ihi’s improvement map: reliable routes to exceponal care · works in real health care sekngs...
TRANSCRIPT
IHI’sImprovementMap:ReliableRoutestoExcep9onalCare
KathyDDuncan,RN
May11,2010
Wherearewegoingtoday?
• WhyanImprovementMap?
• HowtheImprovementMapworks
• Whereareyounow?
• Resourcesforstudents
• QuesDons
Pa9entCareProcesses
SupportProcesses
InitiativesAMICare
Processes to Improve
EndofLifeCare
HighHazardmedicaDons
ReliableLabProcesses
BoardsonBoard
TimeinPaDentCare
PURPOSE
CHAOS
LookThisWay
CHAOS
OVERVIEW
• TheIHIImprovementMapisanopenresource,availablefreeofchargetoanyone,anywhere.
• TheImprovementMapbuildsofftheworkofthe100,000and5MillionLivesCampaignsandrepresentsIHI’snextfronDerofhospitalwork
• TheImprovementMap:
– HelpsmakesenseofthemanycomplexandcompeDngdemandshospitalsface
– BringstogetherthebestknowledgeavailableonthekeyprocessimprovementsthatleadtoexcepDonalhospitalcare
– Helpshospitalstaff(fromleaderstothefrontlines)setchangeagendas,establishprioriDes,organizework,andopDmizeresources
IMPACTLeadershipCommunity
Thousands
Hundreds
Dozens
High
Medium
Low
REACH:
INTENSITY:
Knowledgefor All
VirtualSupport
CollaborativesTransformingCareattheBedside
ImprovingPerinatalCareReducingSepsisMortality
ReducingReadmissionsbyImprovingTransiConsinCare
AnArrayofProgramstoHelpHospitalsAchieveResults
BenefitsofUsingtheIHIImprovementMap
• Timesaver– IdenDfiesbestpracDces
– ConsolidaDonofinformaDon
• Costsaver– Lessmoneyavailableforstafftoa[endconferences
– EffecDvemethodofsharingideasandtechniques
OpportuniDes…
• BrowsetheImprovementMap
• CreatetheirownmapsbysorDngandselecDngtheprocessesintheImprovementMapbasedontheirownaimsandcircumstances
• GetdetailedinformaDonaboutspecificprocessesontheirownmap,andbelinkedtomoreinformaDonandresources
WhatisPassport?
PassportisamembershipprogramdesignedtohelphospitalsmakethemostoftheIHIImprovementMap.
As a Passport member, you’ll have exclusive access to: So you can:
Unlimited Expeditions. Expeditions are two- to four-month,interactive, web-based programs on critical improvementareas. IHI will launch one Expedition ($750 value) permonth on average.
Engage front-line teams in making rapidimprovements in areas of greatest concern tohospitals today.
Leadership Support. Includes key performance datacustomized for your organization each year and skill buildingand support for your middle managers via quarterlyconference calls.
Understand your hospital’s improvementstrengths and weaknesses, develop a plan toincrease your improvement capability, andequip your managers to effectively leadcomplex quality improvement initiatives.
Passport Members-Only Improvement Resources. Includeson-demand podcasts, videos, and presentation materials onimportant improvement topics.
Get access to essential information andguidance to support your improvement agendaat your convenience.
Passport: IHI’s cost-effective membership program
ComingA[racDonsforPassportMembers
• ExpediDons– PockeDngtheDarkGreenDollars:SuccessfullyMaking
ImprovementsThatFalltotheBo[omLine(1/10)– ImprovingFlowinKeyHospitalUnits,Surgery,ICU,ED(2/10)
– PrevenDngHeartFailureReadmissions(3/10)
– ReducingClostridiumDifficileInfecDons(4/10)
– ManagingAdvancedDiseaseandpalliaDveCare(4/10)– ImprovingPerinatalSafety:TheOxytocinBundle(5/10)
– PrevenDngComplicaDonsintheICU(6/10)
• MiddleManagersLeadingQualityImprovementQuarterlyCalls(February–Fall,2010)
TheTour
h[p://www.ihi.org/imap/tool/
What’sNewfortheImprovementMap
Improvement Map Storyboard at the Forum
TheImprovementMapIsImproving!
• UpdateforAllProcessesinMay• NewProcesses:
– DiabetesManagementinAcuteCare– AnDcoagulantTherapy
• ComingSoon:RandDdevelopsanewprocessonsafetyforeldersinthehospital
• MakingtheMostoftheMap• NextImprovementMapCall:June15,2010
“AdvancehealthcareimprovementandpaDentsafetycompetenciesinthenextgeneraDonof
healthprofessionalsworldwide.”
IHIOpenSchoolMission
IHIOpenSchoolChapterCongress,Dec09
CourseCatalogQualityImprovement:QI101:FundamentalsofImprovementQI102:TheModelforImprovement:YourEngineforChangeQI103:MeasuringforImprovementQI104:PukngItAllTogether:HowQualityImprovementWorksinRealHealthCareSekngsQI105:TheHumanSideofQualityImprovementQI106:Level100Tools
Leadership:L101:SoYouWanttoBeaLeaderinHealthCare
Pa9entandFamily–CenteredCare:PFCC101:RespecDngDiversityandDifferencesinPaDentsandFamilies
Pa9entSafety:PS100:IntroducDontoPaDentSafetyPS101:FundamentalsofPaDentSafetyPS102:HumanFactorsandSafetyPS103:TeamworkandCommunicaDonPS104:RootCauseAnalysisPS105:CommunicaDngwithPaDentsAleranAdverseEventPS106:IntroducDontotheCultureofSafety
UpcomingTopicAreas:OperaDonsManagementTeamworkandCommunicaDonPopulaDonHealth
AvailablenowIndevelopment
CerDficateofCompleDon
• Requirementso QualityImprovement101‐106o PaDentSafety100‐103
o Leadership101o Morerequirementstobereleasedinfirsthalfof2010
OnlinePresence
• RegistraDon– Over24,000studentsregisteredonIHI.org
– Over7,500facultyanddeansregisteredonIHI.org
• Onlinecourses– Over23,000coursescompleted
– Available:6QualityImprovement,4PaDentSafety,1Leadership
• OnlineResources– Over32,000downloadsofcasestudies,glossaries,exercises,acDviDes
– Over65,000downloadsofaudioandvideorecordings
• OnlineCommunity– LinkedIn,YouTube,Facebook,Blog,Twi[er
IHIOpenSchoolChapters
175Chapters
175Chapterson187campuses121USChaptersin40states54InternaDonalChaptersin24countries
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Linking Quality InitiativesThanks to Mary Peterson, RN, MSN – Auburn University
IHI ImprovementMap:Coded for curriculumsupplements
GreenGreen –– Fundamentals FundamentalsPurplePurple –– Obstetrics ObstetricsYellowYellow –– Community Health Community HealthPinkPink - Pediatrics - PediatricsOrangeOrange –– Mental Health Mental HealthBrownBrown –– Advanced Classes/complex Advanced Classes/complexRedRed –– Medical/Surgical (including Medical/Surgical (includinggeriatrics)geriatrics)BlueBlue –– Leadership/Management Leadership/Management
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Support Care Processes Patient Care Processes
Patient Flow forEfficiency &
Safety
Communication& Teamwork
Multidisciplinary
Rounding
DailyGoal-setting &
Planning
SurgicalComplications
CoreProcesses
(SCIP)
Pre-operativePatient
Assessment
AcuteMyocardial
Infarction CoreProcesses
Heart FailureCore Processes
Community-acquired
PneumoniaCore Processes
■Transitioning
out of theHospital
LaboratoryTesting &Reporting
RadiologyTesting &Reporting
PharmacySafety &
Reliability
SepsisDetection &Management
StrokeManagement
Cancer Care inthe Hospital
Disease-specificCare forCommon
Comorbidities
PercutaneousCoronary
InterventionCore Processes
Dietary &NutritionServices
Early WarningSystems
SurgicalChecklist
InfectionPrevention
High-alertMedication
Safety
Rapid ResponseTeams
Pressure ulcerPrevention
Acute DeliriumPrevention &
Treatment
Catheter-associated
Urinary TractInfection
Prevention
EmergencyDepartmentTimeliness
Simulation forHigh-riskSituations
■Medication
Reconciliationat Transitions
MedicationOrdering
GlycemicControl in
Critical Care
PainManagement
Perinatal LaborAugmentation
Safety
PerinatalElective
Induction Safety
Well NewbornCare
MedicationAdministration Falls Prevention Critical Results
Reporting Hand Hygiene
NeonatalIntensive-CareUnit Standard
Care
Central LineBundle
VentilatorBundle
■Acute Respiratory
DistressSyndrome
Prevention/Mgt.
Pediatric:Asthma Acute
Care
StandardPrecautions
AntibioticStewardship
PatientTransitions &
Handoffs
Pediatric:Children with
Gastroenteritis
Pediatric:Infants with
Bronchiolitis
EmergencyDepartment
Reliable Care
Advance CarePlanning
■Positive Patient
Experience
SharedDecisionMaking
Communicationwith Patients &Families afterAdverse and
Event
VenousThromboembolus Prevention &
Treatment
ClinicalNutritionServices
Palliative Care
