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Quality, Safety & Value

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Bright Idea Award

On June 6, VA’s National Center for Patient Safety, in partnership with the VA Healthcare Technology Management (HTM) Office, received the Association for the Advancement of Medical Instrumentation (AAMI) 2015 Bright Idea Award for A Systems Approach to Patient Safety.  The award, which recognizes the top innovation profiled in AAMI’s peer-reviewed journal Biomedical Instrumentation and Technology (BI&T), was presented during the association’s annual conference in Denver, Colorado. 

VA’s “Bright Idea” was a systems-based, multidisciplinary training initiative to enhance patient safety across the entire healthcare system. NCPS ‘translated’ its patient safety curriculum and geared it directly towards newly hired HTM professionals entitling it Patient Safety Boot Camp. This training program focuses on a systems approach to patient safety to ensure adverse events as well as close calls are fully understood in the field and that vulnerabilities are removed from the system. These new recruits then can share important patient safety principles with other VA HTM staff, who in turn build stronger working relationships with their respective facility patient safety managers in order to enhance patient safety and ensure safe operations across all VA facilities.

Biomedical engineers also learn how to conduct their own root cause analyses of adverse medical device events, as well as how to assess risk prior to purchasing complex devices.

This training was profiled in the Jan/Feb 2014 issue of BI&T. Four Patient Safety Boot Camps have been held since the program began in October 2012. After the release of the article in BI&T, NCPS, in partnership with HTM, has expanded patient safety training to more senior-level biomedical engineering professionals to create a mission-focused, systems-focused team at every VHA facility.


Risk Management Boot Camp

Earlier this year, QSV’s Risk Management Program sponsored the third of four Risk Manager Boot Camps to be held in 2015.  Designed primarily for recently assigned risk managers (those who have been at their position less than two years), each boot camp features interactive sessions and group discussion as well as lectures by Risk Management staff and guest faculty from QSV.  During the most recent session (last March), 25 participants from VAMCs nationwide gathered at the VISN 22 offices in Long Beach to learn about peer review for quality management, disclosure of adverse events to patients, and tort claims processing, among other topics.  Guest faculty participants were  David Sine, Chief Risk Officer, who provided a presentation on Enterprise Risk Management; Kate Enchelmayer, Director, Medical Staff Affairs, who provided an overview of the Credentialing and Privileging process; and Gary Sculli, Director of Clinical Training Programs, NCPS, who presented on Just Culture and Culture of Safety.   


EMMT Wins 2015 ‘Igniting Innovation Award’

Working with experts across the VA,  QSV’s Office of Health Systems Innovation and Office of System Design and Improvement (SR) developed the Emergency Medicine Management Tool (EMMT), an innovation that helps VHA emergency departments (EDs) improve performance. The EMMT works with emergency department integration software (EDIS) to help VHA EDs and urgent care clinics monitor and compare performance on key metrics such as wait times, length of stay, service quality and productivity.  By enabling facilities to assess performance in real time, the EMMT improves Veterans’ care through the reduction of patient waiting times, more efficient use of emergency medicine resources, and standardization of operations across VHA facilities. Earlier this year, the EMMT was named  winner of the 2015 “Igniting Innovation” High Risk/High Reward Dynamite Award.   Sponsored by the American Council for Technology and Industry’s Council (ACT-IAC) Institute for Innovation, the Igniting Innovation awards honor cutting-edge solutions to federal government IT challenges.  The EMMT was also named among the competition’s top 30 government IT innovations.


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