Patient Safety Structural Measure (PSSM) Roadmap Survey

Domain 1: Leadership
1.A Our hospital senior governing board prioritizes safety as a core value, holds hospital leadership accountable for patient safety, and includes patient safety metrics to inform annual leadership performance reviews and compensation.
Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.A Our hospital senior governing board prioritizes safety as a core value, holds hospital leadership accountable for patient safety, and includes patient safety metrics to inform annual leadership performance reviews and compensation.
Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.B Our hospital leaders, including C-suite executives, place patient safety as a core institutional value. One or more C-suite leaders oversee a system-wide assessment on safety, and the execution of patient safety initiatives and operations, with specific improvement plans and metrics. These plans and metrics are widely shared across the hospital and governing board.

Beterra's Estimation of Level of Effort: HIGH
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.B Our hospital leaders, including C-suite executives, place patient safety as a core institutional value. One or more C-suite leaders oversee a system-wide assessment on safety, and the execution of patient safety initiatives and operations, with specific improvement plans and metrics. These plans and metrics are widely shared across the hospital and governing board.

Beterra's Estimation of Level of Effort: HIGH
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.C Our hospital governing board, in collaboration with leadership, ensures adequate resources to support patient safety (such as equipment, training, systems, personnel, and technology).

Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.C Our hospital governing board, in collaboration with leadership, ensures adequate resources to support patient safety (such as equipment, training, systems, personnel, and technology).

Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.D Reporting on patient and workforce safety events and initiatives (such as safety outcomes, improvement work, risk assessments, event cause analysis, infection outbreak, culture of safety, or other patient safety topics) accounts for at least 20% of the regular board agenda and discussion time for senior governing board meetings.

Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.D Reporting on patient and workforce safety events and initiatives (such as safety outcomes, improvement work, risk assessments, event cause analysis, infection outbreak, culture of safety, or other patient safety topics) accounts for at least 20% of the regular board agenda and discussion time for senior governing board meetings.

Beterra's Estimation of Level of Effort: MODERATE
Beterra's Estimation of potential Impact to Patient Safety: HIGH

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1.E C-suite executives and individuals on the governing board are notified within 3 business days of any confirmed serious safety events resulting in significant morbidity, mortality, or other harm.

Beterra's Estimation of Level of Effort: LOW
Beterra's Estimation of potential Impact to Patient Safety: MODERATE

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1.E C-suite executives and individuals on the governing board are notified within 3 business days of any confirmed serious safety events resulting in significant morbidity, mortality, or other harm.

Beterra's Estimation of Level of Effort: LOW
Beterra's Estimation of potential Impact to Patient Safety: MODERATE

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Leadership Domain Score

Leadership Domain Score

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