Investments for implement the patient safety programs

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Apresentação de Derek Freeley e Stephen Muething durante o O SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil.
Derek Freeley é Vice Presidente Executivo do Institute for Healthcare Improvement (IHI), tem responsabilidades executivas por conduzir estratégias do IHI em cinco áreas de atuação: desenvolvimento de habilidade; cuidado centrado no paciente e família; segurança do paciente; qualidade; custo e valor; e grande foco em populações. Antes de integrar a equipe do IHI em 2013, foi diretor geral de saúde e assistência social e diretor executivo do National Health Service (NHS) na Escócia.
Stephen Muething é Médico, Vice Presidente de Segurança no Cincinnati Children’s Hospital Medical Center (CCHMC), Professor Associado de Pediatria e um pediatra atuante. Durante a primeira década de sua carreira clínica atuou desenvolvendo a assistência pediátrica, tanto no âmbito ambulatorial quanto hospitalar, em uma região rural no sudeste de Indiana, Estados Unidos

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Investments for implement the patient safety programs

  1. 1. Investments for Implementation November 5 2013 Sao Paolo Derek Feeley Stephen Muething
  2. 2. 3 key investments Leadership Infrastructure Quality Improvement Capability
  3. 3. A Mindset Shift and a Resource Shift? Standards Bundles Guidelines Real time data Audit PDSA cycles Inspection Doing with….. Doing to……
  4. 4. IHI Leadership Framework
  5. 5. High Impact Leadership Behaviors
  6. 6. Lessons Learned 1. Establish and Oversee Specific System-Level Aims at the Highest Governance Level 2. Develop an Executable Strategy to achieve these Aims 3. Channel Leadership Attention to System-Level Improvement 4. Put Patients and Families on the Improvement Team 5. Make the Chief Financial Officer a Quality Champion 6. Engage Physicians 7. Build Improvement Capability IHI Seven Leadership Leverage Points
  7. 7. Infrastructure Measurement Program Management Communications Physician Engagement Tools – checklists, ‘how to’ guides etc
  8. 8. IHI Breakthrough Series – a collaborative infrastructure Select Topic (develop mission) Planning Group Develop Framework & Changes Participants (10-100 teams) Prework LS 1 P S A D P S A D LS 3LS 2 Supports Email Visits Extranet Assessments Monthly Team Reports Congress, Guides, Publications etc. A D P SExpert Meeting
  9. 9. Quality Improvement Capability Getting the right ‘dose’ A group of highly skilled improvement experts (Improvement Advisers) Patient safety officers Point of care staff with knowledge of basic concepts and models Fellowships
  10. 10. Some examples from IHI offerings The following list gives an overview of many of the capabilities that IHI offers. Some of these services are existing public enrollment programs, while others can be customized for your organization. Improvement Advisors/Experts: By training select individuals within the organization to become Improvement Advisors (IAs) or quality/safety experts and coaching them to get results on the strategic improvement initiatives they are working on. Training and Professional Development: By helping the organization deliver key professional development programs in quality and safety, enabling it to build capacity in the region. Such programs may include: Executive Quality Academy, Improvement Science in Action, and Breakthrough Series College. Innovation and Research & Development: By training the organization on how to establish and manage an effective research and development method that will enable innovation. Testing and Adopting an Evaluation Framework: By facilitating the application of an evaluation framework that will enable the organization to identify improvement efforts that are ready for spread. Dissemination and Spread Capacity: By training the organization in how to spread best practices and share knowledge widely. Data Experts and Analysts: By helping existing resources within the organization to further develop the skills needed for measurement and data analysis.

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