Ozarks Medical Center and MOCPS Receive National Accolades for CUSP Initiatives

February 1, 2012    |   By: Calevir

On January 10, 2012, Ozarks Medical Center (OMC) and MOCPS presented to an audience of over 800 health care providers nationwide participating in the On the CUSP:   Stop BSI collaborative.   The topic of the presentation was “Coordinating Multiple Quality Improvement Initiatives,” in which MOCPS showcased its People, Priorities & Learning Together (PPLT) initiative, and OMC showcased its successes in implementing the programs offered in the PPLT initiative.

Kimberly O’Brien, Director of Program Development at MOCPS, kicked off the presentation by providing an overview of PPLT.   Kimberly explained how and why the model was created, its purpose and goals, and the four modules that have been offered to Missouri hospitals to date:   The Basics of CUSP, CUSP Communication & Teamwork Tools, CUSP/Stop BSI  and CUSP/Stop CAUTI.   Mary Fine, Director of Quality at OMC and Malissa Reardon, Manager of ICU at OMC, then shared their compelling stories of how PPLT has helped to transform the safety culture and quality of care in their hospital.

Mary and Malissa shared how positively staff have taken to the Comprehensive Unit-based Safety Program (CUSP), and how CUSP serves as the foundation for quality and safety improvement at OMC.   After participating in the first PPLT module, The Basics of CUSP, Malissa’s ICU staff were very much in favor of participating in a subsequent module, CUSP/Stop BSI, even though the unit had not experienced one blood stream infection in the past two years.   Malissa explained that staff found enormous value in CUSP principles, such as asking “how will the next patient be harmed?” and taking steps to mitigate potential harm.   So, despite their blood stream infection rate of zero, staff felt that participation in CUSP/Stop BSI was just the right thing to do.

Mary acknowledges that strong executive support has been instrumental to OMC’s success in implementing CUSP.   Although they have busy calendars, three OMC executives – the CEO, CNO and COO – all found time to attend the kick-off meeting for CUSP/Stop BSI, encouraging staff to speak up when they see defects (and providing them with Zero bars as token gifts!).   Likewise, OMC’s CNO routinely rounds on patient care units, asking staff “how will the next patient be harmed?”

Mary shared that OMC’s quality/safety journey is still a work in progress, and that while some initiatives are more difficult to implement than others-nothing happens overnight.   The hospital’s multidisciplinary rounding implementation, for example, is moving more slowly than she would like, but it is still underway nevertheless.   Mary encouraged the listeners to not allow perfection get in the way of progress, providing an example that despite MOCPS’ recommendation that multiple caregivers make up a CUSP team, OMC’s first CUSP team was comprised of only two very determined staff members!

In summary, Mary and Malissa state that CUSP has proven to be the foundational program on which other initiatives build, and allows OMC to keep multiple quality improvement projects going at the same time.   Following the presentation, the Health Research & Education Trust, the sponsoring organization for the national On the CUSP:   Stop BSI collaborative, sent MOCPS many kudos for its presentation, stating that it was one of the highest attended of all of its monthly collaborative calls.   Also following the presentation, a Johns Hopkins University staff member listening to the call briefed Peter Pronovost, MD, the founder of CUSP, on MOCPS’ PPLT model and OMC’s quality/safety journey.   Dr. Pronovost’s reply? “AWESOME!!”

Access the audio file and slides for this presentation, called Coordinating Multiple Quality Improvement Initiatives.


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