1. Welcome to CUSP Communication & Teamwork Tools Coaching Call 6 The session will begin shortly. To access the audio for the session, Dial: 800-977-8002, Participant code 083842#. The materials for this coaching call can be downloaded from the CUSP Communication & Teamwork Tools password-protected web page. Directions for how to access this web page can be found on each of the coaching call meeting notices (appointments) sent to you. The phone lines will be open during the presentation. Please keep your phone on mute unless you are asking a question. If you do not have a mute function on your phone, you can press *6 to mute your phone (and *6 again to unmute if you want to ask a question). PLEASE DO NOT PUT YOUR PHONE ON HOLD!!! If you experience any problems, please call Marilyn Nichols at the MOCPS office at 573-636-1014, ext 221 or mnichols@mocps.org.

2. CUSP Communication & Teamwork Tools Pat Posa RN, BSN, MSAKimberly O’Brien, MHA System Performance Improvement LeaderDirector, Program Development St. Joseph Mercy Health SystemMissouri Center for Patient Safety Ann Arbor, MIJefferson City, MO patposa@gmail.compatposa@gmail.com kobrien@mocps.orgkobrien@mocps.org Coaching Call 6: Learning Together & Module Wrap Up November 15, 2011 Document 1

3. Documents for this Session (All can downloaded from the CUSP Communication & Teamwork Tools password-protected web site. Detailed instructions are located on each of the coaching call meeting notices/appointments emailed to you by Kimberly O’Brien) 1.This PowerPoint presentation 2.Monthly Team Leader Checklist 3.Sample Agenda for November/December CUSP Team Meeting 4.Fitzgibbon Hospital SCIP Checklist 5.An audio file recording of this session will be emailed to you shortly after the call today 3

4. Learning Together Sharing Successes Mary Fine, Ozarks Medical Center – Structured Huddles in multiple care units Gina Glisson, Fitzgibbon Hospital – Structured Huddles in PeriOperative Unit Christie DeArman, Missouri Southern Healthcare – Multidisciplinary Rounds 4 4

5. Fitzgibbon Hospital Structured Huddles Metrics 5 5 Operational Metric: Reduce Surgery Cancellations within 24 hours of Scheduled Surgery Time. (50% of all cancelled surgeries are occuring within 24 hours prior to scheduled surgery time.)Goal 1 is to reduce to 40 %, then to 30%, 20%, etc Quality Metric: Increase our current VTE Scores by 5- 10% SCIP-VTE-1 (Ordered)=75% SCIP-VTE-2 (Administered)=75%

6. Fitzgibbon Hospital Structured Huddles Metrics 6 6 Patient Satisfaction Metric: Decrease patient perception of assembly line surgery. Using metric of Compassion and Advocacy to measure improvements Advocacy = 51% (percent of excellence) Goal: 53-56% (percent of excellence) Compassion = 54% (percent of excellence) Goal: 57-60% (percent of excellence)

7. Fitzgibbon Hospital Bedside Huddle Board 7 7

8. Fitzgibbon Hospital Structured Huddle Board 8 8

9. Learning Together Learning from a Defect What are your plans for celebrating your “Learning from a Defect” work inside your unit and sharing it outside your unit? What are your plans for incorporating “Learning from a Defect” as an ongoing improvement strategy? Don’t Forget! Case Summary Form due to Kimberly O’Brien by November 30, 2011 9 9

10. Learning Together Lessons Learned What did you like about the CUSP Teamwork & Communication Tools module? What are our opportunities for improvement for future modules? What are your key “take-aways” from this module? 10

11. Thank You! 11