Reap What You Know
The legendary investor Warren Buffet follows the “invest in what you know” adage with remarkable returns. The same applies at BETA Healthcare Group (BETA) and its Quest for Zero: Excellence in ED initiative.
Led by Laurel Grisbach, a 2012-2013 AHA-NPSF Comprehensive Patient Safety Leadership Fellow, BETA’s risk management team saw a pattern where patient safety could be improved within emergency departments (ED) and the risk of complications reduced. Grisbach understood the program’s success was directly correlated to the unique culture, pace and personalities that make up ED teams.
Grisbach joined BETA as Director of Risk Management and Patient Safety in 2006 and provides a breadth of experience, including her tenure as risk management, patient safety, compliance and patient privacy officer for Catholic Healthcare West (Kern County) and as a legal nurse consultant and testifying expert for cases involving the emergency department. Armed with over a decade of “frontline” and ED management experience, she has a passion for emergency medicine and is dedicated to providing a sensible approach to meeting the challenges of this volatile environment. Having been with BETA since the inception of the patient safety initiatives, Grisbach recognized that BETA’s successful Quest for Zero initiative within obstetrics should serve as a reference point, but because the issues facing emergency department teams require a different pace and approach for making care decisions, the ED initiative required unique elements.
“Ensuring that every aspect of the initiative resonated and had an immediate impact on our target audience—physicians, mid-levels, nurses, ancillary and support staff—was critical from the start,” noted Grisbach. “If there was any hint of hype or market spin, the initiative would have been discounted.”
Based on interest and engagement by BETA members and insureds, Grisbach and team have clearly hit the mark. The Quest for Zero: Excellence in ED initiative launched in Spring of 2011 with quality content developed by The Sullivan Group and on-target delivery (including online educational modules accessible 24/7 for time-pressed ED team members). From treatment of women with atypical chest pain, advanced interpretation of ECGs, considerations for patients presenting with possible heart attacks or thoracic aortic dissection; to Marfan Syndrome and triage fundamentals, the topics addressed in the first two years of the Quest focused on core high-risk patient presentations in the ED. “The response from our medical groups and hospitals has been phenomenal. We identified a true need and delivered a solution that provides a win/win—better care for patients, lower risk for care givers,” added Grisbach.
Sixty percent of BETA’s hospitals and ED groups are participating in the program—52 have “opted in” which include 31 hospital teams and 21 independent medical groups. To qualify for the 5% ED renewal credit, 100% of all ED physicians, PAs, NPs and nurses covered by BETA must complete the required online courses in Tier 1 by the time of the policy renewal. Organizations may earn up to a 9% ED renewal credit by completing additional options included in Tier 2. To date, 31 BETA members and insureds have successfully completed Tier 1, while two have completed Tier 2. The amount of education provided by the program is extensive—1,800 registered users have completed over 10,000 courses and received more than 20,000 continuing education hours.
“It’s tremendously rewarding to partner with our members and insureds to make a tangible difference in the lives of patients and care providers. I am excited to explore further opportunities for advancing patient safety while delivering value to our ED partners,” added Grisbach.
The Quest for Zero: Excellence in ED is just one of BETA’s many risk management opportunities available to our members and insureds to enhance patient safety in the emergency department. BETA*rm ED hosts an entire suite of services designed to help mitigate and manage emergency department risk with increased efficiency and effectiveness. Examples of additional services available include: telephone consultations, peer review funds, ED risk assessments, DVD lending library and tailored tutorials on hot topics experienced in the emergency department setting.