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Increasing Patient
Trust In Systems of
Care
December 2nd, 2019Gaylord National Resort & Convention Center,
National Harbor, Maryland
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DHA and Patient Safety
Lt. General Ronald Place
Principles:
• Focus on Outcomes
• Make Decisions
• Enjoy Your Work
“Improved readiness, quality,
safety, patient expectations,
and administrative practices
are the outcomes that
matter….”
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DHA Strategy
Patient
Safety
VISION: Unified and Ready…
MISSION: As a Combat Support Agency, the Defense Health Agency leads the MHS integration of
readiness and health to deliver Quadruple Aim: improved readiness, better health, better care,
and lower cost.
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DHA and Patient Safety –
Organizational Structure
DHA Clinical Quality Management
Market Clinical Quality Management
MTF Clinical Quality Management
Management and Oversight of Regions and MTFs Review, track, trend data and performance of Regions and
MTFs CQM Quality Strategy and Plan Oversight function CQM Strategy planning and reporting
Administration and Oversight of Functional Units and Activities
Monitor and capture monthly roll up of MTF performance Strategic Communication, Coaching, Leading Practices,
Lessons Learned, Education and Training Support for MTFs
Execution of CQM function activities Education and Training, Reporting, Compliance, Improving
Outcomes aligned to CQM Strategy and Plan
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MHS HRO Operating Model
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PSP In Action
The DoD PSP is organized around the HRO Operating Model and
serves as enabling expertise for the Clinical Communities and
Enterprise.
Dental Safety: PSP
developed a Dental Reporting
Guidebook with the Dental
Clinical Community to
increase reporting and sharing
of lessons learned.
HRO Awards: PSP organizes
an HRO Awards Program to
share best practices from the
MTFs and Services in Safety,
Quality, Access, and
Engagement.
Delay in Treatment: PSP
developed a Focused Review
on Delay in Treatment events
and collaborates with the VHA
to analyze similar events and
share key findings.
Patient Safety and HRO
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DHA PSP Program – Functions
Program
Operations
Infection
Prevention
Patient Safety
Center
External Patient
Safety Event
Investigation and
Field Operations
Patient Safety
Solutions
PS System
Functional
Management
PSP Functions will be Enabled through Six Areas
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How Are We Improving?
CLABSI Toolkit
HRO AwardsIn 2019, PSP released a
standardized CLABSI Toolkit
across the Enterprise that
covers five key areas:
o Education
o Evaluation
o Procedures
o Auditing
o Leadership engagement
HRO Awards PS and HIT
27 Award
Winners
101 Applicants
In 2019, PSP saw record
engagement in the HRO
awards, resulting in:
and
In 2019, PSP collaborated with
informatics during the rollout
of the new EHR, resulting in:
1 Job Aid
1 Set of Training Materials
9 Sites Trained
12 Data Presentations
DOD Adjusted Percentile Rank of Collaborative HospitalsAll Cases (Surgery Date: Jan – Dec 2018)
DOD Adjusted Percentile Rank of Collaborative HospitalsAll Cases (Surgery Date: Jan – Dec 2018)
Over 700 US Hospitals Participate in NSQIP
88 Hospitals Recognized for “Meritorious” Performance | CY18
Brooke Army Medical Center (AC/HR) Keesler Medical Center (AC/HR)
Eisenhower Army Medical Center (AC/HR)
Naval Medical Center San Diego (AC/HR)
Evans Army Community Hospital (AC)
William Beaumont Army Medical Center (AC)
Walter Reed National Military Medical Center (AC/HR)
Key: AC = All Cases Meritorious List HR = High Risk Meritorious List
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