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You Have Our Permission: Keeping Our Kids Safe Childrens National Medical Center Mary Anne Hilliard, RN, JD Executive Vice President, Chief Legal Officer Dr. Rahul Shah, MD, MBA Vice President, Chief Quality and Safety Officer


  1. “You Have Our Permission: Keeping Our Kids Safe” Children’s National Medical Center Mary Anne Hilliard, RN, JD Executive Vice President, Chief Legal Officer Dr. Rahul Shah, MD, MBA Vice President, Chief Quality and Safety Officer

  2. Housekeeping Slides were sent this morning • Webinar is being recorded • Please use the “telephone” • option – Audio pin prompt All participants are muted • Engage! • – Raise your hand – Type in a question/comment Feedback survey will launch at • completion of the webinar

  3. You Have Our Permission: Keeping Our Kids Safe Mary Anne Hilliard, RN, JD Executive Vice President, Chief Legal Officer Rahul K. Shah, MD, MBA Vice President, Chief Quality and Safety Officer

  4. Objectives  Discuss our strategies to engage employees  Discuss the “wins”  Understand the barriers to implementation

  5. Children’s National Health System  323 Beds  Level 1 Trauma Center; Level IV NICU  2 Emergency Departments  7 Regional Outpatient Centers  7 Primary Care Health Centers  CP&A, 12  DC School Health Nurses  21,000 Discharges  17,000 Surgical Procedures  455,000 Outpatient Visits

  6. Incident Report Trends 10000 9336 8000 7105 5814 6000 4668 4000 2000 0 FY14 FY15 FY16 FY17

  7. Safety Culture Survey: Department Name Next Steps  Develop local improvement plan Survey data (Submit to SafetyCulture@childrensnational.org by 12/1/16)  Engage team to implement plan  Implement/monitor interventions Overall Score Response Rate Highest Scoring Items Feedback Session Priority Concerns Opportunities for Improvement Improvement Ideas

  8. Reporting: What Happens Next? Improve Prioritize Review

  9. Children’s National High Reliability Journey Quality/Safety Patient safety reorganization, transformation – structure & leadership Safety Vision culture change, Safety change, Focus on zero Statement, Leading behavior Techniques, harm index Robust CHAPS to advance Safety/Quality pillars in Adopt Root Cause Cause Analysis process, patient safety, strategic plan, Lean Analysis, Corporate Simulation, Care Delivery Teams, method, Error quality goals, Board to Bedside series, Medical Directors + Prevention Training , To Err is Human Outcomes based Building QI capacity, Nurse Managers, Solutions for Patient scorecard, Family Quality Council: Quality: Value equation Daily goals sheets Safety Care Pathways centered rounds 2017 1998 10

  10. Questions??

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