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2013 TN Update
- 1. TRAINING NETWORK UPDATE 1 Tim Williams
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- 5. Increase Survival from Cardiac Arrest: In Hospital: Adult – from 19% to 38% Children – from 35% to 50% OOH – from 7.9 to 15.8% Double Out of Hospital CPR Bystander Response from 31% to 62% Action Strategies • Improve quality of CPR delivered • Establish data collection, reporting and benchmarks to improve surveillance and outcomes • Define elements of comprehensive Resuscitation of System of Care and a recognition program to encourage implementation • Explore issues related to quality of life after an event • Leverage existing science on the bystander effect and encourage additional research • Expand program development to build bystander confidence to perform CPR • Advocate for emergency medical dispatch coverage in every community and develop tools to support implementation
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- 8. Dispute Resolution Process • TC has active program and manages issue • Hospitals have well defined processes • TCC may not know or avoids process Self-managed • AM works with TC • Educate – not punish • Holds TC Accountable Standard •TC Fails to take responsibility or resolve issue •Mgr, Quality & Risk Mgmt •Formal action taken Escalation 8
- 9. “How do you eat an elephant?” 9
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- 13. NEW: CM Link Report
- 14. Overview of Pass Rates Change Course Total Yes, w. Req. Unsuccessful Completes as of 8/31/12 Completes since 9/1/12 Completes as of 8/31/12 Completes since 9/1/12 Completes as of 8/31/12 Completes since 9/1/12 ACLS 1,069 130 23% (242) 22% (29) 3% (36) 2% (3) BLS 1,503 192 19% (290) 18% (35) 4% (57) 4% (7) PALS 694 106 20% (137) 19% (20) 4% (27) 1% (1) 14
- 15. Q. Were AHA scenarios used throughout the course? AHA Scenarios Used Throughout 15 ACLS 91.83% 4.92% 1.92% 0.58% 81.92% 14.02% 2.95% 1.11% 41.03% 20.51% 38.46% 0.00% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Yes Yes, with Req. No Not Observed Unsuccessful Successful with Improvements Total
- 16. 16 High Respondent States - Percentage “Yes, w/” or “No” with respondent totals (254) (177) (171) (186) (115) (222) (376) (262) (229) (254) (169) (104) (114) Average 0% 10% 20% 30% 40% 50% 60% 70% OK MA IN FL NJ NY CA PA TX OH MD WI VA (respondent total) (respondent total) (respondent total) Under 60 respondents 61-100 respondents Over 100 respondents Key Average is national average of evaluations receiving “Yes,with Req” and “No”
- 17. TC Renewal Timeline 17 TCA Start Date Begin TC Audit TCA End Date 246 18120
- 18. 246 18120 TC Renewal Timeline 18 TCA Start Date CM Deadline/ Renewal Renewal Decision TCA End Date Begin TC Audit Begin TC Audit/ QR Deadline AM Recommendation TC Renewal Letter Sent
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- 21. Virtual Meetings • Avoidance of travel costs • Convenience • Interactivity • Flexibility • Informal learning • Repurpose content by recording a session
- 23. My TC Agreement Student Reminder My Survey Instructor List Live ChatMy Courses My Card Print Card Upload Attachment
- 25. Take a Peek…
Editor's Notes
- First couple of months was discovery periodVerified these issues with staff, volunteersAnd, 48 Chairs during a series of 9 virtual meetings in May-June 2012ID several core issues:Quality ImprovementLegal risksCM ProcessPerception that TC automatically renewed
- Created strategic planStaff now manage all quality issues to eliminate COI issuesDispute resolution process that allows the TC to solve their issues and hold all parties accountableDispute Resolution Process including escalation pathwayRevised CM Process with reports and data output to improve qualityNew TC Renewal ProcessDedicated Volunteer Website for RFs and RCs
- Problems with Quality6 years without fixing quality and operational issuesLack of parityIncorrect info/processes institutionalizedIf you can't beat 'em, join 'em
- COI & Anti-trust issues with volsInnate COI 90+% of our committees serve in TC leadership rolesRegardless of how objective, vols cannot serve as agents to AHAThis is why vols were not allowed to deal with TC issues prior to 2005
- Dispute resolution process defined with escalation process and dedicated staff position (include simple slide)TCs held accountableTCA section 4.1 requires TC to manage all issues arising out of doing business as a TC - customer issue, TS/Instructor issueVols cannot hold TC accountable - staff functionEducate v punishTC is unable to resolve issue it is escalated
- ASK:“Let me ask a question…” <CLICKNOTE: cannot fix all problems in a year or even 2 years that have brewed for 6+ years.Inertia & tipping point
- Problems with CMProblems with linksEasy to use wrong link if RF has multiple assignmentsIssues with RFs changing assignments and needing new link assignedVendor limits link order to monthlyCM window too narrow
- Perception that TC automatically renewedMany were renewed because we had no central collection point for complaints/issues
- CM Provide a report to each region that provides links for every CM by discipline, per TC (Over 6600 links every 2 years)
- Sample Sizes: Total Responses (N) = 1,199Successful with Improvements = 271Unsuccessful = 39
- Data by State:Allows us to begin to ask questionsWhy do the states starting with CA through VA are above average with scores of 2 or 3
- New TC Renewal Process21 months to complete CM - eliminates burden on RFIncludes AM early in new TC Audit - Renew/DNRHold both AHA and TC accountableTime for TC to fix issues within dispute resolution processIf a TC does not respond to RF, then the RF needs to escalate the issueThe RF has a responsibility to contact the TCC more than 1 every 2 yrs
- <CLICK>T-150 days the AM Recommendations are finalized by TNSIf AM recommends not renew, need documentation to show sufficient evidence (discussed later)Time for TC to fix issues within dispute resolution process<CLICK>T-90 Days: CM Deadline<CLICK>T-60 days: Final decision based on recommendation, CM Results, presence of updated insurance and no escalated quality issuesDecision to terminate/not renew, appropriate letter will be sent, gives TC 60-days to close their TC and transfer their instructors<CLICK>T-30 days: TC Renewal Letter Sent
- TELL: Move from compliance to contributionILLUSTRATION: Wave at a ballpark analogyTELL:Awkward at first, but eventually people are waiting to participateDeliberate shift from oversight of TCsto Mission-based activities resulting in increased training, which has a direct correlation survival rates<CLICK> Switch to Poll 2 Next
- Creation of 2 Volunteer Websites:General website that will include:Doc Library to store info and docs to support volsAnnouncementsBlogLinks to other webpages/sitesEach RC will receive their own Site to manage the business of the committee:Mtg CalendarAgenda and all exhibitsAnnouncements
- Avoidance of travel costs Convenience - reduce time away from home and workInteractivity - polls, dialog, IMFlexibility - hold many topics to large and small audience for training, brainstorming, just in-time trainingInformal learning - spontaneous knowledge transferRepurpose content by recording a session
- Break old behaviors of attempting to provide a single tool that will meet every needInstead create clean interface that is simple to useMore of an app like environmentAllows TCs & Instructors to pick and choose what they need to supplement their existing toolsGoal to make life and work simpler
- Training Central is a suite of toolsImprove ability to train and track more than 13M students annuallyAccessed via Instructor Network<CLICK>My Courses - optionalLaunched May 2012, Full Launch within the next 1-2 monthsPromote courses online for free and manage coursesMy TC AgreementAll TCAs will be going online and approve with a click of the mouseUpload insurance docs, eliminating faxing, mailing of insurance docMy Cards – optionaleCredentialingEliminate need to type and print cards
- TCCs and Instructors can list courses in just five easy steps: 1) select a course, 2) add a location, 3) add a class date and time, 4) set roster limit and 5) click submitMy Courses special features: add class notes for your students to see, set email reminders for students, allow wait-listing, set enrollment cut-off dates, manage class rosters, edit class information, drag and drop students from waitlist to rosterPerk – millions of students go to www.heart.org/cpr each year to find a CPR classroom course – encourage TCs and Instructors to make sure their classes are listed!
- Create a secure eCard that will be built without ever typing a single letter into a card and verfiable by employer on our websiteTC purchases eCards from Distributor– matched to TC name, TC ID and addressTC transfers cards to instructor via email – system matches Instructor name and Instructor IDStudent passing the course enters their name and creates a 3 point match: student, instructor and TCStudent has option of printing or maintaining a virtual eCard onlineQR code in lower right allows someone to use a smart phone to verify card
- Enter Code
- Home
- Edit profile
- Simple 6 question Survey that will eliminate the need to do post course surveys as we do todayExcept if one is required for CE, CME, etc…Survey will provide TC with data about every single instructor – eliminating the need for Instructor Monitoring unless the instructor scores reveal they fall below the benchmarkData driven improvementWe will most likely eliminate CM process for majority of those who use My CardsWe will have data from every student and all instructors for their TC, which allows for incremental improvement within a CQI program
- Mobile version of survey
- Profile
- Profile
- Certificate
- Create a secure eCard that will be built without ever typing a single letter into a card and verfiable by employer on our websiteTC purchases eCards from Distributor– matched to TC name, TC ID and addressTC transfers cards to instructor via email – system matches Instructor name and Instructor IDStudent passing the course enters their name and creates a 3 point match: student, instructor and TCStudent has option of printing or maintaining a virtual eCard onlineQR code in lower right allows someone to use a smart phone to verify card