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Florida Patient Safety Corporation
Strategic Plan
Developed June 25, 2005

Duration of the Plan
This plan covers a period of three to five years (from June 2005 through June 2008 – 2010)

Mission Statement
The Florida Patient Safety Corporation is dedicated to continuously improving patient safety in the state.

Vision Statement
The Florida Patient Safety Corporation will be Florida’s leading organization for patient safety.

Tagline – Promoting Excellence in Health Care


GOALS

  1. Foster and facilitate the culture of patient safety
  2. Be the learning organization dedicated to serving health care providers and other entities through education and information
  3. Develop alliances and partnerships to communicate and teach patient safety
  4. Maintain independence and sustainability by developing financial resources and strong leadership
  5. Maintain compliance with statutory mandates

Goals, Initiatives and Committee Assignments:
Short-term initiatives are those to be completed in one to three years.
Long-term initiatives are those to be completed in three to five years.

1 Maintain Compliance with Statutory Mandates

1.1 All mandates in full compliance throughout the year; prepare for a required OPPAGA performance audit in 2006 with report due on January 1, 2007.

1.1.1. Secure staff necessary to properly administer the corporation.
Short term;Assigned to theExecutive Committee

1.1.2. Collect, analyze, and evaluate patient safety data and quality and patient safety indicators, medical malpractice closed claims and adverse incidents reported to the Agency for Health Care Administration and the Department of Health for the purpose of recommending changes in practices and procedures that may be implemented by health care practitioners and health care facilities to improve health care quality and to prevent future adverse incidents. Notwithstanding any other provision of law, the Agency for Health Care Administration and the Department of Health shall make available to the corporation any adverse incident report submitted under s. 395.0197,458.351, and 459.026. To the extent that adverse incident reports submitted under s. 395.0197 are confidential and exempt, the confidential and exempt status of such reports shall be maintained by the corporation.
Short term; Assigned to the Scientific Research Advisory Committee

1.1.3. Establish a "near-miss" patient safety reporting system. The purpose of the near-miss reporting system is to: identify potential systemic problems that could lead to adverse incidents; enable publication of system-wide alerts of potential harm and facilitate development of both facility-specific and statewide options to avoid adverse incidents and improve patient safety. The reporting system shall record "near misses" submitted by hospitals, birthing centers, and ambulatory surgical centers and other providers. For the purpose of the reporting system:

a. The term "near miss" means any potentially harmful event that could have had an adverse result but, through chance or intervention in which, harm was prevented.

b. The near-miss reporting system shall be voluntary and anonymous and independent of mandatory reporting systems used for regulatory purposes.

c. Near-miss data submitted to the corporation is patient safety data as defined in s. 766.1016.

d. Reports of near-miss data shall be published on a regular basis and special alerts shall be published as needed regarding newly identified, significant risks.

e. Aggregated data shall be made available publicly.

f. The corporation shall report the performance and results of the near-miss project in its annual report.
Short term; Assigned to theHealth Care Provider Committee

1.1.4. Work collaboratively with the appropriate state agencies in the development of electronic health records.
Short term; Assigned to the Technology Advisory Committee

1.1.5. Provide for access to an active library of evidence based medicine and patient safety practices, together with the emerging evidence their retention or modification, and make this information available to health care practitioners, health care facilities and the public.
Short term; Assigned to the Scientific Research Advisory Committee                                               

1.1.6. Develop and recommend core competencies in patient safety that can be incorporated into the undergraduate and graduate curricula in schools of medicine, nursing and allied health in the state.
Short term; Assigned to the Education Advisory Committee

1.1.7. Develop and recommend programs to educate the public about the role of health care consumers in promoting patient safety.
Short term; Assigned to the Health Care Consumer Advisory Committee

1.1.8. Provide recommendations for interagency coordination of patient safety efforts in the state.
Short term; Assigned to the State Agency Advisory Committee

1.2 Evidence-Based Medicine Implementation (EBM) Plan by September 1, 2005.

1.2.1Finalize and present the EBM Implementation Plan due September 1, 2005
Completed

1.2.2 Develop a time-schedule for carrying out the EBM Implementation Plan
Short term; Assigned to Scientific Research Advisory Committee

1.2.3 Determine the staff, budget and funding resources to carry out the Plan.
Short term; Assigned to Scientific Research Advisory Committee

1.2.4 A review by the Scientific-Research Advisory Committee of the information collected by the FPSC staff, with a report to the Board.
Short term; Assigned to Scientific Research Advisory Committee

1.3 Prepare Progress Reports due annually on December 1.
Short term;Assigned to staff; overseen by Executive Committee

1.4 Prepare for the performance audit in 2006 with report due on January 1, 2007.
Short term; Assigned to staff; overseen by Executive Committee

1.5 Carry out research on existing reporting systems, Code 15.

1.5.1 Identify areas of research, best practices and most effective usage of the data.

1.5.2 Utilize students or others to review, analyze and report. 

1.5.3 Set appropriate budget or stipend for research.

1.5.4 Collaborate with Patient Safety Centers.

1.5.5 Develop anecdotes and case studies to communicate the findings.
Short term; Assigned to Scientific Research Advisory Committee

1.6 Assess the current status and number of medical errors in Florida and determine where they are occurring.
Long term; Assigned to Scientific Research Advisory Committee

1.7 Translate the research data developed by FPSC to represent the physical and economic savings in medical costs and patient lives.
Long term; Assigned to Scientific Research Advisory Committee

2 Foster and Facilitate the Culture of Patient Safety

2.1 Position FPSC as the premier voice and developer of the culture of patient safety in the state. 
Short term; Assigned to Health Care Provider Advisory Committee

2.2 Define the concept of “culture” as it relates to patient safety to facilitate better understanding by all interested persons and organizations.

2.2.1 What is patient safety?

2.2.2 What are its components?

2.2.3 How to promote understanding and receptivity?

2.2.4 Ways to modify practice patterns and behaviors?
Short term; Assigned to Health Care Provider Advisory Committee

2.2 Promote an environment of receptivity and inclusion for patient safety initiatives, professionals, organizations, government and patients.
Short term; Assigned to Health Care Consumer Advisory Committee

2.3 Focus on delivering positive messages rather than fostering unfavorable perceptions.
Short term; Assigned to Health Care Consumer Advisory Committee

2.4 Develop and promote messages to be used in campaigns designed to reduce potential harm and to improve overall patient safety.
Short term; Assigned to Health Care Consumer Advisory Committee

3 Be the Learning Organization Dedicated to Serving Health Care Providers and Other Entities Through Education and Information

3.1 Work toward making patient safety a core educational requisite for health care professionals.

3.1.1 Approach individual institutions or bodies overseeing educational curricula for various health care disciplines starting August 2005.
Long term; Assigned to Education Advisory Committee

3.2 Disseminate periodic advisories on patient safety that can have an immediate impact; i.e. consumer issues, hurricane safety, medical records, alerts, etc.
Short term; Assigned to Health Care Provider Advisory Committee

3.3 Establish the Patient Safety Repository of Florida to be managed and housed by FPSC and made available to the public.
Short Term; Assigned to Education Advisory Committee

3.4 Utilize FPSC Web site and software technology to expedite communications to external (media, public, government, providers) and internal (leadership and staff) audiences.
Short Term; Assigned to Education Advisory Committee

3.5 Link to patient safety technical sites through the FPSC Web site to facilitate ease in acquiring research, data and resources by the public and practitioners.

3.5.1 Develop a “filter” or model for identifying appropriate resources to be linked to the Web site.
Short Term; Assigned to Scientific Research Advisory Committee         

3.6 Develop a patient safety public relations kit for board of directors and their representative organizations to include data, talking points, resources, etc.
Short Term; Assigned to Education Advisory Committee

3.7 Recognize the need for diversity in the delivery of patient safety messages.
Short Term; Assigned to Education Advisory Committee

3.8 Develop programs and means to educate consumers.
Long term; Assigned to Health Care Consumer Advisory Committee

3.9 Study feasibility of creating a “designation status” or “seal of approval” to recognize patient safety best practices and practitioners in the state.
Long term; Assigned to Education Advisory Committee

3.10 Promote a traveling-campaign throughout the state utilizing a respected government official or lawmaker to focus attention on patient safety.
Long term; Assigned to Education Advisory Committee

3.11 Develop learning modules on patient safety that can easily be adapted and used by varied practitioners and practice settings.
Long term; Assigned to Education Advisory Committee

3.11.1 Offer Continuing Education credit associated with FPSC education.
Long term; Assigned to Education Advisory Committee

3.12 Study feasibility for hosting a Patient Safety Summit to be held in Florida.
Long term; Assigned to Education Advisory Committee

3.13 Identify the best use of technology as it relates to health care and patient safety.
Long term; Assigned to Technology Advisory Committee

3.13.1 Analyze the application of technology and Electronic Medical Records.
Long term; Assigned to Technology Advisory Committee

3.13.2 Work with technology suppliers to develop applications to improve patient safety
Long term; Assigned to Technology Advisory Committee

3.13.3 Analyze the current status of health care electronic infrastructure and fostering its continued development.
Long term; Assigned to Technology Advisory Committee

3.13.4 Develop patient safety fellowships for health professional graduates and post-graduates to improve the quality and safety of health care rendered. 
Long term; Assigned to Education Advisory Committee

3.13.5 Partner with medical schools and other professional health organizations.
Long term; Assigned to Education Advisory Committee

3.13.6 Emphasize to medical students and new graduates the priority of patient safety in curricula and practice.
Long term; Assigned to Education Advisory Committee

4 Develop Alliances and Partnerships to Communicate and Teach Patient Safety

4.1 Work with the consortium of Patient Safety Centers in Florida.
Short term; Assigned to State Agency Advisory Committee

4.2 Conduct outreach efforts to other associations to promote patient safety and discuss mutual interests and programs of work.

4.21 Invite association representatives to attend and address the board on patient safety initiatives.
Short term; Assigned to State Agency Advisory Committee

4.2.2 Ask each health care and related organization, as they plan conferences and summits, to include FPSC and patient safety on their agendas.
Short term; Assigned to State Agency Advisory Committee

4.2.3 Avoid redundancy in patient safety efforts.
Short term; Assigned to State Agency Advisory Committee

4.3 Include academics in developing alliances.

4.3.1 Promote patient safety as a core competency curriculum. 
Long term; Assigned to Education Advisory Committee

4.4 Place FPSC leaders on the committees of other public and private organizational panels effecting patient safety.
Short term; Assigned to State Agency Advisory Committee

4.5 Collaborate with Governor’s Health Informatics Initiative to advance development of electronic medical records.
Short term; Assigned to Technology Advisory Committee

4.6 Plan a campaign aligned with national efforts for proclaiming “Florida Patient Safety Awareness Week.”
Long term; Assigned to Education Advisory Committee

4.7 Bridge the data and work of other state, regional and national organizations doing research and analysis of patient safety for the benefit of Florida.
Long term; Assigned to Scientific Research Advisory Committee

4.8 Explore ways to reduce professional liability exposure for licensed health care professionals and institutions through patient safety strategies.
Long term; Assigned to Litigation Alternatives Advisory Committee

4.9 Collaborate with patient safety organizations from other states to glean the best of their initiatives and to exchange resources. Consider sources of funding, including the National Patient Safety Foundation and other sponsorships.
Long term; Assigned to State Agency Advisory Committee

5 Maintain Independence and Sustainability by Developing Financial Resources and Strong Leadership

5.1 Seek new revenue resources through private and public funds that are equal to or greater than state’s annual funding.

5.1.1 Pursue in-kind contributions and services to bolster the FPSC budget and projects.

5.1.2 Investigate hiring a grant writer.

5.1.3 Examine feasibility of organizational-memberships in FPSC.
Short term; Assigned to Executive Committee

5.2 Request that allied associations and organizations co-fund special initiatives and research.
Short term; Assigned to Executive Committee

5.3 Develop and train individuals willing to be champions and leaders for patient safety by offering training, committee work and board opportunities.
Short term; Assigned to Executive Committee

5.4 Prepare a calendar of significant deadlines and activities for the board of directors and committees.
Short term; Assigned to Executive Committee

5.5 Study and monitor legislative and regulatory proposals that impact patient safety.
Short term; Assigned to Executive Committee

5.6 Budget for infrastructure costs associated with management of FPSC.  

5.6.1 Retain the position of executive director and appropriate staff commensurate with the growth and programs of work.
Short term; Assigned to Executive Committee

5.6.2 Consider cost and feasibility of hiring a patient safety expert who is respected and recognized and can deliver the FPSC message.
Short term; Assigned to Executive Committee

5.6.3 Budget for office location and necessary equipment, software, etc.
Short term; Assigned to Executive Committee

5.7 Establish committees to advance the work of the FPSC.

5.7.1 Establish the following committees: Scientific Research, Technology, Health Care Provider, Health Care Consumer, State Agency, Litigation Alternatives and Education Advisory.
Short term; Assigned to Executive Committee

5.7.2 Charge committees with directives that advance the mandates as described in the legislation and to achieve the goals expressed herein.
Short term; Assigned to Executive Committee

5.7.3 Appoint additional task forces and short-term work groups to advance projects and assist the board of directors.
Short term; Assigned to Executive Committee

5.7.4 Promote committee accountability.
Short term; Assigned to Executive Committee

5.7.5 Populate the committees with a wide range of persons interested in patient safety to maximize input and participation throughout the state.
Short term; Assigned to Executive Committee