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

2. HIIN Quarterly Survey
Patient and family engagement (PFE), leadership, and diversity
5 minutes to complete
Submit to Jennifer McIntosh by fax to or to
Due on or before Thurs., Nov. 30

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

4. 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

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

6. 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:

7. 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

8. 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

9. 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

10. Workplace Violence Prevention Summit for Hospital Leaders
Register at:
Announcements in TCPS weekly newsletter
s to HIIN Main Contacts and Worker Safety Contacts
For more information, contact Rhonda Dickman at or

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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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.

19. 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

20. 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!

21. 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)

22. THANK YOU!

23. Questions and comments?