PMID: 18200899Jan 19, 2008Paper

The Ascension Health journey to zero: lessons learned and leadership

Joint Commission Journal on Quality and Patient Safety
Ann L HendrichDavid Pryor

Abstract

In 2002, Ascension Health, a 65-hospital nonprofit health care system, articulated a call to action to provide Healthcare That Works, Healthcare That Is Safe, and Healthcare That Leaves No One Behind. The goal is to provide excellent clinical care with no preventable injuries or deaths by July 2008. Just months from this target date, substantial reductions in events related to eight priorities for action have been documented, and at the current rate more than 2,000 lives a year are being saved compared to the baseline mortality rate. Progress toward the goal of zero preventable injuries or deaths required transformational change. Key steps toward this change included establishing a sense of urgency, creating a guiding coalition (the clinical excellence team), and developing the Destination Statement II. Other key factors in our early success included methods of process and outcomes measurement, the formation of appropriate and diverse leadership groups comprised of primary stakeholders, methods of knowledge transfer, and the involvement and leadership of the Ascension Health Quality Committee and individual health ministry Boards. An ongoing discussion of what "zero preventable deaths and injuries" really means has led to the i...Continue Reading

References

Jun 27, 2003·The New England Journal of Medicine·Elizabeth A McGlynnEve A Kerr
Nov 13, 2004·The New England Journal of Medicine·Drew E AltmanRobert J Blendon
May 19, 2005·JAMA : the Journal of the American Medical Association·Lucian L Leape, Donald M Berwick
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Citations

Feb 16, 2013·Journal of Nursing Management·Valorie DearmonAnn Brown
Apr 12, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Sally KraftNancy Pandhi
Jun 29, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth A MortGregg S Meyer
Apr 22, 2015·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Palmira SantosChristine Kocot McCoy
Jun 5, 2015·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Anne LyrenStephen Muething
Jul 16, 2015·Circulation. Cardiovascular Quality and Outcomes·Ali R Rahimi
Oct 29, 2020·Journal of General Internal Medicine·Isomi Miake-LyePaul Shekelle

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