Center Staff Chris Clarke, Sr. VP, Clinical and Professional - - PowerPoint PPT Presentation
Tennessee Center for Patient Safety Center Staff Chris Clarke, Sr. VP, Clinical and Professional Practices Patrice Mayo, VP for Operations Jackie Moreland, Clinical Quality Improvement Specialist Rhonda Dickman, Clinical Quality
2
3
Meetings
sharing
health systems
Consultations
Series
and coalitions – Sepsis Coordinators coalition – Care Transitions coordinators coalition – Pharmacy coalition – Patient and family advisors
Collaborative
– glycemic management,
safety
Tract Infections (CAUTI)
Stream Infections (CLABSI)
Aureus (MRSA)
– Patient Handling Injuries – Workplace Violence Incidents
This information is prepared and protected in accordance with the Tennessee Patient Safety and Quality Improvement Act of 2011. T.C.A. 68-11-272. Data Source: NHSN as of July 9, 2018
Topic 2016 2017 Events SIR Hospital Outliers Events SIR Hospital Outliers
CAUTI ICU 387 0.951 5 273 0.704 2 CAUTI Wards 247 0.772 3 234 0.766 1 CLABSI ICU 243 0.866 2 233 0.857 2 CLABSI Wards 198 0.708 2 183 0.659 1 SSI Colon - Complex 204 0.948 5 189 0.860 2 SSI Hysterectomy - Complex 71 1.127 2 60 1.022 1 SSI HPRO - Complex 92 1.183 3 102 1.206 2 SSI KPRO - Complex 58 0.964 1 51 0.831 1 MRSA 341 1.314 7 281 1.070 4 CDIFF 2,314 0.885 9 2,144 0.849 4
This information is prepared and protected in accordance with the Tennessee Patient Safety and Quality Improvement Act of 2011. T.C.A. 68-11-272. Data Source: NHSN as of July 9, 2018
Topic Events SIR Hospital Outliers January-March 2018
CAUTI ICU 66 0.651 CAUTI Wards 50 0.666 CLABSI ICU 54 0.774 1 CLABSI Wards 40 0.642 SSI Colon - Complex 32 0.671 SSI Hysterectomy - Complex 10 0.785 SSI HPRO - Complex 20 0.993 SSI KPRO - Complex 14 1.005 MRSA 80 1.245 1 CDIFF 488 0.774 3
Prevention Treatment Law Enforcement Limits on prescriptions – days and MMEs Provides over $25 million in state/federal funds Increases state funding to address illicit sale and trafficking of opioids Commission to address evidence-based competencies for medical and health practitioner schools Extends peer recovery specialists to targeted, high- need emergency rooms Updates the controlled substance schedules to address fentanyl analogues Collaborative to implement best practices around pain management Expands TennCare access to recovery services Provides state troopers with Naloxone Public awareness campaign Creates public/private treatment collaborative Education for elementary and secondary schools Treatment and recovery
and corrections Prevention of Neonatal Abstinence Syndrome
– Mr. Wright noted his office has discussed the issues with Region IV and EMTALA staff and CMS recommends that “the best course of action will be to pursue a scope of practice modification for nurses determining false labor. As we discussed, designating nurses as QMPs, without the modification, connotes an independence of action and discretion with regard to Medical Screening Examinations that may be beyond what the hospitals were intending. It is also apparently beyond the strictures of the Tennessee Nurse Practice Act.”