VIRGINIA BIOMEDICAL ASSOCIATION

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VIRGINIA BIOMEDICAL ASSOCIATION

• SURVEY EXPERIENCES
• TRACERS TIPS
• 2005
• STRATEGIES FOR CONTINUOUS READINESS
• FEBRUARY 11, 2005
• BY
• JOE FLANNERY MS, MHA

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PLAN OF ACTION

• INTRODUCTIONS
• UPDATE LESSONS FROM 1ST YEAR
• TRACER
• SURVEY READINESS - CONTINUOUS
• EOC EQUIPMENT TRACER FOCUS ON EPs
• QUESTION ANSWERS

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INTRODUCTIONS

• PARTICIPANTS
• THE PURPOSE
• THE SURVEYOR/ENGINEER

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2005 UPDATE

• SHARED VISION NEW PATHWAYS WHAT DID WE LEARN
  FROM 2004
• THE APPROACH
• THE SCORES
• PLANS FOR FOLLOW-UP

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UPDATE

• NATIONAL PATIENT SAFETY GOALS
• SEVEN (7)
• MEDICAL EQUIPMENT IMPLICATIONS
• EOC APPLIED
• TRACER TESTED

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THE JCAHO 2005NATIONAL PATIENT SAFETY GOALS

• PATIENT IDENTIFICATION
• COMMUNICATION AMONG CAREGIVERS
• SAFETY USING MEDICATIONS - ?
• INFUSION PUMPS
• HEALTH CARE-ASSOCIATED INFECTIONS
• RECONCILIATION OF MEDICATIONS
• PATIENT FALLS - ?

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CASE STUDY

• ALARMS 2004 NPSG MOVED TO EC FOR 2005
• WHAT GOING ON? MOVED TO EC
• WHY IS IT HAPPENING? - REFOCUS
• RELEVANCE? - MAINTAIN FOCUS
• WHAT TO DO? DEMONSTRATE - RWRH

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SURVEY PREPARATION

• UNDERSTANDING THE CYCLE
• CONTINUOUS READINESS
• PLANS - PROCESS PERFORMANCE

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MORE THAN EC

• PATIENT FOCUSED FUNCTIONS
• RI, PC, MM, IC YES
• ORGANIZATION FOCUS FUNCTIONS
• PI, LD, EC, HR, IM YES
• STRUCTURES WITH FUNCTIONS
• MS, NR YES/NO

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PATIENT

• RI - 2.90, 2.160
• PC - 6.30, 13.20
• MM- 4.20, 5.20
• IC - 1.10, 4.10

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ORGANIZATION

• PI - 1.10, 3.10
• LD - 3.50, 3.70
• EC - BEYOND 6.10 6.20
• HR - 1.10, 3.20
• IM - 6.10, 6.60

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CONTINUOUS READINESS

• 100 COMPLIANCE
• 100 OF THE TIME
• UNANNOUNCED
• READY
• PROGRAM BASED
• DEPTH VS. PERCEPTION
• SYSTEMATIC VS. SPASMATIC

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STRATEGYELEMENTS FOR SUCCESS

• LEADERSHIP
• LEVERAGE DATA BY SHARING
• LEARNING LEADS TO DEPTH
• LOOKING BEYOND THE OBVIOUS
• LEAN PRODUCTION

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DATA DEPLOYMENT

• DATA DEFINED
• DATA GATHERED
• DATA AGGREGATION
• DATA DISPLAY
• DATA DEPLOYMENT

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TACER METHODOLOGY

• INDIVIDUAL TRACERS
• SYSTEM TRACERS
• MEDICATION MANAGEMENT
• INFECTION CONTROL
• DATA MANAGEMENT
• EOC BUILDING TOUR

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CLINICAL SETTINGS

• CARDIOLOGY
• EMERGENCY
• THERAPIES
• SURGERY/PROCEDURES
• AMBULATORY

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MEDICAL DEVICE ACCIDENTS

• FOUR (4) BASIC CAUSES
• DEVICE FAILURE
• EXTERNAL FACTORS
• SYSTEM ERRORS
• OPERATOR ERROR

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MEDICAL EQUIPMENT MANAGEMENT PROGRAM

• PLAN
• BIOMEDICAL EQUIPMENT
• SELECTION
• ACQUISITION
• CODE SYSTEM
• MAINTENANCE STRATEGY (S)
• DEVICE RECALL
• EQUIPMENT SAFETY
• REPORTING MALFUNCTION

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MEDICAL EQUIPMENT MANAGEMENT PROGRAM

• EMERGENCY PROCEDURES
• INVENTORY INSPECTION (NEW)
• EQUIPMENT MANAGEMENT INVENTORY
• LOAN/RENTAL
• ELECTRICAL SAFETY
• STEPS FOR ESTABLISHING A CLINICAL ALARMS
  EFFECTIVENESS PROGRAM
• INFUSION PUMPS

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MEDICAL EQUIPMENT MANAGEMENT PROGRAM

• PREVENTATIVE MAINTENANCE-VENTILATOR
• COMPETENCIES
• STAFF (BIOMED)
• OPERATOR
• ORIENTATION
• TRAINING
• ELECTROMAGNETIC INTERFERENCE

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MEDICAL EQUIPMENT MANAGEMENT PROGRAM

• WATER QUALITY TESTING FOR DIALYSIS
• STERILIZER PERFORMANCE TESTING
• REPORTING EFFECTIVENESS
• ANNUAL PLAN EVALUATION

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STANDARDS REVIEW

• EC.6.10
• EP 3 - RISK CRITERIA 3 BULLETS
• FUNCTION,
• PHYSICAL RISK
• INCIDENT HISTORY
• EP 4 - APPROPRIATE STRATEGIES
• INSPECTION
• MAINTENANCE

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STANDARDS REVIEW

• C.6.20
• EP2 A INITIAL USE
• EP3 A LIFE SUPPORT
• EP6 A ALL STRILIZERS
• EP6 A TESTING WATER

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QUESTIONS/ANSWERSDISCUSSION

• QUESTIONS
• ANSWERS EFFECTIVENESS
• DISCUSSION WITH A PURPOSE

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THANK YOU

• RELY IN YOUR EXPERIENCE
• DEPEND ON YOUR
• PROGRAM TO PRODUCE
• SUCCCESS - SAFETY