Insert Hospital Name HereInsert Your Motto Here, e.g. “Our Bottom-line Line is Patient

Safety”Slide 1

Customize the motto

Insert a photo of your hospital and

logo here.

Insert a photo of your Safety Team,

including your CEO and PFA(s) here.

Insert a caption, including names for the Safety Team,

CEO and PFAs here.

Insert a caption, including the name of your hospital

and the city and state where you are located, here.

Customize the team info.

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Baseline 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09

Hospital 0.06 0.07 0.04 0.08 0.02 0.03 0.02 0.04 0.03 0.01 0.01 0.02 0.01 0.01 0.02 0.00 0.01 0.00 0.01 0.00 0.01 0.00

Goal 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04 0.04

Total Harm per Discharge

Insert a title for your “Total Harms per Discharge” run chart here

e.g., “Cut Harm Across the Board in ½”Customize the heading

Insert your total harm run chart

Slide 2

Insert a title for your “topic-specific” run chart here e.g., “2014 Breakthrough in

Reducing CAUTI: Journey to Zero”Customize the headingInsert a topic-specific run chart

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Baseline 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100. 100.

Hospital 105. 66.6 33.3 100. 83.3 45.4 0.00 0.00 52.6 0.00 0.00 52.6 0.00 0.00 52.6 0.00 52.6 0.00 0.00 0.00 0.00 0.00

Goal 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0 60.0

Catheter Associated Urinary Tract Infections

Slide 3

AEAs Estimated annual number of patients at risk in each area Number of Opportunities

ADE # of discharges:

CAUTI # pts in IP units with catheter in place:

CLABSI # pts in IP units with central lines:

Falls # of discharges:

EED # of women with elective deliveries

OB # of women with deliveries:

HAPU # of discharges:

SSI # of inpatient surgeries:

VAE # of patients on a ventilator:

VTE # of discharges:

TOTAL Risk opportunities for harm across the board

Readmit. # of inpatients at risk of readmit:

Risk Profile: Areas of Risk We Are Committed To ControllingAnnual discharges: __________ AEA risk

opportunities/discharge: _______Customize the risk opportunities/discharge

Customize the annual discharges

Slide 4

Note: “AEA”

= Adverse

Event Areas

Improving Harm Rates (/ Discharge)

AEAs Baseline Rate[time period]

Target Rate

Current Rate[time period – last 3 months]

Improvement Status (scale)

ADE

CAUTI

CLABSI

Falls

EED

OB

HAPU

SSI

VAE

VTE

Total

         

Readmit.        

Insert a your harm rates per discharge here, using the following table. For non-applicable

topics – please insert “Z”.

Customize the baseline, target and current rates and improvement scale

Slide 5

Hospital Risk Score Card

Our Safety Mandate

Annual Volume (Discharges)

Total risk: annual harm opportunities

Risks per patients (Total Opportunities)/Discharges)

Number of Risk Areas

Number of Risk Areas Applicable (0 – 11)

Number of Risk Areas Applicable & Adopted

Our Progress

Number of Areas with Major Improvement Opportunity

Number of Areas at Improvement Target

Number of Areas at IDEAL

Insert your risk score card here, using the following table:

Customize your score card

Slide 6

How We Engage Patient/Family Advisors in Eliminating HAB

Engaging Patient/Family Advisors

Customize how you answered the Model for Improvement questions , together, as they relate to your hospital’s eliminating HAB journey

Slide 7

Our Results and Pearls

Results: A concise description of what you achieved, as it relates to eliminating HAB and engaging PFAs.

Customize your responses

Slide 8

PFA Quote: Insert a PFA quote here about eliminating HAB.

Pearls: Bullet your biggest insights about what worked and how.

Include what you tested and learned.Include how you will advance this topic

over the next month (and beyond). List the most important drivers of

safety that produced these results, but make this list succinct, high-level and clear.

Include the PFA insights, thoughts and feedback