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2011 Year in Review

HHC Board of Directors

Our continued work around using our clinical information technology to drive improvements in care led Elmhurst Hospital Center to receive a 2011 IPRO Quality Award. Elmhurst received the award on the strength of the demonstrated collaboration between its medical-surgical nursing staff and the hospital's information technology team in using clinical IT to facilitate pain reassessment one hour post medication administration. The records of patients who need to be reassessed are easily viewed by nursing staff on the vital signs record in the EMR, and additional intervention occurs if pain has not been relieved.

Reducing maternal and infant harm in obstetrical care was a major focus of our improvement work across the system last year. For its compelling work in reducing adverse outcomes in labor and delivery, the North Bronx Healthcare Network's Women's Health Service recently received the prestigious National Association of Public Hospitals and Health Systems Safety Net Patient Safety Award, as well as HANY's coveted Pinnacle Award. The initiative implemented practices that effectively reduced certain adverse perinatal events, such as Erbs Palsy, and with the help of our Institute for Medical Simulation and Advanced Learning, are now being replicated across our system.

The Role of TeamSTEPPS and Just Culture Training

Last year we continued to deploy TeamSTEPPS communications training for clinical teams across our system. TeamSTEPPS was developed by the Department of Defense and the Association of Healthcare Research and Quality, and is a proven evidence-based method for enhancing patient safety by improving clinical team communication and performance. During 2011, we trained more than 4,000 clinical staff, bringing to nearly 11,000 the number of HHC staffers who have been through TeamSTEPPS training. Of these, about 700 have become master trainers and are qualified to teach TeamSTEPPS to their colleagues.

We also continued to train staff in Just Culture. This training supports our move toward a work environment that acknowledges the responsibility we all bear for improving our systems, communication, and teamwork to reduce the probability of error. It supports active reporting and analysis of significant medical errors while balancing individual accountability for avoiding reckless conduct with a non-punitive, systems-focused approach to reducing medical errors. In 2011, more than 900 managers received Just Culture training and nearly 6,000 staff members were trained in the basics of Just Culture.