p1p1 kaiser permanente northern california: set-up phase dr. carmen adams this presenter has nothing...
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#1 cause of hospital mortality 40+ % of all deaths #1 cause of hospital mortality 40+ % of all deaths At the Heart of Hospital Mortality… is the GermTRANSCRIPT
P1
Kaiser Permanente Northern California: Set-up Phase
Dr. Carmen Adams
This presenter has nothing to disclose
Drivers of Quality and Safety
The Quality Leader
Goal Drivers Focus Areas
Do No Harm
Evidence Based Care
Appropriate Care Setting & Managing
Transitions
Teamwork
Safe Culture
Prevent InfectionsPrevent Falls Prevent Pressure UlcersMedication Safety Surgical SafetyPerinatal SafetyCritical Care Safety
Acute Myocardial InfarctionHeart FailurePneumoniaSurgical Care Improvement Program StrokeSepsisMaternal Child Health Quality Goals
Advanced Illness Care Planning Care Transitions under development
Appropriate Post-Hospital Care
Building the Bridge for 21 Kaiser Permanente Medical Centers
MortalityDiagnosticSpring 08
Sepsis Design Team
Pilot Sepsis SummitNov 08
21 Hospital Spread
Prioritize Standardize Process & Measures
Create Vehicle for Change
ImplementImplement
Critical Steps to Redesigning
2. Stratify Risk
2. Standardize
3. Create Vehicle for Change
4. Implement, Measure, Collaborate
1. Prioritize
Table Top
Bedside
• Prove and Improve• Create First Adopters and Advocates• Gather and Test Implementation Tools: Playbook
Build the Standard and the Measurement Strategy and Test Them
Standardize
SUMMIT
Blueprint for Change: A Common Framework
All Patients with Infection are screened for
Teach and Test: Creating a Measurement Strategy
Time of Dx
1 hour
2 hours
6 hours
6-12 hours
Antibiotics
Central Line
MAPCVP
ScvO2 at Goal
Lactate Clearance
Do Not Delay for ICU
Antibiotics
Treat it reliably
Destination
Constructing a Vehicle for Change
Leadership alignmentStandardization / SystemizationProject ManagementData that drives
Compelling Story
Vehicle for Change
OwnershipUniformity Reliability Sustainability
Compelling Case for Change
QUESTIONS?