Quality Reporting

Patient Safety Structural Measure (PSSM)

McKenzie-Willamette Medical Center is focused on becoming a high-reliability organization, or HRO. It starts and ends with our leaders who are committed to zero preventable harm and to building a culture where safety is everyone’s personal duty.

In HROs, leaders make safety a top priority. They support continuous learning and push for innovation and growth. They create a shared vision for safer care, and they take personal responsibility for shaping the work culture. And that work leads us closer to one clear, critical goal: zero preventable harm across all care settings.

Patient Safety Structural Measure (PSSM) efforts involve building robust safety systems across five key domains: leadership commitment, strategic planning, safety culture, accountability, and patient engagement. Driven by CMS requirements for improved patient safety and zero preventable harm, McKenzie-Willamette Medical Center has implemented practices like safety huddles, just culture policies, staff training, transparent reporting, and involving patients/families to meet PSSM goals.

McKenzie-Willamette Medical Center’s Efforts with Key PSSM Domains

  1. Leadership Commitment: Embedding safety in governance, making it a board-level priority, and ensuring quick escalation of serious events.
  2. Strategic Planning: Developing plans with specific safety goals, metrics (like reducing disparities), and integrating them into performance.
  3. Culture of Safety: Fostering a just culture, conducting safety surveys, implementing high-reliability practices (huddles, rounding), and training all staff.
  4. Accountability & Transparency: Using data infrastructure to track metrics, reporting them to staff and the public, and ensuring feedback loops for error reporting.
  5. Patient & Family Engagement: Creating Patient and Family Advisory Councils (PFACs) with diverse members and giving patients access to their records: mckweb.com/advisory/