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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 Preoccupation with Failure

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Uses a “High Reliability Checkpoint” to encourage staff to apply Preoccupation with Failure in their daily work.

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Summarizes the seven Ready Reliable Care principles and provides a visual cue to remind MHS staff to apply these behaviors and values to their individual roles and experiences.

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Provides a compact resource for communicating the foundations of Ready Reliable Care, and prompts users to get involved with Ready Reliable Care.

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MHS High Reliability Accomplishments Flyer

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Provides examples of how the services and various MHS entities have advanced high reliability by developing and improving processes, standing up infrastructure and governance, increasing standardization and transparency, and preventing harm and improving patient outcomes.

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Suggested social media message: #ReadyReliableCare is the DHA-led effort to advance #HighReliability across the MHS. We are deferring to the expertise of our frontline personnel to learn which practices and solutions are best for system-wide spread. By increasing standardization and reducing variability across our facilities, we ensure high-quality, effective care for all.​ [health.mil/ReadyReliableCare]

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Suggested social media message: In the MHS, #ReadyReliableCare is our shared commitment to advancing #HighReliability. To improve health care safety, quality, access, and patient experience, all personnel are part of the solution, regardless of department or service location. Learn more about #ReadyReliableCare [health.mil/ReadyReliableCare]

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Suggested social media message: You trust us with your life and the lives of your loved ones. That's why we're committed to the principles and practices of #HighReliability, which allow us to deliver on the promise of consistently great outcomes and satisfied patients. Learn more about how our MHS #HighReliability effort, #ReadyReliableCare, supports a safer, better care experience. [health.mil/ReadyReliableCare]

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Suggested social media message: All MHS staff are committed to zero harm and exceptional customer service. Our laser focus on quality, safety, and patient experience will consistently improve outcomes for everyone. Learn more about #ReadyReliableCare [health.mil/ReadyReliableCare]

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Suggested social media message: The emphasis on COVID-19 response doesn't lessen the criticality of other services we offer at [facility name]. We've shown Constancy of Purpose throughout the pandemic to ensure our patients get what they need. #ReadyReliableCare

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Suggested social media message: Our MHS staff have shown outstanding commitment to #ReadyReliableCare during the COVID-19 pandemic. They remain resilient and focused on delivery of high-quality patient care under difficult circumstances. [health.mil/ReadyReliableCare]

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Suggested social media message: Thank you to the wonderful staff who work hard every day to deliver #ReadyReliableCare to our patients and each other! Your efforts are driving us toward a safer and more reliable MHS. Learn more about #ReadyReliableCare here: [health.mil/ReadyReliableCare]

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Suggested social media message: Our patients are the heart and soul of our mission. We come to work every day to ensure our nation’s military service members, veterans, and their families are healthy, safe, and ready to take on the next challenge. Learn more about our commitment to #ReadyReliableCare here: [health.mil/ReadyReliableCare]

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Suggested social media message: The MHS Clinical Communities work to continuously improve our clinical processes system-wide, to ensure the best possible outcomes for patients anytime, anywhere. Learn more about efforts to advance #ReadyReliableCare here: [health.mil/ReadyReliableCare]

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