the telephone option if you are able. You will be prompted to enter your audio pin, and this will allow us to have a discussion at the conclusion of the webinar. At this time, all participants are muted, and all panelists are unmuted. If you do have a question, we ask that you hold that question until the end of the webinar. BUT you may do so in 2 different ways: 1, you may raise your hand by using the palm with the arrow on it in the Go to Webinar platform. Hopefully you can locate that now and I ask that you practice using that so we can be sure you can ask your questions later. It is located on the left hand side of the grab tab. Please do this if you are dialed in with the telephone only. 2, If you dialed in using your computer’s audio or the telephone, you may ask a questions by accessing the “questions” platform which is also located on the tab menu.. We anticipate some good discussions on this topic and I want to leave as much time as possible to ensure you can ask your questions to Tom.

The Situation Room: Daily Leadership Huddle Rebecca Hill, MA, MHA, CPPS

7600 FTEs 700 residents and fellows 900 full time faculty 900 volunteers Nationally recognized cancer and heart centers and primary and specialty clinics throughout Central Virginia. Academic Medical Center, Level 1 Trauma Center, located in Charlottesville, VA 600 licensed beds 24,000 inpatient admissions 63,000 ED admissions 920,000 outpatient visits 25,000 main OR cases

Be Safe The UVA Health System will be the safest place for patients to receive care: •Deliver care with no harm •Ensure that patients are healthier than when they arrived The UVA Health System will be the safest place for team members to work: •Physically – work in injury-free environment •Emotionally – express concerns with confidence •Professionally – supported to do what you do best everyday

What happened yesterday, and what did we learn? Mortality Falls with Injury Team Member Injury CLABSI CAUTI Pressure Ulcers “7am, starting next Monday…”

Prior to 7am: Unit review Help Chain review Report out: What was learned? What needs to be addressed?

Round 1 Learnings: Problematic Timing Led to… 10 am

Round 2 Learnings: Common Themes Acknowledgment that improvement work cannot be done in the absence of stability Led to… Introduction of Stability Check: MESS Methods (what is interrupting our ability to follow our methods?) Equipment (do we have the equipment needed?) Supplies (do we have the supplies needed?) Staffing (do we have the staffing needed?) Situational Awareness

Round 3 Learnings: Leaders need to go to where the work is done Led to… Gemba walks to hear about events where they occurred Leaders met, got list of event locations, went to sites, returned to share learning and observations

Many learnings, tweaks, ideas, attempts, and a few fainting spells… Rounds 4, 5, 6, 7…present Many learnings, tweaks, ideas, attempts, and a few fainting spells…

Current State: Room to Breathe

Current State Stability Check Yesterday’s Events Follow-ups Monday-Friday: 10-11 10-10:30: Stability Check Yesterday’s Events Follow-ups 10:30-11 Gemba walks

Current State: Stability Check

Current State: Yesterday’s Events

Current State: Gemba Walks

Senior Leader Engagement Executive Vice President of Health Affairs CEO Chief Operations Officer Chief Quality Officer Chief Nursing Officer Chief Medical Officer Chief Anc. Care Services Chief Technology Officer Chief Environment of Care Chief Pt Experience Officer Service Line Medical Director and/or Administrator: Heart & Vascular Oncology Transplant Women’s & Children’s Neurosciences & Behavioral Health Musculoskeletal Digestive Health Surgical Services & Ophthalmology Primary Care Medical Subspecialties Peri-operative Services Pathology & Medical Labs Pharmacy Therapies Radiology Patient Progression

Rebecca Hill RN2D@hscmail.mcc.virginia.edu