2011 06 22 AHA Leadership summit WellStar.pptx

96 Pages·2011·17.16 MB·English

Why High Reliability Matters:
How to Build a Safety Culture that
Actually Saves Lives
An Improvement Partnership with Healthcare

Performance Improvement
AHA Leadership Summit
July 18, 2011
HPI material used with the permission of
Healthcare Performance Improvement, LLC  Tel: [phone]  
Web: www.hpiresults.com
Some Annual Volume Statistics
• 300,000 ED visits
• 74,000 Inpatient Admissions
• 11,000 Deliveries
• 43,000 Surgeries
• 1.3 Million Medical Group Visits
• 13% Growth Rate in Service Area
• $200 Million uninsured care
• All 5 hospitals serve as the primary safety net
facility for that county
Our Vision:
To deliver world class healthcare!
Our Credo:
Our Mission:
I believe every person and
To create and deliver
every job is important and I
high quality, compassionate
am accountable for achieving
my goals.
hospital, physician
I believe in compassion and
and other healthcare related
understanding.
services that improve I believe in innovation and
creative thinking.
the health and well being
I believe in the WellStar team
for the
and we are making a
individuals and communities difference in people’s lives.
We believe in life well-lived.
we serve.
WellStar Health System FY 2009 Goa
ls
People Customer Safety and Financial Successful
Service Quality Growth
Achieve the 65th Achieve the following Achieve CORE Realize an Operating Achieve projected
percentile on Patient Satisfaction measure top performer Margin of 4.0% volume growth in
Employee percentile targets: status for 70 of 97 Inpatient: 5.2%
Engagement Inpatient – 65th measures Achieve Foundation Amb surgery: 3.7%
Philanthropy Goal of
Outpatient – 80th Emergency: 4.3%
Reduce system-wide Reduce Healthcare $5.0 million.
turnover rate for FT/ Amb Surg – 90th Associated Infections Imaging: 7.7%
PT staff to 12% Emergency – 55th to 47 or fewer total Identify and Cardiac: 4.7%
WS Phy Group – 80th CLI’s and VAP’s, implement strategic
Achieve the 55th additional 50% performance-
percentile on Exceed State & reduction from improvement
Medical Staff National benchmarks FY2008 initial initiatives to realize an
Engagement on percentages of 9’s baseline operating margin run
and 10’s on the rate of 6% by the 4th
“Overall Rating” quarter FY09
HCAHPS question
How will we know we are World Class?
We will define through metrics and measure our progress...
4
Have we been achieving system level goals?
WellStar FY 2011 Mortality Results
(FY10)
Mortality Mortality
Final
Hospital Rate Index
Mortality
(Trendstar) (Premier)
Jul’10-Dec’10 Rate Jul’10-Sep’10
Cobb 1.19 1.30 0.70
Douglas 1.64 1.80 0.46
Kennestone 1.56 1.76 0.66
Paulding 0.74 0.82 1.00
Represents a 23% improvement from FY 2007 Baseline of 1.81
6
Central Line Infections
and VAPs virtually eliminated
Represents 325 Infections Prevented and counting!
Number of Core Measures at Top Performer for
AMI, HF, PN, SCIP & Stroke is accelerating
60% of Measures are at Perfection
Early WellStarImprovement Efforts…
Rapid Response Teams
+
Ventilator Associated Pneumonia Bundle
+
Central Line Bundle
+
Sepsis Bundle
+
Physician Order Entry in the ED
+
OR Flow Improvements
Many Others…
But Did These Alone Produce Needed Safety Behavior
Changes and a Significant Reduction in Patient Harm Across
each Hospital or System?
©2006 Healthcare Performance Improvement, LLC.
ALL RIGHTS RESERVED.
SMS erious Safety Event Rate - WellStar System
SSER
July 2005 – January 2009