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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool6a.docx
January 01, 2007 - 6A: Sustainability Tool
Background: This tool can be used to identify sustainability issues in planning … Elements of Sustainability
Notes
Identity (Goals)
Is guiding vision clearly specified? … Is “sustainability goal” clarified (i.e., what will be sustained?) and at what level is this goal?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/alignment-cahps-surveys.pdf
January 01, 2016 - The Pathway To Sustainability: Aligning Ambulatory Patient Experience Survey
Implementation. … Available at
http://healthaffairs.org/blog/2015/09/03/the-pathway-to-sustainability-aligning-ambulatory-patient … Updated January 2016 | www.cahps.ahrq.gov
http://healthaffairs.org/blog/2015/09/03/the-pathway-to-sustainability-aligning-ambulatory-patient-experience-survey-implementation … /
http://healthaffairs.org/blog/2015/09/03/the-pathway-to-sustainability-aligning-ambulatory-patient-experience-survey-implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
February 16, 2011 - Limits of Experimentalism
5
Modeling intervention context
Assessing intervention fidelity and sustainability … determining whether key program components were delivered as specified by the program logic model/theory
Sustainability … Fidelity and sustainability follow from interrelationships among a range of internal and external factors … Assessing Intervention Fidelity and Sustainability
8
Time as an important analytic concept in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - ( Pass it on to other units, Identify and address your next challenge)
*
Endure—Plan for Sustainability … learning network of peers
Have regular meetings with your
infection preventionist
Endure—Plan for Sustainability … Endure—Plan for Sustainability
Practices that aided sustainability in the Michigan Project
Continued
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
April 01, 2025 - Assessment
Learning From Defects
Psychological Safety
The Science of Safety: Principles in Practice
Sustainability … Presentation: Performing a Premortem Project Assessment – Facilitator Guide (DOCX, 1 MB) Tools and Resources Sustainability … and Premortem Tool This module on Sustainability and the Premortem Tool is part of the AHRQ Safe Surgery
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www.ahrq.gov/cahps/news-and-events/newsitem14.html
March 01, 2016 - The Pathway To Sustainability: Aligning Ambulatory Patient Experience Survey Implementation. … Available at: http://healthaffairs.org/blog/2015/09/03/the-pathway-to-sustainability-aligning-ambulatory-patient-experience-survey-implementation
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www.ahrq.gov/news/blog/ahrqviews/earth-day-ahrq.html
April 01, 2022 - The Federal government is moving even faster through an ambitious Federal Sustainability Plan . … to climate threats, reduce the healthcare industry's contribution to climate change while increasing sustainability … In close collaboration with experts in healthcare sustainability, clinical practice, and health system … leadership, this initiative aims within the next 6 months to advance a prioritized set of healthcare sustainability
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-staff.pdf
April 01, 2022 - to reduce
CLABSI and CAUTI rates, and their specific role in supporting program implementation and
sustainability … CAUTI and CLABSI efforts, emphasize leadership support, alignment with unit
culture, and plans for sustainability … #pt
https://www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html#pt
https://www.ahrq.gov/hai … Model for Sustaining and Spreading Safety
Interventions. https://www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html … No. 17(22)-0019
April 2022
https://www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
https
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-jan2016.pptx
January 01, 2016 - Care
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
TeamSTEPPS in the NICU
25
Sustainability … Plan
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
TeamSTEPPS in the NICU
26
A Sustainability … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
TeamSTEPPS in the NICU
29
Planning for Sustainability … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
TeamSTEPPS in the NICU
30
Planning for Sustainability … NICU TeamSTEPPS Multidisciplinary Guiding Team
Track and manage implementation and sustainability
Disseminate
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-comp-kit.html
June 01, 2017 - Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation?
Connections to Other Components
2. Tips
3. Plan-Do-Study-Act Sequence: Observe Checklist Use Regularly
4. Example
Using the Observations
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - Visual Management Board Component Kit
Contents
1. Why Have a Visual Management Board?
2. Tips for Using a Visual Management Board
3. Plan-Do-Study-Act (PDSA) “Ramp”: Learn To Use a Visual Management Board
4. Visual Management Board Example: Elements You Can Use
5. Connections to Other Components
6. …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Daily Huddle Component Kit
Contents
1. Why a Daily Huddle?
2. “Know What, Know How, Know Why” for Daily Huddle
3. Plan-Do-Study-Act “Ramp”: Learn To Use a Daily Huddle
4. Standard Huddle Agenda (Adapt to Your Needs and Experience)
5. Learn More
Appendix: Plus/Delta Review
1. Why a Daily Huddle?
…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/toolkit-sections.html
March 01, 2017 - Sustainability
This section explains the importance of planning for sustainability from the beginning
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Say:
Finally, in the Sustainability module, we will—
Define sustainability and understand … the importance of maintaining positive change
Understand the link between sustainability and spread … Learn how to create and implement a plan for sustainability. … This includes identifying barriers to sustainability, developing solutions, and measuring it. … Learn from examples of sustainability success across multiple settings
Slide 14: Implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Actions to ensure sustainability must start at the beginning of a project. … it to the end, it will be too late to make any changes that are needed to maximize the potential of sustainability … you can.
18
People typically think that any consideration or action that might be needed to ensure sustainability … it to the end, it will be too late to make any changes that are needed to maximize the potential of sustainability … Chassin MR, Loeb JM, 2013
Chassin MR, Loeb JM, 2011
21
21
Components of Sustainability
Four key
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www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
June 01, 2017 - Summary
This executive summary provides details on a project to study the implementation, spread, and sustainability … The objectives of this project were to study the scaling and sustainability of Lean redesigns as an organization … to develop and disseminate knowledge and lessons learned about what factors affect the scale-up and sustainability … The objectives of this project were to:
Study the scaling and sustainability of Lean redesigns as … Our analysis focused on contextual factors and processes affecting the spread and sustainability of this
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/2_mon_yee.pdf
October 31, 2014 - Overcoming Barriers
• Prep time
• Patient expectations
• Insurance issues
19
Plans for Sustainability … 90th Percentiles
Implementation and Use of CGCAHPS
Processes
Overcoming Barriers
Plans for Sustainability
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - Challenge #3: Sustainability: Where do we go from here?
Slide 26. … Challenge #3: Sustainability: Where do we go from here? (cont.)
Slide 1. … improving safety depends on
Implementing technical changes
Implementing CUSP to change culture
Sustainability … teams and faculty to address specific barriers
Return to Contents
Slide 25 Challenge #3: Sustainability … quality/patient safety meetings (e.g., HEN work)
Return to Contents
Slide 26 Challenge #3: Sustainability
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - April 14, 2015
Sustaining Change
Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
May 01, 2017 - Sustainability
Explains sustainability and spread, recognizes the importance of maintaining positive … change, teaches how to create and implement a sustainability plan, and provides examples of successful … sustainability in the long-term care setting.