According to the Centers of Disease Control (CDC), an estimated 70,000 patients die each year from hospital-associated infections (HAIs): contrast the CDC statistic with the fact that only 35,000 people die each year in the U.S. from motor vehicle accidents. Learn key best practices in patient safety and quality including: patient safety as a team sport, the added challenges of healthcare being the most complex, adaptive system, and how culture, analytics, and content contribute to improve outcomes and lower costs.

1. Improving Patient Safety and Quality
Through Culture, ClinicalAnalytics, and Evidence-Based Practices, and Adoption
― LESLIE FALK

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Improving Patient Safety
I recently attended the “Best Practices
in a Culture of Safety” conference.
This annual event brings a variety
of population health ecosystems
together: clinics, home health, skilled
nursing facilities, rehab, acute care,
hospice, and medical homes.
LESLIE FALK
Customer Engagement, VP

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Improving Patient Safety
The featured speaker, Michael
Woods, MD, MMM, an industry
leader in relationship-based care
related this piece of music to
demonstrate the coordination and
communication required to be a
healthcare team member; to
effectively and efficiently deliver
quality patient outcomes.

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Improving Patient Safety
Healthcare is often compared to
other complex, adaptive systems,
such as the airline and nuclear
industries.
But there are striking differences.
In the airline industry, for example,
pilots don’t just get up and leave
mid-flight.
In the healthcare industry, patients
often have different providers and
nurses throughout their care
experiences.

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Improving Patient Safety
Every provider and nurse handoff
creates the potential for mis-
communication and mistakes.
What does it take to thrive in such
a complex, adaptive system?
CULTURE
ANALYTICS
EVIDENCE-BASED
PRACTICES
ADOPTION

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Improving Outcomes and Lowering Costs
If your healthcare organization
doesn’t have a culture that values
teamwork, accountability, and an
environment that encourages
speaking up, then you’re more
likely to experience quality issues.
Conference speaker Dr. Woods
effectively illustrated the
importance of culture using
statistics on wrong site surgeries:
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CULTURE

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Improving Outcomes and Lowering Costs
• 20 percent of healthcare
professionals said they would
not speak up if they witnessed
an issue.
• In retrospective wrong site
surgery reviews, 60-80 percent
of people interviewed said they
knew the incision was being
made in the wrong place, but
did not speak up.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CULTURE

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Improving Outcomes and Lowering Costs
According to Dr. Woods, the one word that best describes a
culture of safety is ― civility.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CULTURE
CIVILITY
No one is ever hesitant
to voice a concern about
a patient
Concerns raised by
front line caregivers are
taken seriously.
Action is taken,
feedback reliably
provided, changes
are visible for staff
and patients
Skilled caregivers
playing by the rules,
feel safe to discuss
and learn from errors

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Improving Outcomes and Lowering Costs
Culture is often deemed a soft
component in patient safety and
quality, with clinicians and IT staff
focusing solely on data.
A clinician shared that (EMR) data
showed ASA utilization at 20%.
They discovered this was due to a
healthcare data quality issue.
In reality the rate was actually
greater than 90 percent.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CULTURE

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Improving Outcomes and Lowering Costs
Clinical analytics plays an
important role in scalable,
sustainable quality improvement.
Common topics of discussion:
• Regulatory and performance
requirements
• Delay in getting reports from IT
• Need to integrate data sources
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CLINICALANALYTICS

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Improving Outcomes and Lowering Costs
Data is a vital component of
patient safety and quality.
But data without the afore-
mentioned supportive culture
isn’t as effective.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
CLINICALANALYTICS

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Improving Outcomes and Lowering Costs
The old adage that medicine is
art, not science, is not entirely
valid within analytic platforms
and evidence-based content to
operationalize standard,
effective care practices.
We should leverage clinical
analytics to enable providers to
spend their time on the difficult
cases, while ensuring quality
care is given in all cases.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
EVIDENCE-BASED
PRACTICES

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Improving Outcomes and Lowering Costs
Kelly McGrath, MD, shared two
statistics that reveal just how
important patient safety and quality
is in achieving the Triple Aim:
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
EVIDENCE-BASED
PRACTICES
1. According to the Centers of Disease
Control (CDC), an estimated 70,000
patients die each year from hospital-
associated infections (HAIs).
This is in stark contrast to the fact that
35,000 people die each year in the
U.S. from motor vehicle accidents.
Institute for Healthcare Improvement (IHI): Triple Aim

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Improving Outcomes and Lowering Costs
Kelly McGrath, MD, shared two
statistics that reveal just how
important patient safety and quality
is in achieving the Triple Aim:
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
EVIDENCE-BASED
PRACTICES
Institute for Healthcare Improvement (IHI): Triple Aim
2. HAIs create direct hospital costs
between $35.7 Billion to $45 Billion
annually (adjusted to 2007 dollars).
This is in contrast to the $70 Billion
annual U.S. Department of Education
budget.

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Improving Outcomes and Lowering Costs
Adoption includes educating and
training frontline clinicians and
healthcare workers, engaging
patients, and collaborating with
clinician leadership to drive best
practices adoption.
Evidence-based practices need
to be hardwired—thoroughly
engrained in frontline practices—
to result in patient safety and
quality improvements.
Through Culture, Clinical Analytics, Evidence-Based Practices, and Adoption
Institute for Healthcare Improvement (IHI): Triple Aim
ADOPTION

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For more information:
“This book is a fantastic piece of work”
– Robert Lindeman MD, FAAP, Chief Physician Quality Officer

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More about this topic
3 Ways to Decrease Nosocomial Infections in Hospitals
Michael Barton, Engagement Executive, VP
3 Steps to Prioritize Clinical Quality Improvement in Healthcare
Bobbi Brown, Vice President of Financial Engagement
How to improve clinical quality improvement with an EDW
Client Success Story
Healthcare Performance Improvement Readiness Assessment: The Key to Achieving the IHI
Triple Aim – Ann Tinker and Susan Easton, Engagement Executive, VPs
Five Deming Principles That Help Healthcare Process Improvement
Dr. John Haughom, Senior Advisor
Link to original article for a more in-depth discussion.
Improving Patient Safety and Quality through Culture, Clinical Analytics, Evidence-Based Practices,
and Adoption

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Leslie Hough Falk joined Health Catalyst in September, 2012, as Vice
President, Executive Engagement. She has worked as both an Executive
Engagement Manager and in various marketing roles. Leslie is a Registered
Nurse. Prior to joining Health Catalyst, Leslie worked for Hewlett-Packard in
sales, support, and marketing roles. She also worked for Kaiser Permanente as
their first Biomedical Engineer in the Northern Region and helped launch the first Pediatric
ICU in the state of Nevada. Leslie holds a Masters in Business Administration, Masters in
Community Counseling, and a Bachelor of Science Degree in Engineering. Leslie has also
earned certifications as a Project Management Professional (PMP), Green Belt Lean, and
Information Privacy Professional (CIPP, CIPP/IT).
Other Clinical Quality Improvement Resources
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