December 2014

Dear Reader,


As 2014 comes to a close, we hope that you take some time to appreciate all that you accomplished this year! There are many challenges in our healthcare environment as external forces continue to change healthcare delivery and payment structures, but underlying all that change is still the vigilant monitoring of how our organizations are assessing and enhancing patient safety.


As this issue of The Clarity Post shows, the insights and opportunities are there for all of us to bring valuable initiatives into our environment to continue to "move the needle" of patient safety in a positive way. We hope you find some things in this issue that can energize you in your patient safety efforts for the New Year ahead!


Happy Holidays!


Anna Marie Hajek

President & CEO

Clarity Group, Inc.

Healthcare Hot Topics
Awareness & Assessment of Safety Culture

We have all heard the term "safety culture," but do we really understand its meaning or know how to achieve it? 

In our second white paper on safety culture, Awareness & Assessment of Safety Culture, Clarity PSO explores complexity and chaos' effects on systems, human factors, Just Culture, and the potential impacts they all have on patient safety; various theories are reviewed, safety program frameworks are introduced and safety culture assessment tools are presented.

Read Part II or take a look back at Part I - Embracing Patient Safety Culture.

Turning Our Focus to Ambulatory Care

With patient care moving beyond the hospital, there is a greater focus on quality and safety in ambulatory settings. But since this area has received little attention in the past, healthcare organizations are still in the process of developing the proper strategies. To help you get started, here are a few resources on a variety of topics related to ambulatory care:

-   Medical Office Survey on Patient Safety Culture

-   Improving Your Office Testing Process

-   IHI White Paper: Innovations in Planned Care

-   Patient Safety through Teamwork and Communication Toolkit

-   ISMP - Medication Safety Tools and Resources

Stop Infection! What Hand-hygiene Initiatives Really Work?


When you think of hand-hygiene initiatives, you don't typically think to look to senior hospital managers - both clinical and non-clinical - for their advice; however, they play a pivotal role in the programs and operations of a healthcare organization and may have some new and different ideas. A recent research article by BMC Infectious Diseases examines the views of senior hospital managers on hand hygiene and shares their unique perspectives.


Learn More >>


Is the Answer to Enhanced Patient Safety Hiding in Plain Sight?


We all have these systems, whether paper or electronic, that are supposed to capture incidents that can lead to and/or have resulted in patient harm. Most of these systems can do this, but many will agree that there is something missing - something important - when it comes to whether or not these systems actually enhance patient safety.


We cannot just track incidents anymore; we need to make this an organization-wide process where we build awareness, which leads to intervention, and results in changes that can be seen and monitored. In a recent white paper, we discuss the transformation of traditional "incident reporting" into an integrated patient safety management system and offer a path to achieve this transformation.


Read the white paperIs the Answer to Enhanced Patient Safety Hiding in Plain Sight? The Transformation of "Incident Reporting."


Patient Safety Organizations
Clarity PSO Learning Series: Surgical Errors

Surgery is an integral part of healthcare with an estimated 234 million operations performed annually worldwide; it is a regular occurrence in healthcare as operations are performed in every community and on everyone, and the procedures can range from the very basic to the complex.


While there is a considerable amount of risk when it comes to surgery, surgical complications are common and often preventable. In this issue of the Clarity PSO Learning Series, we take a look at surgical event data to better understand the themes surrounding errors and to identify possible interventions to prevent future incidents.

Read the report on surgical errors to see what we learned and for our recommendations.

Webinar - PSOs: Protection, Empowerment & Collaboration

Clarity recently hosted the webinar, Patient Safety Organizations: Protection, Empowerment & Collaboration, and during the presentation, our speaker:
  • Provides the framework for how the Patient Safety Organization (PSO) program is structured
  • Describes how the use of this program has or can advance care delivery
  • Outlines the future of PSO application
Listen to the webinar recording for everything you need to know about PSOs.

Clarity Spotlight

A Success Story from Tallahassee Memorial HealthCare


We're excited to share with you our latest case study featuring Tallahassee Memorial HealthCare (TMH), a 772-bed, non-profit, multi-specialty academic medical center serving North Florida and South Georgia.


TMH uses the Healthcare SafetyZone� Portal, our cloud-based incident reporting system, for all of their patient safety and event reporting needs. Due to the flexibility of the system, TMH has been able to go far beyond simple reporting and transform many of their reporting, education and safety processes into automated electronic processes, accessed system-wide.


Read the case study to learn about TMH's success with the Portal.


The Captive Risk Management Triad™


Last month Clarity completed its 3-part report, The Captive Risk Management Triad™, outlining what we feel are the foundations of a successful captive operations and management strategy. As we discuss in the report, the formation of a captive insurance company can be a great way of controlling costs because it places a larger emphasis on patient safety. The key to a successful captive is performing the functions of Underwriting, Risk, Quality and Safety Management, and Claims Management well, and in this report, we break down each of these areas to help you create an integrated patient safety management strategy. 

Even if your focus is not on a captive, read the report, The Captive Risk Management Triad™ - Tools for the Effective Operations of Healthcare Captives, to see how you can improve your organization's operations in each of these areas. 


The Clarity Blog


With every new year comes new endeavors, and for us that means the launch of the Clarity Blog, a resource for all things Healthcare and Patient Safety.


Our tagline is Healthcare Risk-Quality-Safety, Simplified and that's what you can expect from this new online resource. At Clarity, one of our missions is to be a voice for education and inspiration in this very complicated healthcare industry, so we hope you will find the blog useful. Stay tuned!


Outpatient Care is Expanding but are Your Ambulatory Settings Safe?


Each year, there are 956 million visits to physician offices vs 36 million hospital discharges, so how can we afford to have patient safety efforts only focused on hospital settings?


Clarity ASI: Ambulatory Safety Initiative is a suite of services to help healthcare organizations identify risks and errors associated with their ambulatory settings and develop strategies to improve their patient care.


Our experts review and analyze three data elements: (1) professional liability claims; (2) a self-reported practice assessment; and (3) real-time event reporting to gain insight into your ambulatory care practices and then work with you to find ways to enhance your patient safety efforts and decrease patient harm. Visit our website or view our brochure to learn more.


 Greetings of the Season and Best Wishes for the New Year!
Clarity Group, Inc. | 773-864-8280 | 

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This information is provided for informational and educational purposes only and should not be construed as financial, medical and/or legal advice. Specific questions regarding this information should be addressed to local advisors and legal counsel. � 2014 Clarity Group, Inc. All rights reserved.