Resources
Toolkits
Medication Reconciliation Toolkit
The Medication Reconciliation Toolkit was developed by the North Carolina Center for Hospital Quality and Patient Safety in September 2006, revision Dec 2006. Portions of this toolkit reproduced with permission of The Carolinas Center for Medical Excellence.
The toolkit was designed for use with the North Carolina Medication Reconciliation Collaborative programs. The materials in this toolkit can be reproduced for the purpose of establishing medication reconciliation process in a hospital, but cannot be reproduced with intentions of commercial use.
©2006, The NC Center for Hospital Quality and Patient Safety
©2005, Carolinas Center for Medical Excellence
Download the Toolkit 3.9MB PDF
If you have questions about the material contained in this toolkit or its use please contact:
Barbara Edson, RN, MBA, MHA
(919) 677-4121
bedson@ncha.org
NC Eliminating MRSA Toolkit
The North Carolina Eliminating MRSA Tool Kit was developed by the North Carolina Center for Hospital Quality and Patient Safety in September 2007. The toolkit was designed for use with the North Carolina Eliminating Methicillin-Resistant Staphylocccus aureus (MRSA) Collaborative program. The materials in this toolkit can be reproduced for the purpose of establishing processes to eliminate MRSA in a hospital, but cannot be reproduced with intentions of commercial use.
©2007, The NC Center for Hospital Quality and Patient Safety
Download the Toolkit 7.5MB PDF
If you have questions about the material contained in this toolkit or its use please contact:
Barbara Edson, RN, MBA, MHA
(919) 677-4121
bedson@ncha.org
NC Rapid Response Team Toolkit
The North Carolina Rapid Response Team Partnership: A Learning Collaborative Tool Kit was developed by Hospital Patient Safety Services, a division of The Carolinas Center for Medical Excellence for the North Carolina Rapid Response Team Partnership in March 2006. The North Carolina Rapid Response Team Partnership consists of the following organizations:.
North Carolina Hospital Association - NCHA
The North Carolina Area Health Education Centers - NC AHEC
The Carolinas Center for Medical Excellence - CCME
VHA - Central Atlantic
Premier Inc.
The toolkit was designed for use with the Collaborative program. The materials in this Tool Kit can be reproduced for the purpose of establishing a rapid response team, but cannot be reproduced with intentions of commercial use. †Support for this Tool Kit was provided in part by a grant from the Robert Wood Johnson †Foundation, Princeton, NJ.
©2006, The NC Rapid Response Team Partnership
Download the Toolkit 4.0MB PDF
If you have questions about the material contained in this toolkit or its use please contact:
Barbara Edson, RN, MBA, MHA
(919) 677-4121
bedson@ncha.org
NC Surgical Care Improvement Project Toolkit
The North Carolina Surgical Care Improvement Project Tool Kit was developed by the North Carolina Center for Hospital Quality and Patient Safety in August 2007. The toolkit was designed for use with the North Carolina Surgical Care Improvement Project Collaborative program. The materials in this toolkit can be reproduced for the purpose of establishing surgical care improvement process in a hospital, but cannot be reproduced with intentions of commercial use.
©2007, The NC Center for Hospital Quality and Patient Safety
Download the Toolkit 7.5MB PDF
If you have questions about the material contained in this toolkit or its use please contact:
Dr. Carol Koeble
(919) 677-4211
ckoeble@ncha.org
Best Practices
The Institute for Healthcare Improvement (IHI) has recognized the unique value of learning from peers for many years. During the 5 Million Lives Campaign the IHI identified more than 60 organizations to serve as mentor hospitals for the campaign platforms. Several North Carolina hospitals readily volunteered and joined the IHI mentor network.
NC Hospitals are committed to the safest highest quality care for North Carolinians. Through our work with the hospitals the NC Quality Center has witnessed many successes and best practices. We encourage hospitals to share these practices and to serve as NC mentor hospitals.
To list a best practice or share a success story please contact Carol Keoble at 919.677.4211 or ckoeble@ncha.org.
Acute Myocardial Infarction
Cleveland Regional Medical Center
Contact: Liz Popwell
Telephone: (704) 487-3690
Email: Elizabeth.Popwell@carolinashealthcare.org
Presbyterian Hospital
Download presentation PDF
Duke University Hospital
Download presentation PDF
Rapid Response Teams
Mission Hospital
Contact: Stuart Scott
Telephone: (828) 213-4307
Email: Stuart.Scott@msj.org
North Carolina Children's Hospital
Contact: Tina Schade Willis
Telephone: (919) 966-7495
Email: twillis@unch.unc.edu
Ventilator Associated Pneumonia
Carteret General Hospital
Contact: Gaye Fulcher
Telephone: (252) 808-6196
Email: gfulcher@ccgh.org
Brunswick Community Hospital
Download presentation PDF
Sampson Regional Medical Center
Download presentation PDF
Pressure Ulcers
Onslow Memorial Hospital
Contact: Crystal Hayden
Telephone: (910) 577-2676
Email: crystal.hayden@onslowmemorial.org
High Alert Medications
Duke University Hospital
Contact: Lynn Eschenbacher
Telephone: (919) 668-5398
Email: lynn.eschenbacher@duke.edu
Congestive Heart Failure
Cleveland Regional Medical Center
Contact: Liz Popwell
Telephone: (704) 487-3690
Email: Elizabeth.Popwell@carolinashealthcare.org
Angel Medical Center
Download presentation PDF
Swain County Hospital
Download presentation PDF
Surgical Care Improvement
Transylvania Community Hospital
Contact: Scotta Orr
Telephone: (828) 862-6383
Email: sorr@tchospital.org
Scotland Health Care System
Download presentation PDF
Contact: Sharon McGinnis, BSN, MHA
Telephone: (910) 291-7595
Email: sharon.mcginnis@scotlandhealth.org
Pitt County Memorial Hospital
Download presentation PDF
Presbyterian Orthopaedic Hospital
Download presentation PDF
Brunswick Community Hospital
Download presentation PDF
Carolinas Medical Center - Lincoln
Download presentation PDF
Carolinas Medical Center - Northeast
Contact: Cristina Wilhelm
Email: Cristina.Wilhelm@carolinashealthcare.org
Duplin General Hospital
Download presentation PDF
Caldwell Memorial Hospital
Download presentation PDF
Preventing MRSA
Mission Hospital
Download presentation PDF
Contact: Amy Hearing
Telephone: (828) 213-3522
Email: Amy.Hearing@msj.org
Contact: Wilma Barnes
Telephone: (828) 213-5461
Email: Wilma.Barnes@msj.org
Board Engagement with Quality and Patient Safety
University Health Systems
Contact: Joan Wynn
Telephone: (252) 847-1946
Email: jwynn@pcmh.com
Links
Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
The Agency for Healthcare Research and Quality is the nation's lead Federal agency for research on health care quality, costs, outcomes, and patient safety.
American Health Quality Association (AHQA)
www.ahqa.org
The American Health Quality Association represents Quality Improvement Organizations (QIOs) and professionals working to improve the quality of health care in communities across America. QIOs share information about best practices with physicians, hospitals, and nursing homes. Working together with health care providers, QIOs identify opportunities and provide assistance for improvement.
American Hospital Association (AHA)
www.aha.org/aha/key_issues/qualityalliance/index.html
American Hospital Association (AHA) - (www.aha.org) The American Hospital Association (AHA) is the national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. Close to 5,000 hospitals, health care systems, networks, other providers of care and 37,000 individual members come together to form the AHA.
Carolinas Center for Medical Excellence (CCME)
www.mrnc.org
CCME is a non-profit, physician-sponsored healthcare consulting firm and the Medicare Quality Improvement Organization (QIO) for North Carolina.
Center for Children's Healthcare Improvement
www.childhealthimprovement.org/
The Center for Childrenís Healthcare Improvement (CCHI) is a program to improve healthcare for children. The mission of the Center is to eliminate the gap between what is and what could be in healthcare for children and adolescents in North Carolina.
CMS Hospital Quality Initiative
www.cms.hhs.gov/quality/hospital/
The Hospital Quality Initiative uses a variety of tools to stimulate and support significant improvement in the quality of hospital care. The initiative aims to refine and standardize hospital data, data transmission, and performance measures to construct one robust, prioritized and standard quality measure set for hospitals.
Institute for Healthcare Improvement
www.ihi.org
The Institute for Healthcare Improvement (IHI) is a not-for-profit organization driving the improvement of health by advancing the quality and value of hospital and health care services. Founded in 1991 and based in Cambridge, Massachusetts, IHI offers comprehensive products and services focused on measurable, improvements in healthcare quality.
IHI and NCHA have entered into a strategic partnership to better support improvement efforts in hospitals in North Carolina and to advance NCHAís mission of dramatically improving the overall quality of health care. IHI strongly supports NCHA's goal to help NC member hospitals become the safest and highest-quality health care providers in the nation. The primary focus of the IHI/NCHA strategic partnership is a committment to the 100,000 Lives Campaign and NC hospital membership in IHI's Impact network.
The Joint Commission
www.jointcommission.org
Mission: To continuously improve†the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
The Quality Source
www.ncahec.net/quality
a Web site hosted by the North Carolina AHEC Program in partnership with the NC Center for Hospital Quality and Patient Safety. This Web site will keep you up to date on significant education offerings and information about Quality and Patient Safety. There is lots of activity in the state and this site can be your ONE PRIMARY SOURCE to identify the many valuable resources. It is also a way for you to communicate what interests you may have so that the AHEC can work with you and our community partners to target your specific needs.
National Patient Safety Foundation (NPSF)
www.npsf.org
Mission: The mission of The Joint Commission is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
North Carolina Medical Society, Physician and Patient Resource Center
www.ncmedsoc.org/pages/prc/prc.html
The North Carolina Medical Society (NCMS) began in 1849 when 25 physicians united to advance medical science and to raise the standards for their profession. Today, in our 154th year, we are more than 11,000 strong and champion the same goals and ideals.
As the largest physician organization in the state, the North Carolina Medical Society devotes itself to representing the interests of physicians and protecting the quality of patient care.
Veterans Health Administration, National Center for Patient Safety (VHA-NCPS)
www.patientsafety.gov
The NCPS was established in 1999 to develop and nurture a culture of safety throughout the Veterans Health Administration. Our goal is the nationwide reduction and prevention of inadvertent harm to patients as a result of their care. Patient safety managers at 157 VA hospitals and patient safety officers at 21 VA regional headquarters participate in the program.
Tools
Quality Definitions
Download these definitions used by the Quality Center in PDF format.
WHO Surgical Safety Checklist
The goal of the Safe Surgery Saves Lives Challenge is to improve the safety of surgical care around the world by ensuring adherence to proven standards of care in all states. The WHO Surgical Safety Checklist has improved compliance with standards and decreased complications from surgery in eight pilot hospitals where is was evaluated. Learn how to implement the checklist in your own facility.
IHI Global Trigger
The Institute for Healthcare Improvement formed the Idealized Design of the Medication System (IDMS) Group in May 2000. The group of 30 physicians, pharmacists, nurses, and statisticians established an aim to design a medication system that is safer by a factor of 10 and more cost-effective than systems currently in use. The Trigger Tool for Measuring Adverse Drug Events was initially developed by this group and provided the basis for development of other subsequent Trigger Tools.
The use of "triggers," or clues, to identify adverse events (AEs) is an effective method for measuring the overall level of harm in a health care organization. The IHI Global Trigger Tool for Measuring AEs provides instructions for training reviewers in this methodology and conducting a retrospective review of patient records using triggers to identify possible AEs. This tool includes a list of known AE triggers as well as†instructions for selecting records, training information, and appendices with references and common questions. The tool provides instructions and forms for collecting the data you need to track three measures:
- Adverse Events per 1,000 Patient Days
- Adverse Events per 100 Admissions
- Percent of Admissions with an Adverse Event
Download the tool for detailed information
www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/IHIGlobalTriggerToolforMeasuringAEs.htm
Governing Board Resources
- Hospital Patient Safety and Quality Monitoring: A Resource for Governing Boards and Trustees. Center for Healthcare Governance. 2005.
- Hospital Governing Boards and Quality of Care: A Call to Responsibility. National Quality Forum. Dec 2004.
- Strategies for Leadership: Hospital Executives and Their Role in Patient Safety. American Hospital Association. 2001.
- GreatBoards.org
- IHI
- SafetyLeaders.org
- AHA patient Safety Center
- The Elements of Governance: Board's Role in Quality. The Governance Institute. 2006.
- Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. IHI 2005.
Patient Health Snapshot
Developed by the Quality of Care and Performance Improvement Committee of the NC Medical Society, this form helps you as the patient keep record of your medical conditions, allergies to medications, and medication history. Such information is very important for physicians to have, especially in case of emergency. Download health_snapshot.pdf (907kb).
Engaging Physicians
Strategies for engaging physicians and providers in quality improvement and patient safety.