Celebrating our Successes 2014
|
|
- May Bennett
- 5 years ago
- Views:
Transcription
1 Celebrating our Successes 214
2 Nurse Involvement in Decision Making Groups 5 CODE SEPSIS: Time from Antibiotic Order to Administration 45 4 Time in Minutes from order to administration Education of Clinical Staff, Pharmacy, March 212 Code Sepsis implemented April 9, 212 Pharmacy review and follow up once Code Sepsis is activated on a patient, June 212 Goal time <6 minutes s to providers when met compliance Nov' Dec' Jan'12 Feb'12 Mar'12 Apr'12 May'12 Jun'12 Jul'12 Aug'12 Sep'12 Oct'12 Time from Order to Abx Administration Pre-Code Sepsis Implementation Code Sepsis Implemented
3 Nurse Involvement in Decision Making Groups Average Door to Needle Time for tpa Administration 8 Average Minutes No tpa given 1Q July, 2 Executive Committee discussion Aug, 2 ED Communication strategies Jan, 212 ED interdisciplinary team Feb, 212 pager for tpa 1Q 2Q 3Q 4Q 1Q12 2Q12 3Q12 4Q12 Door to Needle Time Goal
4 Nurse Involvement in Professional Organizations Mortality 1 9 July1, 213: RRT/Sepsis Screening in Clinics # Deaths 8 7 April, 212: Develop, implement, monitor Sepsis Bundle Compliance/Improve utilization of Rapid Response July, 213: Enhance Antibiotic delivery processes (now obtaining delivery to hang at 15 minutes with goal of less than one hour) July 29, 213: CCU Code Sepsis Go Live 6 February 9, 213: Surgical ICU Pilot 5 April 29, 213: ED Code Sepsis Go Live August 26, 213: MICU Code Sepsis Go Live 4 July'12 Aug'12 Sept'12 Oct'12 Nov'12 Dec'12 Jan'13 Feb'13 Mar'13 Apr'13 May'13 June'13 July'13 Aug'13 Sept'13 Oct'13 Nov'13 Dec'13 Mortality
5 All Sepsis Mortality Index
6 Nurse Involvement in Professional Organizations 1 9 Healthy Work Environment Bullying 4A ICU % staff who feel bullied in the workplace Implementation of THINK project Goal Baseline July 212 Mar-13 Oct-13 4A bullied Goal Goal indicates a 5% improvement from baseline score
7 Effective Education Programs Early Identification of Need for Foley Removal Reynolds 2 Education for Early Identification of Need for Foley Removal implemented Pilot implemented Total CAUTIs 1 Post Pilot Results Mar' Apr' May' Jun' July' Aug' Sep' Oct' Nov' Dec' Jan' 12 Feb' 12 Mar' 12 Apr' 12 May' Jun' July' Aug' Sep' Oct' Nov' Dec' Jan' Feb' 13 Mar' 13 Apr' 13 May' Jun' July' Aug' Sep' Oct' # CAUTIs
8 Use of Internal Consultants Unit Acquired Pressure Ulcer Prevalence Rate 4A-Surgical ICU 3rd Quarter Percent of Patients with UAPU Began Mepilex Trial NDNQI Critical Care Benchmark 4Q 1Q12 2Q12 3Q12 4Q12 1Q13 2Q13 3Q Wake Forest Baptist NDNQI Health Critical Care Benchmark
9 Use of External Consultants SCIP-Card-2: Perioperative Beta Blockers Composite.92.9 Engagement of Wake Wings in Surgical Services Wake Wings Training.88 Kick-off and checklist trials.86 Wake Wings Go Live.84 Aug' 1 Sep' 1 Oct' 1 Nov' 1 Dec' 1 Jan' Feb' Mar' Apr' May' Jun' beta blockers Goal Jul' Aug' Sep' Oct' Nov' Dec' Jan' 12 Feb' 12 Mar' 12 Apr' 12 May' 12 Jun' 12 Jul' 12
10 Workplace Safety Implementation of Chemotherapy Transfer Devices in the Hem/Onc Clinic 18 Residual Concentration (ng/ft²) on bedside tables Pre-Implementation Post-Implementation 1 st Test Post-Implementation 2 nd Test Education Inpt Staff, Jan 12 Post-Implementation 3 rd Test Implementa tion in Inpt Units, Feb 12 2 Aug 12, 29 Feb 3, 21 Mar 4, 2 Mar 2, 212 Docetaxel Concentration (ng/ft2) Paclitaxel Concentration (ng/ft2)
11 Reallocation of Resources Hospice to Death Ratios with Implementation of Palliative Care Consult Team 2.5 Ratio th Quarter FY 13: HIP Process Go Live Closing of Palliative Care Unit Implementation of Palliative Care Consult Team.5 New House Staff Training for HIP FY'12 FY'13 Jul'13 Aug'13 Sept'13 Oct'13 Nov'13 Dec'13 Jan'14 Hospice to Death Ratio Goal
12 Increasing Certification All RN Certification 6 5 Number of RN FTE Certifications (starting point) 21 (1st year increase) 2 (2nd year increase) 212 (3rd year increase) 213 (4th year increase to date) RN FTE Completed Goal
13 Nursing Strategic Plan: Efficiency Weekly % of Discharges by 1: p.m. 8 Reynolds Medicine 7.% 6.% % Discharges by 1 p.m. 5.% 4.% 3.% 2.% Week 3: Go Live 1.% Planning Phase: no data Week 35: Firm Up Target Time.% Week 18, Ending 3 Nov 212 Week 19, Ending 1 Nov 212 Week 2, Ending 17 Nov 212 Week 3, Ending 26 Jan 213 Week 31, Ending 2 Feb 213 Week 32, Ending 9 Feb 213 Week 33, Ending 16 Feb 213 Week 34, Ending 23 Feb 213 Week 35, Ending 2 Mar 213 Week 36, Ending 9 Mar 213 Week 37, Ending 16 Mar Reynolds Medicine 25.% 18.4%.1% 6.7% 14.8% 36.4% 29.7% 42.9% 27.3% 54.8% 46.5% 58.3% Week 38, Ending 23 Mar 213
14 CNO Influenced Change: Organization 84 Overall Patient Satisfaction with Meals 83 Mean Press Ganey Satisfaction Score Sticht Center AYR Pilot began Executive Food Tasting, August 1 Annual Goal Setting, Food & Nutrition, August Housewide AYR implemented Q1 2Q1 3Q1 4Q1 1Q 2Q 3Q 4Q 1Q12 2Q12 3Q12 4Q12 1Q13 2Q13 3Q13 4Q13 Overall Satisfaction with Meals Bed Group Mean Benchmark
15 Affiliations with Schools of Nursing Pre-Licensure Clinical Experiences 2 15 Number of Experiences Clinical Experiences
16 Preceptorship / Practicum Experiences Number of Experiences AD BSN MSN/NP
17 Changes in Work Environment RN Response Autonomy Goal: Increase Frequently/Always responses by 25% Never/Seldom/Sometimes Frequently/Always Pretest 8 2 PostTest PostTest RN Response Active Team Member in Making Titration Decisions Goal: Increase Frequently/Always responses by 25% Never/Seldom/Sometimes Frequently/Always PreTest 7 3 PostTest PostTest RN Response Never/Seldom/Sometimes Frequently/Always Pretest PostTest PostTest Orders Clear/Concise Goal: Increase Frequently/Always responses by 25% Duration Mean Drip Duration Goal: Decrease time by 1% Dopamine Dobutamine Hydrocortisone Pre Post
18 Professional Practice Model Model of Care: Caritas Cafes Shared Governance: Advisory Council assessing communication/structure Care Delivery System: RT Partnership Model
19 Results of PPPM 3.94 Employee Engagement Survey Comparison Manager Domain Leadership Leadership There has been an increase in the Leadership section of the Manager Domain of.5 from 21 to 212.
20 New Knowledge in Practice CAUTI Infections By Month 212 Change to to Medline Foley Tray, Initial Medline Education Modules Issues Identified with Medline Foley tray, Medline Re-Education 2 # Of Infections Review EBP, CAUTI Bundle Education, CAUTI Audit Begins Foley Insertion Classes-All RN & NA II's Revised Foley Tray Housewide, Bundle Cards distributed to Staff Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec #
21 Neonatal Transport Nonemergent Intubation Success Rate 1% Intubation First Attempt 9% 8% 7% 6% 5% Premedication Protocol defined, education completed. New protocol implemented September 15, 213. Goal: Successful intubations on first attempt for 95% of all qualifying patients with use of appropriate premeds prior to intubation 4% 3% 2% Jan'1 to May'12 baseline (N=98) Sept'12 (N=) Oct'12 (N=1) Nov'12 (N=3) Dec'12 (N=7) Intubation First Attempt 34% 1% 1% 1%
22 629 9PHO CLABSI Rate NDNQI Pediatric Medical Benchmark Q 2Q 3Q 4Q 1Q12 2Q12 3Q PHO NDNQI Pediatric Medical Benchmark Q12 ANALYSIS By Month Jul'12 Aug'12 Sept'12 3Q12 CLABSI Rate 629 9PHO # Infections. NDNQI Surgical Benchmark.32 The unit has outperformed the benchmark 6 of 7 quarters with infections in the last 6 quarters.
23 Improving Practice with Technology 91% 9% Target, 9% Alaris Guardrails Drug Library Compliance 89% Compliance with use of Guardrails 88% 87% 86% 85% 84% 83% 82% Aug- Sep- Oct- Nov- Dec- Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Overall 84% 85% 85% 87% 89% 89% 89% 9% 9% 89% 9% 9% 9% 89% 9% 9% 9% Target 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationCAUTI Reduction A Clinton Memorial Presentation
CAUTI Reduction 2016 A Clinton Memorial Presentation Clinton Memorial Statistics Rurally situated in a primarily agricultural community with a population of 42,000 The hospital is licensed for 165 beds
More informationFHA Call to Action: Eliminating Infection-Related Ventilator-Associated Complications IVAC Bi-Monthly Webinar #2 May 3, 2018
FHA Call to Action: Eliminating Infection-Related Ventilator-Associated Complications IVAC Bi-Monthly Webinar #2 May 3, 2018 Agenda FHA MTC Call to Action for IVAC Data Review HRET HIIN Hospital Peer Sharing
More informationStrategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections
C10 This presenter has nothing to disclose Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections David Renfro, MS, RN NE BC Kelly Farnam, BSN, RN Gloria Martinez, MS, RN, NEA
More informationChange Management at Orbost Regional Health
Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds
More informationColumbus Regional Hospital Pressure Ulcer Prevention
Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer
More informationCreating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC
More informationCarol Dwyer Chris Slaughter. 50th percentile NDNQI. Jan-16 Plans in place. 80th percentile May-15 (Hospital target)
PEOPLE People A: Work Place Satisfaction and Quality of Life 1. Conduct annual RN satisfaction survey with focus on nursing practice scale. 2. Develop effective strategies and skills for powerful Nurse
More informationBackground & Significance
Translating Data from the National Database for Nursing Quality Indicators for Bedside Clinicians and Administrators Michele M. Pelter, RN, PhD & Kimberly E. Stephens, RN, BSN, MPH Renown Regional Medical
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationHIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017
HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer 1. April 2010 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for
More informationMassachusetts ICU Acuity Meeting
Massachusetts ICU Acuity Meeting Acuity Tool Certification and Reporting Requirements Acuity Tool Certification Template Suggested Guidance Acuity Tool Submission Details Submitting your acuity tool for
More informationReducing Hospital Acquired Pressure Ulcers in the ICU
Reducing Hospital Acquired Pressure Ulcers in the ICU Joanne Matukaitis, MSN, RN, NE-BC Christiana Care Health System Newark, Delaware 1 Christiana Care Health System 2 Title goes here 1 Opportunity for
More informationPreventing Health Care Associated Infections. PJ Brennan, MD Chief Medical Officer University of Pennsylvania Health System August 16, 2011.
Preventing Health Care Associated Infections PJ Brennan, MD Chief Medical Officer University of Pennsylvania Health System August 16, 2011 Lind 2 Gaps in Knowldege? Pathogenesis Epidemiology Prevention
More informationSkin Integrity PI for Cardiovascular/Critical Care
Skin Integrity PI for Cardiovascular/Critical Care Christiana Care Health System NDNQI 2010 Conference Rhythms in Quality January, 2010 1 Christiana Care Health System 2 Title goes here 1 Plan Opportunity
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationTina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
More informationThe CAUTI Can-Can. Hennepin County Medical Center August Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion
Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion Laura Miller, RN MICU Manager The CAUTI Can-Can Hennepin County Medical Center August 2017 Lynelle Scullard, RN SICU Manager Kathleen
More informationCLABSI Prevention Hardwiring Improvement
CLABSI Prevention Hardwiring Improvement Brian Koll MD, FACP, FIDSA Executive Director, Infection Prevention Mount Sinai Health System Professor of Medicine, Icahn School of Medicine September 29, 2014
More informationPage 347. Avg. Case. Change Length
Page 345 EP 8 How nurses use trended data to formulate the staffing plan and acquire necessary resources to assure consistent application of the Care Delivery Model(s). The development of operational budgets
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationHarm Across the Board Reporting: How your Hospital Can Get There
Harm Across the Board Reporting: How your Hospital Can Get There Presentation to KHA Annual Quality Conference March 19, 2014 Jackie Conrad RN, BSN, MBA Improvement Advisor Cynosure Health Objectives Upon
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More information1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
More informationNursing Leadership UPMC St Margaret. Nursing Quality Report April 2013
Nursing Leadership UPMC St Margaret Nursing Quality Report April 2013 FY13 FALLS FY13 UNIT FALLS FY13 FALLS BY UNIT 3B ICU IMC 4B 4AR 5B 5A 6B 6A TOTAL Jul-12 4 0 0 0 2 2 2 8 6 24 Aug-12 2 1 2 6 1 3 5
More informationAyrshire and Arran NHS Board
Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationWorth a Thousand Words: Telling a Story with Data
A5/B5 Worth a Thousand Words: Telling a Story with Data Ari Robicsek, MD Chief Medical Analytics Officer Providence St. Joseph Health Session Objectives Consider the challenges of representing patient
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More informationWorkshop: Nursing Sensitive Indicators. Annelie Meiring and Suseth Goosen
Workshop: Nursing Sensitive Indicators Annelie Meiring and Suseth Goosen The level of patient care your facility provides is imperative it dictates your facility's financial success, as well as its reputation
More informationHCAHPS. Presented by: Bill Sexton. Proudly recognized as one of the Nation s Top 100 Critical Access Hospitals - ivantage Health Analytics
HCAHPS Presented by: Bill Sexton HCAHPS results will impact your organization's reimbursement in the era of health care reform HCAPHS results are a quality metric, not just a patient satisfaction metric
More informationIntegrating Quality Into Your CDI Program: The Case for All-Payer Review
7th Annual Association for Clinical Documentation Improvement Specialists Conference Integrating Quality Into Your CDI Program: The Case for All-Payer Review Katy Good, RN, BSN, CCDS, CCS CDI Program Coordinator
More informationValue Based Purchasing
Value Based Purchasing Baylor Health Care System Leadership Summit October 26, 2011 Sheri Winsper, RN, MSN, MSHA Vice President for Performance Measurement & Reporting Institute for Health Care Research
More informationNational Trends Winter 2016
National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn
More informationPresentation Objectives
Driving Accountability through Leader Evaluations and the Monthly Meeting Model Bo Boulenger, MHA CEO, Baptist Hospital of Miami (Miami, FL) Mitch Hagins Coach, Studer Group (Gulf Breeze, FL) Presentation
More informationImproving HCAHPS with a Culture of Quiet St. Francis Hospital (Puget Sound)
Improving HCAHPS with a Culture of Quiet St. Francis Hospital (Puget Sound) Problem: Surveys showed that the noise level made it difficult for patients to rest. Innovation: Implemented a culture of quiet.
More informationRenfrew Victoria Hospital
Renfrew Victoria Hospital Implementation of a Functional Abilities Measurement Tool TEAM MEMBER NAMES: Randy Penney, Executive Sponsor Charlene Hanniman, Team Lead Stefanie Coughlin, Team Member Chris
More informationKey Performance Indicators
Regional Nephrology System (RNS) Chronic Disease Prevention and Management Key Performance Indicators 8/9 Fiscal Year End Report Version: 1. Date published: April 7th, 9 Created by: Ethel Doyle: RNS Interim
More informationFailure to Maintain: Missed Care and Hospital-Acquired Pneumonia
Failure to Maintain: Missed Care and Hospital-Acquired Pneumonia STTI INDIANAPOLIS, OCTOBER 2017 DIAN BAKER, PHD, RN PROFESSOR, SCHOOL OF NURSING DIBAKER@CSUS.EDU CALIFORNIA STATE UNIVERSITY, SACRAMENTO
More informationAnd the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality
And the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality Leisha Buller, MSN, ACNP-BC Lindsey Canon, MSN, RNC Ashley Hodo, MSN, RN Using The Joint Commission s Certification
More informationDEVELOPING A CULTURE OF NURSE LED PARTNERSHIP ROUNDING
DEVELOPING A CULTURE OF NURSE LED PARTNERSHIP ROUNDING Jenny Gilmore, BSN, RN, CMSRN Jana Jacobs, BSN, RN, CMSRN Maine Medical Center Portland, ME Objectives Describe Partnership Rounding for the staff
More informationResults from Contra Costa Regional Medical Center
Results from Contra Costa Regional Medical Center Karin Stryker, MBA DSRIP Manager, Health Services Administrator Chris Farnitano, MD Medical Director, Ambulatory Care High Impact Interventions Sepsis
More informationCreating a Culture of Quality and Safety Gordon C. Hunt, MD, MBA Sr. Vice President & Chief Medical Officer, Sutter Health
Creating a Culture of Quality and Safety Gordon C. Hunt, MD, MBA Sr. Vice President & Chief Medical Officer, Sutter Health M2 This presenter has nothing to disclose December 2012 Blue Ribbon I & II In
More informationAnn Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence
Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop
More informationOhioHealth s Mission: To Improve the Health of Those We Serve
Enhancing SAFE SKIN Through Computer Utilization OhioHealth s Mission: To Improve the Health of Those We Serve 2 1 3 Grant Medical Center 21,000 patient discharges/year Average daily census of 260 Magnet
More informationUse of TeleMedicine to Improve Clinical and Financial Outcomes
Use of TeleMedicine to Improve Clinical and Financial Outcomes Michael Ries, MD, MBA, FCCM, FCCP, FACP Medical Director, Critical Care and eicu Advocate Health Care November 12, 2015 Use of TeleMedicine
More informationImprovements & Sustained Change through the Implementation of High Reliability Units
Improvements & Sustained Change through the Implementation of High Reliability Units Tammy Van Dyk, MSN, RN, CPEN Quality Management & Patient Safety Manager Objective Describe how high reliability principles
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationCode Sepsis: Wake Forest Baptist Medical Center Experience
Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor
More informationCHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationMed Effects Scripting and HCAHPS Scores
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Med Effects Scripting and HCAHPS Scores Jacklyn Gibat BSN, RN Lehigh Valley Health Network Madelyn Glick BSN, RN Lehigh
More informationQuality and Safety. Why Quality and Safety? Why Quality and Safety? Leadership Development Institute
Quality and Safety Leadership Development Institute February 26, 2010 Why Quality and Safety? We are here for our patients. It s all about the patient Every patient, every time It s the right thing to
More informationNorthern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention
Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism
More informationQuality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment
Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment presented by Sherry Kwater, MSM,BSN,RN Chief Nursing Officer Penn State Hershey Medical Center Objectives 1. Understand
More informationUsing the BaldrigeCriteria to Achieve High Reliability
Using the BaldrigeCriteria to Achieve High Reliability John Chessare MD, MPH President and CEO Carolyn Candiello Vice President for Quality and Patient Safety GBMC HealthCare System Organizational Profile:
More informationPlease place your phone line on mute.
We will begin the MaRISS Coordinator Call shortly Please place your phone line on mute. 8/26/2016 2 Overview Missing data Correct dates on Baseline NIHSS Form 24 hour window for consent CRF Forms What
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital Report for: Royal Wolverhampton NHS Trust January 2016 The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent
More informationMedicare Value Based Purchasing Overview
Medicare Value Based Purchasing Overview South Carolina Hospital Association DataGen Susan McDonough Bill Shyne October 29, 2015 Today s Objectives Overview of Medicare Value Based Purchasing Program Review
More informationHospital-Acquired Infections Prevention is in Your Hands. Rachel L. Stricof
Hospital-Acquired Infections Prevention is in Your Hands Rachel L. Stricof rstricof@gmail.com Morbidity 1.7 Million infections per year (estimate 2002) Mortality 99,000 deaths per year (estimate 2002)
More informationNHSN: Information for Action
NHSN: Information for Action Reducing Healthcare Associated Infections: Tennessee Marion A. Kainer MD, MPH Director, Hospital Infections Program Tennessee Department of Health marion.kainer@tn.gov 1 Outline
More informationGoal Statement: Achieve reduction in CAUTI events by review and implementation of best practices for utilization and management.
Organization: Medstar Good Samaritan Hospital Title: Call for Action: Prevention of CAUTI in the Acute Care Setting Program/Project Description, including Goals: According to the Centers for Disease Control
More informationRelational Coordination: An Imperative Influencing our Capacity to Reach the Core
Relational Coordination: An Imperative Influencing our Capacity to Reach the Core Linda Q. Everett, PhD, RN, NEA-BC, FAAN Executive Vice President & Chief Nurse Executive Indiana University Health 12/7/2012
More informationBenefits of Tele-ICU Management of ICU Boarders in the Emergency Department
Benefits of Tele-ICU Management of ICU Boarders in the Emergency Department Session #309, February 22, 2017 Michael Ries, MD, MBA, FCCM, FCCP, FACP Medical Director Adult Critical Care and eicu Advocate
More informationHAI Prevention. Beyond the Bundle. March 18, 2016
HAI Prevention Beyond the Bundle March 18, 2016 Krystyna Strozewski Director of Quality Lake Health System Karen Mrazik Infection Preventionist Tripoint Medical Center Elizabeth Reed Infection Preventionist
More informationTell Your Story with a Well- Designed Data Plan. Jackie McFarlin, RN, MPH,MSN, CIC VA North Texas Health Care System
Tell Your Story with a Well- Designed Data Plan Jackie McFarlin, RN, MPH,MSN, CIC VA North Texas Health Care System Purposes of Presentation Describe the elements of a well designed data plan Guidelines
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationUsing Care Bundles to Reduce Catheter Associated Blood Stream Infections in the NICU. Dr David Ng Paediatric Medical Officer Sarawak General Hospital
Using Care Bundles to Reduce Catheter Associated Blood Stream Infections in the NICU Dr David Ng Paediatric Medical Officer Sarawak General Hospital Outline of Presentation Introduction Definition of CABSI
More informationYear. Figure 5.2
3 1997 2 1998 1 Time (Year) 1999 2 1 21 2 22 3 23 14E 16E 18 16W 14W 12W 1W 8W Figure 5.1 Copyright 211 John Wiley & Sons, Inc. 4 3 Niño 3 Index Niño 4 Index 2 Deg C 1 1 2 3 195 1955 196 1965 197 1975
More informationHOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Amanda Keilholz, Program Manager April 25, 2017
HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Amanda Keilholz, Program Manager April 25, 2017 HIIN Kick-Off Site Visits Site Visits Completed: 100 percent Milestone 3 achieved. Congratulations and thank
More informationImprove the Efficiency and Service of the Emergency Room at North Side Hospital
Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationLynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose
Reducing Falls with Injury on an Inpatient Geriatric Psychiatry Unit through Elevation of Nursing Support Staff: An Interprofessional Approach Lynn Ives, MSN, RN-BC Kathryn Farrell, MSN, RN John Brennan,
More informationImproving Collaboration With Palliative Care (PC): Nurse Driven Screenings for PC Consults (C833) Oct 8, 2015 at 2pm
2015 ANCC National Magnet Conference Week 4 of 5 Improving Collaboration With Palliative Care (PC): Nurse Driven Screenings for PC Consults (C833) Oct 8, 2015 at 2pm Melissa Browning, DNP, ARPN, CCNS Ann
More informationThe presentation will begin shortly.
The presentation will begin shortly. The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their own, and not necessarily the
More informationNational Provider Call: Hospital Value-Based Purchasing
National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning
More informationBaptist Health System Jacksonville, FL
Baptist Health System Jacksonville, FL Baptist Health System Community Leader in Healthcare Five (5) Hospital System Serving greater Jacksonville area and SE Georgia Children s Hospital Primary Care Facilities
More informationFHA MTC HIIN Quarterly Virtual Meeting January 22, 2018
FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018 Today s Agenda Purpose of the Call UP Campaign Review of the data Needs Assessment Feedback What do you Need? CMS HIIN GOALS GOALS: 20% Overall Reduction
More informationOverview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
More informationKey Steps in Creating & Sustaining Excellence
Key Steps in Creating & Sustaining Excellence 1. Create a context for excellence 2. Enroll others (starting with leaders) in the vision for excellence 3. Create alignment, ownership and transparency to
More informationEnsuring quality outcomes
Annual integrated report 20 64 Ensuring quality outcomes Over the past five years we have built an integrated quality management system that drives quality improvement across all Netcare divisions. More
More informationReadmission Reduction: Patient Interviews. KHA Quality Conference March, 2018
Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationDepartments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence
Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways
More informationEnsuring Patient Safety and Quality Measures for RRT in AKI 2. Eileen Lischer MA, BSN, RN, CNN University of California, San Diego
Ensuring Patient Safety and Quality Measures for RRT in AKI 2 Eileen Lischer MA, BSN, RN, CNN University of California, San Diego Today we may be doing what we can, but tomorrow we can improve Hughes,
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
More informationMemorialCare Orange Coast: Using Innovative Technology to Improve Efficacy of Patient Repositioning
MemorialCare Orange Coast: Using Innovative Technology to Improve Efficacy of Patient Repositioning Presented by: Nika Carlson, MSN, RN, Director of Clinical and Quality Improvement Jennifer Castro, MSN,
More informationThe Digital ICU: Return On Innovation
The Digital ICU: Return On Innovation Cheryl Hiddleson, MSN, RN, CCRN-E Director, Emory eicu Center May, 2017 The Digital ICU: Return on Innovation Cheryl Hiddleson MSN, RN, CCRN-E Director, Emory eicu
More informationClinical and Financial Successes at Advocate Health Care Utilizing our
Clinical and Financial Successes at Advocate Health Care Utilizing our Tele-ICU Program June 2, 2016 Cindy Welsh, RN, MBA, FACHE VP for Critical Care and Medical Professional Affairs Advocate Health Care
More informationThe SOMC Employee Wellness Program
The SOMC Employee Wellness Program A Focus on Results Not Participation Pike County Health Coalition Julie Thornsberry, RN, BSN Manager Employee Health & Wellness What are today s objectives? Identify
More informationText-based Document. Handwashing: What is Staff Using? Authors Cedeno, Denise P. Downloaded 30-Apr :14:19.
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationA new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust
A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare
More informationLearning Objectives. Carolinas HealthCare System Who We Are
1 Capturing Accurate Documentation Through Participation in Interdisciplinary Rounds: A Healthcare System Initiative Kay Blue, RN, BSN, CCDS, ACM, Director CDI Holley Pegram, RN, MSN, CCM, Manager CDI
More information