Peer Sharing Webinar: Fall Injury Prevention Strategies September - - PowerPoint PPT Presentation

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Peer Sharing Webinar: Fall Injury Prevention Strategies September - - PowerPoint PPT Presentation

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Florida Hospital Association Hospital Improvement Innovation Network Peer Sharing Webinar: Fall Injury Prevention Strategies September 21, 2018 Agenda Introduction/Objectives/Data Report Co-Facilitators: Phyllis Byles, FHA Improvement

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Florida Hospital Association Hospital Improvement Innovation Network

Peer Sharing Webinar: Fall Injury Prevention Strategies September 21, 2018

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  • Introduction/Objectives/Data Report

– Co-Facilitators: Phyllis Byles, FHA Improvement Advisor and Jackie Conrad, Leadership Coach and Improvement Advisor-Cynosure Health

  • Hospital Stories - Strategies and Successes

– Central Florida Health—Karen Hammond, Risk Manager – Memorial Hospital West

  • Resources Available from FHA MTC and HRET
  • Upcoming Events

Agenda

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In support of Falls Prevention Awareness Week

  • September 22nd to September 28th!
  • FHA MTC’s goal-reducing injury from falls within
  • ur hospitals by at least 20% -encourage the use
  • f the HRET HIIN check list and change package
  • The educational tools and opportunities available

from the Fall Prevention Center of Excellence and the National Council of Aging (NCOA) free for use in the community and home settings.

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Falls—Where We Are Now

BL O-16 N-16 D-16 J-17 F-17 M-17 A-17 M-17 J-17 J-17 A-17 S-17 O-17 N-17 D-17 J-18 F-18 M-18 A-18 M-18 J-18 FL Rate 0.58 0.54 0.55 0.50 0.54 0.53 0.51 0.53 0.44 0.57 0.47 0.47 0.47 0.45 0.44 0.49 0.51 0.49 0.46 0.50 0.47 0.47 HRET HIIN Rate 0.66 0.67 0.66 0.67 0.69 0.70 0.70 0.68 0.68 0.66 0.66 0.68 0.66 0.65 0.65 0.67 0.71 0.72 0.69 0.69 0.70 0.73 # FL Reporting 88 84 85 85 87 86 86 83 82 81 81 81 82 81 81 80 79 79 76 75 72 70 #HRET HIIN Reporting 1,459 1,538 1,538 1,539 1,544 1,542 1,539 1,519 1,514 1,516 1,498 1,490 1,492 1,487 1,478 1,467 1,460 1,459 1,455 1,421 1,383 1,190

0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Rate per 1,000

Source: Comprehensive Data System, September 17, 2018

Florida Target Rate: 0.46

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Leesburg Regional Medical Center Fall Prevention Strategies

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We would like to recognize the Team who have collaborated to make this a safe place for our patients: the team in Risk Management, Nursing, Physical Therapy, HAC (Hospital Acquired Conditions) Committee and our Site Administrator CCO Joshua Fleming

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  • Leesburg Regional Medical Center (LRMC) is a 329-bed acute care hospital

which has served Leesburg and the surrounding communities for more than 50 years.

  • As Lake County’s largest tertiary care hospital, LRMC offers advanced

cardiac care at its Heart Institute, which includes one of the largest open- heart programs in Florida.

  • The hospital offers advanced orthopedic care at its dedicated inpatient Joint

Institute and provides both neurosurgery and medical neurological care.

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  • Emergency Department Expansion opened September 2018
  • Features expanded triage capability with fully equipped triage rooms, 24

new patient beds, state-of-the-art Philips monitoring equipment, trauma- sized rooms for critical care, enhanced security, and a spacious atrium-like lobby and waiting area.

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Total Number of Falls by Quarter

87 73 72 76 71 74 71 85 50 60 70 80 90

1st 2nd Q 3rd Q 4th Q

2016 2017

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Key Fall Prevention Strategies

  • Enhance Fall Safety Policy
  • Leadership Engagement
  • Tracking and Trending Daily
  • Post Full Huddles
  • Safety Over Pride
  • Purposeful Rounding
  • Staff/Patient/Family Education
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Daily Awareness Safety Service Huddle

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Daily Message

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Post Fall Huddle

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Safety Over Pride

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Visual Cues

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No Passing Zone

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Purposeful Rounding

  • Hourly Rounding

– Emphasis on Call Don’t Fall – Safety Over Pride

  • Bedside Shift

Report

  • Nurse Leader

Round Daily

  • Weekly Executive

Leader Rounds

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Education

  • Team Members

educated on New Hire and Annually (Clinical and Non- Clinical)

  • Accountability
  • Enhanced Fall Safety

Policy

  • Teach back method

used for patients and families

  • Education for

patients and families to adopt “Safety Over Pride” Philosophy

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Opportunities for Improvement

Maternal Child Health Cardiovascular Unit

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Total Number of Falls by Quarter

87 73 72 76 71 74 71 85 82 59 50 60 70 80 90

1st Q 2nd Q 3rd Q 4th Q 2016 2017 2018

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Injuries From Falls

78 2 9 58 2 5 27 1 1 10 20 30 40 50 60 70 80 90

Mild Moderate Maj or Death

2016 2017 2018

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THANK YOU

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Memorial Hospital West

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HRET Resources: HRET-HIIN.org

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MTC HIIN Resources

FHA MTC HIIN Website: www.fha.org HRET HIIN Website: www.hret-hiin.org

  • Webinars and Coaching Calls
  • National Experts
  • Quality Improvement Fellowships
  • Patient and Family Engagement Learning

Collaborative

  • Chasing Zero Infections Series
  • Safety Culture Survey
  • UP Campaign – SOAP UP,

GET UP, WAKE UP, SCRIPT UP

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MTC HIIN Upcoming Events

  • Oct. 4 – Reducing Diagnostic Errors: Leading Practices
  • Oct. 5 – Readmissions Multi Visit Patient (MVP)

Webinar #1

  • Oct. 16 – TeamSTEPPS Check-in Webinar
  • Oct. 18 – Falls Fishbowl #1
  • Oct. 18 – MDRO Session #1

Check the MTC HIIN Upcoming Events Calendar for details and registration

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HRET HIIN Quality Award Winner

Congratulations, Florida Hospitals! Outstanding performance in driving quality care, safety and value across its network of hospitals

AHA L Leaders rship S Summit HIIN R Reception, J , July 25, 2 , 2018 018

HRET

2018 High Performance Award

Flori

  • rida H

Hospital Association

  • n
In Support of the Partnership for Patients Program
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In Observance of National Fall Prevention Awareness Week

  • Sep. 22 - 28, 2018...

May All Your Patients Stay Vertical With No Horizontal Challenges !!!!!

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We are here to help! HIIN@fha.org | 407-841-6230

State Lead: Kim Streit, FACHE, MBA, MHS, VP, Health Care Research & Information Svcs. Improvement Advisors: Cheryl Love, RN, BSN, BS-HCA, MBA, LHRM, CPHRM, Director, Quality & Patient Safety Phyllis Byles, RN, BSN, MHSM, BC-NEA, Clinical Performance Improvement Advisor Dianne Cosgrove, MS, RN, CPHQ, LHRM, Director of Clinical Quality Improvement Communications: Luanne MacNeill, Quality Initiatives Coordinator Data Support: Debbie Hegarty, Manager of Surveys & Special Projects Fellowships & Patient and Family Engagement: Allison Sandera, MHA, Project Manager

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