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Center for Quality & Safety

System Initiatives

The Center for Quality & Safety is engaged in numerous system-level initiatives and projects. Through its partnerships with members of MaineHealth, these dynamic projects help the system achieve and sustain the highest quality healthcare services in the safest, most efficient and cost-effective manner. Initiatives and projects include:

System-Wide Patient Satisfaction Measurement
MaineHealth values the patient and family experience in all its healthcare settings. In order to better understand patient expectations and to look for opportunities to improve the experience, MaineHealth gathers and reports results of patient satisfaction surveys throughout the MaineHealth system. You may view patient satisfaction reports at Hospital Compare.

Quality and Improvement Science Education

The Center for Quality & Safety's mission includes quality education and training. In keeping with the MaineHealth focused goals, the Center for Quality and Safety offers the MaineHealth Improvement Science Academy.  Our curriculum is designed to meet professional development of learners ranging from expert to beginners. Multilayer program components are designed to engage staff at all levels of the organization in the complex and important work of improving healthcare quality and value. The MaineHealth Improvement Science Academy guides learning by embracing proven tools and techniques from a range of methodologies (e.g. Lean, Microsystems, Triple Aim).

Below is a list of programs we support:

  • MaineHealth Improvement Science Academy Educational Seminars

Today’s health professionals practice in an era of unprecedented change, and are confronted with demands for measurable progress toward better care, at lower cost. Throughout the year the Center for Quality & Safety's offers a series of day long seminars and mini classes. By mastering when and how to use proven improvement tools and techniques, participants will learn to add value, efficiency and quality to their work.  Participants in these educational seminars learn about the model for improvement and how its application brings value to contemporary health care environments. These classes are open to all MaineHealth employees from any member and affiliate organization.

  • TeamSTEPPS®  

MaineHealth is committed to supporting the goal of having highly effective teams function as a core competency in every MaineHealth member and affiliated organization. The MaineHealth Center for Quality and Safety Department and core faculty have teamed up with our MaineHealth members and affiliates to provide TeamSTEPPS® Training to staff to become a MH TeamSTEPPS® Master Coach. The Center has successfully trained sixty nine MH TeamSTEPPS® Master Coaches, who have brought the TeamSTEPPS® training to frontline providers in their hospitals and other health care settings throughout their organizations. Over 1500 staff, including over 160 physicians have attended TeamSTEPPS® training.

TeamSTEPPS® is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. It includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into any health care system.

TeamSTEPPS® is widely believed by industry experts to dramatically improve safety, spare many lives and save billions of dollars. Teamwork has been found to be one of the key initiatives that can change the culture within healthcare. Many of the tools and methodologies used in TeamSTEPPS® have been taught and widely disseminated within the MaineHealth system. The Center for Quality & Safety provides master coaches to assist in the implementation of TeamSTEPPS® in all MaineHealth hospitals.

  • MaineHealth Quality and Performance Improvement Network

This is a group of MaineHealth professionals who have demonstrated knowledge of improvement science who come together quarterly. The intent of this group is to build a learning network of improvement through collaborative learning and professional development. The goal  is to support and sustain expert capacity to meet quality and performance improvement needs across the MaineHealth System.

  • Boards on Board Seminar

Through its commitment to quality, value, and patient safety, the MaineHealth Center for Quality & Safety offers the Boards On Board educational seminar.  This event occurs annually and offers board members, performance improvement committees, senior management and system leaders an opportunity to gain a higher level of understanding and involvement in providing quality, value and patient safety across the system. Expert faculty provide contemporary information and approaches to guide board members and others in leading the quality and safety agenda in their organizations, while patient and family speakers share stories to deepen an awareness of transparency in healthcare.

 System Measures

In 2010 MaineHealth initiated the development and implementation of clinical quality metrics that “we will hold ourselves accountable for,” and are aligned with evolving payment reform initiatives. CQS in collaboration with internal and external stakeholders (e.g. Maine Health Management Coalition (MHMC), MaineHealth Board, consumer representation, payors, MaineHealth CMO, Sr. Director Of Government and Employee Relations, staff from the Center for Quality and Safety, and Quality Improvement Specialists from all MH Organizations) facilitated the task of revising the current list of metrics to include those that are central to payment reform and to revise all reporting tools to reflect these new metrics.

MaineHealth’s vision was that this approach to quality measurement and analysis would increase the likelihood of optimum outcomes for all patients by providing timely data to measure the delivery of the right care to patients in the right way at the right time.

The foundation for this work is based on the Triple Aim, the National Priorities Partnership Domains and recommendations from organizations such as the National Quality Forum (NQF), Institute of Medicine (IOM) and the Institute for Healthcare Improvement (IHI). 

The system measures work collectively supports and reflects the work outlined in the Accountable Care Organization (ACO) and other healthcare reform initiatives. Measures address high focus areas such as Transitions of Care, Readmissions Preventive Health and at risk populations.

The 19 System Measures are being rolled out in four phases. The roll out began in 2011 and will continue through 2015. Each measure has a workgroup that is accountable for developing a system wide action plan and establishing a baseline and target for each measure. The measures are reported on a quarterly basis using aggregate and disaggregate data to support transparency, and to provide incentives for improvement  across all settings –  Hospitals, Primary Care, Long Term Care, Home Health, Skilled Nursing Facilities and Behavioral Health.

The results of the measures are reviewed at the monthly MaineHealth Quality Improvement Council and the quarterly MaineHealth Quality Committee of the Board of Trustees meeting.  This information is then presented to the MaineHealth Management Team for review and to the MaineHealth Board of Trustees for further discussion and action.

This work has identified many opportunities for improvement across the system. We are seeing a shift toward system wide standardization, increased requests for and comfort with transparency, improved collaboration and communication and a decrease in redundancy of work, and waste reduction. Our work is driving a system wide culture that accepts transparency, education and accountability.

Holding ourselves accountable for the 19 system measures has encapsulated all three areas of the Triple Aim; better care, better health and better expenditures for adult and pediatric patients.





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