Abertawe Bro Morgannwg University Health Board 1 000

Abertawe Bro Morgannwg University Health Board 1, 000 Lives Plus Launch May 11 th 2010

The Task n Set local reduction targets for ¨ Mortality ¨ Harm n Develop a plan to deliver this improvement

The Approach n Establish a meaningful baseline for mortality and harm n Agree achievable but stretching improvement targets n Identify key drivers of performance n Agree key intervention areas n Develop Actions n Implement Actions n Monitor effect Performance Review

The Plan n Maintenance Programmes/Mandatory Measures ¨ 1, 000 n n n n Lives Leadership Walkarounds Critical Care and Rapid response General Medical & Surgical Care Medicines Managements Pressure Ulcers Surgical Complications 2010 – 2011 Priorities ¨ 1, 000 Lives Plus

1, 000 Lives Plus Aims Drivers Interventions • Hand Washing Infection Control • Bare Below Elbows • Policies review/implementation Pathway Development Reduce Mortality • Fractured Neck of Femur • Stroke • Thrombo-prophylaxis • Falls Prevention Reduce Harm • SBAR Communication • Discharge Interface • WHO Checklist Mortality Review Data Quality • Initial Review • In Depth Investigation • Coding (including GTT)

1, 000 Lives Plus Priorities Drivers & Interventions • Infection Control Tests of Change/Indicators • Infection Control • Hand washing • C Difficile Rates • Bare below elbows • Bed Days Lost • Policies • Pathways • Fractured Neck of Femur • Stroke • Thrombo-prophylaxis • Communication • Pathways • % Operated /24 hrs • Pathway Compliance • Communication • Compliance • SBAR • Perfect Discharge Audit Score • Discharge Interface • Compliance • WHO Surgical Checklist • Mortality Review • 2*2 Matrix • Data Quality • Coding • Mortality Review • % Completed Reviews • Data Quality • Completeness & Timeliness