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The Future of Risk Management is Structured Communication

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As a risk management professional, we know you are committed to identifying, addressing, and eradicating the root causes of harm that permeate the healthcare industry.

Miscommunication remains the leading cause of medical errors and malpractice cases with communication errors are twice as expensive to defend as those without. Hospitals can no longer afford to ignore the largest crack in the system that consistently leads to medical errors: miscommunication at clinical handoffs. I-PASS partners with organizations across the healthcare ecosystem — from health systems to healthcare liability insurance companies — to deliver a solution that will pay dividends, financially and clinically.

A proven method for seamless care transitions

Developed by clinicians, for clinicians, I-PASS has been the leading authority in structured clinical handoffs for over 15 years. I-PASS handoffs significantly improve safety and quality of care, working directly with healthcare facilities to implement handoff training across the continuum while improving care team communication and culture in the process.

I - Illness Severity

Illness Severity

Stable, “Watcher”, Unstable

P - Patient Summary

Patient Summary

Summary statement; events leading up to admission; hospital course; ongoing assessment; plan

A - Action List

Action List

To-do list; timeline and ownership

S- Situation Awareness & Contingency Planning

Situation Awareness & Contingency Planning

Know what’s going on; plan for what might happen

S - Patient Summary - Light Blue

Patient Summary

Receiver summarizes what was heard; ask questions; restates key action/to do items

IPASS Handoff Bundle
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Patient Safety’s Hidden Threat: Variation in Processes and Communication

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Christopher Landrigan, MD

Christopher Landrigan, MD

Chief, Division of General Pediatrics Boston Children’s Hospital

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Robert Hanscom

Robert Hanscom

Retired Vice President of Risk Management & Analytics COVERYS

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Pat Folcarelli

Pat Folcarelli

Vice President for Patient Safety CRICO

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Abraham Jacob, MD

Abraham Jacob, MD

Chief Quality Officer M Health Fairview

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Structured Communications Are Critical for Proactive Risk Management

49%

of medical malpractice cases include miscommunication

77%

of these cases are preventable with a handoff tool

27%

of all malpractice claim expenses could be reduced with structured communications like I-PASS 

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CRICO

Data found in the study “Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims,” published in The Journal of Patient Safety, which reviewed a random sample of malpractice claims from 2001 to 2011, collected in CRICO Strategies’ Comparative Benchmarking System.

I-PASS Implementations Lead to Significant Reductions in Costs

 

Number of Annual Avoidable Events & Costs

Annual Inpatient Admissions at a 450-bed hospital 20,000
Reduction of adverse events per 100 admissions2 1.5
Annual number of adverse events prevented 300
Annual Avoidable Costs Range Cost Per Event Annual Costs Avoided
Low3 $5,000 $1.5M
Medium4 $12,000 $3.6M
High4 $27,000 $8.1M
MedPro Stat Icon (1)

Avoidable Malpractice Claim Costs

Annual Malpractice Costs $10.0M
% of Malpractice Claims associated with a communication error1 49%
% of communication errors that include a handoff error1 40%
% of claims reduced through the use of tools such as I-PASS1 77%
% of claims potentially avoidable 15%
Relative cost of a handoff related claims to all malpractice claims1 179%
% of malpractice costs potential avoidable using a tool such as I-PASS 27%
Annual value of malpractice claims potentially avoided $2.7M
  1. Journal of Patient Safety: March 2022 - Volume 18 - Issue 2 - p 130-137

  2. Changes in Medical Errors after Implementation of a Handoff Program. Starmer AJ, Spector ND, et al. N Engl J Med.2014Nov;371:1803-1812, DOI: 10.1056/NEJMsa1405556

  3. Costs of adverse events in intensive care units. Kaushal R, Bates DW, Franz C, Soukup JR, Rothschild JM. Crit Care Med.2007Nov;35(11):2479-83.PMID: 1782803 

  4. American Journal of Medical Quality, p1-7, DOI:10.1177/1062860615608938

Our Proud Partners

I-PASS Client Relationships

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FAQS

What do organizations need to have in place for successful I-PASS implementation and sustainment?

We have a detailed organizational readiness assessment to measure a hospital or system’s ability to effectively adopt I-PASS and demonstrate significant impact on patient safety. Following completion of the readiness assessment, the I-PASS Institute will scope the project based on an organization’s internal competencies and bandwidth for successful adoption and sustainment. In many instances, the individual project roles required within an organization for an I-PASS implementation can be internally scoped into the job responsibilities of an existing team member, thus reducing the need for additional resources.

What is the cost and timeline for implementation?

A 300 bed hospital will typically range from $400,000–$500,000 over the three-year implementation period. The cost to maintain the program is significantly reduced post-implementation.

What research or evidence is there to demonstrate the effectiveness of I-PASS?

The I-PASS Study Group is a collaborative of researchers, hospitalists, and medical education specialists who developed a package of interventions to standardize the I-PASS handoff process and study its impact. Once I-PASS was validated, the Study Group became focused on implementing I-PASS in as many hospitals as possible to reduce medical errors and improve patient safety. The Study Group realized that without the appropriate resources, guidance and oversight, hospitals couldn’t implement the program in a way that could be sustained. The I-PASS Institute was created in 2016 to help achieve widespread adoption and sustainment.

Does the I-PASS methodology apply exclusively to handoffs?

The fundamental I-PASS principles can be applied across a variety of care transitions and communication touch points, including handoffs, patient and family rounding, and more.

I’m interested in learning more. How can I get in touch?

To learn more about how the I-PASS program can help your clients, either you or the broker can reach out to our team directly at info@ipassinstitute.com.

Interested in learning more about I-PASS?

Whether you want to contact us directly or connect us with your clients, we’re here to help. You can choose from the three options to get in touch.

Stop by booth #912 to meet our team and learn more about how the I-PASS handoff methodology improves communication and reduces medical errors and malpractice claims.

Request a 30 Min I-PASS Explainer

Connect with Marshall to discuss how I-PASS Training can help healthcare facilities significantly reduce adverse events, keep patients safe, and minimize the financial burden of medical malpractice.

 

Reach out to us directly with questions or connect us with your clients directly by sending us an email at info@ipassinstitute.com.

Stop by booth #912 to meet our team and learn more about how the I-PASS handoff methodology improves communication and reduces medical errors and malpractice claims.

Request a 30 Min I-PASS Explainer

Connect with Marshall to discuss how I-PASS Training can help healthcare facilities significantly reduce adverse events, keep patients safe, and minimize the financial burden of medical malpractice.

 

Reach out to us directly with questions or connect us with your clients directly by sending us an email at info@ipassinstitute.com.

Read More About Improving Clinical Handoffs

At I-PASS, we’ve been researching, studying, and solving for miscommunication in clinical settings since 2008. We’ve positively impacted millions of handoffs, literally, and are passionate about improving care by any means possible. We’ve pleased to share all of our available resources with you — and if you don’t see what you’re looking for, reach out.

 

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