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Ready Reliable Care

Ready Reliable Care is the Defense Health Agency's (DHA) approach to increasing high reliability across the Military Health System (MHS). It builds on the existing work and best practices of the service medical departments and the DHA. Ready Reliable Care works across clinical and non-clinical settings to drive better outcomes for patients, staff, and the enterprise. This approach isn't another project to work on in addition to everything else. It is a critical part of how to get everything else right.

Watch the 3-minute video below to learn what Ready Reliable Care is and what it means for the DHA.

Introduction to Ready Reliable Care

High Reliability Organizations

A high reliability organization (HRO) achieves top outcomes despite operating in complex or high-risk environments.

The airline and nuclear industries are common examples of HROs. They get top results by:

  • Standardizing processes for less variability

  • Reducing errors to achieve zero harm in clinical and non-clinical areas

  • Celebrating transparency and accountability

  • Valuing everyone’s input, regardless of rank

After a review of MHS performance in 2014, each service medical department and the DHA took specific action to improve health care access, quality, safety, transparency, and patient engagement. Now the DHA is working to standardize and spread these efforts, in a coordinated path to high reliability for the entire MHS: Ready Reliable Care.

Ready Reliable Care Principles and Domains of Change

The seven principles of Ready Reliable Care guide our work and apply to all staff, in every job. When we use these principles in our work, we advance high reliability:

              

By using the Ready Reliable Care principles in our daily work, all staff contribute to a more ready and reliable MHS. System-wide progress happens across four domains of change:

The Four Domains of Change in Ready Reliable Care.

The MHS continues to meet the challenges of the COVID-19 pandemic and prepares for other changes across the enterprise – including the Transformation and MHS GENESIS rollout. As we do so, Ready Reliable Care is a guide for all of us to simplify and improve care delivery.

Clinical Improvement Priorities for MTF Providers

Ready Reliable Care efforts span all four domains of change noted above. This year, we are focused on several projects to support continuous process improvement in the clinical care setting. They include:

  • Stepped Care Model for Pain: This model will allow MTFs to standardize and effectively implement evidence-based best practices for managing acute and chronic pain in the primary care setting
  • Opioid Overdose / Naloxone Distribution: Through standardized management of chronic pain, this program will ensure that patients taking long-term opioid therapy with an elevated risk of opioid-related harm, receive overdose education and at least one prescription for naloxone medication in a 12-month window.

For other clinical priorities, visit the page forclinical improvement priorities for MTF providers.

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Ready Reliable Care Screensaver Respect for People

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Uses a “High Reliability Checkpoint” to encourage staff to apply Respect for People in their daily work.

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Ready Reliable Care Principles Poster Respect for People

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Practice Ready Reliable Care with I PASS Poster

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Encourages use of I-PASS, a tool to help staff remember the key points for a successful transition of care.

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Ready Reliable Care Screensaver Sensitivity to Operations

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Ready Reliable Care Social Media Graphic Respect for People

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Suggested social media message: Mutual trust and Respect for People is a cornerstone of the [facility name] culture. Let's take a moment to acknowledge everyone who helps create a happier and healthier work environment! #ReadyReliableCare

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Ready Reliable Care Social Media Graphic Commitment to Resilience

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Suggested social media message: We are constantly learning from our experiences combating the COVID-19 pandemic and building a stronger [facility name] because of it. Through this Commitment to Resilience, we have improved our processes for the future. #ReadyReliableCare

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Ready Reliable Care Social Media Graphic Reluctance to Simplify

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Suggested social media message: With each patient visit, [facility name] staff are Reluctant to Simplify by working to understand the complexities of our patients' unique wants and needs. Take a moment to recognize a colleague or staff member who has shown outstanding Reluctance to Simplify in their work! #ReadyReliableCare

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Ready Reliable Care Badge Card

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Encourages patients and personnel to inquire about Ready Reliable Care, and reminds badge holders to take an active role in preventing harm and improving quality of care.

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Ready Reliable Care Social Media Graphic Deference to Expertise

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Suggested social media message: Each of us at [facility name] is a problem solver, sharing relevant knowledge and experience to create the best possible solutions. Thank a colleague or staff member who you recently Deferred to for Expertise! #ReadyReliableCare

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Ready Reliable Care Screensaver Commitment to Resilience

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Ready Reliable Care Screensaver Constancy of Purpose

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Ready Reliable Care Social Media Graphic Preoccupation with Failure

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Suggested social media message: [facility name] teams work together to anticipate risks in our current processes and find better solutions. Thank you all for improving our care through Preoccupation with Failure. #ReadyReliableCare

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Suggested social media message: It's everyone's responsibility to make [facility name] safer and more reliable. Take time to recognize a colleague or staff member who demonstrated Sensitivity to Operations while at work today! #ReadyReliableCare

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Encourages providers to always include naloxone when prescribing opioids as part of a pain management plan.

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DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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