Hospital Harm Measure: Can It Really Be Used For Improvement?

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This document summarizes a webinar about using hospital harm data and resources to inform quality improvement plans. It includes an agenda with presentations on the patient perspective, an organization's experience in Fraser Health, and tips for using the Hospital Harm Improvement Resource. It discusses why reducing hospital harms is important to patients, and Fraser Health's journey to reduce common harms like UTIs, pneumonia, and sepsis. It promotes engaging patients and provides links to resources on including the patient experience and engaging patients as partners in safety. Attendees are invited to learn more about the Hospital Harm project through listed websites and contacts.

cihi.ca
hsp@cihi.ca
@cihi_icis
patientsafetyinstitute.ca
info@cpsi-icsp.ca
@Patient_Safety
Hospital Harm Measure: Can it
Really be Used for Improvement?

2
Objective for today’s webinar:
Leave the webinar with at least one practical idea for using
the Hospital Harm data and/or the Hospital Harm
Improvement Resource to help inform your QI plan.

3
Session Overview:
Agenda Item Presenter
The Patient Perspective Donna Davis
Organizational Experience
Fraser Health
Kevin Hare, Nicole Quilty
Tips for using the Hospital
Harm Improvement Resource
Ioana Popescu
Questions
CIHI Updates Chantal Couris
Closing Comments and Evaluation

4
Why the Hospital Harm project is
important to patients and their families

“The first step towards getting
somewhere is to decide that you are
not going to stay where you are.”
- J.P. Morgan

7
Hospital Harm Measure: Can it really
be used for improvement?

Services
• $3.5 billion annual operating budget
(2013/14)
• 12 acute care hospitals (2,065 patients)
• 83 residential care facilities (7,760 beds)
• 25,000 staff
• 2,600 physicians
• 8,000 volunteers
Daily Statistics
• 42 babies born
• 1,208 ER visits
• 457 patients have surgery
• 630 home care nursing visits
• 740 clients access mental health
community services

0
5
10
15
20
25
30
35
40
45
2012/2013
34.2
2013/2014
27.8
2014/2015
20.9
2015/2016
16.3
2016/2017
15.4
Rate of Healthcare Associated UTIs
per 1,000 patient discharges (age 55+)
2134 cases 1809 cases 1403 cases 1119 cases 1053 cases

2012/2013
20.8
2013/2014
17.3
2014/2015
17.6
2015/2016
16.5
Rate of Healthcare Associated Pneumonia
per 1,000 patient discharges (age 55+)
1298 cases 1127 cases 1187 cases 1131 cases 1088 cases
0
5
10
15
20
25
30
2016/2017
15.2

0
1
2
3
4
5
6
2015/2016
3.71
308 cases
2015/2016
3.43
299 cases
Rate of Sepsis
per 1,000 patient discharges (age 1+)

41%
of physicians
have never used
the sepsis PPO
PPO was not used in
90% of sepsis cases
Improve use of Sepsis PPO

Early Recognition of Deteriorating Patients

Engaging Patients
Ioana Cristina Popescu, Canadian Patient Safety Institute
September 12, 2017. Hospital Harm Indicator Webinar

Hospital Harm Improvement Resource
Importance to patients and families – on every chapter

Including the Patient/ Family Experience
http://www.patientsafetyinstitute.ca/en/toolsresources/pages/tips-on-ways-to-share-your-story.aspx
http://www.patientsafetyinstitute.ca/en/toolsresources/pages/tips-for-patient-family-engagement-with-health-
authorities-to-improve-patient-safety-and-quality-of-care.aspx

Engaging Patients as Partners
http://www.patientsafetyinstitute.ca/en/Events/PatientChampionAwards/Pages/default.aspx

Engaging Patients in Patient Safety – a Canadian
Guide
• 4 chapters - each includes
– Guidance
– What YOU can do
• Patients, patient partners
• Providers, managers
• Leaders, governors
– Practice example(s)
– References
• Complementary resources
http://www.patientsafetyinstitute.ca/engagingpatients

37
Please respond to the poll questions that have
now opened. You will have 5 minutes to
complete the poll.

38
Learn More about the Hospital Harm Project:
Links to both resources will be placed in the chat box during the webinar.
Contact us at either: hsp@cihi.ca or info@cpsi.ca

39
Where can I find more information?
http://www.patientsafetyinstitute.ca/en/toolsresources/hospital-harm-
measure/pages/default.aspx
https://www.cihi.ca/en/health-system-performance/quality-of-care-and-
outcomes/patient-safety
Contact us at either: hsp@cihi.ca or info@cpsi.ca

As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust. We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts. This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.

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Hospital Harm Measure: Can It Really Be Used For Improvement?

1. cihi.ca hsp@cihi.ca @cihi_icis patientsafetyinstitute.ca info@cpsi-icsp.ca @Patient_Safety Hospital Harm Measure: Can it Really be Used for Improvement?

2. 2 Objective for today’s webinar: Leave the webinar with at least one practical idea for using the Hospital Harm data and/or the Hospital Harm Improvement Resource to help inform your QI plan.

3. 3 Session Overview: Agenda Item Presenter The Patient Perspective Donna Davis Organizational Experience Fraser Health Kevin Hare, Nicole Quilty Tips for using the Hospital Harm Improvement Resource Ioana Popescu Questions CIHI Updates Chantal Couris Closing Comments and Evaluation

4. 4 Why the Hospital Harm project is important to patients and their families

5. 5

6. “The first step towards getting somewhere is to decide that you are not going to stay where you are.” - J.P. Morgan