1. ICU Safe Care Initiative: Comprehensive Unit-Based Safety Program 1

2. Speakers Moderator: Christine George, RN, MS, ICU Project Manager, Keystone Center, Michigan Health & Hospital Association Mercy Memorial Hospital Ellie Wahl, Vice President and Chief Nursing Officer University of Michigan Bob Hyzy, MD, Pulmonary Intensivist,, Clinical Leader Keystone ICU Maureen Thompson, MSN, RN, CCRN Coordinator, Patient Safety Beaumont Hospitals Rob Welsh, MD, Vice Chief of Surgical Service for Quality and Patient Safety, Chief of Thoracic Surgery, Beaumont RO and Troy Beaumont Kathy Schumacher, MSA, CPHQ, Director of Quality, Safety, Standards, & Outcomes William Beaumont Hospital Northern Michigan Regional Hospital Gretchen Schrage, MBA, MT (ASCP)SH, Manager, Performance Improvement 2

3. Comprehensive Unit-Based Safety Program CUSP/KEYSTONE - ICU Project Ellen R. Wahl, RN, BAS Vice President and Chief Nursing Officer Comprehensive Unit-Based Safety Program CUSP/KEYSTONE - ICU Project Ellen R. Wahl, RN, BAS Vice President and Chief Nursing Officer 3

4. Creating a Culture of Safety  Monthly rounding by Senior Leadership  Interacting with front line staff to hear their concerns regarding safety and how the next patient may be harmed  Open lines of communication and lets staff identify defects in processes or equipment to improve patient care.  A Culture of Safety is ensuring every patient, every nurse, every physician, EVERY TIME receives best practice evidence based medicine. 4

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6. 6 SAQ Results SAQ Results

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9. CLBSI – 2004 to Present 9

10. Vent Bundle  Elevate HOB  Appropriate PUD prophylaxis  Appropriate DVT prophylaxis  Appropriate sedation  Daily assessment of readiness to extubate  Glucose control 10

11. VAP 2004 to Present 11

12. This program has significantly improved patient care and communication between physicians and improved teamwork among all providers in the Intensive Care Unit. 12 October 5 – Massachusetts October 12 – Ohio October 14 – Pennsylvania

13. Speakers Moderator: Christine George, RN, MS, ICU Project Manager, Keystone Center, Michigan Health & Hospital Association Mercy Memorial Hospital Ellie Wahl, Vice President and Chief Nursing Officer University of Michigan Bob Hyzy, MD, Pulmonary Intensivist,, Clinical Leader Keystone ICU Maureen Thompson, MSN, RN, CCRN Coordinator, Patient Safety Beaumont Hospitals Rob Welsh, MD, Vice Chief of Surgical Service for Quality and Patient Safety, Chief of Thoracic Surgery, Beaumont RO and Troy Beaumont Kathy Schumacher, MSA, CPHQ, Director of Quality, Safety, Standards, & Outcomes William Beaumont Hospital Northern Michigan Regional Hospital Gretchen Schrage, MBA, MT (ASCP)SH, Manager, Performance Improvement 13

14. Next Steps Registration and launch meetings in each state October 5 – Massachusetts October 12 – Ohio October 14 – Pennsylvania 14

15. Questions? 15