Collaboration for Transformation: Patients as Partners, Driving - - PowerPoint PPT Presentation

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Collaboration for Transformation: Patients as Partners, Driving - - PowerPoint PPT Presentation

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Collaboration for Transformation: Patients as Partners, Driving Patient Safety Improvement CADTH Symposium Concurrent Session F4 April 16, 2019 1:00 2:15pm Your Moderator and Panel Maryanne DArpino Christopher Thrall Kathy Kovacs

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Collaboration for Transformation:

Patients as Partners, Driving Patient Safety Improvement

CADTH Symposium Concurrent Session F4 April 16, 2019 1:00 – 2:15pm

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Your Moderator and Panel

Christopher Thrall @Patient_Safety Kathy Kovacs Burns Maryanne D’Arpino @maryanne_cpsi Sandi Kossey @ptsafety_sandi

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Sandi Kossey

Sandi Kossey, MHA, BScPT, CHE

Senior Director, Strategic Partnerships & Priorities skossey@cpsi-icsp.ca @ptsafety_sandi

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Our Shared Purpose

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Our Shared Purpose

Note Data from Quebec as w ell as data for some mental health patients has been excluded. Source Discharge Abstract Database, 2014–2015, Canadian Institute for Health Information.

Hospitals are generally safe, but sometimes harmful events happen that affect patients. Many of these events are preventable.

Patient harm in Canadian hospitals? It does happen.

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Our Shared Purpose

Every 13 minutes and 14 seconds a patient dies in Canada from preventable harm in healthcare Patient safety incidents rank third behind cancer and heart disease

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Our Shared Purpose

Over the next 30 years in Canada:

  • 12.1 million Canadians will be harmed by the healthcare

system,

  • 1.2 million Canadians will lose their lives to a patient

safety incident,

  • Within acute and home care settings, patient safety

incidents will cost the health care system $82B (2017$).

  • RiskAnalytica. The Case for Investing in Patient Safety in Canada. August 2017.
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Our Shared Purpose: Why we exist…

Patients for Patient Safety Canada

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Our Shared Purpose: CPSI’s Strategy

Vision Statement:

Canada has the safest healthcare in the world

How We Will Fulfill Our Role Mechanisms to Execute the Strategy CPSI’s Role in Achieving the Vision

Implement Evaluate Share with Purpose Raise the Profile Transparency Commitment

Mission Statement:

To inspire and advance a culture committed to sustained improvement for safer healthcare

Strategy:

Lead system strategies to ensure safe healthcare by demonstrating what works and strengthening commitment

Our Vision of the Future

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Our Shared Purpose: CPSI’s Strategy

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Our Shared Purpose

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Our Shared Purpose

National Integrated Patient Safety Strategy

CPSI will provide leadership on the establishment of a National Integrated Patient Safety Strategy

National Patient Safety Consortium

The consortium provides key partners in Canadian healthcare the opportunity to mobilize on common goals and actions, and report on progress to demonstrate system improvement in patient safety

Four Initial Areas of Focus

High risk areas that have a significant impact on quality, cost, and injury burden, and where consensus can be readily achieved

Surgical Care Safety Medication Safety Home Care Safety Infection Prevention & Control Patient Safety Education

National Integrated Patient Safety Strategy

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Our Shared Purpose

Integrated Patient Safety Action Plan Timeline

Jan. 2014 March 2014 June 2014 June 2014 Nov. 2014 Nov. 2015 Jan. 2015 Sept. 2015 Feb. 2016 Sept. 2016 Oct. 2017

1st National Patient Safety Consortium Meeting

38 participants Hosted by CPSI

National Surgical Care Safety Summit

32 participants Hosted by CPSI

National Medication Safety Summit

37 participants Co-hosted by CPSI and the Institute for Safe Medication Practices Canada

Home Care Safety Roundtable

36 participants Co-hosted by CPSI and the Canadian Home Care Association

Infection Prevention and Control Summit

45 participants Co-hosted by CPSI and Public Health Agency of Canada

2nd National Patient Safety Consortium Meeting

41 participants Hosted by CPSI

1st Patient Safety Education Roundtable

57 participants Hosted by CPSI

3nd National Patient Safety Consortium Meeting

45 participants Hosted by CPSI

2nd Patient Safety Education Roundtable

48 participants Hosted by CPSI

4th National Patient Safety Consortium & Leads Groups Meetings

100 participants Hosted by CPSI

5th National Patient Safety Consortium & Leads Groups Meetings

100+ participants Hosted by CPSI

“We must all work together and be vigilant in the safety and quality of health care we provide to all patients… I commend the Consortium’s ongoing efforts for continuous improvement.”

  • Hon. Jane Philpott, PC, MP, Minister of Health
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Our Shared Purpose

Integrated Patient Safety Action Plan

Outcome: Safer healthcare in Canada.

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Our Shared Purpose

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Our Shared Purpose

Integrated Patient Safety Action Plan: Guiding Principles

  • Patients and families as partners
  • Unprecedented collaboration
  • Mobilization on common goals and actions
  • Transparency of actions and results
  • Accountability to patients, families, partner organizations, and stakeholders
  • Commitment to improved quality of care
  • Targeted and strategic communications
  • Ongoing evaluation of the Integrated Patient Safety Action Plan
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Sandi Kossey

Sandi Kossey, MHA, BScPT, CHE

Senior Director, Strategic Partnerships & Priorities skossey@cpsi-icsp.ca @ptsafety_sandi

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Maryanne D’Arpino

Maryanne D’Arpino, RN, BScN, MScN, CHE

Senior Director, Safety Improvement & Capability Building mdarpino@cpsi-icsp.ca @maryanne_cpsi

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Medication Safety

Objectives:

  • Share national and international efforts to improve Medication Safety,

past to present.

  • Share CPSI’s new strategic direction as it relates to Medication Safety:

Patient Safety Right Now

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Medication Safety: A Global Priority

  • Adverse drug events occur in

6.5-20% of hospital patients

  • Globally, medication errors cost

$42 billion USD annually (WHO, 2017)

  • More than half of Canadians are using

prescription drugs at any given time

  • More than 1 in 9 emergency

department visits are due to drug related events

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Medication Safety: Past Strategies

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Medication Safety: Integrated Plan of Action

“We are not, as a country, doing enough to ensure the safe use of medications.”

Key Themes:

  • Reporting, learning & sharing
  • Evidence-informed practices
  • Partnering with patients
  • Technology
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Medication Safety: Action and Results

Collective Action:

  • Multiple lead/co-leads
  • Multiple partners
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A Bold New Direction

Vision Statement:

Canada has the safest healthcare in the world

How We Will Fulfill Our Role Mechanisms to Execute the Strategy CPSI’s Role in Achieving the Vision

Implement Evaluate Share with Purpose Raise the Profile Transparency Commitment

Mission Statement:

To inspire and advance a culture committed to sustained improvement for safer healthcare

Strategy:

Lead system strategies to ensure safe healthcare by demonstrating what works and strengthening commitment

Our Vision of the Future

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Demonstrating What Works: QI/KTIS Integration

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Demonstrating What Works: Safety Improvement Project

Ultimate Goal:

To improve medication safety at transitions

  • f care in vulnerable populations, using

quality improvement, knowledge translation and implementation science approaches and techniques.

Medication Safety at Transitions of Care Safety Improvement Project

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Strengthening Commitment

  • Patients on the Hill
  • Vanessa's Law (Protecting Canadians from Unsafe Drugs Acts)
  • Plain Label Packaging (Legislative amendment to strengthen post-market therapeutic

product regulation)

  • National Pharmacare Strategy
  • Combined commitment to act by governments and health organizations

Policy Advocacy: Medication Safety

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Medication Safety

http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Medication-Without-Harm-2018-09-14.aspx

A Priority for Patients and for the Public

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Maryanne D’Arpino

Maryanne D’Arpino, RN, BScN, MScN, CHE

Senior Director, Safety Improvement & Capability Building mdarpino@cpsi-icsp.ca @maryanne_cpsi

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Kathy Kovacs Burns

Kathy Kovacs Burns, MSc, MHSA, PhD

Member, Patients for Patient Safety Canada

Senior Consultant, Alberta Health Services, Clinical Quality Metrics and Healthcare Quality Improvement

kathy.kovacsburns@ualberta.ca

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The ‘So What’ for Patients & Families: Where and How Patient Partners Facilitate Transformation

www.patientsforpatientsafety.ca

Patients for Patient Safety Canada

  • The patient-led program of

the Canadian Patient Safety Institute

  • The Canadian arm of the

World Health Organization’s Patients for Patient Safety Programme

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The ‘So What’ for Patients & Families

The Pledge:

In honour of those who have died, those who have been left disabled, our loved ones today, we will strive for excellence, so that all people receiving healthcare are as safe as possible, as soon as possible.

Aim:

Every time our stories are shared, every time one person takes something from them, we make it a little better, a little safer for those who come behind us.

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The ‘So What’ for Patients & Families

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The ‘So What’ for Patients & Families

Kathy KB

Sharon, Denise K,

Terri, Linda H Donna D, Brian P, Donna P Linda H, Johanna Maaike, Anne, Barb Kim N, Maaike Deb P, Donna D

Kapka, Barb F Kapka, Brian, Donna P, Donna D Johanna, Linda H Ann L, Barb F, Maaike Kim, Maaike Donna D, Deb P

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The ‘So What’ for Patients & Families

“they [patients] really inspired me to keep working on this because I heard their stories and just hearing some of the challenges that they faced when she brought the checklist to the doctor and the pharmacist both said I don't have time to talk to you about this right now and it just made me realize how important this is because we have to get the healthcare providers on board to answer these questions, but it really gave me more energy just speaking with them….they were inspiring to work with and I really found that gave me the cause.”

  • Action Team Member

@Patient_Safety #SafeCareAction

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The ‘So What’ for Patients & Families

Evaluation Action Team

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Collective Impact Evaluation

Inputs Actions Outputs Short – Term and Intermediate Outcomes Long – Term Outcomes Impact Logic Model

Developmental evaluation Formative evaluation Summative evaluation

Evaluation Phases How do we collaborate? What has been done? How well is it working? Is it making a difference? Evaluation Domains

Adapted from Guide to Evaluating Collective Impact: https://www.fsg.org/publications/guide-evaluating-collective-impact

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Survey Results: Consortium Partners and Leads Groups

58 76 82

20 40 60 80 100

Unprecedented level of collaboration among members of Consortium & participants working

  • n action plan

Participants collaborated well with each other when working on the actions Participants collaborated well to develop the action plans

Percent Total - 8,9,10

N=50 (Rating scale 1 to 10)

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Survey Results: Have Used Outputs

16 15 41 23 35 27 30 15 27 43 43 24 39 28 35 30 47 34 20 40 60 80

Scan of patient safety & quality priorities Common set of national surgical safety indicators Five questions to ask about your medications Getting started kit - medication reconciliation in… Never events for hospital care Patient engagement guide Patient stories Strategic communications plan Stop! Clean your hands

Percent No Yes

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Medication Safety

“as we move forward…include the patient…sometimes it gets forgotten… we have to include the patient voice” (Leads Group Member)

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Key Insights

  • Collaboration
  • Essential for collective impact
  • Leadership and infrastructure
  • Early and ongoing engagement
  • Patients and families, providers, leaders, policy makers
  • Culture and behaviour change
  • Ongoing and open communication
  • Builds trust and momentum
  • Persistence
  • System-level transformation is challenging – but worth the effort
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Kathy Kovacs Burns

Kathy Kovacs Burns, MSc, MHSA, PhD

Member, Patients for Patient Safety Canada

Senior Consultant, Alberta Health Services, Clinical Quality Metrics and Healthcare Quality Improvement

kathy.kovacsburns@ualberta.ca

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Questions and Discussion

Christopher Thrall @Patient_Safety Kathy Kovacs Burns Maryanne D’Arpino @maryanne_cpsi Sandi Kossey @ptsafety_sandi

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Thank you!

Thank You

Contact us: patients@cpsi-icsp.ca

Mulţumesc

Dhanyaawaad

Asante

Shukria

Thank you for welcoming us to the 2019 CADTH Symposium