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High Reliability Organization/Tools

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As a member of TMF’s Hospital Quality Improvement Initiative, you have access to learning opportunities that will provide your team with practical and effective tools to promote a framework for high-reliability transformation. TMF is excited to partner with Safe & Reliable Healthcare, a leader in patient safety and high-reliability services. Their HRO Framework uses the same Leadership, Culture and Improvement model as the Joint Commission, but with added detail to empower organizations throughout the process of becoming a high reliability organization.

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Psychological Safety
High reliability cannot be achieved without everyone in the organization feeling safe and empowered to speak up when they sense harm is about to occur, or when they have ideas to improve the care of our patients. In this webinar, we will explore common barriers to psychological safety and practical approaches to overcoming them.
Video    Date Added: 11/01/2021    Date Last Modified: Apr 9 2024 4:43PM  
HANDOUT: Psychological Safety
TRANSCRIPT: Psychological Safety
Foundations: Communications
In this webinar, we will walk through the complex topic of communications as it relates to high reliability organizations. We will build on previous educational sessions and tie those in with internal transparency, decision-making and engagement.
Video    Date Added: 09/08/2021    Date Last Modified: Apr 10 2024 12:44PM  
HANDOUT: Foundations: Communications
TRANSCRIPT: Foundations: Communications
Burnout: Building Resilience
This timely webinar will address the most common reason among health care professionals for medical errors, which is burnout. We will explore the data around this topic as an outcome measure and how it is a statistically significant predictor of patient harm.
Video    Date Added: 08/03/2021    Date Last Modified: Apr 10 2024 12:42PM  
HANDOUT: Burnout: Building Resilience
TRANSCRIPT: Burnout: Building Resilience
Foundations: Assessing and Growing HRO Maturity
This webinar reviews the survey assessment to better understand the key points to grow an organization’s maturity along this HRO journey. We will outline how qualitative and quantitative data can assist you in better understanding culture, and why it is critical to understand the importance of culture prior to launching improvement initiatives.
Video    Date Added: 10/12/2021    Date Last Modified: Apr 10 2024 12:44PM  
HANDOUT: Foundations: Assessing and Growing HRO Maturity
TRANSCRIPT: Foundations: Assessing and Growing HRO Maturity
Spreading Bundle Tools and Resources on High Reliability Culture
This link provides recordings, presentation slides and resources from the Centers for Medicare & Medicaid 2023 High Reliability Organization (HRO), which highlighted the utilization of high reliability tools that have proven to be instrumental in achieving safety, quality and efficiency targets in numerous hospitals.
Web link    Date Added: 05/15/2024    Date Last Modified: May 15 2024 2:38PM  
HANDOUT: Spreading Bundle Tools and Resources on High Reliability Culture
TRANSCRIPT: Spreading Bundle Tools and Resources on High Reliability Culture
Challenges for Hospitals: Creating and Maintaining High Reliability
Creating a culture of high reliability encompasses all elements to help hospitals and health systems hone in on key drivers to improve patient safety. Listen to this American Hospital Association Team Training webinar for a discussion on the importance of building a culture of high reliability and more.
Web link    Date Added: 02/22/2024    Date Last Modified: Feb 22 2024 8:44PM  
HANDOUT: Challenges for Hospitals: Creating and Maintaining High Reliability
TRANSCRIPT: Challenges for Hospitals: Creating and Maintaining High Reliability
Culture and Communication
This webinar will review the complex topic of communications as it relates to high reliability, including internal transparency, decision making and engagement.
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 2:31PM  
HANDOUT: Culture and Communication
TRANSCRIPT: Culture and Communication
Transparency and Data
Combining high quality clinical, cultural and operational data provides the clearest and most complete insights into an organization’s current state. This webinar explores how to source and interpret the best data available.
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 4:01PM  
HANDOUT: Transparency and Data
TRANSCRIPT: Transparency and Data
Leadership: Skills, Activities, Behaviors (Part 2)
Leaders have a profound responsibility to cultivate, model and embed the components of high reliability. In this session, we build on the previous session and further describe the leadership roles and responsibilities that effectively sustain a high reliability organization.
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 3:04PM  
HANDOUT: Leadership: Skills, Activities, Behaviors (Part 2)
TRANSCRIPT: Leadership: Skills, Activities, Behaviors (Part 2)
Leadership: Skills, Activities, Behaviors (Part 1)
This webinar describes the leadership roles and responsibilities that effectively establish and sustain a high reliability organization. We examine the skills, behaviors and activities senior leaders must weave into their daily practice
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 3:12PM  
HANDOUT: Leadership: Skills, Activities, Behaviors (Part 1)
TRANSCRIPT: Leadership: Skills, Activities, Behaviors (Part 1)
Learning System: Improve, Learn, Implement (Part 2)
Applying improvement and planning methodologies to learning is essential to design, test and refine ideas that work. This webinar dives deeper into a systematic pathway for identifying, collecting and analyzing data for improvement and testing interventions.
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 3:31PM  
HANDOUT: Learning System: Improve, Learn, Implement (Part 2)
TRANSCRIPT: Learning System: Improve, Learn, Implement (Part 2)
Cultivating Teamwork and Collaboration
This webinar focuses on using human factor skills and high reliability behaviors to make teamwork activities more effective, consistent and reliable. It will also discuss how to enable multidisciplinary collaboration and break down silos between and across departments.
Video    Date Added: 04/09/2024    Date Last Modified: Apr 9 2024 4:21PM  
HANDOUT: Cultivating Teamwork and Collaboration
TRANSCRIPT: Cultivating Teamwork and Collaboration
Vignette 2: HRO Culture
As one of the main components of the HRO framework, culture refers to an organization’s personal accountability, teamwork and collaboration, and consensus and alignment.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:28PM  
HANDOUT: Vignette 2: HRO Culture
TRANSCRIPT: Vignette 2: HRO Culture
Vignette 3: Knowledge
Another component of the HRO framework, knowledge includes an organization’s transparency and data.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:33PM  
HANDOUT: Vignette 3: Knowledge
TRANSCRIPT: Vignette 3: Knowledge
Vignette 4: Learning System
An organization’s learning system refers to it ability to learn, improve and implement during the HRO process.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:36PM  
HANDOUT: Vignette 4: Learning System
TRANSCRIPT: Vignette 4: Learning System
Vignette 1: Introduction to HRO Framework
An overview of the operational framework of a high reliability organization (HRO), including what it means to be an HRO and how that relates to health care organizations.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:08PM  
HANDOUT: Vignette 1: Introduction to HRO Framework
TRANSCRIPT: Vignette 1: Introduction to HRO Framework
Vignette 5: HRO Leadership
An important component of the HRO framework, leadership refers to the skills, activities and behaviors of an organization’s leaders at all levels.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:39PM  
HANDOUT: Vignette 5: HRO Leadership
TRANSCRIPT: Vignette 5: HRO Leadership
Vignette 6: HRO Other Considerations
The HRO framework works in all settings, and it is important to include all groups.
Video    Date Added: 04/29/2024    Date Last Modified: Apr 29 2024 4:42PM  
HANDOUT: Vignette 6: HRO Other Considerations
TRANSCRIPT: Vignette 6: HRO Other Considerations
High Reliability Organizations and Just Culture Webinar
In this recording from Oct. 22, 2024, TMF Health Quality Institute Chief Medical Officer Russell Kohl, MD, FAAFP, and Education Specialist and Health Equity Advisor Kelley Morrison, MHA, CPHQ, discuss High Reliability Culture. They explore how High Reliability Organizations (HROs) are creating environments that prioritize safety, engagement, trust and development by implementing a Just Culture, among other HRO strategies.
Video    Date Added: 10/24/2024    Date Last Modified: Oct 24 2024 10:33AM  
HANDOUT: High Reliability Organizations and Just Culture Webinar
TRANSCRIPT: High Reliability Organizations and Just Culture Webinar
Creating a Healthy Environment
The success of individuals and teams is heavily influenced by the environments in which they work. In this session, we will discuss how to create and foster an environment where everyone is treated with respect. We show you how to watch out for burnout, strive to achieve equity and promote psychological safety.
Video    Date Added: 11/03/2022    Date Last Modified: Jan 31 2024 11:33AM  
HANDOUT: Creating a Healthy Environment
TRANSCRIPT: Creating a Healthy Environment
Learning System: Improve, Learn, Implement (Part 1)
In this session, we introduce a systemic pathway for identifying, collecting and analyzing data for improvement and testing interventions under different conditions. We cover how to use reliable design, scale, spread and sustainability methods to select and implement successful improvement interventions.
Video    Date Added: 04/04/2024    Date Last Modified: Apr 4 2024 11:17AM  
HANDOUT: Learning System: Improve, Learn, Implement (Part 1)
TRANSCRIPT: Learning System: Improve, Learn, Implement (Part 1)
Burnout and Caregiver Well-Being
Burnout is the most common reason for health care professionals to make medical errors. This webinar will explore the data around this topic as an outcome measure and how it is a statistically significant predictor or patient harm.
Video    Date Added: 04/04/2024    Date Last Modified: Apr 4 2024 11:22AM  
HANDOUT: Burnout and Caregiver Well-Being
TRANSCRIPT: Burnout and Caregiver Well-Being
High Reliability Organization Coaching Package
This coaching package, produced by Alliant Health Solutions, includes evidence-based interventions and resources on a variety of categories, including culture assessment, leadership, HRO framework, staff education, and process improvement.
Adobe PDF    Date Added: 07/07/2024    Date Last Modified: Jul 7 2024 1:48PM  
HANDOUT: High Reliability Organization Coaching Package
TRANSCRIPT: High Reliability Organization Coaching Package