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Carol Wagner, Senior Vice President for Patient Safety Washington State Hospital Association

Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

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Page 1: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Carol Wagner, Senior Vice President for Patient SafetyWashington State Hospital Association

Page 2: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Washington State Hospital AssociationPatient Safety

Carol Wagner RNSenior Vice President, Patient Safety

Rural Hospital Leadership ConferenceJune 28, 2016

Page 3: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

WSHA Patient Safety

• Hospitals and physicians partnering together.• Setting aside competition to make care safer for patients.• Raising all boats for improvement in every community.

National leadership! Power of the Collaborative!

Improving Quality

Community Health

Lower Cost

06-28-2016 Rural Leadership Conference

Page 4: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Partnership for Patients

20% reduction in All Cause Harm

12% percent reductionin readmissions.

By 2019

• National collaborative.o 100% of Washington hospitals

participating.o Partnership with Alaska and

some Oregon hospitals.

• 105 hospitals with WSHA.o Urban and rural.

• Hospitals working on all initiatives.o Focus where most challenged.

• Outstanding national experts.

• Multiple partners.

06-28-2016 Rural Leadership Conference

Page 5: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Safe Delivery• C-Section Rate• Episiotomy• Inductions

Medications• Anticoagulants• Hyperglycemic• Opioid• Antimicrobial Stewardship

General Care and Staff• Immunizations• Radiation• Worker Safety• Readmissions• Blood Usage

Infections• Catheter Associated Urinary Tract

Infections• Central Line Associated Blood

Stream Infections• Surgical Site Infections• VAE/VAP/IVAC• Sepsis• Clostridium diff.

Nursing Care• Falls• Pressure Ulcers• Venous Thromboembolism• Early Elective Delivery

2016 and Beyond

06-28-2016 Rural Leadership Conference

Page 6: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

WSHA Patient Safety

06-28-2016 Rural Leadership Conference

Page 7: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

WSHA Patient Safety

06-28-2016 Rural Leadership Conference

Page 8: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Nation Wide: Drug overdoses have surpassed motor vehicle crashes as the leading cause of injury death

06-28-2016 Rural Leadership Conference

Page 9: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Unintentional Opioid Overdose Deaths Washington 1995-2013

Source: Washington State Department of Health, Death Certificates

29% Decrease

since 2008

06-28-2016 Rural Leadership Conference

Page 10: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Early Intervention Mental HealthThe purpose is to share the research and best practices to promote integration and improved outcomes.

06-28-2016 Rural Leadership Conference

Page 11: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Partnership for Patients 2.0 Focus

REAL: Race, Ethnicity, Age, Language

06-28-2016 Rural Leadership Conference

Page 12: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Eliminating Racial and Ethnic Disparities

“Addressing disparities is no longer just about morality, ethics and social justice: It is essential for performance excellence and improved community health.”

06-28-2016 Rural Leadership Conference

Page 13: Washington State Hospital Association Board: …...Washington State Hospital Association Patient Safety Carol Wagner RN Senior Vice President, Patient Safety Rural Hospital Leadership

Thank You!

06-28-2016 Rural Leadership Conference


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