safe & sound in the hospital: patient engagement … · call asma to schedule at (916) 552-7651...

ENGAGE! Partnering with Patients and Families to Strengthen Quality and Patient Safety

Track II – Engaging Patients and Families to Prevent Patient Falls June 16, 2016

12:00-1:00pm

Call In Number: 1-310-372-7549

Access Code: 393032

Program materials are on ENGAGE! Member

Portal

http://www.hqinstitute.org/member-portal

Login: ENGAGE Password: HQI2016

Coaching Calls time slots are available • June 23rd • August 4th Call Asma to schedule at (916) 552-7651

Core Topics

1. ADE

2. CAUTI

3. CLABSI

4. EED/OB Harm

5. Falls

6. Pressure Ulcers

7. SSI

8. VAE

9. VTE

10. Readmissions

CalHEN 2.0

Optional Topics

1. C. diff

2. Sepsis

3. Airway Safety

4. Culture of Safety

5. Failure to Rescue

6. Iatrogenic Delirium

7. Radiation Exposure

12-month accelerated improvement SPRINT to reduce inpatient harm by 40% and all-cause preventable readmissions by 20% by September 23, 2016

Objectives: Obtain know-how to construct practical tools for engaging patient

families in preventing patient falls.

Review sample engagement tools by PartnerHealth and others aimed at preventing infections.

Learn communication strategies to activate the families’ use of the tools.

Today’s Learning Objectives

ENGAGE! Track II Program Team

Karen Curtiss

Shweta Krishnan Boris Kalanj

Mary Foley

Priscilla Magano Asma Ahmad

And featuring:

Pat Quigley

Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP

Patricia Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP, Nurse Consultant, Retired Associate Director, VISN 8 Patient Safety Center of Inquiry, is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing and rehabilitation are evident at a national level – with emphasis on clinical practice innovations designed to promote elders’ independence and safety. She is nationally known for her program of research in patient safety, particularly in fall prevention. The falls program research agenda continues to drive research efforts across health services and rehabilitation researchers.

Welcome Christine!

Christine O’Farrell

BSN, CPHQ, CPHRM

Director of Quality

Management

Barton Healthcare

System

South Lake Tahoe

Recognized as a top performing hospital by the Joint

Commission, “A” grade from Hospital Safety Score

70 beds, caring for about 6,000 in-patients a year

PFAC

Why & when initiated, our culture

PFAC influences Barton care and services

Sponsored by Hospital Quality Institute Copyright©2016, PartnerHealth

Committed to Patient Centered Care

Member Sharing: Barton Health

PFAC Family Engagement Initiative


Inspired by Engage workshops in February.

Took PartnerHealth’s engagement tools to PFAC during the May meeting.

Reactions were very positive.

PFAC recommended a plan to offer a kiosk with PartnerHealth tools, located in a special area for

families

Families can pick up, look over in comfortable place

Kiosk will have a built-in monitor where Welcome video will play

Kiosk will include storage for materials

Goal is to launch in August

+

Welcome!

Presented by:

Karen Curtiss, PartnerHealth

Mary Foley RN Phd, UCSF School of Nursing

Deep Dive on

Family Engagement

to Prevent Falls

ENGAGE! HQI

June 16, 2016


What’s

Sparked for

You?

New family

engagement

ideas and

practices?


Sponsored by Hospital Quality Institute

Copyright©2016, PartnerHealth

Today’s “Deep Dive” How to Partner with Families to PREVENT FALLS

Agenda and Objectives


Activity Learning Goal Time

Mary Specific information to share with families

about how to support loved ones to prevent

falls taken from our workbook: evidence and

benefits to patient safety.

Obtain know-how to construct practical tools for

engaging patient families in preventing falls – and

if they happen, how to include families in your

huddles

10

Karen Sample tools and rationale for content and

design features: from PartnerHealth and

others.

Review sample engagement tools by

PartnerHealth and others aimed at preventing

falls.

20

Mary

and

Karen

Role play using Safe & Sound communication

rubric..

Learn how to apply communication strategies to

activate family use of tools (using PH head, heart,

hands model).

10

Q and A. Please speak up -- we’d love to hear your thoughts!

Why Focus on Falls?

Why Partner with Families?

• Up to 50% of patients are at risk

• Not just frail, elderly women – all ages, both sexes, all mobility and cognition levels

• When patients fall, 50% suffer injury

• 12.3 more days in the hospital

• 3-10 times greater risk for skilled nursing facility

• 61% increase in patient care cost

• “Hidden costs” just as harmful

• Confidence impaired = lower quality of life

• Fear of falling may be just as disabling as a fall itself

• Additional burden on families for physical and emotional support


Informed and engaged family-

member Care Partners can be

your “fall police”!


More: http://cloud.flipb.com/parthner-

health/PartnerHealth-Engagement-Webinar-

Guide/index.html

http://cloud.flipb.com/parthner-health/PartnerHealth-Engagement-Webinar-Guide/index.html









Quick Review: Safe & Sound Partnering Rubric


SHARE FACTS:

Simple info in simple terms

MOTIVATE:

Fuel connection, “We’re in this together!”

Grace notes

Reasons why

Provide ”To Do” Tools:

Transform help-less to help-full


S a f e & S o u n d E n g a g e m e n t P r o c e s s Copyright to PartnerHealth, LLC, 2013

Safe & Sound Family Toolkit

To Prevent Falls

Checklist

Shared in Lay Terms

Practical Tools

Put Families on Your Team -- On Guard With You


Share Facts

with Family

Their loved one’s…

Blood pressure

Medications that cause drowsiness, confusion

Oxygen saturation levels

Trip hazards in the room, wheels!

Grab bars

Story about someone falling – esp. someone no one would expect to fall (connect the


S a f e & S o u n d E n g a g e m e n t P r o c e s s Copyright to PartnerHealth, LLC, 2013

Provide Tools to

Inform, Engage and ACTIVATE

A Simple Hangtag with To-Do’s

to Prevent

(Alternative headlines)

Please call, don’t fall.

Don’t fall for us!

If in doubt, sit it out.

Be kind to your behind….

…Call, don’t fall!

Share a “Deck” of Cards to Play Up Alertness


What if Your Patient Falls?

How to Bring Families into the Post-Fall Huddle


How Can We Activate Families

for Safe & Sound Fall Prevention?


Our Strengths What are we good at?

What do we already have in place that we believe reduces the chances for a patient Fall?

Our Challenges What have been our past common issues involved in

patient falls that keep me up at night?

What are our weak links?

What could we make even better?

Our Opportunities How can we strengthen the role of families as partners?

Can we help minimize the risk for fall after discharge?

What can we connect – other initiatives that complement?

Good timing? Champions to tap? Cultural imperatives? Climate is right?

Next Steps What specifically can we do? Who will do it? When?

Resources needed? Others to involve?


Next Steps & Reminders

Fill out the evaluation for today’s webinar at https://www.surveymonkey.com/r/2T376V7

Individual coaching calls are available upon request on Jun 23 and Aug 4. Contact Asma at (916) 552-7651; or [email protected] to schedule.

Mark next webinar date, Thursday, July 21 on Partnering to Prevent Surgical Complications (12–

1 pm).

Your e-guide is at http://cloud.flipb.com/parthner-health/PartnerHealth-Engagement-Webinar-

Guide/index.html.

Please drop us a note to fill us in on tools you create or would like to try!

If you want to try PartnerHealth tools, call Karen at (847) 208-6074.

Thank you!

[email protected]

[email protected]

[email protected]

https://www.surveymonkey.com/r/2T376V7

mailto:[email protected]













safe & sound in the hospital: patient engagement … · call asma to schedule at (916) 552-7651...

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