CareFirst and Delmarva Foundation 100k Lives and Beyond Welcome

1
Welcome!
These slides are posted on www.delmarvafoundation.
org
2

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• For hospitals interested in enrolling in a
  Patient Safety and Quality Initiative led by the
  Delmarva Foundation

3

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• FOCUS ICU
• The CareFirst Delmarva 100k Lives and Beyond
  Collaborative

4
We are interested in improving care in ICUs.
What is the Delmarva Foundation offering?
These slides are posted on www.delmarvafoundation.
org

• The CareFirst Delmarva Foundation 100k Lives
  and Beyond Collaborative has a Focus ICU Track.
• This Collaborative currently includes hospitals
  from the District of Columbia, Maryland, Virginia
  and Delaware.
• Collaborative events will be held in the
  metropolitan DC area.
• Enrollment in this collaborative will be closing
  soon, space is limited!

5
What does enrolling in the CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative
cost?
These slides are posted on www.delmarvafoundation.
org

• The CareFirst Delmarva Foundation 100k Lives
  and Beyond Collaborative is supported by
  CareFirst and the Maryland and DC Medicare QIO
  contract.
• If you are from a CareFirst hospital there is no
  cost for enrollment.
• If you are a hospital from Maryland or the
  District of Columbia participating as an
  Identified Participant there is no cost for
  enrollment.
• If you do not meet either of these criteria but
  would like to participate the cost per
  collaborative team is 7,500/year.

6
What are the enrollment requirements for the
CareFirst Delmarva Foundation 100k Lives and
Beyond Collaborative?
These slides are posted on www.delmarvafoundation.
org
Submission of a letter from the hospital CEO
indicating that he/she has reviewed the
initiative requirements and agrees to the terms
of participation. Assignment of an executive
sponsor to adopt the participating ICU
team. Assembly of a multidisciplinary Improvement
Team, with a physician and improvement lead able
to commit 4 to 8 hours per week to the
project. Team commitment to collecting required
data (two culture surveys and outcomes data) and
attending the Collaborative launch and up to
three workshops per year.
7
How does the Focus ICU Track of the CareFirst
Delmarva Foundation 100k Lives and Beyond
Collaborative overlap with the IHI 100k Lives
Campaign, the CMS and AHA National SCIP
Initiative, and JCAHO Patient Safety Requirements?
These slides are posted on www.delmarvafoundation.
org
The Focus ICU track of the CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative is
designed to align with each of these national
initiatives. Four of the six 100k Lives
platforms are addressed (Central Line Infection,
Ventilator-Associated Pneumonia, Rapid Response
Teams and Medication Reconciliation). Two of the
four AHA and CMS SCIP focus areas are addressed
(Post-operative pneumonia prevention and DVT
prevention). JCAHO Patient Safety Requirements
related to medication reconciliation and growing
emphasis on teamwork are addressed.
8
What clinical topics are covered by the Focus ICU
Track of CareFirst Delmarva Foundation 100k
Lives and Beyond Collaborative?
These slides are posted on www.delmarvafoundation.
org

• The clinical topics for this Collaborative are
  organized into a Critical Care Bundle that has
  its origins in work shared by the Dartmouth
  Hitchcock Medical Center and the experiences of
  ICU teams from the Maryland Patient Safety Center
  (MPSC)
• The primary clinical outcomes are prevention of
  Ventilator-Associated Pneumonia (VAP) and
  Catheter-Related Blood Stream Infections (CR-BSI)
• We will track many evidence-based processes that
  are associated with reducing the risk of these
  infections

9
What clinical processes are included in the
Critical Care Bundle?
These slides are posted on www.delmarvafoundation.
org

• We will track many evidence-based processes that
  are associated with reducing the risk of
  hospital-acquired infections these include
• Mechanical processes such as keeping the
  head of bed elevated and having central line
  insertion kits or carts close at hand.
• Technique related processes such as sterile
  technique for central line insertions.
• Treatment related processes such as providing
  treatments for DVT, peptic ulcer disease and
  hyperglycemia prevention, as well as, application
  of weaning protocols.
• Teamwork related processes - such as
  multidisciplinary rounding with set daily goals
  and reconciling medications.

10
How is culture addressed in the Focus ICU Track
of CareFirst Delmarva Foundation 100k Lives and
Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org

• Culture is comprehensively addressed in all
  Delmarva Collaboratives.
• ICUs participating in this project are expected
  to administer the Agency for Healthcare Research
  and Quality (AHRQ) Hospital Survey on Patient
  Safety Culture to all ICU staff at the start of
  the Collaborative and one year later.
• Initiative teams will be trained to engage ICU
  staff in discussions about safety teamwork
  tools and strategies are shared and implemented
  by ICU teams.
• Executive sponsors are expected to adopt the
  ICU team and executive rounds are conducted at
  least monthly.
• The biggest culture intervention occurs at the
  bedside as multidisciplinary teams and regional
  workgroups take the lead on designing how they
  work so patients and healthcare workers benefit
  from a transformed healthcare infrastructure.

11
Who should we contact for more information about
the Focus ICU track of CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org

• Janet Robinson is the CareFirst Delmarva
  Foundation 100k Lives and Beyond Collaborative
  Project Manager
• Janet Robinson
• Project Manager
• Telephone [phone]
• robinsonj_at_dfmc.org

12
CareFirst 100k Lives and Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org
Clinical Chair William Krimsky, MD Assistant
Professor of Medicine, Johns Hopkins University
School of Medicine. Director, Interventional
Pulmonology and Critical Care Associates of
Baltimore Associate Chair, Richard P. Dutton,
M.D., M.B.A. Associate Professor of
Anesthesiology Chief, Trauma Anesthesiology R
Adams Cowley Shock Trauma Center University of
Maryland Medical Center
13
Is there information we take with us today?
These slides are posted on www.delmarvafoundation.
org
Please take Janet Robinsons business card, a
brochure and registration form. You can also
download this slide show and many more resources
from our webpage at www.delmarvafoundation.org
14

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• For hospitals interested in enrolling in a
  Patient Safety and Quality Initiative led by the
  Delmarva Foundation

15

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• FOCUS OR
• The CareFirst Delmarva 100k Lives and Beyond
  Collaborative

16
We are interested in improving care for surgical
patients. What is the Delmarva Foundation
offering?
These slides are posted on www.delmarvafoundation.
org

• The CareFirst Delmarva Foundation 100k Lives
  and Beyond Collaborative has a Focus OR Track.
• This Collaborative currently includes hospitals
  from the District of Columbia, Maryland, Virginia
  and Delaware.
• Collaborative events will be held in the
  metropolitan DC area.
• Enrollment in this collaborative will be closing
  soon, space is limited!

17
What does enrolling in the CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative
cost?
These slides are posted on www.delmarvafoundation.
org

• The CareFirst Delmarva Foundation 100k Lives
  and Beyond Collaborative is supported by
  CareFirst and the Maryland and DC Medicare QIO
  contract.
• If you are from a CareFirst hospital there is no
  cost for enrollment.
• If you are a hospital from Maryland or the
  District of Columbia participating as an
  Identified Participant there is no cost for
  enrollment.
• If you do not meet either of these criteria but
  would like to participate the cost per
  collaborative team is 7,500/year.

18
What are the enrollment requirements for the
CareFirst Delmarva Foundation 100k Lives and
Beyond Collaborative?
These slides are posted on www.delmarvafoundation.
org
Submission of a letter from the hospital CEO
indicating that he/she has reviewed the
initiative requirements and agrees to the terms
of participation. Assignment of an executive
sponsor to adopt the participating OR
team. Assembly of a multidisciplinary Improvement
Team, with a physician and improvement lead able
to commit 4 to 8 hours per week to the
project. Team commitment to collecting required
data (two culture surveys and outcomes data) and
attending the Collaborative launch and up to
three workshops per year.
19
How does the Focus OR Track of the CareFirst
Delmarva Foundation 100k Lives and Beyond
Collaborative overlap with the IHI 100k Lives
Campaign, the CMS and AHA National SCIP
Initiative?
These slides are posted on www.delmarvafoundation.
org
The Focus OR track of the CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative is
designed to align with each of these national
initiatives. One of the 100k Lives platforms
is addressed (Surgical Site Infection). Three of
the four AHA and CMS SCIP focus areas are
addressed (Post-operative heart attack ,
infection and DVT prevention).
20
What clinical topics are covered by the Focus OR
Track of CareFirst Delmarva Foundation 100k
Lives and Beyond Collaborative?
These slides are posted on www.delmarvafoundation.
org

• The clinical topics for this Collaborative are
  organized into a Care Bundles that address
  peri-operative infection, blood clot and heart
  attack risks
• The primary clinical outcomes are prevention of
  peri-operative Surgical Site Infection (SSI),
  heart attack (MI), blood clots (DVT and PE) and
  death rates (Mortality).
• We will track many evidence-based processes that
  are associated with reducing the risk of these
  infections.

21
What clinical processes are included in the OR
Care Bundle?
These slides are posted on www.delmarvafoundation.
org

• We will track many evidence-based processes that
  are associated with reducing the risk of
  hospital-acquired infections these include
• Mechanical processes such as replacing
  betadine stocks with chlorhexadine, and keeping
  patients warm.
• Technique related processes such as avoiding
  shaving of operative sites.
• Treatment related processes such as providing
  treatments for DVT, infection and hyperglycemia
  and heart attack prevention.
• Teamwork related processes - such as briefing
  and debriefing procedures, coordinated flow and
  improved hand-off processes.

22
How is culture addressed in the Focus OR Track
of CareFirst Delmarva Foundation 100k Lives and
Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org

• Culture is comprehensively addressed in all
  Delmarva Collaboratives.
• ORs participating in this project are expected to
  administer the Agency for Healthcare Research and
  Quality (AHRQ) Hospital Survey on Patient Safety
  Culture to all OR staff at the start of the
  Collaborative and one year later.
• Initiative teams will be trained to engage OR
  staff in discussions about safety teamwork
  tools and strategies are shared and implemented
  by OR teams.
• Executive sponsors are expected to adopt the OR
  team and executive rounds are conducted at least
  monthly.
• The biggest culture intervention occurs in the
  peri-operative suite as multidisciplinary teams
  and regional workgroups take the lead on
  designing how they work so patients and
  healthcare workers benefit from a transformed
  healthcare infrastructure.

23
Who should we contact for more information about
the Focus OR Track of CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org

• Janet Robinson is the CareFirst Delmarva
  Foundation 100k Lives and Beyond Collaborative
  Project Manager.
• Janet Robinson
• Project Manager
• Telephone [phone]
• robinsonj_at_dfmc.org

24
CareFirst 100k Lives and Beyond Collaborative
These slides are posted on www.delmarvafoundation.
org
Clinical Chair William Krimsky, MD Assistant
Professor of Medicine, Johns Hopkins University
School of Medicine. Director, Interventional
Pulmonology and Critical Care Associates of
Baltimore Associate Chair, Richard P. Dutton,
M.D., M.B.A. Associate Professor of
Anesthesiology Chief, Trauma Anesthesiology R
Adams Cowley Shock Trauma Center University of
Maryland Medical Center
25
Is there information we take with us today?
These slides are posted on www.delmarvafoundation.
org
Please take Janet Robinsons business card, a
brochure and registration form. You can also
download this slide show and many more resources
from our webpage at www.delmarvafoundation.org
26

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• FOCUS ED
• The Maryland Patient Safety Center ED Safety
  Culture Collaborative

27
We are interested in improving emergency care.
What is the Delmarva Foundation offering?
These slides are posted on www.delmarvafoundation.
org

• The Maryland Patient Safety Center will soon be
  launching its ED Safety Culture Collaborative
• This Collaborative is offered to Maryland
  Hospitals.
• Collaborative events will be held in the
  Maryland.
• Enrollment in this collaborative begins October
  3, 2005.

28
What does enrolling in the Maryland Patient
Safety Center ED Safety Culture Collaborative
cost?
These slides are posted on www.delmarvafoundation.
org

• The Maryland Patient Safety Center ED Safety
  Culture Collaborative is supported by the
  Delmarva Foundation, MHA, and the HSCRC.
• If you are from a Maryland hospital there is no
  cost for enrollment.
• If you do not meet this criteria but would like
  to participate applications for enrollment will
  be considered. For ED teams outside of Maryland
  the cost per team is 7,500/year.

29
What are the enrollment requirements for the
Maryland Patient Safety Center ED Safety Culture
Collaborative ?
These slides are posted on www.delmarvafoundation.
org
Submission of a letter from the hospital CEO
indicating that he/she has reviewed the
initiative requirements and agrees to the terms
of participation. Assignment of an executive
sponsor to adopt the participating ED
team. Assembly of a multidisciplinary Improvement
Team, with a physician and improvement lead able
to commit 4 to 8 hours per week to the
project. Team commitment to collecting required
data (two culture surveys and outcomes data) and
attending the Collaborative launch and up to
three workshops per year.
30
How does the Focus ED Track of the Maryland
Patient Safety Center ED Safety Culture
Collaborative overlap with the IHI 100k Lives
Campaign, the CMS/JCAHO Core Measures and JCAHO
Patient Safety Requirements?
These slides are posted on www.delmarvafoundation.
org
The Focus ED track of the CareFirst Delmarva
Foundation 100k Lives and Beyond Collaborative is
designed to align with each of these national
initiatives. One of the six100k Lives
platforms is addressed (Acute Myocardial
Infarction). CMS/JCAHO Core Measures relating to
heart attack care and pneumonia will be addressed
in this initiative. JCAHO Patient Safety
Requirements related to medication
reconciliation, hand-offs and team work will be
addressed
31
What clinical topics are covered by the Focus ED
Track of the Maryland Patient Safety Center ED
Safety Culture Collaborative ?
These slides are posted on www.delmarvafoundation.
org

• The clinical topics for this Collaborative will
  be organized into a Care Bundles. A panel of
  local and national experts is meeting on October
  4, 2005 to finalize the change package for this
  collaborative.
• Topic areas being reviewed include chest pain,
  pneumonia, stroke and sepsis care.

32
What clinical processes are included in the ED
Care Bundles?
These slides are posted on www.delmarvafoundation.
org

• We will track many evidence-based processes that
  are associated with getting critical care to the
  critically ill quickly and managing hand-offs
  safely
• Treatment related processes such as providing
  treatments that improve survival for patients
  with heart attacks, stroke, pneumonia and sepsis.
• Teamwork related processes - such as briefing
  and debriefing procedures, coordinated flow and
  improved hand-off processes.

33
How is culture addressed in the Focus ED Track
of the Maryland Patient Safety Center ED Safety
Culture Collaborative?
These slides are posted on www.delmarvafoundation.
org

• Culture is comprehensively addressed in all
  Delmarva Collaboratives.
• EDs participating in this project are expected to
  administer the Agency for Healthcare Research and
  Quality (AHRQ) Hospital Survey on Patient Safety
  Culture to all ED staff at the start of the
  Collaborative and one year later.
• Initiative teams will be trained to engage ED
  staff in discussions about safety teamwork
  tools and strategies are shared and implemented
  by ED teams.
• Executive sponsors are expected to adopt the Ed
  team and executive rounds are conducted at least
  monthly.
• The biggest culture intervention occurs at the
  bedside as multidisciplinary teams and regional
  workgroups take the lead on designing how they
  work so patients and healthcare workers benefit
  from a transformed healthcare infrastructure.

34
Who should we contact for more information about
the Focus ED Track of the Maryland Patient Safety
Center ED Safety Culture Collaborative
These slides are posted on www.delmarvafoundation.
org

• ZeAmma Walker is the Maryland Patient Safety
  Center ED Safety Culture Collaborative Project
  Manager.
• ZeAmma Walker
• Project Manager
• Telephone [phone]
• walkerz_at_dfmc.org
•  

35
Maryland Patient Safety Center ED Safety Culture
Collaborative
These slides are posted on www.delmarvafoundation.
org
Clinical Chairs Stephen Schenkel, MD,
MPP Assistant Professor of Surgery Division of
Emergency Medicine University of Maryland School
of Medicine David McAllister, RN President.
Maryland Emergency Nurses Association.
36
Is there information we take with us today?
These slides are posted on www.delmarvafoundation.
org
Please take ZeAmma Walkers business card, a
brochure and registration form. You can also
download this slide show and many more resources
from our webpage at www.delmarvafoundation.org
37

These slides are posted on www.delmarvafoundation.
org
Questions Answers

• FOCUS
• RAPID RESPONSE TEAMS

38
We are interested in implementing Rapid Response
Teams. What is the Delmarva Foundation offering?
These slides are posted on www.delmarvafoundation.
org

• The CareFirst Delmarva Foundation 100k Lives
  and Beyond Collaborative will address Rapid
  Response Teams.
• Some teams from this initiative will join the
  RWJF funded RRT Learning Action Network to become
  regional leaders in the implementation and spread
  of RRT strategies.
• RRT Learning Action Network events will be held
  in the DC/Maryland vicinity.
• Enrollment in the RRT Learning Action Network
  will begin soon, space is limited!

39
Who should we contact for more information about
the RRT Learning Action Network
These slides are posted on www.delmarvafoundation.
org

• Please contact
• Debbie Christian
• Director of Patient Safety and Culture Projects
• Delmarva Foundation
• Telephone [phone]
• christiand_at_dfmc.org