HRET HIIN ADE Hypoglycemia Relay. November 27, :00 a.m. 12:00 p.m. CT

Transcription

1 HRET HIIN ADE Hypoglycemia Relay November 27, :00 a.m. 12:00 p.m. CT

2 Welcome and Introductions Kavita Bhat, MD, MPH Program Manager, HRET

3 Hello, My Name is Name Hospital/State Hospital Association City, State

4 Webinar Platform Quick Reference Mute computer audio Today s presentation Chat with participants Download slides/resources Register for upcoming events

5 AGENDA Welcome and Introductions Relay Overview ADE Hypoglycemia Sprint Tools Expectations Questions and Answers Bring it Home

6 Relay Overview Kavita Bhat, MD, MPH Program Manager, HRET Steve Tremain, MD, FACPE Maryanne Whitney, RN, CNS, MSN Improvement Advisors, Cynosure

7 Why ADE Hypoglycemia? Most common adverse drug event More hypoglycemia events reported than all other harms combined Unrecognized as a harm by physicians and nurses Common side affect Cost of doing business No big deal All s well after some carbs/glucose Uncommon serious recognized event But serious morbidity and death does occur

8 Why Are We Here? 8 States 27 Hospitals > 700 Preventable ADE Hypoglycemia Harms! from 9/2018 to 10/2018

9 What is a Relay? A relay follows a sprint in methodology except peer advisors will assist in facilitating and providing support on the virtual events! The peer advisors chosen for the relay are hospitals that participated and were identified as high performers in a previous ADE Hypoglycemia Sprint.

10 Who are our Hospital Peer Advisors? Labette Health, Kansas Methodist Hospital, Indiana St. Aloisius Medical Center, North Dakota

11 What are our goals? Increase the awareness of the importance of identifying and reporting all ADE Hypoglycemia harms Utilize root cause analysis tools to assess ADE Hypoglycemia practices Define and utilize best practices for process improvements Maintain and Accelerate reduction in ADE Hypoglycemia harms Create peer to peer collaboration among states and hospitals

12 HRET HIIN ADE Hypoglycemia Relay Webinar Schedule November 27, 2018 (11:00AM 12:00PM CT) December 17, 2018 (11:00AM 12:00PM CT) January 8, 2019 (11:00AM 12:00PM CT) Summary ADE Hypoglycemia Relay for all HRET HIIN January 31, 2019 (11:00AM 12:00PM CT) Calendar invitations with the platform link will be sent by HRET HIIN

13 ADE Hypoglycemia Sprint Tools Kavita Bhat, MD, MPH Program Manager, HRET Steve Tremain, MD, FACPE Maryanne Whitney, RN, CNS, MSN Improvement Advisors, Cynosure

14 ADE HYPOGLYCEMIA PROCESS IMPROVEMENT DISCOVERY TOOL Review 10 Charts (Maximum 20 charts) Place check mark for every process failure in each chart Spend no more than minutes per chart

15 Let s take a closer look at the tool X X X X X= Process Failure These are opportunities for improvement! X X

16 ADE Hypoglycemia Coaching Guide State Partner & Hospital 1:1 Coaching using ADE Hypoglycemia coaching guide Barriers/Concerns Champions Resources Action Plan Aims Strategies/Tactics Deadlines Evaluation

17 ADE & PFE Martha Hayward PFE Advisor, HRET

18 The Metrics

19 PFE Metrics Front Line Staff Leadership Board/C-Suite

20 Metric #1 PFE Metric 1 Preadmission planning Prior to admission, hospital staff provide and discuss a discharge planning checklist with every patient who has a scheduled admission, allowing for questions or comments from the patient or family (e.g., a planning checklist that is similar to CMS s Discharge Planning Checklist).

21 PFE Metric #1 Admission Checklist

22 PFE Metric #2 Shift Change

23 Expectations Kavita Bhat, MD, MPH Program Manager, HRET Steve Tremain, MD, FACPE Maryanne Whitney, RN, CNS, MSN Improvement Advisors, Cynosure

24 Hospital Expectations Select 1 lead for the relay Accept invites and participate in the 3 HRET HIIN ADE Hypoglycemia Relay virtual events Complete pre-assessment (link here) Utilize the ADE Hypoglycemia Process Discovery Tool and submit the completed tool to your State Partner Participate in 1 coaching session with your State Partner Complete post-sprint assessment 6 Easy Steps!

25 State Partner Expectations Accept invites and participate in the 3 HRET HIIN ADE Hypoglycemia Relay virtual events Follow-up with hospitals to identify a lead for the relay and remind them of hospital expectations throughout the sprint. Track your registered hospitals using the sprint tracking tool. Schedule 1 coaching session with hospitals session of one-on-one coaching with hospitals utilizing the ADE Hypoglycemia Sprint Coaching Guide. Submit your hospital s process discovery tool and coaching guide to kbhat@aha.org

26 What should I complete before the next virtual event? Hospitals Select 1 lead for the relay Complete pre-assessment (link here) Utilize the ADE Hypoglycemia Process Discovery Tool and submit it to your state partner. State Partners Follow-up with hospitals (track your registered hospitals using the sprint tracking tool.) Schedule a coaching call with each hospital

27 Questions?

28 Continuing Education Credits Launch the evaluation link in the bottom left hand corner of your screen. If viewing as a group, each viewer will need to submit separately through the CE link

29 HRET Resources 2018 ADE Checklist 2018 ADE Change Package

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