High Reliability Organizational culture and processes that radically

• High Reliability – Organizational culture and processes that radically reduce system failures and effectively respond when failures occur • • • Vigilance Reluctance to simplify Preoccupation with failure Deference to expertise Resilience

Risk Characteristics of a High Reliability Organization Leadership Commitment to Zero Harm Management Update • Board • CEO and Management • Physicians Board Quality Committee Safety Culture • Trust/Report/Improve February 2013 • Just Culture Robust Process Improvement Susan White, DNP, CPHRM • Methods Director of Clinical Risk • Training • Spread Management This document is privileged and/or confidential pursuant to the Patient Safety Act of 2001 and/or F. S. sections 395. 0193, 395. 0197, 766. 101 or 766. 1016. Do not disclose without approval of the Quality Department and/or Legal Services. DO NOT Copy or release. Chassin, M. , & Loeb, J. (2013). High-reliability health care: Getting from there to here. The Milbank Quarterly, 91(3), 459 -490.

Risk Stages of Maturity in High Reliability Management Approaching Update Board and leaders commit Quality is a to high reliability top goal • High levels of Incident trust/reporting • All staff trained rises February 2013 and actively Commitment involved in PI to training in PI tools Advancing Developing Beginning • • • Regulatory compliance Blaming culture No CQI adoption • • • Quality is one of many strategies Introduction to safety culture Exploring PI tools • • Board Quality Committee This document is privileged and/or confidential pursuant to the Patient Safety Act of 2001 and/or F. S. sections 395. 0193, 395. 0197, 766. 101 or 766. 1016. Do not disclose without approval of the Quality Department and/or Legal Services. DO NOT Copy or release. Chassin, M. , & Loeb, J. (2013). High-reliability health care: Getting from there to here. The Milbank Quarterly, 91(3), 459 -490.

Risk High Reliability Organization Assessment Management Update • • • 14 -item questionnaire assessing leaders’ perceptions of the organization’s HRO maturity level Survey findings used to perform a gap analysis The Joint Commission Oro 2. 0 provides references and tools to advance HRO Board Quality Committee February 2013 Susan White, DNP, CPHRM Director of Clinical Risk Management This document is privileged and/or confidential pursuant to the Patient Safety Act of 2001 and/or F. S. sections 395. 0193, 395. 0197, 766. 101 or 766. 1016. Do not disclose without approval of the Quality Department and/or Legal Services. DO NOT Copy or release. Chassin, M. , & Loeb, J. (2013). High-reliability health care: Getting from there to here. The Milbank Quarterly, 91(3), 459 -490.