Suffolk Wound Care Nurses June 10, 2014 Maureen Valvo IPRO

IPRO provides a full spectrum of healthcare assessment and improvement services that foster the efficient use of resources and enhance healthcare quality to achieve better patient outcomes.

Suffolk Wound Care Nurses AGENDA Discussion: Wound Care Issues, Successful Healing, Products, Sharing Solutions 3

Suffolk Wound Care Nurses Quality Improvement Updates:  QAPI-Quality Assurance Performance Improvement  IPRO QAPI Training Webinar Series  IPRO Pressure Ulcer Tools  QAPI for Wound Care Webinar (Wound Rounds)  QAPI to Reduce Pressure Ulcers (Wound Care Advisor)  Gold Stamp: Self-Assessment of Pressure Ulcer Prevention + Management Education  NPUAP Pressure Ulcer Root Cause Analysis Template  Science Daily Article Hope for Chronic Wounds  LI Wound Healing Association 4

Suffolk Wound Care Nurses Quality Assurance Performance Improvement (QAPI) 5

Suffolk Wound Care Nurses Quality Assurance Performance Improvement (QAPI) 6 IPRO QAPI Webinar Training 1.Form a QAPI interdisciplinary team to view the IPRO QAPI webinars and materials. 2.Together Complete a QAPI Self-Assessment [ the 6th posted item under Session 1-“QAPI Self- Assessment Tool”] 3.Together view Learning Session 1 webinar and meet weekly to discuss progress on the areas identified for improvement 4.Within 1 to 2 months, View the next Learning Session. 5. The Sessions also guide reduction of Anti-Psychotic medications a Centers for Medicare & Medicaid (CMS) designated focus. Specifically look at the inappropriate use of Anti-psychotics for residents with only a diagnosis of Dementia, no Psychosis.

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Suffolk Wound Care Nurses 12 QAPI for Wound Care: A Practical Guide for Quality Assurance Performance Improvement Webinar In the near future, all nursing homes must have in place and implement an acceptable QAPI plan. Learn how your facility can benefit from focusing on quality of wound care. Michelle Stuercke, CNO of NuCare Symphony, along with Anne Scheurich, VP Clinical Operations for WoundRounds, present their experiences in wound care QAPI. Includes: Understand the QAPI process and traditional QA programs Identify the 12-steps to implement QAPI Review a pressure ulcer root cause analysis Review a case study on a wound care Performance Improvement Plan Sponsored by WoundRounds® WoundRounds® is the point-of-care wound management & prevention solution that empowers nurses to deliver better wound care in less time. QAPI for Wound Care Webinar : A Practical Guide for Quality Assurance Performance Improvement In the near future, all nursing homes must have in place and implement an acceptable QAPI plan. Learn how your facility can benefit from focusing on quality of wound care. Michelle Stuercke, CNO of NuCare Symphony, along with Anne Scheurich, VP Clinical Operations for WoundRounds, present their experiences in wound care QAPI. Includes: Understand the QAPI process and traditional QA programs Identify the 12-steps to implement QAPI Review a pressure ulcer root cause analysis Review a case study on a wound care Performance Improvement Plan Sponsored by WoundRounds®: WoundRounds® is the point-of-care wound management & prevention solution that empowers nurses to deliver better wound care in less time.

Suffolk Wound Care Nurses 13 Jeri Lundgren is director of clinical services at Pathway Health in Minnesota. She has been specializing in wound prevention and management since 1990.

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Suffolk Wound Care Nurses Lanarkshire Oximetry Index ByDonna Sardina, RN, MHA,WCC, CWCMS, DWC Purpose The Lanarkshire oximetry index (LOI) is a noninvasive procedure using a pulse oximeter for assessment of peripheral arterial perfusion to determine if it is safe to apply venous compression bandaging. Indications Assess peripheral arterial perfusion when: there is evidence of calcified vessels (ankle brachial pressure index [ABPI] > 1.3) you have difficulty locating arteries with Doppler the patient has diabetes or lymphedema you work in a facility where you only need to perform one to two vascular assessments a month. 23

Suffolk Wound Care Nurses Plan-Do-Study-Act (PDSA) Cycle Planning Sheet  Description  What idea do you want to test?  Plan  What exactly will you do?  Who Will carry Out the Plan?  When will it take place?  Where will it take place?  What do you predict will happen?  What data/information will you collect to know whether there is an improvement? 24

Suffolk Wound Care Nurses PDSA Cycle Progress Sheet Complete this part as you carry out your cycle. Keep notes on what happens. DO Complete this part when you have completed your cycle, after you have gathered your data and reflected on what happened. Include expected and unexpected results. STUDY Record what you will take forward from this cycle or what you will do differently next time. What other tests or cycles will you do? ACT 25

Suffolk Wound Care Nurses PDSA Reporting Form PDSA Cycles Date _________________ Form completed by __________________Contact ______________ Objective ______________________________________ 26

Suffolk Wound Care Nurses SBAR Situation Background Assessment Recommendation SBAR wound and skin provider communication record 27

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Suffolk Wound Care Nurses Long Island Wound Healing Association LIWHA is a nonprofit organization established to provide an independent forum for clinicians involved in advanced wound healing. Members will acquire and exchange knowledge of the diagnosis, management, and treatment of acute and chronic wounds. The goal is improved patient outcomes while promoting the science and art of wound care. Membership is open to physicians, NP's, PA's, RN's, and medical assistants engaged in the care of patients with wounds. Affiliate membership is available to administrators and industry representatives. Contact Christine Fanelli for an application, preferred. Contact Information 41

For more information Maureen Valvo (516) ext. 308 CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY REGIONAL OFFICES Albany, NY Princeton, NJ 20 Corporate Woods Blvd 4385 US 1 South Albany, NY Princeton, NJ Hamden, CT Camp Hill, PA 1952 Whitney Ave., 2 nd Fl Trindle Road Hamden CT Camp Hill, PA Morrisville, NC Lumetra 909 Aviation Pkwy, Suite Kearny St., Suite 300 Morrisville, NC San Francisco, CA IPRO Corporate Template 4/22/14