Peer Sharing Webinar: Fall Injury Prevention Strategies September - PowerPoint PPT Presentation

Florida Hospital Association Hospital Improvement Innovation Network Peer Sharing Webinar: Fall Injury Prevention Strategies September 21, 2018

Agenda • Introduction/Objectives/Data Report – Co-Facilitators: Phyllis Byles, FHA Improvement Advisor and Jackie Conrad, Leadership Coach and Improvement Advisor-Cynosure Health • Hospital Stories - Strategies and Successes – Central Florida Health—Karen Hammond, Risk Manager – Memorial Hospital West • Resources Available from FHA MTC and HRET • Upcoming Events

In support of Falls Prevention Awareness Week • September 22nd to September 28th! • FHA MTC’s goal-reducing injury from falls within our hospitals by at least 20% -encourage the use of the HRET HIIN check list and change package • The educational tools and opportunities available from the Fall Prevention Center of Excellence and the National Council of Aging (NCOA) free for use in the community and home settings.

Falls—Where We Are Now 1.0 0.9 0.8 0.7 Rate per 1,000 0.6 0.5 Florida Target Rate: 0.46 0.4 0.3 0.2 0.1 0.0 BL O-16 N-16 D-16 J-17 F-17 M-17 A-17 M-17 J-17 J-17 A-17 S-17 O-17 N-17 D-17 J-18 F-18 M-18 A-18 M-18 J-18 FL Rate 0.58 0.54 0.55 0.50 0.54 0.53 0.51 0.53 0.44 0.57 0.47 0.47 0.47 0.45 0.44 0.49 0.51 0.49 0.46 0.50 0.47 0.47 HRET HIIN Rate 0.66 0.67 0.66 0.67 0.69 0.70 0.70 0.68 0.68 0.66 0.66 0.68 0.66 0.65 0.65 0.67 0.71 0.72 0.69 0.69 0.70 0.73 # FL Reporting 88 84 85 85 87 86 86 83 82 81 81 81 82 81 81 80 79 79 76 75 72 70 #HRET HIIN Reporting 1,459 1,538 1,538 1,539 1,544 1,542 1,539 1,519 1,514 1,516 1,498 1,490 1,492 1,487 1,478 1,467 1,460 1,459 1,455 1,421 1,383 1,190 Source: Comprehensive Data System, September 17, 2018

Leesburg Regional Medical Center Fall Prevention Strategies

We would like to recognize the Team who have collaborated to make this a safe place for our patients: the team in Risk Management, Nursing, Physical Therapy, HAC (Hospital Acquired Conditions) Committee and our Site Administrator CCO Joshua Fleming

• Leesburg Regional Medical Center (LRMC) is a 329-bed acute care hospital which has served Leesburg and the surrounding communities for more than 50 years. • As Lake County’s largest tertiary care hospital, LRMC offers advanced cardiac care at its Heart Institute, which includes one of the largest open- heart programs in Florida. • The hospital offers advanced orthopedic care at its dedicated inpatient Joint Institute and provides both neurosurgery and medical neurological care.

• Emergency Department Expansion opened September 2018 • Features expanded triage capability with fully equipped triage rooms, 24 new patient beds, state-of-the-art Philips monitoring equipment, trauma- sized rooms for critical care, enhanced security, and a spacious atrium-like lobby and waiting area.

Total Number of Falls by Quarter 90 87 85 80 76 74 73 72 71 71 70 60 50 1st 2nd Q 3rd Q 4th Q 2016 2017

Key Fall Prevention Strategies • Enhance Fall Safety Policy • Leadership Engagement • Tracking and Trending Daily • Post Full Huddles • Safety Over Pride • Purposeful Rounding • Staff/Patient/Family Education

D aily A wareness S afety S ervice H uddle

Daily Message

Post Fall Huddle

Safety Over Pride

Visual Cues

No Passing Zone

Purposeful Rounding • Hourly Rounding – Emphasis on Call Don’t Fall – Safety Over Pride • Bedside Shift Report • Nurse Leader Round Daily • Weekly Executive Leader Rounds

Education • Team Members • Teach back method educated on New used for patients Hire and Annually and families (Clinical and Non- • Education for Clinical) patients and • Accountability families to adopt “Safety Over Pride” • Enhanced Fall Safety Philosophy Policy

Opportunities for Improvement Maternal Child Health Cardiovascular Unit

Total Number of Falls by Quarter 90 85 87 82 80 74 76 71 71 73 70 72 60 59 50 1st Q 2nd Q 3rd Q 4th Q 2016 2017 2018

Injuries From Falls 90 78 80 70 58 60 50 40 27 30 20 9 10 5 2 2 1 1 0 0 0 0 Mild Moderate Maj or Death 2016 2017 2018

THANK YOU

Memorial Hospital West

HRET Resources: HRET-HIIN.org

MTC HIIN Resources -Webinars and Coaching Calls -National Experts -Quality Improvement Fellowships -Patient and Family Engagement Learning Collaborative -Chasing Zero Infections Series FHA MTC HIIN Website: www.fha.org -Safety Culture Survey -UP Campaign – SOAP UP, HRET HIIN Website: www.hret-hiin.org GET UP, WAKE UP, SCRIPT UP

MTC HIIN Upcoming Events • Oct. 4 – Reducing Diagnostic Errors: Leading Practices • Oct. 5 – Readmissions Multi Visit Patient (MVP) Webinar #1 • Oct. 16 – TeamSTEPPS Check-in Webinar • Oct. 18 – Falls Fishbowl #1 • Oct. 18 – MDRO Session #1 Check the MTC HIIN Upcoming Events Calendar for details and registration

HRET HIIN Quality Award Winner Congratulations, Florida Hospitals! HRET 2018 High Performance Award Flori orida H Hospital Association on Outstanding performance in In Support of the Partnership for Patients Program driving quality care, safety and value across its network of hospitals AHA L Leaders rship S Summit HIIN R Reception, J , July 25, 2 , 2018 018

In Observance of National Fall Prevention Awareness Week Sep. 22 - 28, 2018... May All Your Patients Stay Vertical With No Horizontal Challenges !!!!!

Contact Us We are here to help! HIIN@fha.org | 407-841-6230 State Lead: Kim Streit, FACHE, MBA, MHS, VP, Health Care Research & Information Svcs. Improvement Advisors: Cheryl Love, RN, BSN, BS-HCA, MBA, LHRM, CPHRM, Director, Quality & Patient Safety Phyllis Byles, RN, BSN, MHSM, BC-NEA, Clinical Performance Improvement Advisor Dianne Cosgrove, MS, RN, CPHQ, LHRM, Director of Clinical Quality Improvement Communications: Luanne MacNeill, Quality Initiatives Coordinator Data Support: Debbie Hegarty, Manager of Surveys & Special Projects Fellowships & Patient and Family Engagement: Allison Sandera, MHA, Project Manager