DHM Quality Post - April 2021 thequalitypostGreetings from Cat, Saj, Ari and Jenica Welcome to the 121st edition of The Quality Post! In this issue, we feature a cover piece on the Code C.A.R.E. Support Team Pilot on 14M and 14L, an HBR tip on supporting Asian American colleagues, updates from our PFAC, a dashboard tip, information on Discharge Milestones, and the latest performance on our True North Quality Metrics. inthisissue
Code C.A.R.E. Support Team Pilot on 14M and 14L
HBR Tip: Support Your Asian American Colleagues and Employees
PFAC Updates
Dashboard Tip of the Month
Discharge Report and Milestones
FY21 DHM True North Quality Improvement Metric Performance Code C.A.R.E. Support Team Pilot On April 7th, we launched a 60-day pilot on 14M and 14L, which includes a psych nurse named Samira Lopez and a multidisciplinary support team to proactively and reactively aid patients with complex needs (e.g. untreated SUD, psychiatric conditions, or delirium with agitation). The goal of the pilot is to support patients, families, and providers; reduce workplace violence, reduce restraint events and redefine the role and scope of security/UCPD involvement. This pilot came out of a months-long collaboration among key stakeholders across the health system (including the security team) to embed trauma-informed care into our day to day practice. Trauma can be a hidden cause not only of workplace violence but also of illness and death. By addressing trauma, we can help families heal, prevent abuse and neglect, reduce mortality, and help solve serious health issues. The Center to Advance Trauma-informed Health Care at UCSF cites that people who have experienced trauma have "twice the rates of heart disease, cancer and stroke, 4 times the rate of lung disease, and 14 times the rate of attempting suicide." According to Trauma Transformed, which provided training to members of the UCSF community last fall, a trauma-informed system builds awareness and knowledge of trauma to create policies and practices to reduce the re-traumatization of patients, families and their providers. A trauma-informed care approach encourages providers to shift away from asking, “What is wrong with you?” towards compassionate and curious inquiry: “What has happened to you?” and “What has helped you cope in the past?” With your support and feedback, we hope to make this pilot as successful as possible and to expand it gradually and appropriately. Please don't hesitate to reach out with any questions to Jenica Cimino, Armond Esmaili, and Sujatha Sankaran. Support Your Asian American Employees and Colleagues The recent wave of anti-Asian racism in the U.S. is a workplace issue. Asian Americans are fearful, upset, and hurting right now. As a manager, you need to ensure that you’re providing the support that your colleagues and employees need. Here are four ways to help. Acknowledge what’s happening. Don’t stay silent, dilute the message, or rely on your diversity and inclusion office to speak out. Open your door. Let your team know that resources are available and that you’re there to listen to their experiences and needs. Create a space for a discussion. Some employees may want to talk about what’s going on and how they’re feeling about it. Commit to making real changes — both within and outside of your organization. How can your company culture and policies change to be more inclusive? How can you support AAPI communities outside your walls? Updates from the DHM PFAC DHM Dashboard Tip of the Month: bit.ly/dhmdashboard The radar graph (see pic below) on the main screen quickly shows you your normalized data (Yellow text) compared to DHM Targets (Blue text) – Yellow outside Blue indicates you are performing better than the DHM Target (indicated by Green text), whereas Yellow inside Blue means you’re performing worse than DHM Targets (indicated by Red text). The box to the right shows you how many days on GMS and UCW service you did compared to the median, as well as the average Case Mix Index (ie, complexity) of the patients you cared for. Please email Logan (Logan.Pierce@ucsf.edu) or Saj (sajan.patel@ucsf.edu) with any questions, and check out the DHM Wiki Dashboard Page for more info! Making Discharge Planning Easier: Use the IP Discharge Report and Discharge Milestones Ever wished you had a better way of communicating and receiving discharge planning information amongst the multi-disciplinary team that is accurate and based on existing workflows? Discharge Milestones has launched across the entire adult hospital and you are strongly encouraged to check it out and the IP Discharge Report. See below for quick tips on how to add the IP Discharge Report to your Patient Lists and Patient Summary views. You may choose to use the IP Discharge Report during MDR, and if so, it will be easier to access using your Patient List view so you can quickly get to each patient's information without the chart open. You may also choose to integrate the IP Discharge Report in your discharge orders and paperwork workflow as there are hyperlinks to these activities within the report. Contact Cat Lau if you have questions or feedback. Guide to Wrench in the IP Discharge Report |