Alaska State Hospital & Nursing Home Association

September 2018Patient Safety Awards

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02 The Golden Stethoscope Award Nominees

03 The Golden Stethoscope Award Winner

04 Front-Line Staff Outstanding Performance Award Nominees

05 Front-Line Staff Outstanding Performance Award Winner

10 High Reliability Award Nominees

11 High Reliability Award Winner

06 Innovation in Transformation Award Nominess - Hospital

Table of Contents

07 Innovation in Transformation Award Winners - Hospital

08 Innovation in Transformation Award Nominees - Nursing Home

09 Innovation in Transformation Award Winner - Nursing Home

12 Staff Choice Award - Outstanding Patient Safety - Winner

13 Mountain-Pacifi c Quality Health Alaska Nursing Home Quality Awards

Nominees

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Golden Stethoscope AwardGolden Stethoscope Award

Golden Stethoscope Award recognizes a healthcare advance practice provider or physician who consistently demonstrates

a commitment to supporting and leading eff orts that result in measurable improvements in the delivery of safe patient care.

Mike Mraz, MDInternal Medicine

Alaska Regional Hospital

Michael Reyes, MDOrthopedic Surgeon

Central Peninsula Hospital

Katy Sheridan, MDFamily Medicine

Central Peninsula Hospital

Jeff Larsen, MDGeneral Surgeon

Providence Kodiak Island Medical Center

Mignon Benjamin, MDFamily Medicine

Bartlett Regional Hospital

Ryan Webb, MDHospitalist

Providence Alaska Medical Center

Paula Godfrey, DOEmergency Medicine

South Peninsula Hospital

Karen Mailer, MDGeriatric Medicine

Providence Extended Care/Providence Transitional Care Center

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Mignon Benjamin, MDBartlett Regional Hospital

2018 Golden Stethoscope Award Winners

Relentless advocate for patient safety.

Serves as the physician champion of the electronic medical record and works to improve patient safety through EMR improvements.

Piloted and became medical director of the Bartlett Hospitalist Program.

Led a collaborative study with The Joint Commission between units at Bartlett Regional Hospital to improve patient care and prevent errors in handoff s.

Developed a “transitions in care program” for every hospitalist managed patient at Bartlett. Cofounder and medical director of Bartlett antibiotic stewardship program.

Jeff Larsen, MD Providence Kodiak Island Medical Center

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First physician champion at the hospital to commit to the high reliability journey.

Supports the local emergency medical services (EMS) team with training and case reviews.

Serves as an advocate for the hospital’s daily safety huddle and attends when not caring for patients.

Works with the trauma program on process improvement for all trauma team activations.

Shows exemplary physician leadership and commitment as he leads by example and “walks the walk” to lead the journey for safe care all the time, every time.

4

Front-Line Staff OutstandingFront-Line Staff OutstandingPerformance AwardPerformance Award

Front-Line Staff Outstanding Performance Award recognizes an individual or team at an Alaskan hospital or nursing home that

has demonstrated above and beyond safety related performance in the workplace.

Jane AdkinsCentral Peninsula Hospital

Claire GeldhofBartlett Regional Hospital

Bonnie Neff Providence Kodiak Island Medical Center

Rose TimmermanProvidence Alaska Medical Center

Jamie PanzeroSEARHC

Jessica MikhailSouth Peninsula Hospital

Karen DavisProvidence Alaska Medical Center

2 South Nursing TeamFoundation Health Partners

Edgardo ParedesAlaska Regional Hospital

Mandy MitchellAlaska Regional Hospital

Lauren KennarAlaska Native Medical Center

Antimicrobial Stewardship ProgramAlaska Native Medical Center

Connie MazutAlaska Native Medical Center

Karl AndersenAlaska Native Tribal Health Consortium

Lore OlsonAlaska Native Tribal Health Consortium

Momodou FayeAlaska Psychiatric Institute

Nominees

5

2018 Front-Line Staff Outstanding Performance Award Winners

Karl Anderson

Alaska Native Medical CenterKarl Andersen is recognized for his diligence to patient safety during his 18 years with the Alaska Native Tribal Health Consortium. He currently serves as a Lead Security Offi cer on the evening shift and as a Crisis Prevention Intervention trainer. Karl has shown leadership in training staff on patient safety tools including Heartsaver and Basic Life support. He has led many fi rst responder teams reducing the time to respond to emergencies. He has championed the use and availability of Automated External Defi brillators (AEDs) and Ambu bags throughout the campus. Karl is a champion for patients and is dedicated to ensuring their safety.

2 South Nursing Team

Foundation Health Partners

The 2 South Nursing Team at Fairbanks Memorial Hospital has demonstrated excellence in process improvement work over the past two years to reduce patient falls. The team worked closely with the campus fall team and the quality department utilizing the Institute for Healthcare Improvement model for improvement. They implemented new daily practices and team rewards for achieving goals. The team is learning how to incorporate storytelling into their process improvement activities to bring about eff ective and lasting change and is working to spread the new approaches to other acute and long-term care units in the hospital.

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Innovation in Transformation Award Innovation in Transformation Award HospitalsHospitals

Innovation in Transformation Award recognizes hospitals that have developed and implemented an innovative patient safety or quality process, project, or program, with measurably improved outcomes.

Large HospitalsLarge Hospitals

Bartlett Regional Hospital

Alaska Regional Hospital

Fairbanks Memorial Hospital

Small HospitalsSmall Hospitals

Maniilaq Health Center

Providence Kodiak Medical Center

South Peninsula Hospital

SEARHC - Mt. Edgecumbe Hospital

Nominees

7

2018 Innovation in Transformation Award Winners-Hospitals-

Small HospitalSEARHC - Mt. Edgecumbe Hospital

Large HospitalAlaska Regional Hospital

Under the leadership of Mandy Mitchell, Manager of Medical Oncology Services, Alaska Regional Hospital developed an innovative program to serve patients with medical disorders related to their addictions, improving outcomes for patients while supporting staff in creative ways to prevent burn-out. Master’s level clinicians in the psychology residency program provide individualized emotional support for both patients and staff while receiving valuable hands-on experience. Solid clinical care combined with a supportive, non-judgmental environment supports patients on the road to recovery.

The Remote Camera Project was developed to improve basic radiology services in remote clinics served by Southeast Alaska Regional Health Consortium. Beginning in 2015, Dr. Loren Laybourn (Chief of Radiology at SEARHC) and Eva Marie Popelka (radiology technician) explored ways to address the challenge. Mounting a tiny camera on the x-ray tube itself along with multiple remote cameras and a hands-free phone headset allows real-time monitoring of patient positioning, x-ray tube alignment, and cassette placement. Providing better communication and support to staff in rural locations has measurably improved diagnostic quality, decreased unnecessary radiation exposure and allowed for improvements to the overall process of taking x-rays.

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Innovation in Transformation Award Innovation in Transformation Award Nursing HomesNursing Homes

Innovation in Transformation Awards recognizes nursing homes that have developed and implemented an innovative patient safety or quality process, project, or program, with measurably improved outcomes.

Large Nursing HomeLarge Nursing Home

Prestige Care of Anchorage

Small Nursing HomeSmall Nursing Home

Long-Term Care TeamPetersburg Medical Center

Quyanna Care CenterNorton Sound Health Corporation

Nominees

9

2018 Innovation in Transformation Award Winners-Nursing Homes-

Small Nursing HomeQuyanna Care Center

Norton Sound Health Corporation

Large Nursing HomePrestige Care of Anchorage

Quyanna Care Center staff are dedicated to improving the quality of life and safety for residents. In recent months this dedication has been recognized through the CMS star ranking; they achieved a 5-star overall rating. Staff has worked to blend traditional culture and modern innovation by utilizing assistive devices such as Pocket Talkers and iPads. Residents “come to life” when hearing familiar voices, music, and movies clearly, often for the fi rst time in years. Quyanna Care Center is committed to working with “Nome-grown” certifi ed nursing assistants to stabilize staffi ng and provide continuity for the elders in their care.

The nurse leadership team at Prestige Care has undergone a transformational change that allows for more dynamic and rapid problem resolution. This shift in leadership focus has resulted in measurably improved outcomes in resident safety, infection rates, and compliance. Communication between leaders led to increased regulatory readiness, greater collaboration, and overall patient safety. The result has been increased patient safety and continuity of care, and greater collaboration across the care team.

Nominees

10

High Reliability AwardHigh Reliability Award

Persevering in the Pursuit of Zero Patient Harm Award recognizes a facility that has shown exemplary initiative and commitment to the development of comprehensive systems and processes that lead to a better, safer

and more reliable health care system. These changes involve the leadership’s commitment to achieving zero patient harm, a functional culture of safety throughout the organization, and the widespread deployment of highly eff ective process improvement tools. Facilities must demonstrate that changes are “hard-wired” into the organization, displaying a culture of safety across all disciplines that values the input of all employees no matter their title or role.

Providence Alaska Medical Center

Providence Kodiak Island Medical Center

Providence Valdez Medical Center

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2018 High Reliability Award Winner

Providence Valdez Medical Center

In 2016 Providence Valdez Medical Center embarked on the journey to become a high-reliability organization. The objective was to train all staff to become obsessed with safety and to utilize tools to empower staff to speak up for safety. The administrative team became the champions of the safety movement; Caring Reliably. The reporting of all events or near miss events was identifi ed to be the number one objective indicator of how well they were developing their sensitivities to safety concerns. Providence Valdez Medical Center has now gone more than 725 days since the last serious safety event.

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Staff Choice AwardStaff Choice AwardOutstanding Patient SafetyOutstanding Patient Safety

Providence Alaska Medical Center

2018 Oustanding Patient Safety Winner

Utilizing the IHI model for rapid cycles of change (plan, do, study, act), Providence Alaska Medical Center has dramatically reduced the number and rate of people dying from sepsis. A team led by physician and nurse champions analyzed their approach to sepsis from all angles; recognizing presenting symptoms, hardwiring treatment bundles, improving education for patient care technicians, nurses and physicians, early risk recognition and intervention, implementing nurse-initiated orders, reinstating ED sepsis alerts, and fi nally developing a Sepsis RN program. This award recognized a team eff ort that has resulted in sustained life-saving interventions.

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Recognition of Quality Excellence Award

Heritage PlaceProvidence Valdez Medical Center & LTCDenali Center

Recognition of Quality Achievement Award

Prestige Care & Rehabilitation CenterWrangell Medical Center & LTCQuyanna Care CenterSitka Community Hospital & LTCSouth Peninsula Hospital & LTC

Most Improved Award

Wrangell Medical Center & LTC

2018 Alaska Nursing Home Quality Awards

The ASHNHA Patient Safety Committee works on behalf of Alaska hospitals and nursing

homes to improve patient safety and catalyze accelerated, signifi cant, and measurable reductions in patient harm. The committee works to proactively emphasize the importance of high quality patient care programs, foster a culture of patient safety, and support sustainable improvements in quality and patient safety. The 2018 Quality and Patient Safety Awards are intended to encourage, recognize, and reward those qualities.

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