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Welcome to theNQF Safe Practices for Better Healthcare Webinar:

Optimizing a Workforce for Optimal Safe Care (Safe Practices 9-11)

Hosted by NQF and TMIT

Attendee dial-in instructions:Toll-free Call-in number (U.S./Canada): 1-866-

814-8482 (direct number, no code needed)

For the webinar slides handout, go to: www.safetyleaders.org

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Charles Denham, MDChairman, TMIT

Co-chairman, NQF Safe Practices Consensus CommitteeChairman, Leapfrog Safe Practices Program

Safe Practices WebinarJanuary 21, 2010

Welcome and Safe PracticeOverview

Toll-free Call-in number: 1-866-814-8482

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Panelists

Charles Denham: Welcome and Safe Practice Overview

Ann Rhoades: Off the Wall Leadership

Gerald Winslow: A View from the Culture Officer

Gerald WinslowAnn RhoadesCharles Denham

Toll-free Call-in number: 1-866-814-8482

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Panelists

Victoria L. Rich: Putting Principles to Action

Peter Angood: Critical Care Manpower

Mary Foley: Roles for the Patient Advocate

Mary FoleyPeter AngoodVictoria L. Rich

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Roles for the Patient Advocate

Mary Foley, RN, MS, PhD(c) Associate Director, Center for Nursing Research and

Innovation, University of California San Francisco School of Nursing

Safe Practices WebinarJanuary 21, 2010

Toll-free Call-in number: 1-866-814-8482

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Practice Line-Up Changes:

• From 30 to 34 Practices• Culture Practice Elements

Broken Up into 4 Practices• 2 Practices Discontinued• 4 Medication Management

Practices Combined into 1• 2 Communication Practices

Combined into 1• 8 New Practices Added• CMS Care Settings Defined• Patient and Family

Involvement Section Added

Final Report:

• Format Structure Preserved • Lightly Edited Text of Most

Practices• New Practices• Updated References• Corrections and Clarification• Care Setting Clarification Using

CMS Classification• Measures To Be Considered (in

formulation)• Soft Copy Document Hyperlinks• Crosswalk Tables • Glossary

Changes of 2006 Version to 2009 Update

10Toll-free Call-in number: 1-866-814-8482

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Harmonization – The Quality Choir

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Information Management and Continuity of Care

Medication Management

Healthcare-Associated Infections

Condition- & Site-Specific Practices

Consent & Disclosure

Culture

Workforce

Consent and Disclosure

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CHAPTER 7: Hospital-Associated Infections• Hand Hygiene• Influenza Prevention• Central Venous Catheter-Related Blood Stream

Infection Prevention • Surgical-Site Infection Prevention• Care of the Ventilated Patient and VAP • MDRO Prevention• UTI Prevention

Information Management and Continuity of Care

Medication Management

Healthcare-Associated Infections

Condition-, Site-, and Risk-Specific Practices

Consent & Disclosure

Wrong-siteSx Prevention

Press. Ulcer Prevention

DVT/VTE Prevention

Anticoag. Therapy

VAP Prevention

Central V. Cath.BSI Prevention

Sx-Site Inf.Prevention

Contrast Media Use

Hand HygieneInfluenza

Prevention

Pharmacist Systems Leadership:High-Alert, Std. Labeling/Pkg., and Unit-Dose

Med. Recon.

Culture

CPOE

Read-Back & Abbrev.

Discharge System

PatientCare Info.

LabelingStudies

Culture Meas.,FB., and Interv.

Structuresand Systems

ID and Mitigation Risk and Hazards

Team Trainingand Team Interv.

Nursing Workforce

ICU CareDirect

Caregivers

Workforce CHAPTER 4: Workforce• Nursing Workforce• Direct Caregivers• ICU Care

CHAPTER 2: Creating and Sustaining a Culture of Patient Safety (Separated into Practices]

Leadership Structures and Systems Culture Measurement, Feedback, and Interventions Teamwork Training and Team Interventions Identification and Mitigation of Risks and Hazards

CHAPTER 5: Information Management and Continuity of Care

Patient Care Information Order Read-Back and Abbreviations Labeling Studies Discharge Systems Safe Adoption of Integrated Clinical Systems including

CPOE

CHAPTER 6: Medication Management Medication Reconciliation Pharmacist Leadership Role Including: High-Alert

Med. and Unit-Dose Standardized Medication Labeling and Packaging

CHAPTER 8:• Wrong-Site, Wrong-Procedure, Wrong-Person

Surgery Prevention • Pressure Ulcer Prevention• DVT/VTE Prevention• Anticoagulation Therapy• Contrast Media-Induced Renal Failure Prevention• Organ Donation• Glycemic Control• Falls Prevention• Pediatric Imaging

Informed Consent

Life-Sustaining Treatment

Disclosure

CHAPTER 3: Informed Consent and Disclosure• Informed Consent• Life-Sustaining Treatment• Disclosure• Care of the Caregiver

Consent and Disclosure

2009 NQF Report

Care of Caregiver

MDROPrevention

UTIPrevention

FallsPrevention

OrganDonation

GlycemicControl

New

MaterialChanges

No MaterialChanges

Legend:

PediatricImaging

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LEADERSHIP STRUCTURES and SYSTEMS

Values

Systems

Structures

Behaviors

Outcomes

Culture Measurement, Feedback, and Intervention

Teamwork Training and Skill Building

Identification and Mitigation of Risks and Hazards

Leadership Structuresand Systems

Patients and Community

NQF 34 Safe Practices