"Sample Work and Financial Plan"
DRAFT ELEMENTS OF A WRITTEN PATIENT SAFETY PLAN Purpose: To encourage contracted hospitals to respond to Leapfrog Survey and self-certify to the Leapfrog Web-site. FIRST STAGE MUST HAVE GOALS AND OBJECTIVES Must contain actionable task items Must clearly identify person or persons responsible for task Must identify title (if applicable) of person or persons responsible for tasks Must have established timelines Must show status (on-going, in progress, completed) with dates Must show connectivity to other health plan departments ( e.g., Quality Improvement, Medical Director, Pharmacy Director, Contracting and Network Development) Must have feedback loop to the hospital SECOND STAGE Must contains all elements above Must contain implementation strategies Must show milestones and tasks completed Must show specific steps plans are taking to contract with hospitals that self-report and those that meet or are on the path to meeting expectations Must have monitoring device as hospital data changes 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 1 of 8 DRAFT SAMPLE HEALTH PLAN PATIENT SAFETY WORK PLAN MARCH, 2001 OBJECTIVE : TO FOSTER AN APPROACH TO PATIENT SAFETY AND MEDICAL ERROR REDUCTION IN A COLLABORATIVE MANNER THAT EMPHASIZES SYSTEMIC IMPROVEMENTS RATHER THAN INDIVIDUAL PERFORMANCE AND BLAME. TO FOSTER AN EVIRONMENT WITHIN SAMPLE HEALTH PLAN HEALTH PLAN IN WHICH PATIENT SAFETY BECOMES INTEGRATED IN ALL ACTIVITIES. WE WILL SEEK TO IMPROVE PATIENT SAFETY INITIATIVES THAT ADDRESS THE PURCHASER EXPECTATIONS REGARDING THE LEAPFROG PATIENT SAFETY STANDARDS: . Computer Physician Order Entry systems Physician ICU staffing standards Evidence-based hospital referral standards GOAL I: DETERMINE BUSINESS AND OPERATIONAL TACTICS FOR SAMPLE HEALTH PLAN PATIENT SAFETY IMPLEMENTATION GOALII: DEVELOP AND IMPLEMENT AN ONGOING PATIENT SAFETY EDUCATION PROCESS FOR MEMBERS, PROVIDERS, FACILITIES AND PURCHASERS. (Applicable to all 3 initiatives) Activity Activity Barriers to Responsible Party Status Target # Implementation (SAMPLE HEALTH Dates PLAN Staff) 1.1 Determine work plan expectations and timelines for Donna Jones 2002. Donna Smith 1.4 Promote Patient Safety initiatives throughout SAMPLE HEALTH PLAN Mary Doe MD a. Participate in SAMPLE HEALTH PLAN John Smith Corporate Quality Committee that has system Ongoing 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 2 of 8 DRAFT level responsibility for overseeing the development and deployment of plans to achieve Ongoing goals for patient safety and for systematic review Mary Doe MD of progress throughout the year. b. SAMPLE HEALTH PLAN Ad Hoc Committee on Quality and Patient Safety (two meetings) c. Participate in following (sample)work groups: – High-Hazard Area Work Group – Patient Safety Tracking and Reporting Work Group Patient Safety Steering – Medication Safety Work Group Committee – Education and Culture Change Work Group d. Monitor ISMP survey improvement plans e. Partner with Pharmacy Management Completed f. Present importance of Patient Safety Standards to appropriate audiences: - SAMPLE HEALTH PLAN Senior Operations Team (business unit CEO’s) - SAMPLE HEALTH PLAN QMC - SAMPLE HEALTH PLAN Corporate QMC - Network Meeting g. Develop SAMPLE HEALTH PLAN Patient Safety Committee whose primary responsibilities will include: - Promoting and monitoring the compliance of SAMPLE HEALTH PLAN contracted hospitals to the Leapfrog standards - Increasing member/provider Completed awareness on patient safety - Participation in SAMPLE HEALTH PLAN Patient Safety initiatives 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 3 of 8 DRAFT - Continued participation in local and regional safety initiatives 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 4 of 8 DRAFT Goal I : Determine business and operational tactics for Health Plan Patient Safety implementation. Activity # Activity Barriers to Responsible Party Status Target Dates Implementation 2.1 Revise QM Program Description to include how the Completed. Plan addresses improving patient safety. Include Approved activities in QM workplan. at QMC on 12-6-00 2.2 Focus quality improvement activities on improving Completed 12/31/00 patient safety as described in NCQA standards: (QI 1.1.2, 12.1, 12.2, CR 12 and UM 12.) 2.3 Contracting Develop language for hospital contracts that requires hospitals to self-certify the information on Computer In process Physician Order Entry, ICU Physician Staffing and Evidence-Based Hospital Referral on the Leapfrog web-site, Develop language for hospital contracts which requires hospitals to develop a patient safety compliance plan for Computerized Physician Order Entry. Develop language for hospital contracts that requires hospitals to develop a patient safety compliance plan for ICU staffing expectations. Develop credentialing, recredentialing and contract language that supports evidence based hospital services for selected procedures. 2.4 Monitor progress of the Sample Grant related to Ongoing CPOE. 2.5 Identify a health plan strategy related to financial 6/30/01 and system tactics for evidenced based referrals. 2.6 safety information that health plans are required to collect and analyze for the RFI. 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 5 of 8 DRAFT 2.7 Develop a referral/ authorization process that In process 4/1/01 supports evidence based hospital services for selected procedures. Mtg held a. develop written plan for implementation of the 12-14-00 hospital referral standard b. develop additional provider and member interventions that specifically encourage evidence-based hospital referrals. Monitoring Devise monitoring mechanism to track changes in hospital data status Devise monitoring mechanism to track elective hospital adminnions Develop committee to review elective admissions and determine percentage admitted to hospitals that have self-reported to the Leapfrog web-site and meet or partially meet one or more of the Leapfrog standards. 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 6 of 8 DRAFT GOAL II: Develop and implement an ongoing patient safety education process for members, providers, facilities and purchasers. Activity # Activity Barriers to Responsible Party Status Target Dates Implementation Members 3.1 Include Patient Safety as regular feature in member Ongoing newsletters 3.2 Include Patient Safety information on SAMPLE Completed HEALTH PLAN web page 3.3 Include Patient Safety information in SAMPLE 12/01 HEALTH PLAN member handbook 3.4 Create brochures for members that address Patient 12/01 Safety Providers 3.5 Develop Provider Newsletters that address Patient 10/01 Safety 3.6 Include Patient Safety information on “Provider” 10/01 segment of SAMPLE HEALTH PLAN web page 3.7 Participate on committee to sponsor a provider Unable to identify On hold. seminar with Patient Safety standard “content sources of funding. experts.” Will revisit in Fall, 2001. Facilities 3.8a Mail hospital bulletins to all contracted hospitals 3.8b Survey pharmacies on patient safety practices Utilize opportunity with hospital data collection Completed meetings to promote Leapfrog standards and participation with the Leapfrog Patient Safety survey including posting data on the Leapfrog website. Purchasers 3.9 Include Patient Safety information in SAMPLE HEALTH PLAN Purchaser newsletter 3.9a Continue to work with GM /Coalition and Leapfrog group 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 7 of 8 DRAFT 01/16/12C:\Docstoc\Working\pdf\3ad5426c-3c13-4cee-9df5-7406d6db448e.doc Page 8 of 8