June 2015


While summer is the time to relax, as healthcare professionals we know there is no break when it comes to assuring the safety of our patients. We must always be on the pulse of healthcare and looking for ways to improve our patient safety and quality outcomes. So you don't miss a beat, in this issue of The  Clarity Post,  we offer resources on safety culture, ambulatory safety and the issues surrounding cyber risk. In addition, we have included the most recent report in our PSO Learning Series.


We trust that this summer edition of The Clarity Post will provide you valuable education and insights. It makes for great reading at the beach, on the pool deck or in the backyard...mixing a little summer fun with our serious Risk-Quality-Safety Management work!


Anna Marie Hajek

President & CEO

Clarity Group, Inc.


Healthcare Hot Topics
Culture of Safety: Effective Change for Quality Improvement

In the final white paper in our Culture of Safety Series, we look at how understanding high reliability organizations (HROs), change, and human behavior can help drive effective cultures of safety. Adapting characteristics of HROs to healthcare settings and carefully choosing change strategies will not only help drive improvements within an organization, but also nurture a safe culture.


Read: Part III: Effective Change for Quality Improvement

To learn more about creating a culture of safety, read Part I, Embracing Patient Safety Culture, and Part II, Awareness & Assessment of Safety Culture.


Improving Patient Safety Through Transparency

A new report from the National Patient Safety Foundation's Lucian Leape Institute, Shining a Light: Safer Health Care Through Transparency, offers more than 30 recommendations for healthcare leaders, clinicians, patients and regulatory bodies to increase transparency and improve patient safety outcomes. The report stems from roundtable discussions involving a variety of stakeholders and perspectives, and focuses on four domains of transparency: clinicians and patients; clinicians and their peers; healthcare organizations with one another; and both clinicians and organizations with the public. 

View the report.


Enhancing Patient Safety in Ambulatory Surgery Centers


The traditional framework of only caring for patients in the hospital setting is fading, and facilities such as Ambulatory Surgery Centers are growing in popularity. To manage the influx of patients and to create safer environments, it is important these settings put more emphasis on managing risks and implement integrated risk, quality and safety strategies. 


In a new white paper, we discuss the key pieces to mitigating surgical medical malpractice exposures and enhancing patient safety in Ambulatory Surgery Centers.


Read: Mitigating Surgical Medical Malpractice Exposure in Ambulatory Surgery Centers


Improving the Root Cause Analysis Process


Root Cause Analysis (RCA) is widely used by healthcare professionals to analyze errors and see why they occurred. Many agree, though, there are inconsistencies in the success of these initiatives. To improve the RCA process, the National Patient Safety Foundation (NPSF) brought together a group of stakeholders and subject matter experts to review best practices and develop a set of guidelines. The resulting report focuses on actions, making the new process what they call "RCA squared."


Download the guidelinesRCA2: Improving Root Cause Analyses and Actions to Prevent Harm. 

Cyber Risk Forum


Clarity recently held a forum on cyber risk to educate its clients and raise awareness about this important subject. During the workshop, the attendees took the driver seat to analyze threats, identify the steps they would need to take if a threat became an incident, and discuss prevention strategies. Our speaker Mac McMillan, FHIMSS, CISM of CynergisTek, Inc. also facilitated lively discussions between the participants who shared their questions as well as some of their own best practices.


Whether you are big or small, healthcare or not, cyber risk affects us all. To start or continue the discussion at your organization, here are a few-eye opening statistics from our speaker and additional resources related to cyber risk:

Healthcare Technology Buzzwords

Technology is transforming healthcare, and it can be difficult to keep up with the latest terms and trends. Managed Healthcare Executive put together a handy guide for executives, but their list is helpful to anyone who wants to know and understand the latest technology buzzwords. 


Read: Eight Health IT Terms Healthcare Executives Must Know


Healthcare Risk Management Week

ASHRM's Healthcare Risk Management Week, which recently concluded, is an annual campaign that raises awareness about the critical role healthcare risk managers and safety professionals play in patient safety and patient safety care practices, quality assurance, safe work environments and liability.


In honor of this important week, we would like to recognize and thank all of you who work hard every day to reduce risk and improve patient safety. Thank you!


Patient Safety Organizations
The PSO Program Is 10 Years Old and Continues to Grow


The PSO program is 10 years old! So how far have we come? 


One of the ultimate goals of the PSO program is to create a national error reporting database. It is still in the early stages, but the Network of Patient Safety Databases (NPSD) is making strides and Clarity PSO is excited to be a part of the process.


Click here to learn more about the NPSD and for some quick PSO and Provider information.


Clarity PSO Learning Series: Pressure Ulcers


Pressure ulcers are a common problem across all healthcare settings. In hospitals alone, approximately 2.5 million patients are treated for them each year. 


For this issue of the Clarity PSO Learning Series, we reviewed skin-related events to better understand the themes surrounding pressure ulcers, particularly suspected deep tissue injuries, and to identify areas for improvement.


Read the report to see what we found as well as for tools and resources related to this topic.


PSOs - The Basics

Still not sure what a PSO is? Here are a few resources to help break down the PSO program and demonstrate its benefits to the healthcare community:

Clarity Spotlight
Clarity Hosts a Patient Safety Summit


Healthcare has changed, which means priorities, goals and concerns have changed. Whether your organization is going through a merger, developing an ACO structure, building a culture of safety, or facing a different challenge, this is an important time to develop new strategies and approaches that will improve your operations and ensure the safety of your patients.


At Clarity, we believe in the power of information and education, so we seized the opportunity to host a Patient Safety Summit for our clients and tackle these issues.  

The Summit was about managing the many challenges healthcare providers are facing while never losing sight of patient care. It brought together operational and clinical leadership from across the country to discuss how to add new and innovative initiatives within their healthcare delivery systems and create a culture of safety in the process. The day included presentations from senior healthcare leadership and activities to connect participants from different settings and inspire them to return to their organizations and enact one small change that will impact the future of their systems. 


The day was a huge success and we look forward to hosting many more educational forums.


Claims Consulting Services

Have you heard about Clarity's Claims Consulting Services?

Clarity has experienced claims consultants that can assist you in aggressively managing your general and professional liability claims to help you reduce exposure and promote your institution's financial integrity. Whether you are in need of improving your current claims management program or developing a new one, we offer a broad range of solutions that are tailored to meet your needs. 


To learn more, contact us or download our brochure.


Clarity Is a Proud Supporter of the Diagnosis Error Awareness Campaign


According to an upcoming Institute of Medicine (IOM) report on diagnostic error in healthcare, diagnostic error is the leading cause of medical malpractice claims in the US and contributes to an estimated 40,000 - 80,000 deaths each year. 


To highlight this report's important findings, the Society to Improve Diagnosis in Medicine (SIDM) is raising funds to conduct a national outreach campaign to bring attention to the report and increase the awareness about this issue. Clarity Group is proud to be a listed supporter of this campaign and hopes that by spreading the message, we can bring about change and work toward reducing diagnostic errors and improving patient safety. 


For more information on the campaign and the upcoming report, visit SIDM's website.


Our Blog Is Up and Active!


The latest voice of Clarity, the Healthcare SafetyZone? Blog is churning out content as we speak.  For us, this blog represents our commitment to use every avenue possible to share education and to foster discussion around the subjects of healthcare and patient safety. Follow us for news, information, education and everything risk-quality-safety related!

Upcoming Events

FSHRMPS 2015 Annual Meeting - Education Conference
August 12 - 14, 2015
Orlando, FL
CA Ambulatory Surgery Association Conference
September 9 - 11, 2015
Huntington Beach, CA
Clarity Group, Inc. | 773-864-8280 | info@claritygrp.comwww.claritygrp.com 

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