PFE Strategies to Drive Quality Care Thomas Workman, PhD Senior - PDF document

HIIN Patient and Family Engagement Summit July 21, 2017 PFE Strategies to Drive Quality Care Thomas Workman, PhD Senior Advisor, PFE Contractor in Support of Partnership for Patients 3.0 Goals for the session • Understand how PFE impacts quality and safety • Introducing the PfP PFE Roadmap and 6 strategies • Understanding how to use the strategies to implement PFE activities • Connecting PFE to quality and safety: Collecting Data and Stories Florida Hospital Association 1

HIIN Patient and Family Engagement Summit July 21, 2017 The Critical Role of PFE The Critical Role of PFE Successful implementation of PFE may result in benefits for patients, providers, and hospitals: • Improved patient experiences • Reduced length of stay • Improved health and safety outcomes for patients • Reductions in hospital acquired infections and conditions • Reductions in preventable readmissions • Lower costs associated with hospitals or providers • Increased employee satisfaction and retention 3 Carolinas HealthCare “Pattern” Carolinas HealthCare “Pattern” PFE and Campaign Outcomes PFE and Campaign Outcomes 4 Florida Hospital Association 2

HIIN Patient and Family Engagement Summit July 21, 2017 Focus on Quality and Safety Focus on Quality and Safety • N = 146 Vizient HEN hospitals • High PFE performers meet 4 or 5 of the PFE metrics Source: Vizient Presentation, January 28, 2016. 5 • Low PFE performers met 3 or less of the PFE metrics Connecting PFE to Outcomes Connecting PFE to Outcomes Source: Vizient Presentation, January 28, 2016. 6 Florida Hospital Association 3

HIIN Patient and Family Engagement Summit July 21, 2017 Implementing PFE: Implementing PFE: The Strategic Vision Roadmap The Strategic Vision Roadmap • To use as a planning tool for implementing the five PFE metrics • Identifies the strategies needed for implementation • Strategies help determine tactics and tools needed 7 Using Strategies to Plan Implementation of PFE Metrics Using Strategies to Plan Implementation of PFE Metrics Use each To identify And find STRATEGY TACTICS TOOLS 8 Florida Hospital Association 4

HIIN Patient and Family Engagement Summit July 21, 2017 Six Strategies to Promote Six Strategies to Promote and Support PFE and Support PFE Care, Policy and Process Organizational Partnership Redesign Measurement and Patient and Family Research Preparation Transparency and Clinician, Staff, and Accountability Leadership Preparation 9 The Road to Implementing the Five The Road to Implementing the Five Patient and Family Engagement Metrics Patient and Family Engagement Metrics PREPARE PATIENTS PREPARE ADJUST STAFF SYSTEMS CREATE PARTNERSHIPS MEASURE OUTCOMES ACCOUNTABILITY & TRANSPARENCY 10 Florida Hospital Association 5

HIIN Patient and Family Engagement Summit July 21, 2017 Example: Implementation Planning PFE Metric 4 Example: Implementation Planning PFE Metric 4 (PFAC or Representative on Quality Improvement Team) (PFAC or Representative on Quality Improvement Team) STRATEGY TACTICS TOOLS Patient and Family Orientation manual, Sample advisor training for new advisors orientation manual, Preparation PPT from AHRQ’s Guide to PFE Information sessions Clinician / staff PPT Clinician, Staff about seeking input and training and and Leadership working effectively with handouts from Preparation advisors AHRQ’s Guide to PFE 1 1 Keys to Successful Implementation and Keys to Successful Implementation and Sustainability Sustainability • Set specific implementation goals and develop a clear vision • Cultivate and encourage visible support from senior leaders • Identify early adopters and champions • Conduct staff trainings to prepare them for change • Begin with small-scale implementation by high performing units or groups • Provide ongoing monitoring, feedback, and coaching • Develop and share stories of success (and celebrate them, too!) 12 Florida Hospital Association 6

HIIN Patient and Family Engagement Summit July 21, 2017 Making the Connection between PFE and Making the Connection between PFE and Safety & Quality: Critical Activities Safety & Quality: Critical Activities • Documenting impact stories as they occur – Patient/family member corrected a clinician, avoiding error – Patient spoke up about a problem, allowing for intervention of SAE – Patient’s idea for improvement at PFAC or committee showed success – Patient’s perspective is noted or acknowledged in Board minutes • Documenting changes in safety & quality data – Track effects on safety and quality measures as more PFE metrics are implemented – Note the cumulative effects of the metrics • Documenting changes in culture – Noting ways in which patient perspectives are integrated into the hospital culture – Documenting increased interest by patients, families, and hospital staff to engage in projects and activities – Documenting comments of appreciation from hospital staff, patients, and families 13 For more information: PFE@air.org Thomas Workman, Ph.D. American Institutes for Research tworkman@air.org 301-592-2215 14 Florida Hospital Association 7