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Saturday 2:28 CST, April 29, 2017

Targeted Solutions Tool for Hand-off Communications

About the Hand-off Communications Targeted Solutions Tool®

In many studies, ineffective hand-off communications have been a primary contributing factor in adverse events. This is why the Center launched the Hand-off Communications project in 2009.

Ten of the Center’s collaborating hospitals and health systems examined their hand-off communication issues, identified their specific causes for failures and barriers to improvement, and then identified, implemented, and validated solutions that improved their performance.

The Targeted Solutions Tool® (TST®) for Hand-off Communications:

  • Facilitates the examination of the current hand-off communication process
  • Provides a measurement system that produces data that support the need for improving the current hand-off communication processes
  • Identifies areas of focus, such as the specific information needed for the transition that is being measured
  • Provides customizable forms for data collection
  • Provides guidelines for most appropriate hand-off communication processes

Click here to Login to the Hand-off Communications TST or Request Access.

Questions? Contact us at 630.792.5800 or e-mail tst_support@cth.org


Why Use the Hand-off Communications TST?

Using the Hand-off Communications TST® health care organizations reported an increase in patient and family satisfaction; staff satisfaction; and successful transfers of patients. One health care organization reduced readmissions by 50 percent, while another organization reduced the time it took to move patients from the emergency department to an inpatient unit by 33 percent.

Health care organizations were able to complete their hand-off communications project in approximately 4 months, using minimal resources. In fact, no staff were added and only minor changes were made to the roles and responsibilities of existing staff.


Who Can Use the Hand-off Communications TST?

Using the Hand-off Communications TST® health care organizations reported an increase in patient and family satisfaction; staff satisfaction; and successful transfers of patients. One health care organization reduced readmissions by 50 percent, while another organization reduced the time it took to move patients from the emergency department to an inpatient unit by 33 percent.

Health care organizations were able to complete their hand-off communications project in approximately 4 months, using minimal resources. In fact, no staff were added and only minor changes were made to the roles and responsibilities of existing staff.

 


Video: "Hand-off Communications Targeted Solutions Tool®”

 

Development Background at a Glance

In 2009, ten of the Center’s collaborating hospitals and health systems began a project focused on hand-off communications. These leading health care organizations, together with the Joint Commission Center for Transforming, examined their hand-off communications problems, identified their specific causes for failures and barriers to improvement, and then identified, implemented and validated solutions that improved their performance.

In order to share this learning and make it widely available to all health care organizations, the Joint Commission Center for Transforming Healthcare developed the Targeted Solutions Tool® (TST®) for Hand-off Communications. Health care organizations that field tested the tool experienced the same success as that of the original 10 leading hospitals and health systems.

By using solutions targeted to the specific causes of an inadequate hand-off, participating and pilot organizations that had fully implemented solutions achieved an average of over 50 percent reduction in defective hand-offs. Using the tool and the solutions from the Center’s Hand-off Communications project, health care organizations reported an increase in patient and family satisfaction; staff satisfaction; and successful transfers of patients (reduced bounce backs).


“Our work on the Hand-off Communications project has helped us improve safety by improving communications between emergency room physicians and admitting primary care physicians. With the help of the Joint Commission Center for Healthcare, we have identified and corrected communications barriers and hope to extend the lessons to other care providers throughout our hospitals.”

Mignon Benjamin, MD
Bartlett Regional Hospital, Southeast Alaska Regional Health Care Consortium staff.

Participating Institutions

Exempla Lutheran Medical Center
Fairview Health Services
Intermountain Healthcare
Kaiser Permanente - Portland
Mayo Clinic

New York-Presbyterian Hospital
North Shore-LIJ Health System
Partners HealthCare
Stanford Hospital & Clinics
The Johns Hopkins Hospital

Pilot Institutions

Alliance HealthCare Services
Aunt Martha’s Youth Service Center
Bartlett Regional Hospital
Jacksonville Center for Endoscopy
Mountain View Regional Medical Center
RML Specialty Hospital-Chicago

RML Specialty Hospital-Hinsdale
The George Washington University Hospital
The Massachusetts General Hospital
Wentworth-Douglass Hospital
Winthrop University Hospital
 


In Their Words...Participating Hospitals Tell Their Stories

 

Visit Our Websites:

 

The Joint Commission       Joint Commission Resources       Joint Commission International

Log in to Falls TST
Req Access Falls TST

Hand-off Communications TST Resource Center


Download these Hand-off Communications TST promotional materials and help spread the word about the Hand-off Communications TST!

Questions? E-mail tst_support@cth.org

In Your Own Words…


If you’ve utilized the Joint Commission Center for Transforming Healthcare Targeted Solutions Tools® or Oro™ 2.0, or have participated in any of our training programs, we invite you to share your experience. Simply Click Here to provide a few highlights about lessons learned, insights gained, results achieved--In Your Own Words…