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Governing Boards Survey Governing Boards Survey on Quality & Patient Safetyon Quality & Patient Safety
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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PurposePurpose
To measure and improve To measure and improve Washington State hospitals’ Washington State hospitals’ quality and safety reporting quality and safety reporting
to governing boards.to governing boards.
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Comparison of respondents in 2005 Comparison of respondents in 2005 and 2006and 2006
2005: 29 hospitals responded2005: 29 hospitals respondedInformation solicited from board chairs by Information solicited from board chairs by email only.email only.
2006: 70 hospitals responded2006: 70 hospitals respondedInformation solicited from all board Information solicited from all board members by email, fax, post.members by email, fax, post.
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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Respondent DemographicsRespondent Demographics Survey distributed on Survey distributed on August 2August 2
234 respondents replied by:234 respondents replied by:• InternetInternet• Postal MailPostal Mail• FaxFax
Approximately 32% of the respondents represent Critical Approximately 32% of the respondents represent Critical Access HospitalsAccess Hospitals
Locations of respondents:Locations of respondents:• Central WACentral WA• Eastern WAEastern WA• King CountyKing County• Puget SoundPuget Sound• Southwest WASouthwest WA• Health SystemsHealth Systems
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Puget Sound Southwest WA King County Central WA Eastern WA
DOH Hospital Regions
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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““The two most important issues for The two most important issues for trustees to attend to are quality of trustees to attend to are quality of care and finance. Measurements care and finance. Measurements and benchmarks are needed to tell and benchmarks are needed to tell how the organization is doing. It is how the organization is doing. It is our responsibility to establish a our responsibility to establish a mission and assure that the mission and assure that the organization has the resources to get organization has the resources to get there.”there.”
Ned Turner, Trustee, Swedish Health ServicesNed Turner, Trustee, Swedish Health Services
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How often is quality and patient safety How often is quality and patient safety discussed at board meetings?discussed at board meetings?
78%
18%2% 3%0%
10%20%30%40%50%60%70%80%90%
Everymeeting
Mostmeetings
Half of themeetings
Less thanhalf of themeetings
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Where on agenda is quality and patient Where on agenda is quality and patient safety discussed?safety discussed?
9%
30%20%
39%
2%0%5%
10%15%20%25%30%35%40%45%
1st item 2nd or 3rditem
Middle Variable Not onagenda
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Does the board receive reports comparing the Does the board receive reports comparing the hospital’s quality and patient safety work with hospital’s quality and patient safety work with
regional and national statistics?regional and national statistics?
37% 39%
19%
5%0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Always Frequently Sometimes Never
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How complete is the information the board How complete is the information the board receives to measure the hospital’s quality and receives to measure the hospital’s quality and
patient safety results?patient safety results?
44%50%
5% 1%0%
10%
20%
30%
40%
50%
60%
Verycomplete
Complete Minimal Noinformation
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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Is the board monitoring your hospital’s Is the board monitoring your hospital’s progress in the 100K Lives Campaign?progress in the 100K Lives Campaign?
75%
8%18%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Yes No I don't know
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Is the board monitoring your hospital’s Is the board monitoring your hospital’s efforts to improve hand hygiene?efforts to improve hand hygiene?
63%
19% 18%
0%
10%
20%
30%
40%
50%
60%
70%
Yes No I don't know
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Rate your knowledge on Medicare’s Rate your knowledge on Medicare’s quality measures (Hospital Compare)quality measures (Hospital Compare)
78%
13% 3% 5%0%10%20%30%40%50%60%70%80%90%
Able to askquestions
Do notunderstand
enough
Do notbelieve
these applyto our
hospital
Noknowledge
on this topic
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Do you think there are preventable errors Do you think there are preventable errors occurring in your hospital?occurring in your hospital?
56%38%
3% 3%0%
10%
20%
30%
40%
50%
60%
There areerrors at our
hospital
Our hospitalmay haveerrors on
rareoccassions
I do not thinkwe have
preventableerrors
I don't know
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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Has your leadership team developed a Has your leadership team developed a board quality committee?board quality committee?
77%
19%4%0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Yes No I don't know
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What percentage of the CEO’s annual What percentage of the CEO’s annual bonus is tied to patient safety and quality?bonus is tied to patient safety and quality?
9% 8% 3%
27%
53%
0%
10%
20%
30%
40%
50%
60%
More than20%
Between10% and
20%
Less than10%
None I don'tknow
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Is your hospital using consultants to assist in Is your hospital using consultants to assist in work on patient safety and quality?work on patient safety and quality?
53%47%
0%
10%
20%
30%
40%
50%
60%
Yes No
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps
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Is the topic of patient safety and quality a big Is the topic of patient safety and quality a big emphasis as part of new board member emphasis as part of new board member
orientation?orientation?
50%32%
3%15%
0%
10%
20%
30%
40%
50%
60%
It is a majoremphasis
It is a part oforientation,but is not
emphasized
It is not apart of new
boardmember
orientation
I don't know
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Have you been sent to external education Have you been sent to external education sessions about quality and patient safety in the sessions about quality and patient safety in the
past year?past year?
50% 50%
0%
10%
20%
30%
40%
50%
60%
Yes No
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If yes, where?If yes, where?
Rural Hospital Workshop: ChelanRural Hospital Workshop: Chelan WSHA Annual MeetingWSHA Annual Meeting Estes ParkEstes Park WSHA Bell HarborWSHA Bell Harbor ACHE Las VegasACHE Las Vegas Well Spring La Quinta, CAWell Spring La Quinta, CA University of WashingtonUniversity of Washington American Hospital AssociationAmerican Hospital Association IHI Annual MeetingIHI Annual Meeting
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Would you attend a meeting in Seattle on Would you attend a meeting in Seattle on patient safety and quality along with your patient safety and quality along with your
hospital CEO?hospital CEO?
79%
21%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Yes No
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If yes, what topics would you want If yes, what topics would you want to discuss?to discuss?
MethodologiesMethodologies Patient Safety Goals 2007Patient Safety Goals 2007 BenchmarkingBenchmarking Change ManagementChange Management MRSA (antibiotic resistant organism)MRSA (antibiotic resistant organism) Best PracticesBest Practices Pay for PerformancePay for Performance Electronic Health/Medical RecordsElectronic Health/Medical Records Topics our hospital CEO selectsTopics our hospital CEO selects
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Do you receive the WSHA quarterly mailing, Do you receive the WSHA quarterly mailing, “CEO and Trustee Patient Safety Newsletter”?“CEO and Trustee Patient Safety Newsletter”?
65%
8%
28%
0%
10%
20%
30%
40%
50%
60%
70%
I read thenewsletter
I receive it, butdo not read it
I do not receivethe newsletter
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AgendaAgenda
Respondent DemographicsRespondent Demographics
Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education
Next StepsNext Steps