How to Debrief your HSOPS Results with your Frontline Staff A training call for HSOPS coordinators...

How to Debrief your HSOPS Results with your Frontline StaffA training call for HSOPS coordinators

December 3, 2014

Lauren Benishek, PhD

& Sallie Weaver, PhD

Armstrong Institute for Patient Safety and Quality

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You enable JHAH teams’ success

At the end of this webinar, you should be able to:• Download your unit’s complete HSOPS results from

the JHAH online portal

• Describe the importance of debriefing your HSOPS results with your frontline staff

• Conduct a HSOPS debrief session with your frontline staff

DOWNLOADING YOUR HSOPS SAFETY CULTURE SURVEY RESULTS

Part I

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How To Find Your Team’s HSOPS Results

Your HSOPS coordinator can

download a copy of your aggregate

survey report from the JHAH Online

Portal

https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI.aspx

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Select “My Reports” from the “My Network” drop down menu

How To Find Your Team’s HSOPS Results

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1. Project: Select “JHAH”2. Tool: Select “HSOPS for

JHAH”3. Network: Select your

ICU4. Report: HSOPS Report

(not Detailed Report)

How To Find Your Team’s HSOPS Results

The same HSOPS Report can also be downloaded from your HSOPS App Dashboard after your survey period closes.

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Alternative method: How To Find Your Team’s HSOPS Results

INTERPRETING HSOPS SAFETY CULTURE SURVEY RESULTS

Part II

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Survey response rate (Pages 4-6, 29-34)

HSOPS Aggregate ReportInterpreting Your Team’s HSOPS Results

Johns Hopkins HospitalJohns Hopkins Hospital

Composite score (Page 7-8) 71% of team members who responded to the survey felt positively about the teamwork within their work area

Only 16% of team members felt that there was clearly a non-punitive response to error in their work area

Interpreting Composite Scores: • The big picture view• Higher is better

HSOPS Aggregate ReportInterpreting Your Team’s HSOPS Results

Individual Question Scores (Pages 9-26)

Percent positive = GreenPercent neutral = YellowPercent negative = Red

HSOPS Aggregate ReportInterpreting Your Team’s HSOPS Results

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Questions provide a deeper dive

NOTE: Due to rounding totals may not add exactly to 100%

Tip: For positively worded items, more GREEN is better.

HSOPS Aggregate ReportInterpreting Your Team’s HSOPS Results

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Tip: For negatively worded items, more RED is better.

NOTE: Due to rounding totals may not add exactly to 100%

Interpreting Your Team’s HSOPS Results

Questions provide a deeper dive

HSOPS Aggregate ReportInterpreting Your Team’s HSOPS Results

USING YOUR HSOPS RESULTS FOR IMPROVEMENTHOW TO DEBRIEF YOUR RESULTS WITH FRONTLINE STAFF

Part III

What is Debriefing?

Debrief survey results with all your team members

• Debriefing is a semi-structured conversation among frontline clinicians and staff that is usually led by a designated facilitator

• Encourages open communication, transparency, and interactive discussion

– across all levels of the work area– between disciplines

• Engages clinicians and staff in generating and implementing their ideas about how to create an effective safety culture in their work area

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• Data is data. Debriefing turns data into useful information.

• Debriefing accelerates improvement.1

Units that debrief around safety culture perform better

Units who did not debrief survey results achieved2.2% Reduction in Infection Rates

Units who used semi-structured debriefing of

culture survey achieved 10.2% Reduction in Infection Rates

YES NO

Making HSOPS Data Meaningful

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Create a Debriefing Plan

• How many debriefing sessions will be held?

• Who will facilitate each debriefing session? 

• When will debriefing(s) be held?

• Where will debriefing(s) be held?

• Who is responsible for taking notes and recording ideas from each session?– If you conduct more than one debriefing session, who is

responsible for collating notes and ideas for improvement from the different sessions?

• How will the CUSP team ensure there is follow-up on the action items from the debriefing session(s)?

Tip: Download the Culture Check Up Tool at either

https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI/HSOPS.aspx

OR

www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/toolkit/culturecheckup.html

• Culture Check Up Tool is a document used by Debriefing Facilitator to guide conversation and improvement planning

• Download from either the JHAH project page or the AHRQ website

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Culture Check Up Tool

Making HSOPS Data MeaningfulHSOPS debriefings with CUSP culture check-up tool

Who Should Use the CUSP Culture Check-up Tool? • Safety culture debriefing facilitators• Helps to guide the discussion and record group

decisions

What is the Purpose of this Tool?• Understand the unit culture• Use teammates’ feedback to predict and avoid

barriers • Use feedback to leverage the team’s strengths

19https://armstrongresearch.hopkinsmedicine.org/JHAH/CLABSI/HSOPS.aspx

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CUSP Culture Check-Up Tool Steps

1. Identify general strengths and weaknesses of your unit culture

2. Get specific about behaviors and attitudes that make up those strengths and weaknesses

3. Select opportunities for growth

4. Develop a strategy for addressing growth opportunities

5. Put plan into action

6. Evaluate results and share progress every 3 weeks

Brainstorming culture discussion items

Statement To Be Discussed

Unit Safety Assessment Score %

What does this statement mean to you?

How accurately does the unit score reflect your experience on this unit? Share examples.

How would it look (what behaviors or processes would we see) in this unit if 100% of staff responded “agree strongly” with this item?

Identify at least one actionable idea to improve unit results in this area.

What are the next steps and how will we accomplish them?

Culture Check Up Tool

Making HSOPS Data MeaningfulHow do I use the CUSP culture check-up tool?

• Share culture results with everyone on the unit during a survey debriefing

– Bring together team members from your work area

– Follow your debriefing plan• Take notes and recognize recurring themes

• Encourage open, honest discussion about making the culture of your work area the best it can be

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• Focus on identifying system issues that the group can work on improving together instead of as individuals.

– Don’t use it to point fingers at specific individuals

• Use the tool to structure meetings and guide conversation.

• As a group, complete all steps in this worksheet.

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Making HSOPS Data MeaningfulHow do I use the CUSP culture check-up tool?

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Communicating with Upper Management

• Get your leadership involved!– Schedule a brief, face-to-face meeting

• Explain the project purpose and goals• Share your hopes for their involvement

– Invite departmental and executive leaders to debriefing and follow-up sessions

– Send short, one-page briefs or memos sharing project goals and progress updates• Include precise action items for the leadership

What’s Next?

1. Review the survey report for your ICU(s)

2. Distill the information into 3-5 key slides

3. Plan debriefing strategy to share results with team

Be prepared to listen

Ask for feedback

Ask teammates to help come up with solutions

Schedule your first debrief sessions for

Sunday, January 11, 2015

The Armstrong team will be on site and very excited to join the conversation. 25