Centers for Medicare and Medicaid Services’ (CMS) Partnership for Patients: National Hospital Engagement Network (HEN)

The nation-wide, DHHS led, Partnership for Patients aims to decrease preventable harm in hospitals by 40% and hospital readmissions by 20% the end of 2013. PSEP is supporting the Partnership for Patients’ Hospital Engagement Networks (HENs), through a subcontract from Joint Commission Resources (JCR). The selected HENs will help identify solutions already working to reduce healthcare acquired conditions, and work to spread them to other hospitals and health care providers. JCR will help coach hospitals as they implement new strategies to reduce health care-acquired infections and help hospitals learn from each other and share their successes and challenges.

PSEP will support these efforts by providing the PSEP Core Curriculum in webinar format, including plenaries and interactive webinars.  Each of the plenaries and webinars will be “premiered” by JCR to its participating hospitals, accompanied by Q&A sessions, then remain available to these hospitals as tools to help them achieve their Partnership for Patients nation-wide goals.  To support the hospitals as they utilize PSEP Curriculum, PSEP faculty will provide regular “live” virtual support sessions where they will guide hospital patient safety leaders as they implement the PSEP principles. 

Centers for Medicare and Medicaid Services’ (CMS) Partnership for Patients: National Content Developer

PSEP is partnering with Econometrica, a research and management consulting firm committed to providing high-quality, cost-effective analyses, modeling, and economic evaluations, on the National Content Developer contract funded by the Centers for Medicare & Medicaid Services. This contract supports the Partnership for Patients program within the Department of Health & Human Services.  The Partnership for Patients aims to decrease all HACs by 40% with a 20% reduction in the 30-day readmission rate by the end of 2013.

PSEP has provided clinical consultation on the creation of a supportive web portal and Training Support Packages (TSP) around 12 hospital-acquired conditions (HAC) such as ventilator associated pneumonia, central line associated blood stream infections, falls, and readmissions.  PSEP will also facilitate the creation of a “Tiger Team” of clinical leaders that will gather, communicate, and disseminate best practices in patient safety across the Hospital Engagement Networks (HENs) and through these networks to every hospital in the country. The Tiger Team initiation conference will be hosted by the PSEP Team and create over 130 “Tigers". 

Canadian Patient Safety Institute: Development of PSEP - Canada

In partnership with the Canadian Patient Safety Institute (CPSI), PSEP adapted its curriculum to a Canadian audience to create PSEP - Canada.  Dr. Linda Emanuel, along with Martin J. Hatlie, and Dr. Richard H. Bell are involved in the ongoing effort to disseminate the new PSEP-Canada Curriculum throughout all of the Canadian provinces.

The PSE-Canada Curriculum consists of four plenary sessions, twelve small group modules, and three action modules on how to teach the Curriculum within an organization. Following a rigorous application process, a team of 21 PSEP - Canada Master Facilitators (MFs) was selected to attend PSEP’s Professional Development Workshop training to refine their teaching and practice improvement skills. These MFs continue to disseminate the PSEP - Canada Curriculum and facilitate ongoing PSEP-Canada conferences.

Using the PSEP - Canada Curriculum, the ‘Become a Patient Safety Trainer’ Conferences will be provided across all provinces in Canada and each will include a concurrent Executive Track to bring together clinical and executive leaders from their respective institutions. As more health professionals continue to become Patient Safety Trainers, the PSEP’s principles are spread to thousands of frontline healthcare workers throughout the country.

CUSP/CLABSI: Eliminating Central Line-Associated Bloodstream Infections

PSEP has been awarded a subcontract from the Health Research & Educational Trust (HRET) to collaborate on the AHRQ-sponsored Comprehensive Unit-based Safety Program/Central Line-Associated Bloodstream Infections (CUSP/CLABSI) initiative. CUSP was designed by Peter Pronovost and colleagues; it addresses individual unit cultures and implements formulaic interventions. In particular, it has been used to reduce central line-associated bloodstream infections in the Michigan Health & Hospital Association’s Keystone Project.

The PSEP team will develop a state coach’s guide for the existing CUSP/CLABSI products. Two Professional Development Workshops will provide training in teaching skills and practice improvement for the state project coordinators, producing ‘CUSP Coaches’. The coaches will support CUSP participants in their home state at the local institution level.

PSEP - RAND Corporation: Long-term Care Patient Safety Curriculum Development.

PSEP received a subcontract from the RAND Corporation through an AHRQ funded project, the impetus for which is the scarcity of patient safety materials geared toward the nursing home (NH) environment, particularly for front line providers. The project was designed to strengthen knowledge of patient safety practices that will be effective in NH settings; develop educational modules to support implementation of those practices; and refine the modules so they can be easily used by front line NH providers to enhance the safety of patients. Buehler Center faculty, Drs. Linda Emanuel, Celia Berdes, and Karen Glasser Scandrett are among those who lent their expertise to the project.

The resulting modules focus on three teachable, high-impact topics, with content informed by relevant literature on best safety practices, patient safety and NH expert opinion, and front line NH provider focus groups. The topics selected include Recognizing and Responding to Changes in a Patient’s Condition, Communicating Changes in a Patient’s Condition, and Falls Prevention and Management. The modules were piloted tested among front line workers at The Moorings of Arlington Heights, a long-term care facility outside of Chicago. 

Education in Palliative and End-of-life Care for Emergency Medicine-PSEP: Quality Improvement in the ER using TIPS

Building on an existing strong collaboration, PSEP created an additional partnership with our colleagues in emergency medicine and palliative care. Working specifically with Dr. Tammie Quest from PSEP’s Advisory Group, we have developed a proposal to support creation of Tailored Implementation of Practice Standards (TIPS) kits to improve the safety and quality of pain management in the ER. We have also received funding from the National Cancer Institute to evaluate implementation of training in rapid comprehensive evaluation in the ER using the QI materials developed for PSEP and TIPS.

National Council of State Boards of Nursing.

PSEP has begun discussion with the National Council of State Boards of Nursing with respect to the "Transition to Practice” program. The “Transition to Practice” model has been developed to promote public safety by supporting newly licensed nurses during their critical entry period and progression into practice. The model is intended to be collaboratively implemented with education and practice through regulation. Future collaborative efforts will explore the use of case studies in safety to demonstrate skills necessary for safe nursing practice, and methods for measuring efficacy of educational programs targeting nurses new to practice.

PSEP Australia

We have continued the esteemed partnership with our colleagues from Australia, Merrilyn Walton, PhD, and Tim Shaw, PhD, who brought the Australian National Patient Safety Framework on which we built the PSEP Curriculum. A proposal has been submitted to the New South Wales (NSW) Clinical Excellence Commission to enable PSEP to be delivered to health care professionals in NSW. The Australian team is also exploring the possibility of delivering the program directly to Area Health Services. In addition, the NSW Institute of Medical Education and Training is interested in accessing the online version of the PSEP.

Emerging partnerships

PSEP is also working with the American Association of Medical Colleges, the American College of Physician Executives, the National Board of Medical Examiners, the Canadian Patient Safety Institute, the Ontario Hospital Association, and others on a range of possible projects, all involving effective dissemination of high-impact learning in patient safety and evaluation of resulting competencies and practice outcomes.