Creating a Culture of Safety for Opioid Prescribing: Handbook for Healthcare Executives

Centers for Disease Control and Prevention (CDC)

Healthcare executives have an important role in creating a culture for safer opioid prescribing. This handbook contains insights and advice from healthcare executives and quality improvement leaders from four different health systems representing urban, suburban and rural settings. They share their experiences engaging internal and external stakeholders, working across interdisciplinary teams, leveraging data to inform efforts, implementing training and educational efforts, and much more. Sections include:

  • The Value of Evidence-Based Opioid Prescribing
  • Collecting and Using Data
  • Engaging with External Stakeholders
  • Establishing Policies and Standards that Support Safer Opioid Prescribing Practices
  • Training and Educating Providers
  • Supporting the Continuum of Care

Hospital Roadmap for Person and Family Engagement (PFE): Achieving the Five PFE Best Practices to Improve Patient Safety and Health Equity

American Institutes for Research (AIR)/IPRO HQIC

This PFE Roadmap provides practical guidance to help hospitals implement five PFE best practices:

  1. Implementation of a planning checklist for patients who have a planned admission
  2. Implementation of a discharge planning checklist
  3. Conducting shift change huddles and bedside reporting with patients and families
  4. Designation of a PFE leader in the hospital
  5. Active Person and Family Engagement Committee or other committees where patients are represented and report to the board

How Patient and Family Advisory Councils Can Help Hospitals and Their Communities During the COVID-19 Pandemic

American Institutes for Research (AIR)/IPRO HQIC

COVID-19 is a perfect issue for PFACs to address. The experiences of patients and families can have a direct impact on how the hospital safely treats those with severe cases including those in isolation, prevents the spread of the virus, and minimizes the impact of the virus on health care and health outcomes (e.g., delayed care). This resource provides suggestions about how PFACs can help hospitals proactively communicate, educate, and engage with patients and families and the larger community to build trust and deliver high-quality care during a time of uncertainty and fear.

Reliability Culture Implementation Guide

Michigan Health & Hospital Association, Illinois Health and Hospital Association, Wisconsin Hospital Association, Minnesota Hospital Association

Purpose: The Reliability Culture Implementation Guide combines the five principles of high reliability organizations (HROs) with elements of safety culture. This guide is broadly intended for executive level to frontline staff. Tools are available throughout this guide to support and advance the work done within high reliability.

Your Guide to Controlling & Managing Pain After Surgery

MHA Keystone Center

Provides education to patients related to:

  • Understanding surgical pain
  • Understanding pain after surgery
  • Questions to ask before surgery, after surgery and before discharge
  • Tools to help manage pain
  • Keeping track of pain medications and frequency
  • Common pain medication side effects

Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals

Institute for Patient and Family Centered Care (IPFCC)

The purpose of this project is to address gaps in knowledge about PFAC best practices. Specifically, the project aims to:

  1. Determine the prevalence of hospital-based PFACs in New York State;
  2. Document variation in hospital-based PFACs within New York State, including identifying differences in characteristics such as composition, structure, resources, management, and functioning;
  3. Assess the extent to which differences in hospital-based PFAC characteristics are related to selected outcomes, including safety and patient experience of care;
  4. Identify best practices for PFACs; and
  5. Recommend policy and practice changes for New York State to facilitate the spread of effective PFACs and PFA roles in hospitals

BOOST: Better Outcomes for Older Adults Safe Transitions

Society Hospital Medicine (SHM)

Evidence-based bundled intervention for hospitals to use to identify patients at high risk for readmission and guide the discharge plan based on identified needs assessed upon hospital admission; provides the patient a Transitional Record to guide them during the post-acute period.

Cost associated with implementation.

Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders: TIP 54

Substance Abuse and Mental Health Services Administration (SAMHSA)

This guide equips clinicians with information for treating chronic pain in adults living with a history of substance use. The guide discusses chronic pain management, including treatment with opioids. It also includes information about substance use assessments and referrals. Available at no cost from SAMSHA.

Conversation Guide to Improve COVID-19 Vaccine Uptake

IHI – Institute for Healthcare Improvement

This guide is intended to help health care staff and leaders have trust-building conversations about the COVID-19 vaccine, both at work and at home. Exploring people’s feelings about the vaccine through respectful, trust-building interactions over time offers the potential to increase the uptake of vaccinations. The guide helps health care staff and leaders begin to quickly engage in effective conversations about COVID-19 vaccination, enabling learning in practice and resolving issues that arise from such conversations. The focus is on having rich conversations to listen and learn about reasons and feelings for not getting vaccinated — and then seeking to have a dialogue about questions and concerns so that people can consider COVID-19 vaccination.

Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)

National Association of Community Health Centers

This resource contains the set of national core measures as well as a set of optional measures for community priorities. It was informed by research, the experience of existing social risk assessments, and stakeholder engagement. It aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS).