1. AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Toolkit: Building a Culture of Safety National Content Webinar April 16, 2015

2. Tina Adams, RN Clinical Content Development Lead Health Research & Education Trust American Hospital Association Sue Collier, RN, MSN, FABC Clinical Content Development Lead Health Research & Education Trust American Hospital Association Anna Wojcik, MPH Research Specialist Health Research & Education Trust American Hospital Association Amanda Calhoun RN, ADON Belleview Estates Monticello, Arkansas 2 Today’s Presenters

3. Describe the objectives and organization of the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI – Long-Term Care Safety Toolkit; Demonstrate how the Long-Term Care Safety Toolkit reinforces project aims; and Illustrate how components of the Long-Term Care Safety Toolkit can help facilities address opportunities to improve their safety culture. 3 Learning Objectives

4. Achieving a Culture of Safety with C.A.U.T.I and T.E.A.M.S. 4

5. What is Culture? Culture consists of values, attitudes and beliefs that can impact outcomes of resident care The ability to change is influenced by culture 5 “the way we do things around here”

6. What is a Culture of Safety? Shared values and beliefs regarding safety All within the organization continuously seek to make care safer A shared belief that health care can be made safer through design Education and training with safety in mind Open communication 6

7. What is a Culture of Safety? Employees support and respect each other An organizational commitment to evaluating patient safety concerns (including near misses) A balance between the need to report events and take disciplinary action Input is valued from everyone at every level 7

8. Why Is Infection Prevention Important? 8

9. What Is the Purpose of This Toolkit? Improve safety culture in LTC facilities Support QAPI initiatives in facilities Supplement technical interventions to reduce health care-associated infections, including catheter-associated urinary tract infections (CAUTIs) 9

10. Who Can Use the LTC Safety Toolkit? Senior leaders and administrators – Help teams and staff prioritize improvement efforts – Provide resources for interventions to succeed – Maintain an ongoing infrastructure for improvement activities – Provide opportunities for staff to learn and practice using teamwork and communication tools Frontline staff – Engage with leaders, residents, and families in safety improvement 10

11. LTC Safety Toolkit Modules Using the Comprehensive Long-Term Care Safety Toolkit Senior Leader Engagement Staff Empowerment Teamwork and Communication Resident and Family Engagement Sustainability 11

12. Strategies to help senior leaders understand the program so they can provide team support and encourage a culture of safety LTC Safety Toolkit: Module 2 Senior Leadership Engagement 12

13. Resources and tools to support independent decision making by LTC team members LTC Safety Toolkit: Module 3 Staff Empowerment 13

14. Concepts and tools to improve communication among LTC team members Tools for communicating with residents and family members LTC Safety Toolkit: Module 4 Teamwork and Communication 14

15. Methods and tools for working with residents and families as partners in their care to increase safety, improve satisfaction, and optimize resident outcomes LTC Safety Toolkit: Module 5 Resident and Family Engagement 15

16. Tools and resources to help ensure that positive changes and outcomes are truly embedded into the culture of LTC facilities after the close of the program LTC Safety Toolkit: Module 6 Sustainability 16

17. LTC Safety Toolkit Organization Senior Leader Engagement Material Use Guide PowerPoint Slides Facilitator Notes Videos – 2.1: Importance of Infection Prevention – 2.2: Enabling the Team – 2.3 A Collaborative Effort – 2.5: An Engaged Team Effort Tools – Senior Leader Checklist – Learning from Defects – Staff Safety Assessment 17

18. 18 LTC Safety Toolkit: Senior Leader Engagement Material Use Guide

19. 19 LTC Safety Toolkit: Senior Leader Engagement PowerPoint Slides

20. 20 LTC Safety Toolkit: Senior Leader Engagement Facilitator Notes

21. 21 LTC Safety Toolkit: Senior Leader Engagement Senior Leader Checklist

22. Amanda Calhoun RN, ADON Belleview Estates Monticello, Arkansas 22 Toolkit in Action

23. Baseline Safety Culture Survey Results Average Positive Responses for All Cohorts 23

24. Overview of the LTC Safety Toolkit and Nursing Home Survey on Patient Safety Culture Nursing Home Survey on Patient Safety Culture Dimension Corresponding Module in LTC Safety Toolkit 1. TeamworkStaff Empowerment Teamwork and Communication Resident and Family Engagement 2. StaffingSenior Leader Engagement Staff Empowerment 3. Compliance With ProceduresStaff Empowerment Teamwork and Communication 4. Training & SkillsStaff Empowerment Sustainability Resident and Family Engagement 5. Nonpunitive Response to MistakesApplying Safety Principles Senior Leader Engagement Staff Empowerment 24

25. LTC Safety Toolkit Implementation Strategies Share videos with teams to spark engagement in staff safety assessments Provide templates and discussion guides to project leads Educate teams on T.E.A.M.S. and Just Culture Use videos and training modules to orient new staff Train teams in using teamwork and communication tools Engage senior leaders and project champions 25

26. QUESTIONS? 26

27. Your Feedback is Important Please take a moment to complete the evaluation for today’s event. Evaluate Event Now 27