Special Appreciation:

Slides:

Advertisements

Similar presentations

Restraint Minimization

Advertisements

RARE Action Learning Day, November 2012 Park Nicollet Post Hospital Discharge Follow Up Calls Karen Loscheider, RN Kris Kopski, MD, PhD.

Paramedic Practitioner Support Scheme for Older People with Minor Injuries or Conditions South Yorkshire Ambulance Service NHS Trust Sheffield.

Quality Management Branch Cady Clark, MSN, RN Branch Manager Claudia Himes-Crayton, BSN, RN Patricia Palm, MS, RNC Nurse Consultants.

Quality Improvement/ Quality Assurance Amelia Broussard, PhD, RN, MPH Christopher Gibbs, JD, MPH.

Preventing Falls in Hospitals A Toolkit for Improving Quality of Care Agency for Healthcare Research & Quality Toolkit:

2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.

Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Nursing Leadership & Management Patricia Kelly-Heidenthal

Post discharge phone calls improve care coordination Paula Anton, MS, RN, CRRN, ACNS-BC, Michelle Fernamberg, BSN, MHA, RN, CRRN, Erica Duchnowski, Health.

The Process of Scope and Standards Development

Debbie Schmidt RN, MCSE Conference 2009 Nurse 2.0 Engaging the Healthcare Consumer Mobile Wound Care.

NORMA GOMEZ, MBA, MSN, RN, CNN Unique Challenges for the Nephrology Professional in Managing Change.

Quality Indicators & Safety Initiative: Group 4, Part 3 Kristin DeJonge Ferris Stat University MSN Program.

Community Care and Wellness for Seniors

M Purpose Improvement Tools/Methods Limitations / Lessons Learned Results Process Improvement Improving Hospital-Acquired Pressure Ulcers at Discharge.

by Joint Commission International (JCI)

SESIH Redesign Update Older Persons and Chronic Care Project Paul Preobrajensky Manager Redesign Program 19 September 2007.

Clinical Resource Management Inpatient Care Coordination 2002.

Engagement + Accreditation + (X) + (X) = Performance Management

DUCS and RATS INTEGRIS Health.

A COMPREHENSIVE APPROACH TO DELIRIUM ELLEN BARRINGTON, MSN, RN, BC.

Geriatric Psychiatry Services JoAnn Pelletier-Bressette, RN, Nurse Manager Nancy Hooper, BScN, RN, CPMHN (C) 1.

A Fresh Start for WIC: Tailoring Smoking Cessation for WIC Participants and Their Families Laura A.Van Dyke, CSW Saint Vincent Catholic Medical Centers.

Introduction to Case Management. Why Case Management ?  The context of care is changing; we now have an ageing population and an increase in chronic.

Crystal Ball: QCSI Initiative. On 3/4/13, DMH Central Office chartered each of the 7 state psychiatric hospitals to develop one of the following: Treatment.

NOR-MAN RHA Falls Prevention and Management Program February 2012.

11 Mayview Regional Service Area Plan (MRSAP) Tracking: Supporting Individuals in the Community June 18, 2008.

Code of Conduct and Ethics Scope of Practice Eileen Quinn

RML Specialty Hospital FALL PREVENTION PROGRAM NATIONAL NALTH WINNER 2006 for BEST PRACTICE.

FIRST Falls Incident Reduction Strategy Team Reduction of Falls in LTC St. Josephs Health Care London Parkwood Hospital Veterans Care Program.

A True Partnership Patient –Primary Care Provider -CHNCT.

 Promote health, prevent illness/injury  Broad knowledge base needed to meet patient needs in different health care settings.

Improvement Associates Ltd. 1 St Joseph’s Hospital & Ridgewood Veterans Wing Preventing Falls Through Staff Empowerment Preventing Falls Through Staff.

Documentation NUR 210.

Improving Transitions of Care from Hospital to Home: A Health Care Reform Priority Gina Gill Glass, MD, FAAFP Barbara J. Roehl, MD, MBA, CAQ Geriatrics.

Use of White Noise Machine in Long-Term Care Patients Jamie Wilson COHP 450.

Bedside Handoff Part 2 Research Utilization Report Kara Ackerman & Jennifer Garello.

Introducing the Wound Treatment Associate (WTA) Program

Responding to Our Patients

Decreasing Patient Falls in an Acute Inpatient Rehab Unit

PICO Presentation Angela McColl COHP 450: Evidence Based Health Practice Introduction PICO- In hospitalized patients will shorter catheter duration.

A Foundation for Paul Grundy MD, MPH IBM Chief Medical Officer Director, Healthcare Transformation Healthcare Industry A Foundation.

Success Story Situation:

Hassan El Solh, MD CMO, AUBMC Director July 10, 2017

Implementing a Tier 3 System In AN Alternative ASD Program

CTC Clinical Strategy and Cost Committee

45 Nursing: A Concept-Based Approach to Learning

Telepsychiatry: Cost Effective Solution to Integrated Care

Healing our Health System Models of Care

Evaluating Sepsis Guidelines and Patient Outcomes

Business Case for Magnet Designation

Foster Care Managed Care Program

How Volunteers Can Impact Patient Safety

Patient Safety and the Benefits of Real-Time Video Observations

The Charge Nurse Role in Today’s Environment

Fort Hays State University, Department of Nursing

Study: Outcomes and Evaluation Act: Conclusions and Planning

Addressing Crisis and Suicide Intervention

Advanced Nurse Practioners Physician Assistants

Ms Pauline Fordyce, Head of Quality & Safety

Optum’s Role in Mycare Ohio

Community Health Needs Assessment

Introduction to Quality Improvement Methods

Emergency Dept. Process Improvement for Behavioral Health Patients

Behavioral Health Quality & Data Building

Research Implications Clinical Implications Practice Recommendations

THE ENVIRONMENT THAT INFLUENCES NURSING CARE

The Efficacy of the Teach-Back Method of Education on Readmission Rates in Heart Failure Patients Catherine Lynch Abstract Teach-Back Method The teach-back.

Community Benefit Activities

Introducing the Wound Treatment Associate (WTA) Program

Presentation transcript:

Special Appreciation: Reducing Hospital Acquired Conditions through the Appropriate use of Exhibit 12.9.1 Clinical Indications Withdrawal of Alcohol Protocol Barry Gallison, Vera Bloomston, Barbara Donnelly, Joanne Hendee, Joan Osborne, Sandra Todd-Atkinson, Kim Cerri, Jennifer Kelly & Paul Dube Purpose Hypothesis Results Implications The purpose of the performance improvement project was to offer recommendations for the consistent practices in the management of alcohol abuse patients. By implementing a Clinical Indications Withdrawal of Alcohol (CIWA) Protocol standardization of care would improve clinical outcomes. . The implementation of the CIWA protocol assists in standardizing care & empowers nurses to be active in the management of the patients with high risk for alcohol withdrawal improving outcomes & reducing hospital acquired conditions. Nurses utilizing a CIWA protocol will consistently manage patients with geriatric, psychiatric alcohol abuse issues resulting in a decrease in companion utilization, physical restraints, employee injuries & falls. Nurses utilizing a CIWA protocol will consistently manage patients with geriatric, psychiatric alcohol abuse issues resulting in a decrease in: sitter utilization physical restraints employee injuries patient falls (Figure 9) Sitter Hours as % of Patient Days Restraint Use as % of Patient Days Implementation Strategy Explored & introduced evidence-based CIWA protocols. Collaborated with the Psychiatric Medical Director to develop & implement a CIWA protocol. Developed, trialed, modified & implemented a Sitter Risk Assessment tool. Revised sitter role & responsibilities job description. Collected, tracked & trended data to monitor progress. To understand the scope of the existing problem with the management of alcohol abuse patients the team conducted a comprehensive literature review, constructed a fishbone diagram & brainstormed. The team analyzed historical data to identify areas of opportunity for improvement in caring for this population, including: long hospital stays excessive falls restraints sitters employee injuries Literature review Boltz, M. (2006). Wandering and Elopement: A Comprehensive Approach. Assisted Living Consult. Sept/Oct, 17-26. Boswell, DJ, Ramsey, J. Smith, MA & Wagers, B. (2001). The cost-effectiveness of a patient-sitter program in an acute care hospital: A test of the impact of sitters on the incidence of falls and patient satisfaction. Quality Management in Health Care, 10(1), 10-16. Harding, AD. (2010). Observation assistants: Sitter Effectiveness and Industry Measures. Nursing Economics, 28(5): 330-336. Tzeng, HM, Yin, CY & Grunawalt, J. (2008). Effective assessment of use of sitters by nurses in inpatient care settings. Journal of Advanced Nursing, 64(2), 176- 184. Assaults to Staff (rate) Evaluation After implementing the CIWA protocol, the hospital has experienced a reduction of 2.42% sitter hours, 0.83% restraints, 0.6% employee injuries & an essentially flat fall rate. Special Appreciation: Alice Taylor, CEO Aldo Morales, MD Falls (rate)