Conquer Compliance with Performance Support

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Presentation transcript:

Conquer Compliance with Performance Support Allegheny Health Network Conquer Compliance with Performance Support Learning 2018 Orlando , FL November 4 – 7, 2018 Molly Petroff, MEd, RN, FCN Molly.Petroff@ahn.org

Foundational Principles of PS 5 Moments of Need: PS Pyramid: Apply Solve Change More New Picture slide: Diagrams od 5MoN and PS Pyramid Conrad Gottfredson & Bob Mosher Used with permission

Snapshot: 300 bed tertiary-care hospital in NW PA Satellite sites: 2 rural hospitals 25+ medical offices Diagnostic and treatment centers 3000 associates system-wide Slide 1

Under the Regulation of Multiple Agencies TJC: The Joint Commission for Accreditation of Healthcare Organizations DOH: PA Dept of Health OSHA Picture slide: Regulatory diagram CMS: Fed Agency: Medicare, etc. Etc.

How We Developed Our Solution Reviewed regulatory standards to assure all requirements were included Focus Groups One group for each different aspect of safety 2 - 5 people per group Focus on defining what staff needs to DO to be safe and what they need to KNOW in order to do that Slide 2

Matrix of Mandatory Review Topics CMS REGULATORY TRAINING REQUIREMENTS Picture slide: example of Mandatory Matrix Organizational definition of “on-going”

Demo of Safety GPS

Safety GPS in the SV Culture Introduction to leadership & incumbents Introduction in New Hire Orientation New approach to Annual Safety New approach to Survey Prep Slide 3

Picture slide: Example of scavenger hunt screen

Results JCAHO surveys 2013 and 2016 and intermittent DOH inspections yielded NO deficiencies in environmental safety JCAHO survey 2016 named SV Safety GPS an Exemplary Practice for safety education in healthcare organizations. EPSS for a Continuously Safe Environment based on the Safety GPS accepted into JCAHO Leading Practice Library in 2017. Slide 4

Questions? Comments? Performance Support Community FREE! Online CoP mollypetroff@yahoo.com Molly.Petroff@ahn.org Please complete your evaluation of this session. Thank you for attending! Slide 5

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