Is 99% Good Enough

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Is 99 Good Enough

• Randy Johnson BA
• Director of Marketing
• THE HEART HOSPITAL Baylor Plano

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Quality Culture

• What is a quality culture?
• Quality of care delivered is primary focus of the
  health care facility
• Building a trust relationship with the
  staff-comfortable with reporting near misses,
  errors, and problems
• Reporting structure without fear of retaliation

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Quality Culture

• Emphasis on finding fault with processes not
  people
• Everyone strives to identify best practices
• Everyone focuses on opportunities to improve
  processes to improve patient safety and patient
  satisfaction

4
Process Improvement Teams

• Process Improvement Teams
• Multidisciplinary teams
• Goal is to look at processes and determine ways
  to improve
• Plan, implement and evaluate strategies geared
  toward improvement

5
Transparency

• Leads to increased trust in the facilitys
  integrity
• Assists consumers in making informed health care
  choices
• Inspires health care facilities to strive for
  excellence

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Supportive Administration

• Open door policy
• Cant just say it, have to live it.
• Support for the process improvement teams
• Must allow teams the time to meet and make sure
  that they have adequate resources
• Accessibility
• Must be visible within the facility. The staff
  need to know who they are.

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Quality Cultures Impact on Patient Outcomes

• Decrease in never events
• Decrease in adverse events
• Decrease in length of stay
• Increase in patient involvement in plan and
  implementation of care

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Quality Cultures Impact on Patient Outcomes

• Increased family involvement in patient care
• Increase in open communication among caregivers
  and with patients
• Increased visibility of Administration on the
  patient care units

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Why do we care?

• We want good outcomes for our patients
• We want a good reputation for our facility
• We want to know we have done the absolute best we
  can for our patients
• We want to make the world a better place
• We want to make a difference

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Did you know? If 99 is good enough, then

• - 12 newborns will be given to the wrong parents
  daily.
• - 103,260 income tax returns will be processed
  incorrectly this year.
• - Two plane landings daily at O' Hare
  International Airport in Chicago will be unsafe.
• - 18,322 pieces of mail will be mishandled in the
  next hour.

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Did you know? If 99 is good enough, then

• - 291 pacemaker operations will be performed
  incorrectly this year.
• 880,000 credit cards in circulation will turn out
  to have incorrect cardholder information on their
  magnetic strip
• - 20,000 incorrect drug prescriptions will be
  written in the next 12 months

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Did you know? If 99 is good enough, then

• - 107 incorrect medical procedures will be
  performed by the end of the day today.
• - 2,000,000 documents will be lost by the IRS
  this year.
• - 22,000 checks will be deducted from the wrong
  bank accounts in the next 60 minutes.

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What does Quality Look Like?
Patti Grant
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Patti Grant

• An IP at Medical City Dallas Hospital, Dallas ,
  Texas with just under 20 years experience
• Served on various APIC DFW Chapter as Historian,
  Secretary, Board Member, Program Chair and has
  been Chair of the Governmental Affairs Committee
  since 2002
• With APIC International Headquarters she is a
  member of Board of Directors
• Member Texas HAI Advisory Panel

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Patti Grant

• Is serving her 2nd term on the Editorial Review
  Board of the American Journal of Infection
  Control
• 1994 GREAT 100 Nurse for TNA District 34
• 1997 APIC New Investigator Award
• 2001 Gerry Haynes Award Winner
• Writes bi-monthly column for Hospital Infection
  Control Prevention iP Newbie

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What does Quality Look Like?
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Judy Prescott

• Manager, epidemiology for Baylor university
  Medical Center Dallas, Texas
• IP and member of APIC for 29 years
• Served her APIC Chapter as President, Board
  Member, Education Committee Chair, Governmental
  Affairs Committee Chair, and a member of multiple
  committees
• Served as National APIC Program Chair for
  Baltimore Conference in 1999, Nominating
  Committee, Bylaws, and the Education Committee
  Novice Practitioner Task Force

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Judy Prescott

• Presented at the national, state and local levels
• Serves as an Infection Prevention Consultant for
  rural hospitals, long term care facilities, and
  local industry and is published.
• Served 2 terms as President of TSICP
• Provided testimony before Texas Legislative Task
  Force on Medical Waste Management

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Judy Prescott

• 1991 recipient of the TSICP Gerry Haynes Memorial
  Award for Excellence in hospital Infection
  Control
• 2000 GREAT 100 Nurse of DFW Metroplex
• 2001 Nursing Excellence Finalist in Mentoring
  given by Nurseweek Magazine
• Hero of Infection Prevention in 2007 by APIC

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What does Quality Look Like?
Charlotte Wheeler
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Charlotte Wheeler

• Lead Infection Preventionist Baptist St Anthonys
  in Amarillo, Texas since 2003
• Elected by Amarillo Health District as a member
  of the Medical Expert Advisory Committee on
  upcoming medical and pandemic planning issues
• Addressed MRSA seen in community by education of
  staff and physicians decreasing hospital acquired
  MRSA in hospital. Implemented system to alert
  staff of admission of MRSA pt

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Charlotte Wheeler

• Presenter for THA Best Practice 100,000 lives
  Austin, Texas May 2006 (Reducing Central Line
  Infections)
• Successful Hand Hygiene Campaign launched
  motivating all staff to improve hand hygiene
  compliance. Visual audit results increased by
  greater than 75 2004-2006
• Nurse of the month July 2007

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Charlotte Wheeler

• TNA Nurse of Excellence Award 1992
• Employee of the year 1990
• Certified in Infection Prevention since 2005
• Member of Texas HAI Advisory Panel
• President TSICP 2006-2007
• Past President TSICP 2008-2010