IHI Expedition Expedition: Making Mental Health Care Safer in the - PDF document

4/27/2015 December 2, 2014 These presenters have nothing to disclose IHI Expedition Expedition: Making Mental Health Care Safer in the Hospital Setting Session 1: Partnering with Patients and Families Teresa Pasquini Charles Saldanha, MD Kelly McCutcheon Adams, LICSW 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 Audio Broadcast 3 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. Phone Connection (Preferred) 4 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. WebEx Quick Reference 6 • 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 Chat Time! 8 What is your goal for participating in this Expedition? 8 4

4/27/2015 9 Join Passport to: • Get unlimited access to Expeditions , two- to four-month, interactive, web-based programs designed to help front- line teams make rapid improvements . • Train your middle managers to effectively lead quality improvement initiatives. . . . and much, much more for $5,000 per year! Visit www.IHI.org/passport for details. To enroll, call 617-301-4800 or email improvementmap@ihi.org. IHI Open School Courses 10 More than 20 online courses developed by world- renowned experts in the following topics – Improvement Capability – Patient Safety – Person- and Family-Centered Care – Triple Aim for Populations – Quality, Cost, and Value – Leadership More than 26 continuing education contact hours for nurses, physicians, and pharmacists. NAHQ has also approved the courses for CPHQ CE credit. Basic Certificate of Completion available upon completion of 16 foundational course. Mobile App for iPhone and iPad 20% Discount on organizational subscription for Passport Members 5

4/27/2015 What is an Expedition? ex • pe • di • tion (noun) 1. an excursion, journey, or voyage made for some specific purpose 2. the group of persons engaged in such an activity 3. promptness or speed in accomplishing something Expedition Support 12 All sessions are recorded Materials are sent one day in advance Listserv address for session communications: MentalHealthSafety@ls.ihi.org – To add colleagues, email us at info@ihi.org 6

4/27/2015 Where are you joining from? Expedition Director 14 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. 7

4/27/2015 Today’s Agenda 15 Ground Rules & Introductions Pre-Survey Debrief Partnering with Patients and Families IHI’s Model for Improvement Action Period Assignment Ground Rules 16 We learn from one another – “All teach, all learn” Why reinvent the wheel? - Steal shamelessly This is a transparent learning environment All ideas/feedback are welcome and encouraged! 8

4/27/2015 Expedition Objectives 17 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 Schedule of Calls 18 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 9

4/27/2015 Pre-Work Assignments 19 Complete the IHI Open School Course QI 102: The Model For Improvement: Your Engine for Change Complete the Expedition: Making Mental Health Care Safer in the Hospital Setting Pre-Survey Pre-Survey Results 20 Thank you to all who responded! 10

4/27/2015 Faculty 21 Teresa Pasquini, Mom/Advocate, Chair Behavioral Healthcare Partnership of Contra Costa Regional Medical Center is a community volunteer and advocate for improving the mental health system of our county, state, nation and world. As a family member of a son and brother with serious mental illnesses, her lived experience drives her passion to improve care for those consumers and families who suffer without treatment and recovery. An outspoken champion for all of the disenfranchised and under-served, she is the Chair and a founding member of the Behavioral Healthcare Partnership of Contra Costa Regional Medical Center (CCRMC.) This local effort brings community members to decision-making tables to transform the way healthcare is delivered. She also serves as a patient and family advocate on the Executive Operations team of CCRMC. She is a founding member of Treatment Before Tragedy, a new national organization. She is a strong voice for change and creating a vision of hope to make health care welcoming and accessible for all. Faculty 22 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. 11

4/27/2015 Improving Quality of Hospital Based Psychiatric Services Through Partnerships with Community Stakeholders Teresa Pasquini Dr. Charles Saldanha December 2014 Objectives • Identify benefits of involving community stakeholders in the design of patient and family centered psychiatric services • Describe methods for engaging patients, families and community-based organizations in quality improvement • Identify potential barriers to developing relationships with community partners and strategies for overcoming them 12

4/27/2015 Contra Costa Regional Medical Center & Health Centers • Contra Costa Regional Medical Center (CCRMC) is a 166 bed acute-care public hospital in the San Francisco Bay area • Psychiatric Emergency Services • 23 bed Acute Inpatient Psychiatric Unit …Doing common things uncommonly well Where did we start? 13

4/27/2015 Right care, right time, right place? • Patients with a behavioral health crisis were brought to the medical emergency room via walk-in, ambulance, or police • Patients first waited for a medical clearance and then were sent to the Psychiatric Emergency Service • Patients too often left without being seen What happens when you involve patients, families and community members as partners? 14

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4/27/2015 Sharing experience • Patients, family and other community members wanted meaningful roles • Passionately wanted change • Wanted right care, at the right time, in the right place • Series of rapid improvement events for Psychiatric Emergency Services 16

4/27/2015 Go and See 17