1 Welcome to the NQF Safe Practices for Better Healthcare Webinar: Optimizing a Workforce for Optimal Safe Care (Safe Practices 9-11) Hosted by NQF and TMIT Attendee dial-in instructions: Toll-free Call-in number (U.S./Canada): (direct number, no code needed) For the webinar slides handout, go to:

2 Charles Denham, MD Chairman, TMIT Co-chairman, NQF Safe Practices Consensus Committee Chairman, Leapfrog Safe Practices Program Safe Practices Webinar January 21, 2010 Welcome and Safe Practice Overview Toll-free Call-in number:

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5 Panelists Charles Denham: Welcome and Safe Practice Overview Ann Rhoades: Off the Wall Leadership Gerald Winslow: A View from the Culture Officer Gerald WinslowAnn Rhoades Charles Denham Toll-free Call-in number:

6 Panelists Victoria L. Rich: Putting Principles to Action Peter Angood: Critical Care Manpower Mary Foley: Roles for the Patient Advocate Mary FoleyPeter Angood Victoria L. Rich Toll-free Call-in number:

7 Roles for the Patient Advocate Mary Foley, RN, MS, PhD(c) Associate Director, Center for Nursing Research and Innovation, University of California San Francisco School of Nursing Safe Practices Webinar January 21, 2010 Toll-free Call-in number:

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9 Practice Line-Up Changes: From 30 to 34 Practices Culture Practice Elements Broken Up into 4 Practices 2 Practices Discontinued 4 Medication Management Practices Combined into 1 2 Communication Practices Combined into 1 8 New Practices Added CMS Care Settings Defined Patient and Family Involvement Section Added Final Report: Format Structure Preserved Lightly Edited Text of Most Practices New Practices Updated References Corrections and Clarification Care Setting Clarification Using CMS Classification Measures To Be Considered (in formulation) Soft Copy Document Hyperlinks Crosswalk Tables Glossary Changes of 2006 Version to 2009 Update

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11 Harmonization – The Quality Choir Toll-free Call-in number:

12 Information Management and Continuity of Care Medication Management Healthcare-Associated Infections Condition- & Site-Specific Practices Consent & Disclosure Culture Workforce Consent and Disclosure Toll-free Call-in number:

13 CHAPTER 7: Hospital-Associated Infections Hand Hygiene Influenza Prevention Central Venous Catheter-Related Blood Stream Infection Prevention Surgical-Site Infection Prevention Care of the Ventilated Patient and VAP MDRO Prevention UTI Prevention Information Management and Continuity of Care Medication Management Healthcare-Associated Infections Condition-, Site-, and Risk-Specific Practices Consent & Disclosure Wrong-site Sx Prevention Press. Ulcer Prevention DVT/VTE Prevention Anticoag. Therapy VAP Prevention Central V. Cath. BSI Prevention Sx-Site Inf. Prevention Contrast Media Use Hand Hygiene Influenza Prevention Pharmacist Systems Leadership: High-Alert, Std. Labeling/Pkg., and Unit-Dose Med. Recon. Culture CPOE Read-Back & Abbrev. Discharge System Patient Care Info. Labeling Studies Culture Meas., FB., and Interv. Structures and Systems ID and Mitigation Risk and Hazards Team Training and Team Interv. Nursing Workforce ICU Care Direct Caregivers Workforce CHAPTER 4: Workforce Nursing Workforce Direct Caregivers ICU Care CHAPTER 2: Creating and Sustaining a Culture of Patient Safety (Separated into Practices]  Leadership Structures and Systems  Culture Measurement, Feedback, and Interventions  Teamwork Training and Team Interventions  Identification and Mitigation of Risks and Hazards CHAPTER 5: Information Management and Continuity of Care  Patient Care Information  Order Read-Back and Abbreviations  Labeling Studies  Discharge Systems  Safe Adoption of Integrated Clinical Systems including CPOE CHAPTER 6: Medication Management  Medication Reconciliation  Pharmacist Leadership Role Including: High-Alert Med. and Unit-Dose Standardized Medication Labeling and Packaging CHAPTER 8: Wrong-Site, Wrong-Procedure, Wrong-Person Surgery Prevention Pressure Ulcer Prevention DVT/VTE Prevention Anticoagulation Therapy Contrast Media-Induced Renal Failure Prevention Organ Donation Glycemic Control Falls Prevention Pediatric Imaging Informed Consent Life-Sustaining Treatment Disclosure CHAPTER 3: Informed Consent and Disclosure Informed Consent Life-Sustaining Treatment Disclosure Care of the Caregiver Consent and Disclosure 2009 NQF Report Care of Caregiver MDRO Prevention UTI Prevention Falls Prevention Organ Donation Glycemic Control New Material Changes No Material Changes Legend: Pediatric Imaging

14 LEADERSHIP STRUCTURES and SYSTEMS Values Systems Structures Behaviors Outcomes Culture Measurement, Feedback, and Intervention Teamwork Training and Skill Building Identification and Mitigation of Risks and Hazards Leadership Structures and Systems Patients and Community NQF 34 Safe Practices