Pressure Ulcers Networking Day

Transcription

1 Pressure Ulcers Networking Day Joanne Matthews Head of Improvement and Safety Improvement Hub Watch this presentation on Twitter #ihubpu2017

2 Two Jobs.....everyone in healthcare really has two jobs when they come to work every day: to do their work and to improve it. What is quality improvement and how can it transform healthcare? Batalden,P; Davidoff.F Qual Saf Health Care February; 16(1): 2 3 As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

3 Aims of the day Share the successes and challenges around the improvement work Learn about opportunities to improve outcomes and experiences for patients Opportunity to network with colleagues from across Scotland. As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

4 Housekeeping Please put mobile phones on silent. If you hear a fire alarm, please proceed to the nearest fire exit. WiFi name thestudio: Password customerfirst Yellow lanyards here to help Sign in at registration if you require CPD/attendance certificate As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

5 ihub role Supporting health and social care services to redesign and continuously improve As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

6 How do we do this? We support services and systems to understand their high impact opportunities for improvement We assist in the design of processes, care models and systems which will improve outcomes We provide practical support to enable organisations to implement changes that will lead to improvement, including a core focus on using small scale iterative tests of change (PDSA cycles) and data (qualitative and quantitative) to understand what has and hasn t worked We support services and systems to evaluate the impact of their changes and spread the learning about what has and hasn t worked As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

7 Our areas of focus Improvement Programmes across health & social care Grants & Allocations Dementia Living Well in Communities Acute Mental Health Housing Tailored & Responsive Support Maternity & Children Primary Care System Enablers As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

8 Acute Care Portfolio Acute Care portfolio Improve outcome and experience for people in acute care Improving the co-ordination of care for people with Frailty Reducing harm experienced by people in acute care Develop system enablers that support continuous improvement As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

9 Learning from Pressure Ulcer Reduction Leadership/ governance The role of the MfI Tissue Viability resource Equipment Understanding/ using data Education Risk assessment & care planning As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

10 What is the data telling us? 5 boards have an improvement or sustained improvement The average number of grade 2-4 PU acquired in Scotland s hospitals has dropped by 30 each month As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

11 More Than Safety As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

12 Further Than Acute Care 109 delegates here today 22 delegates from community or care home settings 9 are tissue viability experts 10 are people providing improvement support As part of Healthcare Improvement Scotland s Improvement Hub (ihub), SPSP activities support the provision of safe, high quality care, whatever the setting.

13 Time Topic Lead 10:30 Welcome, Aims of the day and Acute Care portfolio 10:45 Community nursing Jo Matthews Head of Improvement and Safety Healthcare Improvement Scotland Leanne Connell Practice Development Nurse Community NHS Greater Glasgow and Clyde 11:15 World café Jo Matthews 12:15 Lunch and networking 13:00 Tissue viability education 14:00 Coffee 14:15 NHS board story NHS Lothian 14:55 Wrap up and next steps Jo Matthews 15:00 Close Heather Hodgson Lead Nurse Tissue Viability NHS Greater Glasgow and Clyde Ruth Ropper Lead Nurse Tissue Viability NHS Lothian

14 #ihubpu2017 Pressure Ulcer Prevention in Community nursing Leanne Connell Practice Development Nurse Community NHS Greater Glasgow and Clyde

15 #ihubpu2017 Background Pressure Ulcer Safety Cross SPSP SSKINS bundle Pressure Ulcer Prevention Policy Partnership TV group Introduction of SSKINS on CNIS Top 10 tools including implementation of red day review tool

16 #ihubpu2017 What are we doing? Identifying patients at risk Developing individual SSKINS care plans Measuring outcomes on safety cross Reporting red days via Datix Investigating & peer reviewing red days Developing team improvement plans Completing SSKINS audit monthly

17 #ihubpu2017 Red day review tool? When; use it for any caseload acquired pressure ulcers How; use information contained within the electronic patient record Why; to determine if the pressure ulcer was avoidable and to develop action plans for team and shared learning

18 #ihubpu2017 What we learned? Caseload acquired PU incidence was higher than expected Record keeping systems have to support the Pressure Ulcer Prevention process Not all pressure ulcers are avoidable SSKINS care bundle needs to be planned in conjunction with patients/carers/care at home services

19 #ihubpu2017 Tools and resources we developed CNIS records adapted Microstrategy dashboard and audit platform TV training sessions for PU grading TV training for PU prevention

20 #ihubpu2017 Highlights microstrategy outcomes

21 #ihubpu2017 Local Improvements SSKINS compliance

22 #ihubpu2017 Patients at risk

23 #ihubpu2017 Reported red days

24 #ihubpu2017 Red day review outcomes

25 #ihubpu2017 Next steps Focus on outcomes Continue with training Care assurance through caseload management/shadowing etc. Establish formal care plan sharing with care at home services