Agenda
9 – 9:35 a.m.
Welcome and opening remarks
Cathleen R. Wright, DNS, RN, Director, Statewide Hospital Quality Improvement, Eastern US Quality Improvement Collaborative, HANYS
Mary Reich Cooper, MD, JD, Program Director, Healthcare Quality and Safety and Operational Excellence and Associate Professor, Population Health, Jefferson College of Population Health, Thomas Jefferson University
9:35 – 10:20 a.m.
Fundamentals of high-reliability organizing
Craig Clapper, PE, CRE, Founder and Chief Knowledge Officer, Reliability 4 Life
All healthcare systems have done some work in applying high-reliability organizing to improve patient safety, workforce safety, clinical quality, patient experience, caregiver experience and efficiency. Some systems have done substantial work. All healthcare systems should do more. Today, healthcare is stuck in the era of descriptive theory — we continue to recite and rehash the Weick and Sutcliffe five attributes of high-reliability organizations without designing, deploying and sustaining solutions to make work systems for patient care more reliable. This program will explore high reliability as an emergent property of the complex work system, distinguish between high reliability and high-reliability organizing, and show the path forward in culture transformations using high-reliability organizing principles.
By the end of this session, participants will be able to:
- describe high reliability as an emergent property of the work system;
- identify blunt-end performance-shaping factors for high reliability at the sharp end; and
- describe the culture transformation process for foundational, accelerator and super-traits of high-reliability organizations.
10:20 – 10:35 a.m.
Break
10:35 – 11:20 a.m.
Resiliency engineering and human factors as a path to high-reliability organizing
Oren Guttman, MD, MBA, Edward Asplundh Chief Quality and Patient Safety Officer, Jefferson Abington Health Enterprise; Vice President, High Reliability and Patient Safety and Jefferson Health Associate Professor, Anesthesiology, Sidney Kimmel Medical College
In complex socio-technical environments, operating systems largely determine the outcome. Clinical operating systems and safety management systems inform and define the safety behaviors of an organization, and therefore, its culture of safety. It is important to design tools, technology and processes that do not exceed the capability and capacity of those using the system. We need to hold our operating systems and safety management systems to the same high professional standards to which we hold our clinicians. In this session, we will explore how to improve the resiliency of clinical operating systems and key strategies, operations and tactics to keep errors from turning into failure and failure from spreading.
By the end of this session, participants will be able to:
- understand the role of human factors and resiliency engineering in high-reliability organizing;
- understand the “system complexity” model as it relates to healthcare delivery and high-reliability organizing; and
- demonstrate the application of human factors and resiliency engineering principles in clinical operational practice.
11:20 a.m. – 12:05 p.m.
The intersection of just culture and high reliability
Stephen G. Jones, MD, Senior Advisor and Chief Medical Officer, The Just Culture Company
This interactive session will explore the relationship between just culture and high-reliability principles in producing desired outcomes.
By the end of this session, participants will be able to:
- review core just culture and high-reliability principles and how they support and align with each other to drive organizational culture and outcomes;
- understand and manage socio-technological systems within a just culture/high-reliability organization; and
- apply the lessons of just culture and high-reliability principles to building and embedding a culture of psychological safety, resilience, justice and generative learning.
12:05 – 12:35 p.m.
Morning wrap-up and questions
12:35 – 1:05 p.m.
Lunch break
1:05 – 2:05 p.m.
The journey to becoming a highly reliable organization: The story of Catholic Health
Lesli Giglio, RN, MPA, CPHRM, CHPC, CPPS, Senior Vice President, Chief Risk Officer and Chief Privacy Officer, Catholic Health (Long Island)
Chhavi Katyal, MD, MBA, MS, FCCM, Senior Vice President, System Chief Quality Officer and System Chief Patient Experience Officer, Catholic Health (Long Island)
Catholic Health on Long Island has spent years transforming its patient care into a highly reliable system. The results of the team’s dedication demonstrate the impact high reliability can have on patient safety, staff satisfaction and clinical and operational outcomes.
By the end of this session, participants will be able to:
- understand the role of hospital leadership in becoming a high-reliability organization;
- evaluate opportunities to impact patient safety utilizing HRO principles; and
- apply concepts to unit-specific quality improvement work and ensure sustainability across the whole organization.
2:05 – 3:00 p.m.
Closing remarks
Join us to wrap up the day’s events. EQIC staff will provide a conference summary and a little bit of fun.