governing boards survey on quality & patient safety

Governing Boards Survey Governing Boards Survey on Quality & Patient Safetyon Quality & Patient Safety

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Respondent DemographicsRespondent Demographics

Overview of ResultsOverview of Results• Board Oversight FunctionBoard Oversight Function• ReportingReporting• InfrastructureInfrastructure• Board EducationBoard Education

Next StepsNext Steps

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.

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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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

Puget Sound Southwest WA King County Central WA Eastern WA

DOH Hospital Regions

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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

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

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

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

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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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

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

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

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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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

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

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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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

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

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

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

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

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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