Memorial Hermann Greater Heights Susan Jadlowski Senior VP and CEO Memorial Hermann Greater Heights Houston, TX Quality Texas Conference Brand Compass Our Vision Memorial Hermann will be the preeminent health system in the U.S. by advancing the health of those we serve through trusted partnerships with physicians, employees and others to deliver the best possible health solutions while relentlessly pursuing quality and value. Our Culture Innovative Accountable Empowered Collaborative Compassionate Results Oriented One Memorial Hermann Brand Promise We advance health. 2 • • • • • • • • Full-service, 260-bed facility with 50 years of history in this community One of the most experienced Emergency Centers in Houston with recent renovations Newly expanded Level III Trauma Center ANCC Pathways to Excellence Designation for Nursing (Magnet Application Spring 2016) Accredited Cancer Center Accredited Joint Center Accredited Chest Pain Center Accredited ADA Outpatient Diabetes Center • • • • • • Primary Stroke Center Outpatient Sports Medicine TIRR Memorial Hermann Rehabilitation Access to the larger Memorial Hermann system And over 500 affiliated doctors providing a wide range of medical specialties, including heart and vascular, cancer treatments, total joint replacement, rehabilitation and women’s care. 3 1,200 Employees The Perfect Storm 2007 Greater Heights was in desperate shape (quality, financially, etc.) Memorial Hermann Adopted a System High Reliability Journey 4 Changing a Culture • Inspire – make people believe that the reason they are there is to make a difference • 9-year journey. Focused on quality and patient safety. – Escalation, Escalation, Escalation – Annual meetings for every employee with the CEO – Shifting the perspective 5 Safety Culture Training • Step 1: Set Behavior Expectations Define Safety Behaviors & Error Prevention Tools proven to help reduce human error • Step 2: Educate Educate our staff and medical staff about the Safety Behaviors and Error Prevention Tools • Step 3: Reinforce & Build Accountability Practice the Safety Behaviors and make them our personal work habits 6 Awards and Accolades Pathway to Excellence Facility indicating exceptional nursing care. Part of our journey to achieving ANCC’s Magnet status. Society of Cardiovascular Patient Care Chest Pain Center with Primary PCI & Resuscitation Recognized as a Joint Commission Accredited Primary Stroke & Joint Replacement Center Recognizes as one of the nation’s Top 50 Cardiovascular Hospitals. Received the American Heart Association and American Mission Lifeline® Bronze Receiving Center Award Earned the nation’s top distinction for patient safety with an “A” grade from the Hospital Safety Score Received the American Heart Association and American Stroke Association Get with the Guidelines® Stoke SILVER Achievement Award 7 Culture Shift • 23 Certified Zero Awards Saving Lives Do No Harm Clinical Excellence 8 Focus Groups We asked our customers about us and the feedback was: 9 What’s Next • Integrating a high reliability journey with the performance excellence framework 10 Simplifying our Message ADVANCE Six Aims Quadruple Aim Magnet HRO Baldrige 11 Our Excellence Always Journey • December 2014 – Started exploring the framework • October 2015 – Analyzing our current operations using the framework • February 2016 – Submitted Progress Application • Next steps: – Implementing the feedback from our progress report – Training employees through QTF training programs – Solidifying our operations structure and strategic planning – Enhancing transparency and communication 12