New Approach to Controlling Superbugs Virtual Learning Session 3 Data – Measuring Progress

Interacting in WebEx 15-Sep-152 Be prepared to use: Pointer Raise your hand

Agenda: 1.Welcome and Introductions 2.Quick poll 3.Why Measure 4.Types of Measures 5.The NACS Measurement Buffet 6.Getting started with the SHN! measures

Positive Deviance-the 6 D’s 1.Define: the problem and a successful outcome 2.Determine: if there are any “positive deviants” 3.Discover: uncommon practices/behaviours 4.Design: activities enabling others to access and practice new behaviours 5.Discern: effectiveness of activities or project through ongoing monitoring and evaluation 6.Disseminate

Why Measure? To establish benchmarks To monitor compliance with policies and procedures To understand the impact/efficacy of your interventions Motivation

Measure what the front line thinks is important What to Measure

Measure the things that provide value for your setting Ask yourself? Is the information relevant? Will gathering data add value? Can this process or outcome be measured? Can the data be fed back to frontline staff in a way that makes sense to them?

Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues

Types of Measures Process : Measure how people do things Most done by auditing or observation Purpose is to verify that health care providers are following procedures E.g. donning and doffing PPE, environmental cleaning

Outcome : Measure the impact of what people do For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism

The Measurement Buffet Process Measures Volume of ABHR used Volume of soap used Number of gowns, boxes of gloves used

Process Measures % of eligible admissions screened for MRSA % of eligible admissions screened for VRE Hand hygiene compliance

Process Measures Continued… % of bed spaces where ABHR is readily available, full, easy to activate % high touch areas in patient environment where there was appropriate cleaning as demonstrated by using a fluorescent marker

Process Measures Continued… Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)

Outcome Measures Surveillance for new healthcare associated MRSA clinical isolates Surveillance for new healthcare associated VRE clinical isolates Surveillance for new cases of healthcare associated C. difficile infection

Getting Started Take a critical look at your setting Identify the data you need to collect Get help Choose a time period Review data/analyze information Share data with the frontline

Safety Cross

Safety Calendar: AKA Bug Tracker

Hand Hygiene Compliance

Quinte Health Care

Social Network Mapping

25 Legend RN External Clinical Educator Allied Health Director ICP Admin Housekeeping MD Executive Volunteer Resources Ward Clerk Patient Education Manager Today, who do you talk to about the prevention of superbugs? Who do you talk to about the prevention of superbugs?

26 Legend RN External Clinical Educator Allied Health Director ICP Admin Housekeeping MD Executive Volunteer Resources Ward Clerk Patient Education Manager With whom would you like to work with in the future that you haven’t in past superbug prevention work Who do you want to work with in the future?

Next Learning Session : Monday March 7th 1 pm EST Next Coaching Call : Monday February 14th 1pm EST