Is 99% Good Enough

1. Is 99% Good Enough Randy Johnson BA Director of Marketing THE HEART HOSPITAL Baylor Plano

2. Quality Culture What is a quality culture? • Quality of care delivered is primary focus of the health care facility • Building a trust relationship with the staff-comfortable with reporting near misses, errors, and problems • Reporting structure without fear of retaliation

3. Quality Culture • Emphasis on finding fault with processes not people • Everyone strives to identify best practices • Everyone focuses on opportunities to improve processes to improve patient safety and patient satisfaction

4. Process Improvement Teams Process Improvement Teams • Multidisciplinary teams • Goal is to look at processes and determine ways to improve • Plan, implement and evaluate strategies geared toward improvement

5. Transparency • Leads to increased trust in the facility’s integrity • Assists consumers in making informed health care choices • Inspires health care facilities to strive for excellence

6. Supportive Administration • Open door policy Can’t just say it, have to live it. • Support for the process improvement teams Must allow teams the time to meet and make sure that they have adequate resources • Accessibility Must be visible within the facility. The staff need to know who they are.

7. Quality Culture’s Impact on Patient Outcomes • Decrease in never events • Decrease in adverse events • Decrease in length of stay • Increase in patient involvement in plan and implementation of care

8. Quality Culture’s Impact on Patient Outcomes • Increased family involvement in patient care • Increase in open communication among caregivers and with patients • Increased visibility of Administration on the patient care units

9. Why do we care? • We want good outcomes for our patients • We want a good reputation for our facility • We want to know we have done the absolute best we can for our patients • We want to make the world a better place • We want to make a difference

10. Did you know? If 99% is good enough, then: • - 12 newborns will be given to the wrong parents daily. • - 103,260 income tax returns will be processed incorrectly this year. • - Two plane landings daily at O' Hare International Airport in Chicago will be unsafe. • - 18,322 pieces of mail will be mishandled in the next hour.

11. Did you know? If 99% is good enough, then: • - 291 pacemaker operations will be performed incorrectly this year. • 880,000 credit cards in circulation will turn out to have incorrect cardholder information on their magnetic strip • - 20,000 incorrect drug prescriptions will be written in the next 12 months

12. Did you know? If 99% is good enough, then: • - 107 incorrect medical procedures will be performed by the end of the day today. • - 2,000,000 documents will be lost by the IRS this year. • - 22,000 checks will be deducted from the wrong bank accounts in the next 60 minutes.

13. What does Quality Look Like? Patti Grant

14. Patti Grant • An IP at Medical City Dallas Hospital, Dallas , Texas with just under 20 years experience • Served on various APIC DFW Chapter as Historian, Secretary, Board Member, Program Chair and has been Chair of the Governmental Affairs Committee since 2002 • With APIC International Headquarters she is a member of Board of Directors • Member Texas HAI Advisory Panel

15. Patti Grant • Is serving her 2nd term on the Editorial Review Board of the American Journal of Infection Control • 1994 GREAT 100 Nurse for TNA District 3&4 • 1997 APIC New Investigator Award • 2001 Gerry Haynes Award Winner • Writes bi-monthly column for Hospital Infection Control & Prevention “iP Newbie”

16. What does Quality Look Like?

17. Judy Prescott • Manager, epidemiology for Baylor university Medical Center Dallas, Texas • IP and member of APIC for 29 years • Served her APIC Chapter as President, Board Member, Education Committee Chair, Governmental Affairs Committee Chair, and a member of multiple committees • Served as National APIC Program Chair for Baltimore Conference in 1999, Nominating Committee, Bylaws, and the Education Committee Novice Practitioner Task Force

18. Judy Prescott • Presented at the national, state and local levels • Serves as an Infection Prevention Consultant for rural hospitals, long term care facilities, and local industry and is published. • Served 2 terms as President of TSICP • Provided testimony before Texas Legislative Task Force on Medical Waste Management

19. Judy Prescott • 1991 recipient of the TSICP Gerry Haynes Memorial Award for Excellence in hospital Infection Control • 2000 GREAT 100 Nurse of DFW Metroplex • 2001 Nursing Excellence Finalist in Mentoring given by Nurseweek Magazine • Hero of Infection Prevention in 2007 by APIC

20. What does Quality Look Like? Charlotte Wheeler

21. Charlotte Wheeler • Lead Infection Preventionist Baptist St Anthony’s in Amarillo, Texas since 2003 • Elected by Amarillo Health District as a member of the Medical Expert Advisory Committee on upcoming medical and pandemic planning issues • Addressed MRSA seen in community by education of staff and physicians decreasing hospital acquired MRSA in hospital. Implemented system to alert staff of admission of MRSA pt

22. Charlotte Wheeler • Presenter for THA Best Practice 100,000 lives Austin, Texas May 2006 (Reducing Central Line Infections) • Successful Hand Hygiene Campaign launched motivating all staff to improve hand hygiene compliance. Visual audit results increased by greater than 75% 2004-2006 • Nurse of the month July 2007

23. Charlotte Wheeler • TNA Nurse of Excellence Award 1992 • Employee of the year 1990 • Certified in Infection Prevention since 2005 • Member of Texas HAI Advisory Panel • President TSICP 2006-2007 • Past President TSICP 2008-2010