How to Maintain Quality and Quality Data and

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How to Maintain Quality and Quality Data and How the Cath Lab Staff Can

How to Maintain Quality and Quality Data and How the Cath Lab Staff Can Help Christina M Emrich, RN Director, Quality and Outcomes, Med. Star Heart & Vascular Institute

Christina M. Emrich, MS, RN I have no relevant financial relationships.

Christina M. Emrich, MS, RN I have no relevant financial relationships.

Med. Star Health Vision and Mission • Vision: To be the trusted leader in

Med. Star Health Vision and Mission • Vision: To be the trusted leader in caring for people and advancing health. • Mission: To serve our patients, those who care for them, and our communities.

Med. Star Health VALUES • • • Service Patient First Integrity Respect Innovation Teamwork

Med. Star Health VALUES • • • Service Patient First Integrity Respect Innovation Teamwork

Foundations of Quality Structure Process Outcomes

Foundations of Quality Structure Process Outcomes

Maintaining Quality Data Goal is a highly reliable “single source of truth” for QA

Maintaining Quality Data Goal is a highly reliable “single source of truth” for QA efforts and external data reporting – Integration of registries into one platform – Alignment of registry staff and quality staff under one department – Standardized Inter-rater reliability – Standardized data management processes – Timely and accurate notification to providers of opportunities – Transparency of data with all associates

Cath Lab Engagement In Quality • Leadership Dyad • Embracing the characteristics of High

Cath Lab Engagement In Quality • Leadership Dyad • Embracing the characteristics of High Reliability Organizations – – – – Transparency Patient Engagement Reporting Teamwork and Collaboration Measurement Respect and Support Leadership

Cath Lab Engagement In Quality • Open Communication • Empowerment to Speak up for

Cath Lab Engagement In Quality • Open Communication • Empowerment to Speak up for Safety • Focused Initiatives – Highest clinical quality care – Cost-effective care – Positive & Healthy Work Environment

Engagement in Action • Engagement of Medical Director in training and education • Educational

Engagement in Action • Engagement of Medical Director in training and education • Educational Monitors throughout the lab • Education on new procedures – Huddles before new cases – Just in Time Training • Physician led debriefings after difficult cases

Engagement in Action Birthday Boards Kudos Boards Quality, Safety, Patient Satisfaction Boards Lead techs

Engagement in Action Birthday Boards Kudos Boards Quality, Safety, Patient Satisfaction Boards Lead techs assigned to each room collaborating with nursing colleagues ensuring a safety, timely and efficient procedure • Rotation of staff through all labs • •

Engagement in Action • • Care for the Caregiver Multidisciplinary Operations Committee Participation in

Engagement in Action • • Care for the Caregiver Multidisciplinary Operations Committee Participation in Cath Lab Quality Meetings Nurse Practice Committee – Open discussion on concerns and opportunities in the lab – Allows feedback to associates