1© 2010 TMIT

Charles Denham, MDChairman, TMIT

Co-chairman, NQF Safe Practices Consensus CommitteeChairman, Leapfrog Safe Practices Program

Safe Practices WebinarMarch 18, 2010

Safe Practice Overview

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Harmonization – The Quality Choir

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The Patient – Our Conductor

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34 Safe Practices

• Criteria for Inclusion

• Specificity

• Benefit

• Evidence of Effectiveness

• Generalization

• Readiness

2010 NQF Safe Practices for Better Healthcare: A Consensus Report

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2010 Final Report:

• Format Structure Preserved • Problem Statement and Implementation

Guide Thoroughly Updated• Minor Specification Changes• Updated References• Corrections and Clarifications• Care Setting Clarification Using CMS

Classification• Measures Section Updated Thoroughly

with NQF-Endorsed and Other Practical Measures for Consideration

• Soft Copy Document Hyperlinks• Crosswalk Tables • Glossary

History of NQF Safe Practices for Better Healthcare

2009 Final Report:

• From 30 to 34 practices• Culture Practice Elements

Broken Up into 4 Practices• 2 Practices Discontinued• 4 Medication Management

Practices Combined into 1• 2 Communication Practices

Combined into 1• 8 New Practices Added• CMS Care Settings Defined• Patient and Family

Involvement Section Added

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2003, 2006, and 2009 Update Versions

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Information Management and Continuity of Care

Medication Management

Healthcare-Associated Infections

Condition- & Site-Specific Practices

Consent & Disclosure

Culture

Workforce

Consent and Disclosure

2010 NQF Report

CHAPTER 7: Hospital-Associated Infections• Hand Hygiene• Influenza Prevention• Central Venous Catheter-Related Blood Stream

Infection Prevention • Surgical-Site Infection Prevention• Care of the Ventilated Patient and VAP • MDRO Prevention• UTI Prevention

Information Management and Continuity of Care

Medication Management

Healthcare-Associated Infections

Condition-, Site-, and Risk-Specific Practices

Consent & Disclosure

Wrong-siteSx Prevention

Press. Ulcer Prevention

DVT/VTE Prevention

Anticoag. Therapy

VAP Prevention

Central V. Cath.BSI Prevention

Sx-Site Inf.Prevention

Contrast Media Use

Hand HygieneInfluenza

Prevention

Pharmacist Systems Leadership:High-Alert, Std. Labeling/Pkg., and Unit-Dose

Med. Recon.

Culture

CPOE

Read-Back & Abbrev.

Discharge System

PatientCare Info.

LabelingStudies

Culture Meas.,FB., and Interv.

Structuresand Systems

ID and Mitigation Risk and Hazards

Team Trainingand Team Interv.

Nursing Workforce

ICU CareDirect

Caregivers

Workforce CHAPTER 4: Workforce• Nursing Workforce• Direct Caregivers• ICU Care

CHAPTER 2: Creating and Sustaining a Culture of Patient Safety (Separated into Practices]

Leadership Structures and Systems Culture Measurement, Feedback, and Interventions Teamwork Training and Team Interventions Identification and Mitigation of Risks and Hazards

CHAPTER 5: Information Management and Continuity of Care

Patient Care Information Order Read-Back and Abbreviations Labeling Studies Discharge Systems Safe Adoption of Integrated Clinical Systems including

CPOE

CHAPTER 6: Medication Management Medication Reconciliation Pharmacist Leadership Role Including: High-Alert

Med. and Unit-Dose Standardized Medication Labeling and Packaging

CHAPTER 8:• Wrong-Site, Wrong-Procedure, Wrong-Person

Surgery Prevention • Pressure Ulcer Prevention• DVT/VTE Prevention• Anticoagulation Therapy• Contrast Media-Induced Renal Failure Prevention• Organ Donation• Glycemic Control• Falls Prevention• Pediatric Imaging

Informed Consent

Life-Sustaining Treatment

Disclosure

CHAPTER 3: Informed Consent and Disclosure• Informed Consent• Life-Sustaining Treatment• Disclosure• Care of the Caregiver

Consent and Disclosure

Care of Caregiver

MDROPrevention

UTIPrevention

FallsPrevention

OrganDonation

GlycemicControl

PediatricImaging

2010 NQF Report

9© 2010 TMIT

LEADERSHIP STRUCTURES and SYSTEMS

Values

Systems

Structures

Behaviors

Outcomes

Culture Measurement, Feedback, and Intervention

Teamwork Training and Skill Building

Identification and Mitigation of Risks and Hazards

Leadership Structuresand Systems

Patients and Community

NQF 34 Safe Practices

10© 2010 TMIT

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