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Alaska State Hospital & Nursing Home Association
September 2018Patient Safety Awards
OUR NETWORK DOESN’T TAKE SICK DAYS
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02 The Golden Stethoscope Award Nominees
03 The Golden Stethoscope Award Winner
04 Front-Line Staff Outstanding Performance Award Nominees
05 Front-Line Staff Outstanding Performance Award Winner
10 High Reliability Award Nominees
11 High Reliability Award Winner
06 Innovation in Transformation Award Nominess - Hospital
Table of Contents
07 Innovation in Transformation Award Winners - Hospital
08 Innovation in Transformation Award Nominees - Nursing Home
09 Innovation in Transformation Award Winner - Nursing Home
12 Staff Choice Award - Outstanding Patient Safety - Winner
13 Mountain-Pacifi c Quality Health Alaska Nursing Home Quality Awards
Nominees
2
Golden Stethoscope AwardGolden Stethoscope Award
Golden Stethoscope Award recognizes a healthcare advance practice provider or physician who consistently demonstrates
a commitment to supporting and leading eff orts that result in measurable improvements in the delivery of safe patient care.
Mike Mraz, MDInternal Medicine
Alaska Regional Hospital
Michael Reyes, MDOrthopedic Surgeon
Central Peninsula Hospital
Katy Sheridan, MDFamily Medicine
Central Peninsula Hospital
Jeff Larsen, MDGeneral Surgeon
Providence Kodiak Island Medical Center
Mignon Benjamin, MDFamily Medicine
Bartlett Regional Hospital
Ryan Webb, MDHospitalist
Providence Alaska Medical Center
Paula Godfrey, DOEmergency Medicine
South Peninsula Hospital
Karen Mailer, MDGeriatric Medicine
Providence Extended Care/Providence Transitional Care Center
3
Mignon Benjamin, MDBartlett Regional Hospital
2018 Golden Stethoscope Award Winners
Relentless advocate for patient safety.
Serves as the physician champion of the electronic medical record and works to improve patient safety through EMR improvements.
Piloted and became medical director of the Bartlett Hospitalist Program.
Led a collaborative study with The Joint Commission between units at Bartlett Regional Hospital to improve patient care and prevent errors in handoff s.
Developed a “transitions in care program” for every hospitalist managed patient at Bartlett. Cofounder and medical director of Bartlett antibiotic stewardship program.
Jeff Larsen, MD Providence Kodiak Island Medical Center
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First physician champion at the hospital to commit to the high reliability journey.
Supports the local emergency medical services (EMS) team with training and case reviews.
Serves as an advocate for the hospital’s daily safety huddle and attends when not caring for patients.
Works with the trauma program on process improvement for all trauma team activations.
Shows exemplary physician leadership and commitment as he leads by example and “walks the walk” to lead the journey for safe care all the time, every time.
4
Front-Line Staff OutstandingFront-Line Staff OutstandingPerformance AwardPerformance Award
Front-Line Staff Outstanding Performance Award recognizes an individual or team at an Alaskan hospital or nursing home that
has demonstrated above and beyond safety related performance in the workplace.
Jane AdkinsCentral Peninsula Hospital
Claire GeldhofBartlett Regional Hospital
Bonnie Neff Providence Kodiak Island Medical Center
Rose TimmermanProvidence Alaska Medical Center
Jamie PanzeroSEARHC
Jessica MikhailSouth Peninsula Hospital
Karen DavisProvidence Alaska Medical Center
2 South Nursing TeamFoundation Health Partners
Edgardo ParedesAlaska Regional Hospital
Mandy MitchellAlaska Regional Hospital
Lauren KennarAlaska Native Medical Center
Antimicrobial Stewardship ProgramAlaska Native Medical Center
Connie MazutAlaska Native Medical Center
Karl AndersenAlaska Native Tribal Health Consortium
Lore OlsonAlaska Native Tribal Health Consortium
Momodou FayeAlaska Psychiatric Institute
Nominees
5
2018 Front-Line Staff Outstanding Performance Award Winners
Karl Anderson
Alaska Native Medical CenterKarl Andersen is recognized for his diligence to patient safety during his 18 years with the Alaska Native Tribal Health Consortium. He currently serves as a Lead Security Offi cer on the evening shift and as a Crisis Prevention Intervention trainer. Karl has shown leadership in training staff on patient safety tools including Heartsaver and Basic Life support. He has led many fi rst responder teams reducing the time to respond to emergencies. He has championed the use and availability of Automated External Defi brillators (AEDs) and Ambu bags throughout the campus. Karl is a champion for patients and is dedicated to ensuring their safety.
2 South Nursing Team
Foundation Health Partners
The 2 South Nursing Team at Fairbanks Memorial Hospital has demonstrated excellence in process improvement work over the past two years to reduce patient falls. The team worked closely with the campus fall team and the quality department utilizing the Institute for Healthcare Improvement model for improvement. They implemented new daily practices and team rewards for achieving goals. The team is learning how to incorporate storytelling into their process improvement activities to bring about eff ective and lasting change and is working to spread the new approaches to other acute and long-term care units in the hospital.
6
Innovation in Transformation Award Innovation in Transformation Award HospitalsHospitals
Innovation in Transformation Award recognizes hospitals that have developed and implemented an innovative patient safety or quality process, project, or program, with measurably improved outcomes.
Large HospitalsLarge Hospitals
Bartlett Regional Hospital
Alaska Regional Hospital
Fairbanks Memorial Hospital
Small HospitalsSmall Hospitals
Maniilaq Health Center
Providence Kodiak Medical Center
South Peninsula Hospital
SEARHC - Mt. Edgecumbe Hospital
Nominees
7
2018 Innovation in Transformation Award Winners-Hospitals-
Small HospitalSEARHC - Mt. Edgecumbe Hospital
Large HospitalAlaska Regional Hospital
Under the leadership of Mandy Mitchell, Manager of Medical Oncology Services, Alaska Regional Hospital developed an innovative program to serve patients with medical disorders related to their addictions, improving outcomes for patients while supporting staff in creative ways to prevent burn-out. Master’s level clinicians in the psychology residency program provide individualized emotional support for both patients and staff while receiving valuable hands-on experience. Solid clinical care combined with a supportive, non-judgmental environment supports patients on the road to recovery.
The Remote Camera Project was developed to improve basic radiology services in remote clinics served by Southeast Alaska Regional Health Consortium. Beginning in 2015, Dr. Loren Laybourn (Chief of Radiology at SEARHC) and Eva Marie Popelka (radiology technician) explored ways to address the challenge. Mounting a tiny camera on the x-ray tube itself along with multiple remote cameras and a hands-free phone headset allows real-time monitoring of patient positioning, x-ray tube alignment, and cassette placement. Providing better communication and support to staff in rural locations has measurably improved diagnostic quality, decreased unnecessary radiation exposure and allowed for improvements to the overall process of taking x-rays.
8
Innovation in Transformation Award Innovation in Transformation Award Nursing HomesNursing Homes
Innovation in Transformation Awards recognizes nursing homes that have developed and implemented an innovative patient safety or quality process, project, or program, with measurably improved outcomes.
Large Nursing HomeLarge Nursing Home
Prestige Care of Anchorage
Small Nursing HomeSmall Nursing Home
Long-Term Care TeamPetersburg Medical Center
Quyanna Care CenterNorton Sound Health Corporation
Nominees
9
2018 Innovation in Transformation Award Winners-Nursing Homes-
Small Nursing HomeQuyanna Care Center
Norton Sound Health Corporation
Large Nursing HomePrestige Care of Anchorage
Quyanna Care Center staff are dedicated to improving the quality of life and safety for residents. In recent months this dedication has been recognized through the CMS star ranking; they achieved a 5-star overall rating. Staff has worked to blend traditional culture and modern innovation by utilizing assistive devices such as Pocket Talkers and iPads. Residents “come to life” when hearing familiar voices, music, and movies clearly, often for the fi rst time in years. Quyanna Care Center is committed to working with “Nome-grown” certifi ed nursing assistants to stabilize staffi ng and provide continuity for the elders in their care.
The nurse leadership team at Prestige Care has undergone a transformational change that allows for more dynamic and rapid problem resolution. This shift in leadership focus has resulted in measurably improved outcomes in resident safety, infection rates, and compliance. Communication between leaders led to increased regulatory readiness, greater collaboration, and overall patient safety. The result has been increased patient safety and continuity of care, and greater collaboration across the care team.
Nominees
10
High Reliability AwardHigh Reliability Award
Persevering in the Pursuit of Zero Patient Harm Award recognizes a facility that has shown exemplary initiative and commitment to the development of comprehensive systems and processes that lead to a better, safer
and more reliable health care system. These changes involve the leadership’s commitment to achieving zero patient harm, a functional culture of safety throughout the organization, and the widespread deployment of highly eff ective process improvement tools. Facilities must demonstrate that changes are “hard-wired” into the organization, displaying a culture of safety across all disciplines that values the input of all employees no matter their title or role.
Providence Alaska Medical Center
Providence Kodiak Island Medical Center
Providence Valdez Medical Center
11
2018 High Reliability Award Winner
Providence Valdez Medical Center
In 2016 Providence Valdez Medical Center embarked on the journey to become a high-reliability organization. The objective was to train all staff to become obsessed with safety and to utilize tools to empower staff to speak up for safety. The administrative team became the champions of the safety movement; Caring Reliably. The reporting of all events or near miss events was identifi ed to be the number one objective indicator of how well they were developing their sensitivities to safety concerns. Providence Valdez Medical Center has now gone more than 725 days since the last serious safety event.
12
Staff Choice AwardStaff Choice AwardOutstanding Patient SafetyOutstanding Patient Safety
Providence Alaska Medical Center
2018 Oustanding Patient Safety Winner
Utilizing the IHI model for rapid cycles of change (plan, do, study, act), Providence Alaska Medical Center has dramatically reduced the number and rate of people dying from sepsis. A team led by physician and nurse champions analyzed their approach to sepsis from all angles; recognizing presenting symptoms, hardwiring treatment bundles, improving education for patient care technicians, nurses and physicians, early risk recognition and intervention, implementing nurse-initiated orders, reinstating ED sepsis alerts, and fi nally developing a Sepsis RN program. This award recognized a team eff ort that has resulted in sustained life-saving interventions.
13
Recognition of Quality Excellence Award
Heritage PlaceProvidence Valdez Medical Center & LTCDenali Center
Recognition of Quality Achievement Award
Prestige Care & Rehabilitation CenterWrangell Medical Center & LTCQuyanna Care CenterSitka Community Hospital & LTCSouth Peninsula Hospital & LTC
Most Improved Award
Wrangell Medical Center & LTC
2018 Alaska Nursing Home Quality Awards
The ASHNHA Patient Safety Committee works on behalf of Alaska hospitals and nursing
homes to improve patient safety and catalyze accelerated, signifi cant, and measurable reductions in patient harm. The committee works to proactively emphasize the importance of high quality patient care programs, foster a culture of patient safety, and support sustainable improvements in quality and patient safety. The 2018 Quality and Patient Safety Awards are intended to encourage, recognize, and reward those qualities.
Anchorage office - 1049 W 5th Avenue, Ste 100, Anchorage, AK, 99501Juneau office - 426 Main Street, Juneau, AK, 99801
Anchorage office - 907.646.1444Juneau office - 907.586.1790
www.ashnha.com
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