P1

Kaiser Permanente Northern California: Set-up Phase

Dr. Carmen Adams

This presenter has nothing to disclose

Drivers of Quality and Safety

The Quality Leader

Goal Drivers Focus Areas

Do No Harm

Evidence Based Care

Appropriate Care Setting & Managing

Transitions

Teamwork

Safe Culture

Prevent InfectionsPrevent Falls Prevent Pressure UlcersMedication Safety Surgical SafetyPerinatal SafetyCritical Care Safety

Acute Myocardial InfarctionHeart FailurePneumoniaSurgical Care Improvement Program StrokeSepsisMaternal Child Health Quality Goals

Advanced Illness Care Planning Care Transitions under development

Appropriate Post-Hospital Care

Building the Bridge for 21 Kaiser Permanente Medical Centers

MortalityDiagnosticSpring 08

Sepsis Design Team

Pilot Sepsis SummitNov 08

21 Hospital Spread

Prioritize Standardize Process & Measures

Create Vehicle for Change

ImplementImplement

Critical Steps to Redesigning

2. Stratify Risk

2. Standardize

3. Create Vehicle for Change

4. Implement, Measure, Collaborate

1. Prioritize

Table Top

Bedside

• Prove and Improve• Create First Adopters and Advocates• Gather and Test Implementation Tools: Playbook

Build the Standard and the Measurement Strategy and Test Them

Standardize

SUMMIT

Blueprint for Change: A Common Framework

All Patients with Infection are screened for

Teach and Test: Creating a Measurement Strategy

Time of Dx

1 hour

2 hours

6 hours

6-12 hours

Antibiotics

Central Line

MAPCVP

ScvO2 at Goal

Lactate Clearance

Do Not Delay for ICU

Antibiotics

Treat it reliably

Destination

Constructing a Vehicle for Change

Leadership alignmentStandardization / SystemizationProject ManagementData that drives

Compelling Story

Vehicle for Change

OwnershipUniformity Reliability Sustainability

Compelling Case for Change

QUESTIONS?