4/27/2015 February 10, 2015 IHI Expedition Expedition: Making Mental Health Care Safer in the Hospital Setting Session 5: Ensuring Staff Preparedness Amar Shah Charles Saldanha Kelly McCutcheon Adams Today’s Host 2 Dorian Burks, Project Coordinator, Institute for Healthcare Improvement, is a current coordinator for web-based Expeditions. He also contributes to the IHI work in the Triple Aim and Improvement Capability focus areas, as well as the Leading Quality Improvement series. Dorian is a member of the Diversity and Inclusion Council at IHI, where he and fellow staff members develop strategies to enhance IHI’s inclusive culture, both internally and externally. Dorian graduated from Massachusetts Institute of Technology in Cambridge, MA where he received his Bachelor of Science degree in Biology and humanities concentration in Anthropology. 1
4/27/2015 3 Audio Broadcast You will see a box in the top left hand corner labeled “ Audio broadcast .” If you are able to listen to the program using the speakers on your computer , you have connected successfully. 4 Phone Connection (Preferred) To join by phone : 1) Click on the “Participants” and “Chat” icon in the top, right hand side of your screen to open the necessary panels 2) Click the button on the right hand side of the screen. 3) A pop-up box will appear with the option “I will call in.” Click that option. 4) Please dial the phone number , the event number and your attendee ID to connect correctly . 2
4/27/2015 5 Audio Broadcast vs. Phone Connection If you using the audio broadcast (through your computer) you will not be able to speak during the WebEx to ask question. All questions will need to come through the chat. If you are using the phone connection (through your telephone) you will be able to raise your hand, be unmuted, and ask questions during the session. Phone connection is preferred if you have access to a phone. 6 WebEx Quick Reference • Please use chat to “All Participants” for questions • For technology Raise your hand issues only, please chat to “Host” • WebEx Technical Support: Select Chat recipient 866-569-3239 • Dial-in Info: Communicate / Audio Enter Text Conference (in menu) 3
4/27/2015 When Chatting… 7 Please send your message to All Participants 8 Expedition Director Kelly McCutcheon Adams, LICSW has been a Director at the Institute for Healthcare Improvement since 2004. Her primary areas of work with IHI have been in Critical Care and End of Life Care. She is an experienced medical social worker with experience in emergency department, ICU, nursing home, sub- acute rehabilitation, and hospice settings. Ms. McCutcheon Adams served on the faculty of the U.S. Department of Health and Human Services Organ Donation and Transplantation Collaboratives and serves on the faculty of the Gift of Life Institute in Philadelphia. She has a B.A. in Political Science from Wellesley College and an MSW from Boston College. 4
4/27/2015 Today’s Agenda 9 Welcome Action Period Assignment Debrief Ensuring Staff Preparedness Action Period Assignment Closing 10 Expedition Objectives At the conclusion of this Expedition, participants will be able to: Explain the importance of partnering with patients and their families to improve safety for patients with mental health conditions Identify different areas to improve mental health care safety Describe examples of improvement efforts at other organizations Plan tests of change to begin or continue patient safety improvement 5
4/27/2015 11 Schedule of Calls Session 1 – Partnering with Patients and Families Date: Tuesday, December 2, 1:00 - 2:30 PM Eastern Time Session 2 – Making the Physical Environment Safer Date: Tuesday, December 16, 1:00 - 2:00 PM Eastern Time Session 3 – Why Flow Matters Date: Tuesday, January 13, 1:00 - 2:00 PM Eastern Time Session 4 – Medication Safety Date: Tuesday, January 27, 1:00 - 2:00 PM Eastern Time Session 5 – Ensuring Staff Preparedness Date: Tuesday, February 10, 1:00 - 2:00 PM Eastern Time Session 6 – Being Proactive and Avoiding Crises Date: Tuesday, February 24, 1:00 - 2:00 PM Eastern Time Action Period Assignment Debrief Sharing examples of changing medication practices to improve mental health safety 6
4/27/2015 13 Ensuring Staff Preparedness Charles Saldanha and Amar Shah 14 Faculty Charles Saldanha, MD is an Assistant Clinical Professor of Psychiatry at the University of California San Francisco and a psychiatrist at Contra Costa Regional Medical Center. He completed medical school at the Duke University School of Medicine, postgraduate training at the Brigham and Women's Hospital, UCSF, and Yale University School of Medicine. His interests include the interface of law and psychiatry and public psychiatry with an emphasis on acute care settings. 7
4/27/2015 15 Faculty Amar Shah, Associate Medical Director and Consultant Forensic Psychiatrist, East London NHS Foundation Trust, leads the large organizationwide quality improvement (QI) program, aimed at supporting the organization in providing the highest quality mental health and community care in the country. As part of the QI program, the organization is building the will and alignment for improvement at scale. East London has partnered with the Institute for Healthcare Improvement (IHI) in this work, with IHI providing strategic guidance and support in building capability at scale. Dr. Shah has experience with local QI within a number of NHS providers, and national improvement work while seconded to the National Patient Safety Agency in 2009-2010. He is an IHI-trained Improvement Advisor, has completed an executive MBA in health care management, a he earned a Masters in Mental Health Law and a postgraduate certificate in medical education. Making Mental Health Safer in Hospital Settings: Ensuring Staff Preparedness Charles Saldanha, MD February 10. 2014 8
4/27/2015 “It’s not safe here” The most critical element to SAFETY in mental health is: 9
4/27/2015 People CHALLENGING EXPECTATIONS OF LEADERSHIP OF STAFF OF PATIENTS AND FAMILIES OF OUR FIELD OF SOCIETY 10
4/27/2015 ENSURING PREPAREDNESS- RECRUITMENT ENSURING PREPAREDNESS- ORIENTATION SET THE TONE MENTORSHIP STANDARD WORK FOR ALL STAFF 11
4/27/2015 ENSURING PREPAREDNESS- EDUCATION AND TRAINING ALL TEACH, ALL LEARN CREATE A LEARNING CULTURE ENSURING PREPAREDNESS- ENGAGEMENT OWNERSHIP OF PERFORMANCE IMPROVEMENT TRANSPARENCY JUST CULTURE CELEBRATE SUCCESS 12
4/27/2015 web qi.eastlondon.nhs.uk email qi@eastlondon.nhs.uk @ELFT_QI 13
4/27/2015 Mental health services Community health services Newham, Tower Hamlets, City & Hackney Newham Forensic services Urgent care centre All above & Waltham Forest, Redbridge, Barking & Dagenham, Newham Havering IAPT Child & Adolescent services, including tier 4 inpatient Newham, Richmond and Luton service Speech & Language Regional Mother & Baby unit Barnet Cultural diversity Financial stability and Social strong Challenges deprivation assurance and systems opportunities in East London Geographical Commissioning arrangements diversity 14
4/27/2015 The strategic case for change Make quality our Enable our staff The economic National drivers absolute priority to lead change climate • Improving • The need to • The desire to • The need to do quality of care focus on a engage, free more with less is our core more and support purpose compassionate, our staff to – improving caring service innovate and quality whilst with patients drive change reducing cost • Of greatest first and importance to foremost all our • Engaged and stakeholders motivated staff • More leads to structured and improved • Build on the bottom-up patient excellent work approach to outcomes already improvement happening to improve quality The culture we want to nurture A listening and learning Empowering staff to organisation drive improvement Patients, carers and families at the heart of all we do Re-balancing quality Increasing transparency control, assurance and and openness improvement 15
4/27/2015 Assurance & Continuous performance improvement management Research & innovation Our quality improvement programme How? 16
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