GNYHA-CCLC Pressure Ulcer Improvement Collaborative Kathryn Santos, PT, MPA Associate for Quality Improvement Initiatives Continuing Care Leadership Coalition
Background 2007-2009: State-funded education across health care settings May to October 2009: - Steering Committee discussed improvement and opportunities - Efforts to streamline activity - Development of Pressure Ulcer Improvement Communication Tool November 2009: First educational learning session 2010: Implementation and ongoing educational sessions
Collaborative Participants Hospitals Bellevue Hospital Center Christ Hospital Coney Island Hospital Flushing Hospital Medical Center Jamaica Hospital Medical Center Kings County Hospital Center Lincoln Medical and Mental Health Center Montefiore Medical Center Mount Sinai Hospital Mount Sinai Hospital of Queens Nassau University Medical Center New York Hospital Queens NYU Langone Medical Center St. Johns Episcopal Hospital St. Luke's Roosevelt Hospital Vassar Brothers Medical Center Woodhull Medical and Mental Health Center Nursing Homes Amsterdam Nursing Home Cabrini Center for Nursing and Rehabilitation Coler-Goldwater Specialty Hospital and Nursing Facility Jewish Home Lifecare Bronx Division Jewish Home Lifecare Manhattan Division Morningside House- Aging In America Rivington House -The Nicholas A. RangoHealth Care Facility Shorefront Jewish Geriatric Center Silvercrest Center for Nursing and Rehabilitation Village Nursing Home
Pressure Ulcer Communication Tool Purpose of the Tool Facilitate more effective communication about residents transferring between acute and long term care settings How to Use the Tool Implement as part of an existing or emerging partnership between a hospital and nursing home Pilot before broad implementation Follow NPUAP Guidelines for Pressure Ulcer Staging Modifications may be made to meet organizational needs
Pressure Ulcer Communication Tool When to Complete the Tool The pressure ulcer communication tool should be completed for every resident being transferred who currently has a pressure ulcer or is at risk for developing a pressure ulcer. Who Should Complete the Tool The organization should determine who is authorized to complete the tool. Appropriate staff may include: wound care specialists, nurses or other clinical staff directly involved in the care of the resident.
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Pressure Ulcer Communication Tool Practice Successes and Benefits of Implementation - Better level of communication between settings. - Quicker, facilitated method to track pressure ulcers present on admission and to develop an individualized care plan for the resident. - Opportunity to share knowledge and expertise regarding the overall goal of quality care for residents. - The communication tool can be used for discharge to home to share information with visiting nurses, follow-up with outpatient MD, and provide patient/family/caregiver wound care instructions and preventive measures.
Lessons Learned Key components of successful cross-care setting partnerships Strong leadership support Dedicated and respected champions and interdisciplinary team Commitment to staff education and training Ability to be flexible and understanding Start small and agree on goals together Gain trust among partner organizations Invite partners to cross-setting educational programs Establish clear project guidelines and realistic expectations
www.gnyha.org/puic/communicationguide
To Use Communication Tool Contact GNYHA-CCLC - Kathryn Santos at ksantos@cclcny.org or (212) 506-5413 - Kelly Donohue at donohue@gnyha.org or (212) 506-5424 Complete and submit request form and any modifications to tool Receive permission and provide feedback