/ en Fri, 25 Apr 2025 22:51:14 -0500 Tue, 11 Mar 25 09:28:08 -0500 /guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes <div class="container"> .container h2{ color:#003087; } <div class="row"><div class="col-md-4"><h3>Insights Report</h3><p>Every day, in every hospital across America, care teams work to provide safe, high-quality care to each and every patient. Part of that work includes continually identifying what drives better outcomes, and then implementing changes to improve patient care.</p><p>AHA’s insights report series features learnings gained in collaboration with data partners to better analyze hospital and health system progress on patient safety. In September 2024, AHA partnered with Vizient to release a <a href="/guidesreports/2024-09-12-new-analysis-shows-hospitals-performance-key-patient-safety-measures-surpassing-pre-pandemic-levels" title="View the report: New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels">report</a> showing that numerous outcome measures of health care quality and patient safety — including mortality and healthcare-associated infections — are improving while hospitals care for more patients with significant health care needs.</p><p>The latest insights report, created in collaboration with Press Ganey, highlights progress on additional outcome measures of patient safety including some that reflect the ongoing work nurses lead to protect patients. In addition, Press Ganey’s comprehensive data shows clear improvement on the experience of both patients and the health care workforce. It also shows improvements in safety culture, which is a leading indicator of better safety outcomes and better experiences for patients and staff.</p></div><div class="col-md-4"><div class="panel module-typeC"><div class="panel-heading"><h3 class="text-align-center panel-title">Key Insights</h3></div><div class="panel-body"><h4 class="text-align-center">Data in this report show that:</h4> ol.IRolNumBox li { counter-increment: list; list-style-type: none; position: relative; margin-bottom: 15px; } ol.IRolNumBox li:before { color: #fff; content: counter(list); left:-35px; position: absolute; text-align: center; width: 30px; height:30px; background-color:#69b3e7; padding:0px; border-radius: 5px; padding:0px 0px 0px 0px ; font-weight:700; font-size:20px; top:-5px; } <ol class="IRolNumBox"><li>Hospitals are performing at or better than pre-pandemic levels on multiple measures of quality and patient safety, including patient falls and pressure injuries (i.e., bed sores) that reflect work led by nurses to care for patients.</li><li>Millions of patients report that their overall care experience is improving.</li><li>Press Ganey data from more than 1 million members of the health care workforce show a rebound from pandemic lows in engagement, resilience and safety culture.</li><li>Patient safety, patient experience, workforce experience, and well-being are all tied together by a hospital or health system’s culture of safety. Across clinical settings — the single largest driver of a patient’s reported experience of care is how well their care team members work together. Better teamwork has long been shown to drive better outcomes.</li></ol></div></div></div><div class="col-md-4"><div><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/03/AHA-Insights-Report-Improvement-in-Safety-Culture.pdf" target="_blank" title="Download the print version of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes">Download the Report PDF</a></div><div><a class="btn btn-wide btn-primary" href="/press-releases/2025-03-12-report-reveals-link-between-health-care-workforce-well-being-patient-experience-and-safety-outcomes" title="View the Press Release: Report Reveals Link Between Health Care Workforce Well-being, Patient Experience and Safety Outcomes in Hospitals">View the Press Release</a></div><div><a class="btn btn-wide btn-primary" href="/aha-patient-safety-initiative" target="_blank" title="Click here to visit the AHA Patient Safety Initiative landing page.">Learn More about the AHA Patient Safety Initiative</a></div><div><a href="/system/files/media/file/2025/03/AHA-Insights-Report-Improvement-in-Safety-Culture.pdf" target="_blank" title="Download the print version of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes"><img src="/sites/default/files/2025-03/PSW-PG-Report-Cover-352x456.jpg" alt="Cover image of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes" width="352" height="456"></a></div></div></div><div class="row"><div class="col-md-12"><h2>Evidence in Key Areas Show Care is Getting Safer</h2><p>The Press Ganey National Database of Nursing Quality Indicators (NDNQI) dataset reflects quality measures reported by 25,652 units across 2,430 inpatient acute care hospitals. Analysis of four key measures in NDNQI data includes catheter-associated urinary tract infection (CAUTI), central lineassociated bloodstream infection (CLABSI), patient falls that result in harm, the number of patients who develop hospital-acquired pressure injuries (HAPI), also known as bed sores. The analysis shows the incidence of all measures have declined since their pandemic peaks, with nearly all measures across all units back to or better than pre-pandemic levels.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Evidence-in-Key-Areas-img1-1120x372.jpg" alt="Medical-surgical / Critical care; Fall Rate: Rate of Patient Falls from 2019 to 2024 between both | CLABSI: Rate of Infections from 2019 to 2024 between both" width="1120" height="372"></div><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Evidence-in-Key-Areas-img2-1120x370.jpg" alt="Medical-surgical / Critical care; CAUTI Rate: Rate of Infections from 2019 to 2024 between both | HAPI: percentage of Patients from 2019 to 2024 between both" width="1120" height="370"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p><em><small><strong>Note:</strong> Falls are measured as total patient falls per 1,000 patient days; CLASBI is measured as central line-associated bloodstream infections per 1,000 central line days; CAUTI is measured as catheter-associated urinary tract infections per 1,000 catheter days; and HAPI prevalence is measured as the percentage of surveyed patients with hospital-acquired pressure injuries.</small></em></p></div><div class="col-md-12"><h2>Patients Say Their Care Experience and Perception of Safety are Improving</h2><p>Press Ganey works on behalf of 75% of U.S. acute care hospitals and medical practices across the country to survey patients regarding their care experiences and gain insights into how hospitals are working to deliver safe and effective care. Included in the surveys are questions that explicitly ask patients about their perception of staff’s efforts to keep them safe, along with questions about other facets of care that contribute to greater safety, such as teamwork among staff, attention and responsiveness to patient needs, and communication between patients and members of the clinical care team. Importantly, the data for this report, based on responses from 13 million patients, show steady gains in their perceptions of both experience of care and safety of care after a drop due to the COVID-19 pandemic. Results show hospitals and health systems are on the path to returning to pre-pandemic levels of safety.</p><img src="/sites/default/files/2025-03/PSW-Patients-Say-img1-1120x486.jpg" alt="National trends in patient experience: Likelihood to Recommend | Ambulatory surgery, Medical Practice, Inpatient, Emergency department - data between 64.5 to 85.3 between 2019 and Q1 of 2024" width="1120" height="486"><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>One of the key factors driving improvements in patients’ perceptions of care is the teamwork of their caregivers. Across clinical areas — inpatient and outpatient, surgical and medical, emergency and scheduled — the single largest driver of a patient’s likelihood to recommend a hospital, facility or provider is perception on how well their care team members work together. Better teamwork has long been shown to drive better outcomes.</p> .IRcallOut01 { border: solid 2px #003087; padding:0px; overflow: auto; } .IRcallOut01 h2, .IRcallOut01>p, .IRcallOut01 h3{ text-align:center; } .IRcallOut01 h3{ background-color: #003087; color:#fff; padding:15px; } .IRcallOut01Insert{ background-color:#f6f6f6; padding: 5px 0px; margin-bottom: 15px; } .IRcallOut01 h4{ border-radius: 5px; padding:10px 10px 5px 10px; color:#fff; display: inline-block; margin-top:5px; margin-left: 15px; } .IRcallOut01 h4.IRcallOut01Red{ background-color:#d50032; } .IRcallOut01 h4.IRcallOut01Blue{ background-color:#69b3e7; } .IRcallOut01 h4.IRcallOut01LBlue{ background-color:#307fe2; } .IRcallOut01 h4.IRcallOut01Green{ background-color:#005844; } .IRcallOut01 h4.IRcallOut01Yellow{ background-color:#eaaa00; } .IRcallOut01 h4.IRcallOut01DRed{ background-color:#651d32; } .IRcallOut01 ul li:nth-child(1){ font-weight:700; color:#003087; } <div class="col-md-12 IRcallOut01"><h2>What earns patients’ confidence and loyalty?</h2><p>Patients are attuned to team dynamics and interpersonal competencies.</p><h3>National analysis of key drivers of likely to recommend by setting</h3><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Red">Emergency</h4><ul><li>Staff worked well together</li><li>Cared about you as a person</li><li>Attention to your needs</li><li>Treat with courtesy/respect</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01LBlue">Inpatient</h4><ul><li>Staff worked well together</li><li>Response to concerns</li><li>Attention to your needs</li><li>Attitudes toward requests</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Blue">Med Practice</h4><ul><li>Staff worked well together</li><li>Concern for questions/worries</li><li>Explanation of condition/problem</li><li>Include in decisions</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Green">Clinic</h4><ul><li>Staff worked well together</li><li>Treat with respect/dignity</li><li>Response to concerns</li><li>Trust skill of staff</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Yellow">Amb. Surgery</h4><ul><li>Staff worked well together</li><li>Response to concerns</li><li>Nurses’ concern for comfort</li><li>Provider response to concerns/questions</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01DRed">Urgent Care</h4><ul><li>Staff worked well together</li><li>Provider listened</li><li>Explanation of condition/problem</li><li>Include in decisions</li></ul></div></div></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Similarly, patients who perceive that their care was safe are 2.5 to 3 times more likely to recommend their hospital to others. Their perceptions of safety are based on their own interactions with hospital team members, their observations regarding practices such as handwashing and cleanliness, and how they see team members interacting with one another to deliver care. Specifically, when asked about their confidence in the care they received and their willingness to recommend a hospital to others, patients ranked hospitals more highly when they perceived the hospital team to be working well together and to be attentive to the patients’ needs and questions.</p></div><div class="col-md-12"><h2>Workforce Experience and Well-being are Improving</h2><p>At its core, health care is a uniquely human experience centered around people caring for other people. This is why hospitals and health systems pay close attention to and invest in the well-being of their workforce. An energized and engaged workforce improves the care provided to patients, the physical and psychological wellbeing of patients, and how patients perceive the work to keep them safe. As the enormous strain of the COVID-19 pandemic recedes, the health care workforce is beginning to rebound as well. Press Ganey data from 1.7 million members of the health care workforce show a rise in their reported experience and resiliency. A resilient workforce is essential in health care, given the complex and high stakes nature of the work.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Workforce-Experience-img1-1120x609.jpg" alt="Gaining ground in resilience: Resilience and its sub-components of activation (meaning in work) and decompression (ability to disconnect) are on an upward trend. | 3-year trending: Activation, Resilience, Decompression - Reported Satisfaction Score between 2022 and 2024 & Item-level change vs 2023 benchmark; Activation: Work makes a difference - +.03, Work is meaningful - +.03, Care for all patients equally - +.02, See patient as an indvidual person - .01 / Decompression: Able to free mind when away from work - +.08, Rarely lose slepp over work - +.07, Disconnect from comm's during free time - +.06, Enjoy personal time without focus on work - .05 " width="1120" height="609"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Hospitals that score higher on team member engagement surveys also see higher patient experience scores reported from patients. This correlation gets more pronounced every year, with the top performing quartile of hospitals on staff engagement in 2023 scoring in the 80th percentile on patients’ likelihood to recommend.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Workforce-Experience-img2-1120x485.jpg" alt="Likelihood to recommend is correlated with team engagement and correlation is getting stronger: Inpatient Likelihood to Recommend (percentile rank); 2021 for Engagement Quartile, Engagement Quartile" width="1120" height="485"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p></div><div class="col-md-12"><h2>Safety Culture is Essential</h2><p>A critical factor in generating both better patient outcomes and care teams’ engagement in their work is a strong safety culture. A strong safety culture supports the teams through the demanding tasks associated with care delivery and makes a noticeable difference in how patients experience their care, leading to safer care and a more resilient care delivery system.</p><p>A culture of safety is an environment in which everyone, including patients and families:</p><ul class="arrow"><li class="arrow">Can speak up when they see something that might not be right.</li><li class="arrow">Is confident that improvements occur when issues are reported.</li><li class="arrow">Is dealt with fairly and compassionately when an error occurs.</li><li class="arrow">Experiences effective teamwork and communication.</li></ul><p>An organization’s safety culture is assessed with evidence-based survey tools, such as the instrument Press Ganey developed, which gather responses from over 1 million hospital staff each year. The Press Ganey data show a positive relationship between the level of care team engagement in their work and the hospital scores for patient safety culture. When caregivers feel that they are supported, working with an effective team and doing meaningful work, they are more likely to be deeply engaged in their work.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Safety-Culture-img1-1120x322.jpg" alt="Engagement top performers have a strong Culture of Safety: All employees - Engagement 3.99 = path 51.5% with a high Saftey Vulture Score - 4.51 (97th), path 48.5% with a low Saftey Culture Score - 3.44 (2nd) | 95 percentile-rank difference in employee engagement" width="1120" height="322"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p></div><div class="col-md-12"><h2>Opportunities to Enhance Safety Culture</h2><p>In the aftermath of the COVID-19 pandemic, hospitals’ performance in both safety culture and quality and safety metrics have rebounded and begun to plateau. Resources and teamwork remain areas with the greatest potential for growth. While prevention and reporting experienced an increase previously, the recent downward trend highlights the need for ongoing prioritization.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Opportunities-to-Enhance-img1-1120x479.jpg" alt="National Safety Culture Scores on the rebound; Saftey Culture Overall: Mean Score between 2019 and 2024 - average 4, Prevention & Reporting - average 4.14, Pride & Reputaion - average 4.15, Resources & Teamwork - average 3.7" width="1120" height="479"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Press Ganey’s data establish how closely all of these outcomes — patient safety outcomes, patient experience, workforce engagement experience and resilience — are tied together by a hospital or health system’s culture of safety.</p></div><div class="col-md-12"><h2>A Continuous Journey to Improve</h2><p>Improvement is a continuous pursuit, and hospitals have been and will remain deeply committed to advancing the safety and quality of their care, the way in which patients experience care, and the wellbeing of their care teams. By improving the patient and workforce experience, identifying and addressing risks to patient or staff wellbeing, improving communications and understanding of what patients and their families value in their care experience, and implementing innovative strategies, hospitals will continue to demonstrate their commitment to patient safety.</p><p>One of the key goals of the <a href="/aha-patient-safety-initiative" title="Learn more about the AHA Patient Safety Initiative">���������� Association’s Patient Safety Initiative</a> is to help hospitals and health systems improve the culture of safety. Launched in 2023, AHA’s Patient Safety Initiative catalyzes hospitals’ and health systems’ collective expertise and momentum for improvement and focuses on 1) safety culture, 2) identifying and addressing disparities in health care outcomes, and 3) the wellbeing of the workforce.</p><p>Through the work of the Patient Safety Initiative, hospitals and health systems are using safety improvement strategies that have a history of success, as well as trying new and innovative approaches to further enhance their work.</p><p>To help leaders and boards learn from their counterparts in other hospitals and health systems, AHA has produced the Leading for Safety video series hosted by former Chair of the AHA Board of Trustees Mindy Estes, M.D., and featuring leaders from hospitals and health systems that have been recipients of AHA’s Quest for Quality award. The AHA’s Safety Speaks podcast series also features many quality and safety leaders talking about their innovative approaches to safety.</p></div></div></div> Tue, 11 Mar 2025 09:28:08 -0500 Culture of Safety /education-events/impact-safety-employee-wellbeing-and-patient-care <div class="raw-html-embed"> #block-mainpagecontent article > div > div > div.col-md-8{ width: 100%; } .panel-body { display: flex; flex-flow: row; flex-wrap: wrap; gap: 10px 10px; } .panel-body>div{ /*border:solid 1px red;*/ margin-bottom:10px } .page-header {order: 1; flex-basis:100%} .event-format {order: 2; flex-grow: 1} .event-dates {order: 3; flex-grow: 1;} .event-cost {order: 4; flex-grow: 1; flex-basis: 25%} .event-type {order: 5; flex-basis: 33%} .event-host {order: 8; flex-grow: 1;} .event-contact-info {order: 6; flex-grow: 2; flex-basis: 33%} .event-description {order: 3; flex-grow: 1} .event-sponsors {order: 9; flex-grow: 1;} .event-registration-link {order: 9;margin: auto 15%;} .page-header{ margin: 0px 0 10px; } h1{ margin:0px } h3{ margin:0px } h4{ color:#003087; font-size:27px; } </div><div class="row"><div class="col-lg-6 col-md-6 col-sm-6 center_body"><h2>AHA Affinity Forum Session Two</h2><p>Workplace violence impacts health care professionals and the patients they care for, but mitigating the risk may come with complex challenges. In session two of the <a href="/affinity-forum/addressing-workplace-violence-health-care-2025" title="View the whole series">AHA Affinity Forum</a> Elisa Arespacochaga, Vice President of Clinical Affairs and Workforce, AHA, and Andrea Greco, Senior Vice President of Health care Safety, CENTEGIX discuss how vulnerabilities to safety can severely impact the caregiver and patient experience. Learn how investing in safety can improve employee engagement and well-being, retention and recruitment, and patient care overall.</p><p>Each session will last 60 minutes to allow time for the panel discussion and interaction with attendees. Submit your questions ahead of time to contribute to the discussion and address issues that are unique to your organization, or role.</p><p><strong>Tuesday, January 15, 2025 at 12 - 1 p.m. Eastern; 11 a.m. - noon Central; 9 - 10 a.m. Pacific</strong></p></div><div class="col-lg-6 col-md-6 col-sm-6"><h4>Panel Discussion Replay</h4><div class="embed-responsive embed-responsive-16by9"></div><p><a class="btn btn-wide btn-primary ext" href="/system/files/media/file/2025/01/aha-affinity-forum_CENTEGIX_Session2_Impact-of-safety.pdf" target="_blank" title="View the presentation/deck from the panel discussion" rel="noopener nofollow">Presentation / Deck</a></p></div></div><div class="row"><div class="col-sm-1"> </div><div class="col-sm-10"> /* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align: center; color: #55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; font-size: 20px } .ci_profile_social a:last-of-type i { padding-right: 0px; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px) { .ci_logo { margin-top: 25px } .ci_social p { text-align: center !important; } #ci_footer-social { text-align: center } } @media (min-width:540px) { .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col'] { -ms-flex: 1; /* IE 10 */ flex: inherit; width: calc((100%/3) - 2px)/*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/ ; } } /* // */ <div class="row"><div class="col-sm-1"> </div><div class="col-sm-10"> /* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; text-align:center; } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align: center; color: #55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; font-size: 20px } .ci_profile_social a:last-of-type i { padding-right: 0px; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px) { .ci_logo { margin-top: 25px } .ci_social p { text-align: center !important; } #ci_footer-social { text-align: center } } @media (min-width:540px) { .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col'] { -ms-flex: 1; /* IE 10 */ flex: inherit; width: calc((100%/2) - 2px)/*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/ ; } } /* // */ <div class=" people people4"><h2 class="text-align-center">Virtual Panel Hosts</h2><div class=" rowEqual_768"><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Kim-Goodrich-Vail-Health-affinity-forum-300x300.jpg" alt="Kim Goodrich" width="300" height="300"><p class="ci_profile_name">Kim Goodrich</p><p class="ci_profile_title">Community Mental Health Center Program Improvement Director</p><p class="ci_profile_company">Vail Health Behavioral Health</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/jay-martindale-infirmary-health-affinity-forum-300x300.jpg" alt="Jay Martindale" width="300" height="300"><p class="ci_profile_name">Jay Martindale</p><p class="ci_profile_title">Director of Organizational Development and Employee Engagement</p><p class="ci_profile_company">Infirmary Health</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/elisa-arespacochaga_affinity-forum-300x300.jpg" alt="Elisa Arespacochaga" width="300" height="300"><p class="ci_profile_name">Elisa Arespacochaga</p><p class="ci_profile_title">Vice President of Clinical Affairs and Workforce</p><p class="ci_profile_company">���������� Association</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/andrea-greco-centegix-affinity-forum-300x300.jpg" alt="Andrea Greco" width="300" height="300"><p class="ci_profile_name">Andrea Greco</p><p class="ci_profile_title">Senior Vice President of Health care Safety</p><p class="ci_profile_company">CENTEGIX</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> --> <img alt="" src="sssssssssss"> <p class="ci_profile_name"> xxxx </p> <p class="ci_profile_title"> vvvvv </p> <p class="ci_profile_company"> ddddd </p> <p class="ci_profile_award"> hhhhh </p> <p class="ci_profile_award"> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> <div class="ci_profile_social"> </div> </div> --></div></div></div></div><div class="row people people4"> </div></div><div class="col-sm-1"> </div></div><div class="row" id=""><div class="col-md-10 col-md-offset-1"><div class="col-md-12"><h2>AHA Affinity Forum is brought to our members in collaboration with CENTEGIX</h2></div><div class="col-md-12"><p>Trusted by leading health care providers, CENTEGIX offers a wearable badge with a single button that staff members push in the event of any type of emergency which alerts first responders of the emergency and initiates audio and visual notifications across the entire campus, thereby helping protect their staff members by streamlining communications during an emergency.</p></div> <a href="xxxxxxxxxxxxx"> <img alt="CENTEGIX Logo" src="/sites/default/files/2024-10/CENTEGIX_LOGO_web-Horizontal-Recovered.png"> </a> </div>--></div></div> Tue, 21 Jan 2025 12:00:00 -0600 Culture of Safety /education-events/layered-approach-addressing-workplace-violence <div class="raw-html-embed"> #block-mainpagecontent article > div > div > div.col-md-8{ width: 100%; } .panel-body { display: flex; flex-flow: row; flex-wrap: wrap; gap: 10px 10px; } .panel-body>div{ /*border:solid 1px red;*/ margin-bottom:10px } .page-header {order: 1; flex-basis:100%} .event-format {order: 2; flex-grow: 1} .event-dates {order: 3; flex-grow: 1;} .event-cost {order: 4; flex-grow: 1; flex-basis: 25%} .event-type {order: 5; flex-basis: 33%} .event-host {order: 8; flex-grow: 1;} .event-contact-info {order: 6; flex-grow: 2; flex-basis: 33%} .event-description {order: 3; flex-grow: 1} .event-sponsors {order: 9; flex-grow: 1;} .event-registration-link {order: 9;margin: auto 15%;} .page-header{ margin: 0px 0 10px; } h1{ margin:0px } h3{ margin:0px } h4{ color:#003087; font-size:27px; } </div><div class="row"><div class="col-lg-6 col-md-6 col-sm-6 center_body"><h4>AHA Affinity Forum Session One</h4><p>Workplace violence continues to threaten health care professionals, but mitigating the risk may come with complex challenges. In session one of the <a href="/affinity-forum/addressing-workplace-violence-health-care-2025" title="View the whole series">AHA Affinity Forum</a>, we’ll focus on how to analyze the unique needs of your organization and create a layered approach to violence mitigation. A layered and comprehensive safety plan can help you protect your organization and empower your teams to deliver exceptional patient care in a safe and supportive environment.</p><p>Elisa Arespacochaga, vice president of clinical affairs and workforce, AHA, and Andrea Greco, senior vice president of health care safety, CENTEGIX, will host Kala Bettis, MA, LSC, LAC, LPC, integrated behavioral health supervisor, Vail Health Behavioral Health, to discuss how to analyze the unique needs of your organization and create a layered approach to violence mitigation.</p><p>Each session will last 60 minutes to allow time for the panel discussion and interaction with attendees. Submit your questions ahead of time to contribute to the discussion and address issues that are unique to your organization, or role.</p><p><strong>Tuesday, December 3, 2024 at 12 - 1 p.m. Eastern; 11 a.m. - noon Central; 9 - 10 a.m. Pacific </strong></p></div><div class="col-lg-6 col-md-6 col-sm-6"><h4>Panel Discussion Replay</h4><div class="embed-responsive embed-responsive-16by9"></div><p><a class="btn btn-wide btn-primary ext" href="/system/files/media/file/2024/12/aha-affinity-forum_CENTEGIX_Session1_layered-approach.pdf" target="_blank" title="View the presentation/deck from the panel discussion" rel="noopener nofollow">Presentation / Deck</a></p></div> <div> <aside> <h3>Reserve Your Spot</h3> <div class="raw-html-embed">   MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 4218); MktoForms2.whenReady(function(form) { if(form.getId() == 4218) { form.onSuccess(function(values, followUpUrl) { form.getFormElem().hide(); document.getElementById("successAndErrorMessages").innerHTML = `<p>Thank you for your RSVP. Check your email for a save-the-date message to add to your calendar.<\/p>`; return false; }); }; }); <div id="successAndErrorMessages"> </div> </div> </aside> </div> </div>--></div><div class="row"><div class="col-sm-1"> </div><div class="col-sm-10"> /* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align: center; color: #55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; font-size: 20px } .ci_profile_social a:last-of-type i { padding-right: 0px; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px) { .ci_logo { margin-top: 25px } .ci_social p { text-align: center !important; } #ci_footer-social { text-align: center } } @media (min-width:540px) { .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col'] { -ms-flex: 1; /* IE 10 */ flex: inherit; width: calc((100%/3) - 2px)/*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/ ; } } /* // */ <div class="row people people4"><h4 class="text-align-center">Speakers</h4><div class="row rowEqual_768"><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/Kala-Bettis-VailHealth-affinity-forum-300x300.jpg " alt="Kala Bettis" width="300" height="300"><p class="ci_profile_name">Kala Bettis, MA, LSC, LAC, LPC</p><p class="ci_profile_title">Integrated Behavioral Health Supervisor</p><p class="ci_profile_company">Vail Health Behavioral Health</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/elisa-arespacochaga_affinity-forum-300x300.jpg" alt="John Riggi" width="300" height="300"><p class="ci_profile_name">Elisa Arespacochaga</p><p class="ci_profile_title">Vice President of Clinical Affairs and Workforce</p><p class="ci_profile_company">���������� Association</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/andrea-greco-centegix-affinity-forum-300x300.jpg" alt="Ed Gaudet" width="300" height="300"><p class="ci_profile_name">Andrea Greco</p><p class="ci_profile_title">Senior Vice President of Health Care Safety</p><p class="ci_profile_company">CENTEGIX</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div> <img alt="" src="sssssssssss"> <p class="ci_profile_name">xxxx</p> <p class="ci_profile_title">vvvvv</p> <p class="ci_profile_company">ddddd</p> <p class="ci_profile_award">hhhhh</p> <p class="ci_profile_award"><a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a></p> <div class="ci_profile_social"></div> </div> --> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> --></div></div></div><div class="col-sm-1"> </div></div><div class="row" id=""><div class="col-md-10 col-md-offset-1"><div class="col-md-12"><h4>AHA Affinity Forum is brought to our members in collaboration with CENTEGIX</h4></div><div class="col-md-12"><p>Trusted by leading health care providers, CENTEGIX CrisisAlert™ offers all staff members a way to discreetly summon help in any emergency—anytime, anywhere on your campus. The wearable duress badge accelerates response times so your team can confidently begin de-escalation, knowing help is on the way.</p></div> <a href="xxxxxxxxxxxxx"> <img alt="CENTEGIX Logo" src="/sites/default/files/2024-10/CENTEGIX_LOGO_web-Horizontal-Recovered.png"> </a> </div>--></div></div> Fri, 06 Dec 2024 12:00:00 -0600 Culture of Safety /advancing-health-podcast/2024-12-04-mitigate-and-prevent-commonspirit-healths-transparent-culture-and-error-reporting-toolkit <p>The health care industry does everything possible to mitigate errors, yet mistakes can happen. That's why CommonSpirit Health has worked to adopt an organizational culture of transparency that allows its employees to feel comfortable reporting errors when they occur. In this “Safety Speaks” conversation, CommonSpirit Health's Beth Miller, system director, patient safety-performance improvement, and Austin Peterson, system director, patient harm prevention, discuss how safety transparency benefits both patients and providers, and how a CommonSpirit Health toolkit can help organizations lead the way in error reporting and patient safety. </p><hr><div></div><div class="raw-html-embed"><details class="transcript"> <summary> <h2 title="Click here to open/close the transcript."> <span>View Transcript</span><br>   </h2> </summary> <p> 00:00:00:08 - 00:00:31:11<br> Tom Haederle<br> Hospital and health system care teams provide amazing care to countless patients every minute of every day. But they are human and mistakes do happen. No one pretends otherwise. If an error is discovered, it's important that anyone feel comfortable reporting it and sharing that information with a patient as well. Sometimes saying sorry the right way makes all the difference. </p> <p> 00:00:31:14 - 00:01:17:26<br> Tom Haederle<br> Welcome to Advancing Health, the podcast from the ���������� Association. I'm Tom Haederle with AHA communications. CommonSpirit Health, a vast network of more than 2600 care sites spread across 22 states, has worked to adopt an organizational culture of transparency and compassionate communication. In fact, it created a toolkit around that effort that anyone can adopt. As we hear in this final episode of AHA's Safety Speak series, hosted by Joy Lewis, senior vice president of health equity strategies and executive director of AHA's Institute for Diversity and Health Equity, a feeling of psychological safety not only benefits patients, but impacts equity internally within the organization by allowing anyone to freely speak up, regardless of role or department. </p> <p> 00:01:17:29 - 00:01:28:21<br> Tom Haederle<br> Her two guests from CommonSpirit are Beth Miller, system director for patient safety performance improvement, and Austin Peterson, system director, patient harm prevention. </p> <p> 00:01:28:24 - 00:02:00:10<br> Joy Lewis<br> CommonSpirit Team, Beth and Austin, thank you so much for being here with me today and welcome to Safety Speaks. I really am looking forward to exploring this topic of CANDOR and how accessible it is as we think about advancing equitable care, and I think we should start really just with setting the stage. I think CANDOR is familiar to those folks who work in the quality improvement and patient safety space. </p> <p> 00:02:00:10 - 00:02:19:14<br> Joy Lewis<br> It's familiar language to them. But others of our listeners may be wondering what exactly is CANDOR, which stands for Communication and Optimal Resolution Approach. So can you just elaborate on what exactly CANDOR is. Let's pitch that to you, Austin. </p> <p> 00:02:19:16 - 00:02:28:09<br> Austin Peterson<br> Sure. I'd be more than happy to. So there's a couple of different ways to pronounce CANDOR. Some people might call it a SCRP or communication resolution program. </p> <p> 00:02:28:09 - 00:02:57:17<br> Austin Peterson<br> We just adopted the agency for Health Care, Research and Quality and Language of CANDOR, as you alluded, is a communication and optimal resolution program. And really, it's a patient safety program to help health care organizations respond transparently and effectively to adverse events when they reach our patients. The key components of it is really emphasizing early communication, providing a thorough event review, utilizing RCA squared, and providing resolution. </p> <p> 00:02:57:19 - 00:03:17:05<br> Austin Peterson<br> And this whole program is about fostering trust, not just with our patients and families, but also with our staff members if they make a mistake that leads to a potential CANDOR event. And the ultimate goal is to try to make what's right that we can with our patients and families but also improve our health care system so it doesn't happen to anyone else. </p> <p> 00:03:17:07 - 00:03:52:16<br> Austin Peterson<br> And I'd just like to take a moment and start by saying I'd be remiss by not acknowledging some key individuals in our industry who has developed this transparency movement of communicating events to our patients and families. And the list I'm going to say is not exhaustive, and I apologize in advance for missing anyone critical. But our work at CommonSpirit Health has been built on many others, such as Dr. Lucian Lee. Dr. Tim McDonald and Rick Boothman with their Seven Pillars, and Dr. Tom Gallagher and his studies advocating that patients and families value compassionate communication and an honest apology post error. </p> <p> 00:03:52:18 - 00:04:33:24<br> Austin Peterson<br> And also our patient advocates who keep us honest in the health care industry. But I want to shift again to discuss the agency for Health Care, Research and Quality, who developed CANDOR with some key individuals within our organization, Linda Ubaldi and Dr. Morelli at Dignity Health and also Barbara Pelletreau, who ensured CANDOR was successfully adopted across all Dignity Health and now CommonSpirit Health before her retirement. As a health care organization that collaborated with AHRQ, and they have contributed to the creation and the refinement of the CANDOR toolkit that is open access and free for everyone to adopt. The collaboration of all, providing insights and feedback based on our experiences with our patient safety leaders and </p> <p> 00:04:33:24 - 00:04:41:11<br> Austin Peterson<br> communication practices. And it really helped shape the toolkit's content and implementation strategies that exist today. </p> <p> 00:04:41:13 - 00:05:10:27<br> Joy Lewis<br> Well, thank you so much for that context. And I would imagine CANDOR is something we can all get behind, because what you just outlined for listeners is really a level of humility that the health care system brings to the patient care experience and really focusing on being transparent and learning and improving, and to all of that and really creating an environment of trust. </p> <p> 00:05:10:29 - 00:05:23:13<br> Joy Lewis<br> So can you go a little bit further and talk a little bit more about how you implemented the CANDOR approach inside and across such a large system? </p> <p> 00:05:23:15 - 00:05:35:03<br> Austin Peterson<br> You know, with any large projects such as this, it really needs to be led by our executive leaders who say that this is the right thing to do and get behind it, to push all of us in that direction. </p> <p> 00:05:35:03 - 00:05:59:27<br> Austin Peterson<br> Again, that was led by Barbara Pelletreau and Dr. Robert Weaver. Initially because we were smaller at Dignity Health, we had the opportunity of providing these two-day workshops where key leaders of the hospital would be our chief nurse, chief medical officer, quality directors, patient safety leaders. Our claim leads who get together and they learn about the principles and foundations of CANDOR while also practicing that empathetic communication. </p> <p> 00:06:00:00 - 00:06:24:13<br> Austin Peterson<br> Now, with the merger of us becoming CommonSpirit Health spread across 22 states, 150 facilities and 2600 care sites, it is impossible to do that two-day workshop. And Covid really forced us in a new direction due to constraints on providing education in a new way, and we did this via electronically using Zoom, having four-hour sessions of going through the whole training and people practicing. </p> <p> 00:06:24:13 - 00:06:45:02<br> Austin Peterson<br> But it's really hard pulling our leaders away for that long of a time when they need to be with our frontline staff and our patients and our families. So we've revolutionized what we do, and now we provide this in a learning management system and four self-paced modules that all of our leaders go through. And we say all of the leaders, if you're in the leadership capacity, we recommend that you go through CANDOR. </p> <p> 00:06:45:04 - 00:07:08:02<br> Austin Peterson<br> That is completed by having a live practicum where Beth and I reinforce the training with experiential learning. And we've also rolled out an advanced CANDOR series where we include many unique scenarios that our leaders come across. And as you alluded to, we've trained a lot of people. To date, our organization - we've trained over 1,300 leaders, including our physicians. And we're continuing to push to ensure that everyone receives this training. </p> <p> 00:07:08:04 - 00:07:08:27<br> Joy Lewis<br> That's massive. </p> <p> 00:07:08:27 - 00:07:11:04<br> Joy Lewis<br> You're really doing this work at scale. </p> <p> 00:07:11:06 - 00:07:34:09<br> Joy Lewis<br> And it's really interesting how you've evolved your approach pre-Covid and post-Covid. But at the end of the day, it sounds like transformational leadership is what's really needed to move the needle here. So talk about that transformation. How has the CANDOR training program transformed your organization's approach to patient safety and equity? Beth, can you elaborate on that? </p> <p> 00:07:34:12 - 00:08:01:02<br> Beth Miller<br> I love that question, Joy, and I think it's an important one. But I think to try to sum it up is that CANDOR's success really ultimately relies upon robust event reporting. You know, people have to feel free and comfortable to report safety events, you know, quickly and often in order for those things to get escalated. And then for the CANDOR program to effectively be implemented and launched, and for all of those pieces to start to come together. </p> <p> 00:08:01:05 - 00:08:35:25<br> Beth Miller<br> So really, our organizational culture plays a big part in the ability to achieve any of this. You know, we have to know about events in order to then act. And, CommonSpirit has invested heavily in establishing psychological safety in order to make it easier and then safer for teams to speak up and report. And I feel like this is where CANDOR really impacts equity internally within our organization, is that psychological safety really seeks to ensure that everyone feels safe and comfortable speaking up, regardless of their role, regardless of their department and where they sit and within the organization. </p> <p> 00:08:35:28 - 00:08:47:07<br> Beth Miller<br> And so we feel like it's been an important aspect of equity internally as we work with our teams to try to help improve internal communication. But then obviously it also does affect our patients as well. </p> <p> 00:08:47:10 - 00:09:13:06<br> Joy Lewis<br> Right. But you've done a really good job it sounds like of having your workforce, each member of your workforce, regardless of where they sit inside the organization, to see themselves as a health equity influencer, if you will. We always talk about how culture eats strategy all day, right? All the time. So you've also invested in creating that culture of safety where people feel comfortable speaking up. </p> <p> 00:09:13:08 - 00:09:30:03<br> Joy Lewis<br> I imagine you're tracking and leveraging data and analytics to really inform and drive your actions in this space. What tools -dashboards, scorecards? What are your mechanisms for tracking progress and outcomes? </p> <p> 00:09:30:06 - 00:09:58:25<br> Beth Miller<br> Great question. And again I would say we're using all of those things. We're using various reports, dashboards, we've customized and again invested heavily in all of our different analytic tools to make sure that we're using what we have available to us. But then layering on that CANDOR lens to see how the things that we're currently measuring, we can then also include specific elements of CANDOR in those measurement principles. </p> <p> 00:09:58:27 - 00:10:20:03<br> Beth Miller<br> And so we do - we use a ton of various scorecards, dashboards that we develop internally in connection with our event reporting system, so that that way we can make sure that data is shared appropriately with various stakeholders at different levels in the organization. You know, with an organization as large as ours, data sharing amongst the different layers, you know, can be quite a challenge. </p> <p> 00:10:20:09 - 00:10:41:13<br> Beth Miller<br> But we've spent a lot of time with our teams developing those specific things so that it can be shared effectively, but also in a more simple fashion, so it's a little easier to understand. Data is a powerful tool, but it's only as effective as someone can understand it. And so we spent a lot of time making sure that it's displayed and presented in a way that's easy to digest. </p> <p> 00:10:41:19 - 00:10:43:23<br> Beth Miller<br> So then people know how to act upon it. </p> <p> 00:10:43:25 - 00:10:59:02<br> Joy Lewis<br> Can you share a little bit more about the different audiences that you're reporting out to it? Does it go all the way up to the board? Are you sharing this information with community leaders, community stakeholders, internally, who are your target audience? </p> <p> 00:10:59:04 - 00:11:25:10<br> Beth Miller<br> Honestly, it's a bit difficult to answer because we try to customize various reports and information based on that particular audience. So the information, you know, shared with a patient safety quality leader is really going to focus on how they impact the work, versus information shared with, you know, an executive leader is then going to focus, maybe in a slightly different area with relation to how they impact the work. </p> <p> 00:11:25:10 - 00:11:38:24<br> Beth Miller<br> So the data does, you know, look a little different depending upon what your role is in the organization. But it all comes from the same place. So it's the same information just presented in a slightly different way depending upon the role. </p> <p> 00:11:38:26 - 00:12:06:18 </p> <p> Thank you for tuning in to this episode of Safety Speaks, the podcast series dedicated to patient safety, brought to you by the ���������� Association. I'm Dr. Chris DeRienzo the AHA’s chief physician executive and a champion of AHA Patient Safety Initiative. AHA’s Patient Safety Initiative is a collaborative data driven effort that lifts up the voices of individual hospitals and health systems into the national patient safety conversation. </p> <p> 00:12:06:20 - 00:12:38:19<br> Chris DeRienzo, M.D.<br> We strive to catalyze and connect health care professionals like you across America in your efforts to innovate and improve, and to bolster public trust in hospitals and health systems by helping you share your successes. For more information and to join the 1,500 other hospitals already involved, visit aha.org/patient safety or click on the link in the podcast description. Stay tuned to hear more about the incredible work of members of the HHS Patient Safety Initiative. </p> <p> 00:12:38:21 - 00:12:45:28<br> Chris DeRienzo, M.D.<br> Remember, together we can make health care safer for everyone. </p> <p> 00:12:46:00 - 00:13:07:05<br> Joy Lewis<br> Once you have those data, the goal of course, is to make the data actionable, right? So can you talk a little bit more about how implementing this CANDOR training program has actually yielded a positive outcome on your patient safety incidences. How are the trend lines shaping up for you? Austin, what do you think about that? </p> <p> 00:13:07:07 - 00:13:11:15<br> Austin Peterson<br> So I will say that safety is a moving target. </p> <p> 00:13:11:17 - 00:13:29:21<br> Austin Peterson<br> You know, initially we started with the IOM and the 44,098 deaths per year. And then we get better ways of looking at what is a safety event is and we see that the numbers jumped up to 220 to 440,000, which is the third leading cause of death in the United States. You know, so we put in checklists, we put in standardization. </p> <p> 00:13:29:21 - 00:13:42:13<br> Austin Peterson<br> We're able to reduce CAUTI, CLABSI, BTEs. That's great but that's only one part of patient care. What else is out there that we can continue to move? So I'm going to say that is a constant moving target as we learn more as we go there. </p> <p> 00:13:42:16 - 00:13:50:03<br> Austin Peterson<br> That's a really good point. We never say, you've achieved health equity because there is no endpoint, right? </p> <p> 00:13:50:10 - 00:14:19:19<br> Joy Lewis<br> There's this constant journey that you're on, to refine, to iterate, to do better. And so I would imagine when we look at the triad of quality patient safety and health equity, it's kind of that same mantra. You're always working at it. You're always looking to improve and do better. Now that you've really, you know, gotten folks on board, how do you plan to sustain your current efforts and maybe even build on those efforts? </p> <p> 00:14:19:19 - 00:14:25:02<br> Joy Lewis<br> So you've got some wins. How are you going to sustain those wins and bring others along? </p> <p> 00:14:25:05 - 00:14:49:29<br> Beth Miller<br> I love that question. I think sustainability really of any program is always, always a challenge. Lots of competing priorities. You know, it's obviously a heavy lift to get things going, but it's almost even more difficult to keep it going. But I think that there's some really exciting developments in the health care landscape, you know, especially recently in the last year that will help CANDOR to sustain and then even maybe even be more in the focus in the future. </p> <p> 00:14:50:00 - 00:15:13:27<br> Beth Miller<br> You know, one of the things that is top of mind is the patient safety structural measures recently passed by CMS. It directly addresses CANDOR, specifically in domain number four. And so we're excited about that. You know, focus that's being put into play. Because I think it's going to help allow our sites who have had that long standing history of CANDOR to be recognized in a different way for their efforts. </p> <p> 00:15:13:29 - 00:15:40:13<br> Beth Miller<br> But it also helps as an organization to help really look at those additional feedback loops that maybe we need to strengthen, which then will help with sustainability. And I also wanted to mention, you know, the AHA's focus on health equity, I also think is a great contributor to helping with sustainability of the program, because the AHA is demonstrating, you know, that this focus and our work and our mission as an organization is relevant, and there's still a lot of work needed in the industry. </p> <p> 00:15:40:13 - 00:15:43:28<br> Beth Miller<br> So I think both of those things will really help with sustainability. </p> <p> 00:15:44:01 - 00:16:10:11<br> Joy Lewis<br> Yeah, I think you're spot on. They complement each other well. And I do want to recognize CommonSpirit Health for the great deal of work that you've engaged with us around our health equity roadmap, and congratulate you for having all 142 of your eligible hospitals participate with our HETA, or Health Equity Transformation Assessment and continuing to do the great work of doing equity, as I like to say. </p> <p> 00:16:10:14 - 00:16:29:15<br> Joy Lewis<br> So I thank you both for joining us today and for sharing your expertise and your on the ground experience in implementing a CANDOR strategy to address patient safety outcomes. Keep up the good work. Thank you for being so dedicated and innovative in your approaches. </p> <p> 00:16:29:18 - 00:16:38:00<br> Tom Haederle<br> Thanks for listening to Advancing Health. Please subscribe and rate us five stars on Apple Podcasts, Spotify or wherever you get your podcasts. </p> </details> </div><p> </p> Wed, 04 Dec 2024 07:30:20 -0600 Culture of Safety /education-events/defense-offense-leveraging-data-drive-continuous-improvement <div class="raw-html-embed"> #block-mainpagecontent article > div > div > div.col-md-8{ width: 100%; } .panel-body { display: flex; flex-flow: row; flex-wrap: wrap; gap: 10px 10px; } .panel-body>div{ /*border:solid 1px red;*/ margin-bottom:10px } .page-header {order: 1; flex-basis:100%} .event-format {order: 2; flex-grow: 1} .event-dates {order: 3; flex-grow: 1;} .event-cost {order: 4; flex-grow: 1; flex-basis: 25%} .event-type {order: 5; flex-basis: 33%} .event-host {order: 8; flex-grow: 1;} .event-contact-info {order: 6; flex-grow: 2; flex-basis: 33%} .event-description {order: 3; flex-grow: 1} .event-sponsors {order: 9; flex-grow: 1;} .event-registration-link {order: 9;margin: auto 15%;} .panel-body .field_email > div { display:inline } .page-header{ margin: 0px 0 10px; } h1{ margin:0px } h3{ margin:0px } h4{ color:#003087; font-size:27px; } </div><div class="row"><div class="col-lg-6 col-md-6 col-sm-6 center_body"><h2>AHA Affinity Forum Session Three</h2><p>Workplace violence impacts health care professionals and the patients they care for, but mitigating the risk may come with complex challenges. In session three of the <a href="/affinity-forum/addressing-workplace-violence-health-care-2025" title="View the whole series">AHA Affinity Forum</a> Elisa Arespacochaga, vice president of clinical affairs and workforce, AHA, Eddie Jones, director of security operations, CHRISTUS Health, and Andrea Greco, senior vice president of health care safety, CENTEGIX, discuss how workplace safety is an evolving risk. Even after security enhancements are implemented, there is a consistent need for evaluation and continuous improvement. See how you can leverage data and proactively plan to ensure an ongoing culture of safety.</p><p>Each session will last 60 minutes to allow time for the panel discussion and interaction with attendees. Submit your questions ahead of time to contribute to the discussion and address issues that are unique to your organization, or role.</p><p><strong>Wednesday, February 27, 2025 at 12 - 1 p.m. Eastern; 11 a.m. - noon Central; 9 - 10 a.m. Pacific</strong></p></div> <div> <aside> <h3> Reserve Your Spot </h3> <div class="raw-html-embed">   MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 4220); MktoForms2.whenReady(function(form) { if(form.getId() == 4220) { form.onSuccess(function(values, followUpUrl) { form.getFormElem().hide(); document.getElementById("successAndErrorMessages").innerHTML = ` <p> Thank you for your RSVP. Check your email for a save-the-date message to add to your calendar.<\/p>`; return false; }); }; }); <div id="successAndErrorMessages">   </div> </div> </aside> </div> </div> </div>--><div class="col-lg-6 col-md-6 col-sm-6"><h4>Panel Discussion Replay</h4><div class="embed-responsive embed-responsive-16by9"></div><p><a class="btn btn-wide btn-primary ext" href="/system/files/media/file/2025/03/aha-affinity-forum_CENTEGIX_Session3_Leveraging-Data.pdf" target="_blank" title="View the presentation/deck from the panel discussion" rel="noopener nofollow">Presentation / Deck</a></p></div></div><div class="row"><div class="col-sm-1"> </div><div class="col-sm-10"> /* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align: center; color: #55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; font-size: 20px } .ci_profile_social a:last-of-type i { padding-right: 0px; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px) { .ci_logo { margin-top: 25px } .ci_social p { text-align: center !important; } #ci_footer-social { text-align: center } } @media (min-width:540px) { .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col'] { -ms-flex: 1; /* IE 10 */ flex: inherit; width: calc((100%/3) - 2px)/*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/ ; } } /* // */ <div class="row people people4"><h2 class="text-align-center">Speakers</h2><div class="row rowEqual_768"><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/elisa-arespacochaga_affinity-forum-300x300.jpg" alt="John Riggi" width="300" height="300"><p class="ci_profile_name">Elisa Arespacochaga</p><p class="ci_profile_title">Vice President of Clinical Affairs and Workforce</p><p class="ci_profile_company">���������� Association</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/andrea-greco-centegix-affinity-forum-300x300.jpg" alt="Ed Gaudet" width="300" height="300"><p class="ci_profile_name">Andrea Greco</p><p class="ci_profile_title">Senior Vice President of Health Care Safety</p><p class="ci_profile_company">CENTEGIX</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2025-01/eddie-jones-christus-affinity-forum-300x300.jpg" alt="Eddie Jones" width="300" height="300"><p class="ci_profile_name">Eddie Jones</p><p class="ci_profile_title">Director of Security Operations</p><p class="ci_profile_company">CHRISTUS Health</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> --> <img alt="" src="sssssssssss"> <p class="ci_profile_name"> xxxx </p> <p class="ci_profile_title"> vvvvv </p> <p class="ci_profile_company"> ddddd </p> <p class="ci_profile_award"> hhhhh </p> <p class="ci_profile_award"> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> <div class="ci_profile_social"> </div> </div> --></div></div></div><div class="col-sm-1"> </div></div><div class="row" id=""><div class="col-md-10 col-md-offset-1"><div class="col-md-12"><h2>AHA Affinity Forum is brought to our members in collaboration with CENTEGIX</h2></div><div class="col-md-12"><p>Trusted by leading health care providers, CENTEGIX CrisisAlert™ offers all staff members a way to discreetly summon help in any emergency—anytime, anywhere on your campus. The wearable duress badge accelerates response times so your team can confidently begin de-escalation, knowing help is on the way.</p></div> <a href="xxxxxxxxxxxxx"> <img alt="CENTEGIX Logo" src="/sites/default/files/2024-10/CENTEGIX_LOGO_web-Horizontal-Recovered.png"> </a> </div> --></div></div> Mon, 04 Nov 2024 04:55:00 -0600 Culture of Safety /affinity-forum/addressing-workplace-violence-health-care-2025 <div class="raw-html-embed"> </div><div> /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; 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margin: 0px 50px; } } .sp_CTA1b_holder { background-color: #fff; padding: 15px 15px 0; position: relative; overflow: auto; border: solid 2px #307FE2; text-align: center; } .sp_CTA1b h3 { color: #002855; font-size: 1.4em; margin: 0px; } .sp_CTA1b span { display: block; margin-top: 10px } .sp_CTA1b span a { color: #d50032; } .sp_CTA1b span a:hover { color: #651d32; } <div class="row sp_CTA1b"><div class="col-sm-8 col-sm-offset-2 sp_CTA1b_holder"><h3>AHA Affinity Forum is brought to our members in collaboration with CENTEGIX</h3><img src="/sites/default/files/2024-10/centegix-logo-834x313.jpg" alt="CENTEGIX logo" width="834" height="313"></div></div><div class="raw-html-embed"> /* CntMenuSub */ .CntMenuSub { margin: 20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: 11.2px; } .CntMenuSub a { text-decoration: none } .CntMenuSub .CntMenuBar { border-bottom: 1px solid lightblue; } /* if includes a logo */ @media (min-width:361px) { .CntMenuSub.CntMenuSubLogo .CntMenuBar { margin-top: 10px; 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Elisa Arespacochaga, Vice President of Clinical Affairs and Workforce, will host industry experts and hospital leaders as they provide insights on workplace violence in health care, the impact it has on patient care, and how to build an ongoing culture of safety at your organization.</p><p>Each session will last 60 minutes to allow time for the panel discussion and interaction with attendees. 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Learn how investing in safety can improve employee engagement and well-being, retention and recruitment, and patient care overall.</p></div><div class="event-registration-link"><a class="btn btn-wide btn-primary" href="/education-events/impact-safety-employee-wellbeing-and-patient-care" title="Watch On-Demand: The Impact of Safety on Employee Wellbeing and Patient "><span class="field-content">Watch On-Demand</span></a></div></div><div class="article views-row"> <div class="field-content"> <article> <div class="field_media_image"><img alt="xxxxxx" height="400" src="xxxxx" width="1200"></div> </article> </div> </div>--><div class="views-field views-field-field-start-date-time"><div class="field-content">Feb</div></div><div class="views-field views-field-field-start-date-time-1"><div class="field-content">27</div></div><div class="views-field views-field-title"><h3><a href="/education-events/defense-offense-leveraging-data-drive-continuous-improvement" title="Watch On-Demand: Leveraging Data to Drive Continuous Improvement" hreflang="en"><span class="field-content">Leveraging Data to Drive Continuous Improvement</span></a></h3></div><div class="views-field views-field-field-start-date-time-2"><div class="field-content"><p><span>Event:</span> Replay / Deck</p></div></div> <div class="field-content"> Interactive Virtual Panel xxxxxxx </div> </div>--><div><p>Workplace safety is an evolving risk. Even after security enhancements are implemented, there is a consistent need for evaluation and continuous improvement. See how you can leverage data and proactively plan to ensure an ongoing culture of safety.</p></div><div class="event-registration-link"><a class="btn btn-wide btn-primary" href="/education-events/defense-offense-leveraging-data-drive-continuous-improvement" title="Watch On-Demand: Leveraging Data to Drive Continuous Improvement"><span class="field-content">Watch On-Demand</span></a></div></div></div></div></section></div></div></div><div class="col-sm-1"> </div></div><div class="row"><div class="col-sm-1"> </div><div class="col-sm-10"> /* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align: center; color: #55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; font-size: 20px } .ci_profile_social a:last-of-type i { padding-right: 0px; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px) { .ci_logo { margin-top: 25px } .ci_social p { text-align: center !important; } #ci_footer-social { text-align: center } } @media (min-width:540px) { .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col'] { -ms-flex: 1; /* IE 10 */ flex: inherit; width: calc((100%/3) - 2px)/*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/ ; } } /* // */ <div class="row people people4"><h2 class="text-align-center">Virtual Panel Hosts</h2><div class="row rowEqual_768"><div class="col-xs-offset-2 col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/elisa-arespacochaga_affinity-forum-300x300.jpg" alt="John Riggi" width="300" height="300"><p class="ci_profile_name">Elisa Arespacochaga</p><p class="ci_profile_title">Vice President of Clinical Affairs and Workforce</p><p class="ci_profile_company">���������� Association</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-10/andrea-greco-centegix-affinity-forum-300x300.jpg" alt="Ed Gaudet" width="300" height="300"><p class="ci_profile_name">Andrea Greco</p><p class="ci_profile_title">Senior Vice President of Health care Safety</p><p class="ci_profile_company">CENTEGIX</p><p class="ci_profile_award"> </p><div class="ci_profile_social"> </div></div> <a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a> </p> --> <img alt="" src="sssssssssss"> <p class="ci_profile_name">xxxx</p> <p class="ci_profile_title">vvvvv</p> <p class="ci_profile_company">ddddd</p> <p class="ci_profile_award">hhhhh</p> <p class="ci_profile_award"><a href="/center/next-generation-leaders-fellowship/scholarship">Age-Friendly Scholarship Recipient</a></p> <div class="ci_profile_social"></div> </div> --></div></div></div><div class="col-sm-1"> </div></div><div class="row" id=""><div class="col-md-10 col-md-offset-1"><div class="col-md-12"><h2>AHA Affinity Forum is brought to our members in collaboration with CENTEGIX</h2></div><div class="col-md-8"><p>Trusted by leading health care providers, CENTEGIX offers a wearable badge with a single button that staff members push in the event of any type of emergency which alerts first responders of the emergency and initiates audio and visual notifications across the entire campus, thereby helping protect their staff members by streamlining communications during an emergency.</p></div><div class="col-md-4"><a href="https://www.centegix.com/healthcare/" title="Visit CENTEGIX" target="_blank"><img src="/sites/default/files/2024-10/CENTEGIX_LOGO_web-Horizontal-Recovered.png" alt="CENTEGIX Logo" width="100%" height="100%"></a></div></div></div> Mon, 04 Nov 2024 04:55:00 -0600 Culture of Safety /news/chairpersons-file/2024-09-30-leadership-dialogue-focusing-patient-safety-aha-board-member-steve-diaz-md-mainegeneral <p>In this episode, I talk with Steve Diaz, M.D., chief medical officer at MaineGeneral Health in Augusta and an AHA board member. Steve is an emergency medicine physician by training and has been involved in many of MaineGeneral’s health care quality and safety initiatives.</p><p>We focus on many aspects of patient safety, including accountability, prioritizing teamwork, overcoming barriers — particularly in rural emergency care — and using artificial intelligence. Steve describes how AI can help improve care management, personalize treatment plans, support administrative tasks and more.</p><p>Creating a culture of safety at MaineGeneral has included “flattening” the hierarchy and recognizing people who speak up, Steve explains. He discusses how to measure a culture of patient safety, handle quality reviews, and have difficult conversations to address challenging issues and behaviors — and then provide support and follow-up. “We want our team to know that we walk the walk,” Steve emphasizes. “If we say we’re going to hold people to this standard, we follow through no matter what.”</p><p>I hope you find these conversations thought provoking and useful. Look for them once a month as part of the Chair File.</p><p><strong>Watch the episode</strong></p><p> </p><hr><div></div> Mon, 30 Sep 2024 11:28:59 -0500 Culture of Safety /news/headline/2024-09-05-aha-podcast-how-board-influences-culture-safety <p>The governing board is instrumental in providing leadership and support for the culture of safety in hospitals and health systems. In this conversation, Jamie Orlikoff, the AHA’s national adviser on governance and leadership, discusses how trustees can affect a culture of safety. <a href="https://trustees.aha.org/how-board-influences-culture-safety">LISTEN NOW</a> </p> Thu, 05 Sep 2024 14:19:35 -0500 Culture of Safety /advancing-health-podcast/2024-07-03-unifying-hospital-boards-quality-and-safety <p>In this new “Safety Speaks” conversation, Harry S. Smith, board chair of Valley Health System and member of the AHA Committee on Governance, discusses how their organization rearranged its governance system to ensure that quality and patient safety standards were being met across the board. </p><p>To learn more and sign up for the Patient Safety Initiative please visit <a href="/aha-patient-safety-initiative" target="_blank">/aha-patient-safety-initiative</a></p><hr><div></div><div class="raw-html-embed"> <details class="transcript"> <summary> <h2 title="Click here to open/close the transcript."> <span>View Transcript</span><br>   </h2> </summary> <p> 00;00;00;14 - 00;00;31;10<br> Tom Haederle<br> E Pluribus Unum - that's Latin for "out of many, one" - is the traditional motto of the United States and printed on the dollar bill. Out of many, one is also the goal for independent hospitals and their boards who merge into larger health systems and may face the challenge of maintaining safety and quality standards that are no longer just their own. </p> <p> 00;00;31;13 - 00;01;06;07<br> Tom Haederle<br> Welcome to Advancing Health, a podcast from the ���������� Association. I'm Tom Haederle with AHA communications. Valley Health System serves a sizable patient population in Virginia. It was formerly six separate hospitals, all of which were governed independently by their boards. In this Safety Speak series podcast hosted by Sue Ellen Wagner, vice president of Trustee Engagement and Strategy with AHA, we hear how Valley Health System rearranged its governance system to overcome the hiccups of its growing pains and ensure that patient safety standards were kept up across the board.</p> <p> 00;01;06;09 - 00;01;18;26<br> Sue Ellen Wagner<br> Thank you Tom. Joining me for this podcast is Harry Smith, board chair of Valley Health System in Virginia, and member of the committee on Governance. Welcome, Harry, and thank you for joining me. </p> <p> 00;01;19;03 - 00;01;20;27<br> Harry S. Smith<br> Thank you, Sue Ellen. Happy to be here. </p> <p> 00;01;20;29 - 00;01;26;18<br> Sue Ellen Wagner<br> Great to have you. So can you tell us a high level overview of your health system? </p> <p> 00;01;26;21 - 00;01;58;29<br> Harry S. Smith<br> Be happy to. Valley Health System, and I've been involved with it and its largest subsidiary, Winchester Medical Center for 22 years. In two more years, I will retire. I will have termed out of Valley Health, and as a career banker, I have found health care to be - as a friend of mine said one time - you're performing God's mission. And I don't know of any organization in the world that does what hospitals and health care systems do to care for our population. </p> <p> 00;01;59;01 - 00;02;29;24<br> Harry S. Smith<br> So when I first started this journey 20 some years ago, I was on the Winchester Medical Center board, which is about 83% of the economic engine, the patient base of our system. We had five other hospitals. We did have a system, Valley Health System. We serve nine counties and a city in the northern part of Virginia. And some people will know it as the panhandle of West Virginia. </p> <p> 00;02;29;25 - 00;03;00;21<br> Harry S. Smith<br> So in addition to Virginia laws, rules and regulations, we also deal with West Virginia. So Valley Health System started back in the late 90s as starting to pull together a loose confederation of like-minded small hospitals to become a regional hospital. Over the years, 2 or 3 that we thought might come into that system actually sold to a for profit system, and that was their decision. </p> <p> 00;03;00;23 - 00;03;35;06<br> Harry S. Smith<br> So we ended up with the Winchester Medical Center, which is Level II trauma, to critical access hospitals and then three rural hospitals. It's been fun looking at this growth of this eclectic system of several different types of delivery in two different states. We realized early on, though, that we were somewhat disconnected, even though we had this holding company called Valley Health, we still had its board in six different hospital boards.</p> <p>00;03;35;08 - 00;04;04;06<br> Harry S. Smith<br> And principally they were responsible for their hospital, their operations. They had their own president. For the most part they did some of their financial and some of their accounting, but a lot of that was at the system level. But they were really principally responsible for quality. And so I became more involved and then was on the hospital board at Winchester Medical Center and the Health System Board, I started realizing how complex this was.</p> <p>00;04;04;09 - 00;04;39;01<br> Harry S. Smith<br> It should be more efficient, and we should be able to provide even better quality for our community. And how could we do that? And first is ask questions. One of the first questions I asked of our CEO was how many quality meetings? How many board meetings do you go to in a month? And it was astounding because remember, we had a quality hospital board meeting for each one of those, plus the system, and he was attending all of those, and each one was handling quality at a high level, but with its own standards.</p> <p>00;04;39;04 - 00;05;09;03<br> Harry S. Smith<br> You can't take six hospitals that used to be independent and overnight, put them all under one system and say to their executive team and to their board, you are no longer independent. So that took a process of moving more functions to the system, which we started really with finance and then audit. They then were principally quality. Then it was, we've got to standardize quality.</p> <p>00;05;09;03 - 00;05;41;12<br> Harry S. Smith<br> So Valley Health System hired its chief quality medical officer to system level. And then started working with the individual hospital presidents and their vice presidents of medical affairs to begin that process. As it started, we still were meeting a lot and I'm not sure really moving the needle as positively as we wanted with quality. So we then visited several systems, worked with consultants on how do we do this better?</p> <p>00;05;41;15 - 00;06;06;29<br> Harry S. Smith<br> And what we came up with, what we did was Valley Health System then became the sole member of all of these separate hospitals. So we then evolved into one board, Valley Health System, which is the sole member of the six hospitals with one board. So early when they were independent hospitals, you had a lot of attention to quality, because that's pretty much what they did.</p> <p>00;06;07;01 - 00;06;34;17<br> Harry S. Smith<br> Now it's one big board, not in each community, even though there's some community representation. How is it going to handle quality in a community that might be 70 miles away? That brought through the standardization process. And we did that at the Valley Health level, kind of just doing what we used to do, but now instead of 6 or 7 boards, it's one. Still wasn't working as well or as efficient as we thought.</p> <p>00;06;34;19 - 00;06;57;27<br> Harry S. Smith<br> We then decided to form what we call QMAC. It's the Quality Medical Affairs Committee, which has the full authority of the board. The system board meets six times a year. Credentialing occurs more than six times a year. And we said the hospitals have to exist for credentialing. You just can't disband a hospital. It has to have a board.</p> <p>00;06;57;28 - 00;07;37;20<br> Harry S. Smith<br> Well, its board is the Valley Health Board because it is a sole member-owned hospital. So representatives then of each hospital, their vice presidents of medical affairs, their lead administrators, their chief nursing officers, key physicians serve on the QMAC, Quality Medical Affairs Committee, which has the full authority of the board. And it meets monthly, and it has full authority to do credentialing to review all quality indices, KPIs and we then at the Valley Health Board, when we meet that six times a year, will open</p> <p>00;07;37;20 - 00;08;03;00<br> Harry S. Smith<br> our meeting, will have a consent agenda. And let me go back, if I might, because in one of this morning's presentations talked about the board's priorities as days and days and years and years ago, it may well have been finance. I think we all understand our number one priority is quality, and we have taken a lot of the normal duties and responsibilities.</p> <p>00;08;03;02 - 00;08;28;22<br> Harry S. Smith<br> Even the monthly financial report and the quarterly. And that's in a consent agenda now. So we don't have a long formal presentation on finance. So we save our time and our time is saved really at reviewing quality, educating the board on quality, but also taking time to educate. Our last meeting, we talked a lot about artificial intelligence and its impact on systems and quality and physicians</p> <p>00;08;28;22 - 00;08;58;02<br> Harry S. Smith<br> and don't be afraid of it because it's just a tool. You still will have humans making those decisions. So I then chair the board. We'll go through the consent agenda of those items that used to take an hour or more. We then open the sole member meetings, and that's where the quality report flows up to our system. The chair of our quality committee and the chief medical officer for the system will make that presentation.</p> <p>00;08;58;04 - 00;09;21;20<br> Harry S. Smith<br> And all this information is in our board package, and we have what we call an S-bar. You'll see the report. But then if you want literally the other 200 pages to go with that report, you can pull that up. That committee is populated, as I mentioned, from all of our hospitals are critical care. Our clinical administrators, our physicians assistants, nurse practitioners, chief nursing officers.</p> <p>00;09;21;22 - 00;09;52;22<br> Harry S. Smith<br> So it's very well represented. And that's where the deep dive occurs. That's where the sausage is made. We at the system level who aren't on that committee have to have a very high level of trust, which we do, and have given that committee, again, full authority to act on the board for our quality initiatives, including credentialing. So I know I'm rambling, but just to give you an idea of what this committee does and then how we review it.</p> <p>00;09;52;23 - 00;10;28;25<br> Harry S. Smith<br> So our QMAC committee reviews credentials. Our staff executive committee, which some would call their medical executive: committee minutes and reviews. Our performance improvement committee: harm scorecard quality scores, patient experience scores. They'll have special reports. They'll hear from our VHMG, which is our Valley Health medical group. That's the employed physicians. We have our entity presidents. There will have information that comes at a little bit of recruiting, is epic working as we would sentinel events, serious safety events.</p> <p>00;10;29;01 - 00;10;59;21<br> Harry S. Smith<br> Again, this is for all six hospitals coming to one group. As I mentioned credentialing, we have advanced practice providers involved in that. We hear a report from each department: cardiology, emergency medicine, family, etc. Review in depth the Performance Improvement Committee which again includes harm patient experience. The annual quality plan which they review first recommend to the board. The board will review it, discuss it,</p> <p>00;10;59;21 - 00;11;31;11<br> Harry S. Smith<br> at times we tweak it. That will become the annual plan of quality for our system. They look at falls, wrong site surgeries, lab issues, patient access, wound care. All of this happens on a monthly basis. You couldn't expect a board of 14 to 16 to really have that depth and level of knowledge to review every month, the thousands of hours that go into the details to come to that committee on a monthly basis, which typically meets for two to 2.5 hours.</p> <p>00;11;31;14 - 00;11;40;23<br> Harry S. Smith<br> So they have figured out how to get this information. And what underlies that information is a tremendous amount of detail.</p> <p>00;11;40;25 - 00;12;08;18<br> Chris DeRienzo, M.D.<br> Thank you for tuning in to this episode of Safety Speaks, the podcast series dedicated to patient safety, brought to you by the ���������� Association. I'm Dr. Chris DeRienzo, the AHA’s chief physician executive and a champion of the AHA Patient Safety Initiative. AHA’s Patient Safety Initiative is a collaborative, data driven effort that lifts up the voices of individual hospitals and health systems into the national patient safety conversation.</p> <p>00;12;08;21 - 00;12;40;18<br> Chris DeRienzo, M.D.<br> We strive to catalyze and connect health care professionals like you across America in your efforts to innovate and improve, and to bolster public trust in hospitals and health systems by helping you share your successes. For more information and to join the 1500 other hospitals already involved, visit aha.org/patientsafety or click on the link in the podcast description. Stay tuned to hear more about the incredible work of members of the AHA's Patient Safety Initiative.</p> <p>00;12;40;20 - 00;12;47;13<br> Chris DeRienzo, M.D.<br> Remember, together, we can make health care safer for everyone.</p> <p>00;12;47;15 - 00;12;56;00<br> Sue Ellen Wagner<br> So that QMAC is a way to keep quality at that local community hospital level, and then weave it right up to the top to the system.</p> <p>00;12;56;06 - 00;13;29;09<br> Harry S. Smith<br> Absolutely. I'm not sure I'll say it's our challenge, but our opportunity now and this has been a ten year endeavor. But QMAC really in the last four years has come of its own to where the data, the conversation, the presentation, that's all very, very good. We still have some pockets though, where we could have better standardization of delivery of quality throughout our various entities, including our employed physicians.</p> <p>00;13;29;11 - 00;14;02;12<br> Harry S. Smith<br> That's really the drive right now. We started in 2017 on a journey called High Reliability Organization, which is comprehensive, expensive in the short run, but will be very beneficial in the long run. And it's a journey that never ends. I think I've mentioned to you before, this really came from the Navy. And what does that mean? It means what happens 100% of the time should happen, and what shouldn't happen 100% of the time doesn't happen.</p> <p>00;14;02;14 - 00;14;24;12<br> Harry S. Smith<br> And that's not easy to do. But if that is your goal, if that is your mission, if you know that you want to do everything right. If you don't, you correct it, you learn from it, and then you have to have those standards across the system that everybody is operating in the same manner. And that's where we're finding still a little bit of some variables.</p> <p>00;14;24;15 - 00;14;49;26<br> Harry S. Smith<br> The last thing they look at, and the most important thing that QMAC back presents to our board then would be our dashboard, our KPIs. This is approved. Our quality plan annually originates from this committee representing all of those constituents I mentioned earlier. Comes up to the board and is presented twice. Once - okay, here's what we think. You all chew on this for a month or two.</p> <p>00;14;49;27 - 00;15;14;26<br> Harry S. Smith<br> We're going to come back and then receive formal board approval for our quality plan. In the last three years, the board has made a few tweaks. They never have just blindly accepted the QMAC report and quality plan. An example would be the mortality index. We were doing really, really very well on that. Because we were doing so well</p> <p>00;15;14;28 - 00;15;33;22<br> Harry S. Smith<br> QMAC folks in executive management recommended, because the hurdle was already pretty high, that we should continue that for the next year. Board members said, we think you need to raise that. You've already obtained this level. And they go, yeah, but this is a great level when you look at peer. Yeah, but we think you can do better.</p> <p>00;15;33;25 - 00;15;35;06<br> Harry S. Smith<br> And they exceeded that.</p> <p>00;15;35;11 - 00;15;37;11<br> Sue Ellen Wagner<br> Commend you for that. That's amazing.</p> <p>00;15;37;14 - 00;15;58;23<br> Harry S. Smith<br> Thank you. And they did accept us. So currently we are looking at and this is where we had to tweak the mortality index. We look at whole house infection. We used to just look at sepsis. They made the change. I asked our quality medical officer, tell me what this whole house infection is. And he goes, well it's a new indices that CMS is looking at.</p> <p>00;15;58;25 - 00;16;21;07<br> Harry S. Smith<br> And sepsis. We've got a pretty good handle on that in our system now. So we're now looking across the whole system i.e. the whole house at all infections not just sepsis. If we would see sepsis crop up, then we certainly would put a shining light on that and give that more attention. We are looking average length of stay.</p> <p>00;16;21;08 - 00;16;48;04<br> Harry S. Smith<br> We think that is important, which ties a little bit into and we still have operating margin. And then last is engagement. Employee, outpatient, inpatient, ED - critically important to us. What people think about us, how do they feel about our quality. And we take that seriously. These are our major dashboard KPIs. And really only 20% of that is finance.</p> <p>00;16;48;06 - 00;16;59;23<br> Harry S. Smith<br> You might say a little bit of length of stay is tied to finance. And I will tell you, a decade ago, 60% would have been financial indicators. Now it's 20%.</p> <p>00;16;59;25 - 00;17;02;10<br> Sue Ellen Wagner<br> And the rest is quality or most of it.</p> <p>00;17;02;13 - 00;17;27;15<br> Harry S. Smith<br> Most is quality. And again, working through that socially, politically and again when you're realigning boards and duties and we're wanting to get to a point where you never will get. And that's 100% perfection. But if that's your goal and if you can continue to improve on that goal, tweak it as you get there, then I think we've done our job. </p> <p>00;17;27;17 - 00;17;47;15<br> Sue Ellen Wagner<br> Absolutely. Wow. So you've really described a great case example for other systems to follow and other hospitals. You're still keeping that quality local, but your reduced the number of meetings that boards have to go to. And that system is still seeing what's going on across all of your six hospitals. That's great.</p> <p>00;17;47;17 - 00;18;12;27<br> Harry S. Smith<br> We are. We have independent trustees. The chair of QMAC has to be a trustee. Now we're lucky this happens to be a physician. So that's great. We have a trustee who is a nurse, actually dean of a nursing school who had been a practicing nurse. She is on that. So we have independent nursing validation. We then have several independent trustees who do not have a medical background.</p> <p>00;18;13;00 - 00;18;33;08<br> Harry S. Smith<br> And we now require that members of the board who are not members of QMAC mandatorily have to attend at least one meeting a year. Because in one of our surveys a couple of years ago, members said they weren't sure that we were meeting our quality commitment. Those on the committee were going, what?</p> <p>00;18;33;10 - 00;18;37;05<br> Sue Ellen Wagner<br> So you just weren't transferring the information more broadly.</p> <p>00;18;37;08 - 00;19;13;20<br> Harry S. Smith<br> And we were bringing it up to the system board, but we were bringing it up through, you know, a monthly meeting report, but some probably weren't going to that S-bar or reviewing those 100 or so pages. Nor should they. They were newer learning how to trust this. Is it really working as we think it should? One way to get that is to have the experience of attending that meeting at least once during the year, to really see what these very dedicated professionals are committing to and doing, to continue to strive to improve quality, to again that 100% level.</p> <p>00;19;13;22 - 00;19;37;27<br> Sue Ellen Wagner<br> It's a very important step to make sure that all your board members are knowledgeable about what's going on and understand. And I also think it's pretty phenomenal that you've modified the way your consent agenda is done, and you're talking more about quality. We talked earlier at the AHA Annual Meeting at our Age Friendly and Quality and Patient Safety program, how it's so important to have quality be front and center of your board members.</p> <p>00;19;38;00 - 00;19;52;06<br> Sue Ellen Wagner<br> Any other words of wisdom for other boards in terms of what they should be focusing on, on quality and patient safety, or how they get buy in to make some changes to their board structure and how they should be talking about quality and patient safety.</p> <p>00;19;52;08 - 00;20;19;27<br> Harry S. Smith<br> I think the first is don't be shy that you don't know everything. You may not have a background in health care. That's where I think most of the apprehension might be. You have to be comfortable in giving up the perceived local control. You have to develop what your community, what your structure that will work for you and it.</p> <p>00;20;19;29 - 00;20;49;01<br> Harry S. Smith<br> And I would say this would be more for those trustees that don't have that quality level of background. It's okay to ask a question. I mean, I'm a banker and I've started this years ago going, how many meetings do you attend and why are we spending so much time on this and why are we doing that? Getting involved in organizations like the ���������� Association, attending meetings, listening to peers best practices.</p> <p>00;20;49;03 - 00;21;14;08<br> Harry S. Smith<br> It really does help with efficiency, effectiveness. And it's okay to ask that question. It might not work for everyone. That's okay, but you can improve what you're doing in every single instance and circumstance in every part of this country if you just aren't comfortable with the status quo and just ask why, how, and maybe we can do things better, we found that you can.</p> <p>00;21;14;10 - 00;21;19;06<br> Sue Ellen Wagner<br> Well, I think you've provided some great insights for our listeners, and I want to thank you for joining me.</p> <p>00;21;19;13 - 00;21;20;24<br> Harry S. Smith<br> Thank you, Sue Ellen.</p> <p>00;21;20;26 - 00;21;29;05<br> Tom Haederle<br> Thanks for listening to Advancing Health. Please subscribe and write us five stars on Apple Podcasts, Spotify, or wherever you get your podcasts. </p> </details> </div> Wed, 03 Jul 2024 16:56:02 -0500 Culture of Safety