Patient Safety Series: Breaking Down Silos to Decrease Advance HAPI
Includes a Live Web Event on 11/20/2025 at 12:00 PM (EST)
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In response to a post-pandemic surge in advanced pressure injuries, MedStar Franklin Square Medical Center launched a comprehensive, multidisciplinary initiative to reverse this trend. Through focused leadership engagement and frontline collaboration, the hospital identified systemic barriers—ranging from staging inconsistencies and poor documentation to siloed communication and lack of ownership. A robust action plan was developed and executed, targeting every layer of care delivery, including nursing, wound care, providers, IT, and quality teams.
Key interventions included real-time photo documentation, integration of wound care into daily rounds, improved dashboard visibility, provider education, and leadership accountability for hospital-acquired pressure injuries. Cultural shifts were reinforced with creative education strategies like “Wound Wednesdays” and “Tushy Tuesdays.” Within two years, the hospital achieved a 67% reduction in PSI 03 rates, from 4.92 to 1.63 per 1,000 discharges. This webinar shares the strategies, tools, and leadership approaches that drove sustainable improvement and offers insights for other hospitals working to reduce pressure injuries and improve safety outcomes.
Jennifer Barnett, DMSc, PA-C, DFAAPA, CPHQ, SFHM, CAQ-HM
Hospital Medicine and Quality/Safety Teams
Medstar Franklin Square Medical Center & Medstar Harbor Hospital
Dr. Jennifer Barnett is a seasoned hospital medicine Physician Assistant with over 20 years of experience in clinical care, healthcare leadership, and quality improvement. She is an Associate Professor at Georgetown University School of Medicine, and Adjunct at the University of Maryland, Baltimore graduate school. She serves as a hospitalist physician assistant at MedStar Franklin Square Medical Center, where she leads multidisciplinary teams focused on improving patient outcomes, workflow efficiency, and provider well-being.
Jennifer holds a Doctor of Medical Science (DMSc) from A.T. Still University and is a board-certified Physician Assistant with a Certificate of Added Qualification in Hospital Medicine. She is also a Distinguished Fellow of the AAPA, Certified Professional in Healthcare Quality (CPHQ), and a Senior Fellow in Hospital Medicine (SFHM).
A passionate advocate and educator, she regularly speaks at state and national conferences on topics including trauma-informed care, patient safety, professional well-being, and “pebble in your shoe” workflow challenges in hospital practice.
Jennifer is also an Associate Professor in Doctor of Medical Science programs, where she teaches quality improvement, advocacy, and leadership. She is committed to mentoring the next generation and fostering collaboration between clinicians, educators, and system leaders.
Christina Encarnacion BSN, RN, CWON
Christina Encarnacion BSN, RN, CWON
Medstar Franklin Square Medical Center
Christina holds a Bachelor’s degree in Biology and Nursing, bringing a robust foundation in both scientific research and clinical practice. With over ten years of nursing experience, she has excelled in various hospital settings, developing a comprehensive understanding of patient care.
Currently serving as a Certified Wound Ostomy Nurse in the acute care environment, she is dedicated to enhancing patient outcomes through specialized wound and ostomy care. For the last two years, she was honored with Baltimore Magazine Nurse Excellence Award, recognizing her commitment to the nursing profession and excellence in patient care.
In her current role, one of her most impactful initiatives is reducing pressure injuries by implementing effective prevention strategies within the hospital. Her passion for improving patient care and commitment to excellence within a multidisciplinary care team, continues to drive significant advancements in nursing practice.
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