PFE Strategies to Drive Quality Care Thomas Workman, PhD Senior - - PDF document

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Dec 03, 2022 341 likes •429 views

HIIN Patient and Family Engagement Summit July 21, 2017 PFE Strategies to Drive Quality Care Thomas Workman, PhD Senior Advisor, PFE Contractor in Support of Partnership for Patients 3.0 Goals for the session Understand how PFE impacts

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 1

PFE Strategies to Drive Quality Care

Thomas Workman, PhD

Senior Advisor, PFE Contractor in Support of Partnership for Patients 3.0

Goals for the session

Understand how PFE impacts quality and safety
Introducing the PfP PFE Roadmap and 6 strategies
Understanding how to use the strategies to implement PFE

activities

Connecting PFE to quality and safety: Collecting Data and

Stories

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 2

The Critical Role of PFE The Critical Role of PFE

Successful implementation of PFE may result in benefits for patients, providers, and hospitals:

Improved patient experiences
Reduced length of stay
Improved health and safety outcomes for patients
Reductions in hospital acquired infections and

conditions

Reductions in preventable readmissions
Lower costs associated with hospitals or providers
Increased employee satisfaction and retention

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Carolinas HealthCare “Pattern” PFE and Campaign Outcomes Carolinas HealthCare “Pattern” PFE and Campaign Outcomes

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 3

N = 146 Vizient HEN hospitals
High PFE performers meet 4 or 5 of the PFE metrics
Low PFE performers met 3 or less of the PFE metrics

Focus on Quality and Safety Focus on Quality and Safety

Source: Vizient Presentation, January 28, 2016.

Connecting PFE to Outcomes Connecting PFE to Outcomes

Source: Vizient Presentation, January 28, 2016.

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 4

To use as a planning tool for

implementing the five PFE metrics

Identifies the strategies needed for

implementation

Strategies help determine tactics and

tools needed

Implementing PFE: The Strategic Vision Roadmap Implementing PFE: The Strategic Vision Roadmap

Using Strategies to Plan Implementation of PFE Metrics Using Strategies to Plan Implementation of PFE Metrics

STRATEGY TACTICS TOOLS

Use each To identify And find

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 5

Six Strategies to Promote and Support PFE Six Strategies to Promote and Support PFE

Organizational Partnership Patient and Family Preparation Clinician, Staff, and Leadership Preparation

Care, Policy and Process Redesign Measurement and Research Transparency and Accountability

The Road to Implementing the Five Patient and Family Engagement Metrics The Road to Implementing the Five Patient and Family Engagement Metrics

ADJUST SYSTEMS PREPARE STAFF PREPARE PATIENTS MEASURE OUTCOMES CREATE PARTNERSHIPS ACCOUNTABILITY & TRANSPARENCY

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 6

Example: Implementation Planning PFE Metric 4

(PFAC or Representative on Quality Improvement Team)

Example: Implementation Planning PFE Metric 4

(PFAC or Representative on Quality Improvement Team)

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STRATEGY TACTICS TOOLS

Patient and Family Preparation Clinician, Staff and Leadership Preparation

Orientation manual, training for new advisors Information sessions about seeking input and working effectively with advisors Sample advisor

rientation manual,

PPT from AHRQ’s Guide to PFE Clinician / staff PPT training and handouts from AHRQ’s Guide to PFE

Keys to Successful Implementation and Sustainability Keys to Successful Implementation and Sustainability

Set specific implementation goals and develop a clear

vision

Cultivate and encourage visible support from senior

leaders

Identify early adopters and champions
Conduct staff trainings to prepare them for change
Begin with small-scale implementation by high

performing units or groups

Provide ongoing monitoring, feedback, and coaching
Develop and share stories of success (and celebrate

them, too!)

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HIIN Patient and Family Engagement Summit July 21, 2017 Florida Hospital Association 7

Making the Connection between PFE and Safety & Quality: Critical Activities Making the Connection between PFE and Safety & Quality: Critical Activities

Documenting impact stories as they occur

– Patient/family member corrected a clinician, avoiding error – Patient spoke up about a problem, allowing for intervention of SAE – Patient’s idea for improvement at PFAC or committee showed success – Patient’s perspective is noted or acknowledged in Board minutes

Documenting changes in safety & quality data

– Track effects on safety and quality measures as more PFE metrics are implemented – Note the cumulative effects of the metrics

Documenting changes in culture

– Noting ways in which patient perspectives are integrated into the hospital culture – Documenting increased interest by patients, families, and hospital staff to engage in projects and activities – Documenting comments of appreciation from hospital staff, patients, and families 13

For more information:

PFE@air.org

Thomas Workman, Ph.D. American Institutes for Research tworkman@air.org 301-592-2215