Monitor Operational Performance Sample by mls18743

VIEWS: 0 PAGES: 8

More Info
									                                                                               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




             04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.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
           04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.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

04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.doc                                         Page 3 of 8
                                                         DRAFT
           -   Continued participation in local and
               regional safety initiatives




04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.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.

             04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.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.




      04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.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

            04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.doc                                          Page 7 of 8
                                                         DRAFT




04/13/11C:\Docstoc\Working\pdf\dd6d283c-e540-49c3-a312-9ffe62914002.doc   Page 8 of 8

								
To top