1. Governing Boards Survey on Quality & Patient Safety

2. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

3. Purpose To measure and improve Washington State hospitals’ quality and safety reporting to governing boards.

4. Comparison of respondents in 2005 and 2006 2005: 29 hospitals responded Information solicited from board chairs by email only. 2006: 70 hospitals responded Information solicited from all board members by email, fax, post.

5. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

6. Respondent Demographics Survey distributed on August 2 Survey distributed on August 2 234 respondents replied by: 234 respondents replied by: InternetInternet Postal MailPostal Mail FaxFax Approximately 32% of the respondents represent Critical Access Hospitals Approximately 32% of the respondents represent Critical Access Hospitals Locations of respondents: Locations of respondents: Central WACentral WA Eastern WAEastern WA King CountyKing County Puget SoundPuget Sound Southwest WASouthwest WA Health SystemsHealth Systems

7. Puget SoundSouthwest WAKing CountyCentral WAEastern WA DOH Hospital Regions

8. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

9. “The two most important issues for trustees to attend to are quality of care and finance. Measurements and benchmarks are needed to tell how the organization is doing. It is our responsibility to establish a mission and assure that the organization has the resources to get there.” Ned Turner, Trustee, Swedish Health Services Ned Turner, Trustee, Swedish Health Services

10. How often is quality and patient safety discussed at board meetings?

11. Where on agenda is quality and patient safety discussed?

12. Does the board receive reports comparing the hospital’s quality and patient safety work with regional and national statistics?

13. How complete is the information the board receives to measure the hospital’s quality and patient safety results?

14. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

15. Is the board monitoring your hospital’s progress in the 100K Lives Campaign?

16. Is the board monitoring your hospital’s efforts to improve hand hygiene?

17. Rate your knowledge on Medicare’s quality measures (Hospital Compare)

18. Do you think there are preventable errors occurring in your hospital?

19. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

20. Has your leadership team developed a board quality committee?

21. What percentage of the CEO’s annual bonus is tied to patient safety and quality?

22. Is your hospital using consultants to assist in work on patient safety and quality?

23. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps

24. Is the topic of patient safety and quality a big emphasis as part of new board member orientation?

25. Have you been sent to external education sessions about quality and patient safety in the past year?

26. If yes, where? Rural Hospital Workshop: Chelan Rural Hospital Workshop: Chelan WSHA Annual Meeting WSHA Annual Meeting Estes Park Estes Park WSHA Bell Harbor WSHA Bell Harbor ACHE Las Vegas ACHE Las Vegas Well Spring La Quinta, CA Well Spring La Quinta, CA University of Washington University of Washington American Hospital Association American Hospital Association IHI Annual Meeting IHI Annual Meeting

27. Would you attend a meeting in Seattle on patient safety and quality along with your hospital CEO?

28. If yes, what topics would you want to discuss? Methodologies Methodologies Patient Safety Goals 2007 Patient Safety Goals 2007 Benchmarking Benchmarking Change Management Change Management MRSA (antibiotic resistant organism) MRSA (antibiotic resistant organism) Best Practices Best Practices Pay for Performance Pay for Performance Electronic Health/Medical Records Electronic Health/Medical Records Topics our hospital CEO selects Topics our hospital CEO selects

29. Do you receive the WSHA quarterly mailing, “CEO and Trustee Patient Safety Newsletter”?

30. Agenda Respondent Demographics Overview of Results Board Oversight FunctionBoard Oversight Function ReportingReporting InfrastructureInfrastructure Board EducationBoard Education Next Steps