1. Massachusetts Clostridium difficile Prevention Partnership Collaborative
Collaborative Launch
November 15, 2011
Susanne Salem-Schatz
Massachusetts Coalition for the Prevention of Medical Errors
Laurie Herndon
Massachusetts Senior Care Foundation
Sharon Benjamin
Alchemy

2. Table Talk What are you struggling with in your own facilities?
What do you hope to learn from one and other?
If you did a site visit or have other experience with different facility types what do you notice?

3. Network Mapping
We are collecting information to draw a beginning map of our network. We know from research about change that understanding our network helps us build effective relationships and solve tough problems. Network maps have been powerful tools in other collaboratives such as the Pittsburgh VA and Regenstreif Institute work on MRSA. So, please take just a few minutes to fill out our questionnaire.

4. spreads really matter need to maintain
If you want to me interesting, you better be interested … if your bored … guess what
even contagious … good ideas take hold … good ideas with passion soar
The Most Valuable People in Your Network ~ Rob Cross U VA … The secret to these networks has never been their size … quality.
Dunbar rule of 150 says … he who seeks to change the existing order … lukewarm supports … unless they are freinds
Build relationships before you need them and ask them to help you … social capital … not exposure.
3. Brand your passions … focus on boundaries and concentrate your efforts … be a magnet

5. PLEASE DO Each person should do the following
Make sure your name is on the list – if not add it.
Fill out the first page by answering the questions
For each name on the list:
In the first column, put a check mark next to the names of people that you HAVE worked with in the past on infection control
In the next column, put a check mark next to the names of people that you WANT to work with on infection control
A TIP: Start with your facility, then your cluster, and go from there.
Return your form to us today!

6. Planning for Improvement

7. What is “the work” you are planning?
How will your cluster work together
How will you do work in your own organizations?
Who is on your team
Who else should be?
How will you share what you learned today with the rest of your team?
How will you work together
Scheduled meetings
Huddles

8. The Model for Improvement
Study Do
Plan
Act
Increase appropriate use of contact precautions
How will we know that a change is an improvement?
What changes can we make that will result in improvement?
Aims
Measures
Changes
W.Edwards Deming
*2001 Associates in Process Improvement

9. Collaborative Measurement Strategy
SNF team list includes measurement contact
Will schedule a call ASAP for hospital and SNF measurement representatives
Briefly
Nora McElroy, MA DPH Epimiologist
CDI measurement
Based on NHSN Lab-ID definitions and algorithms
Measurement Graphic in handouts and Toolkit
Hospital admissions and transfers for residents with CDI or consequences of CDI

10. Cluster Planning Sit with your cluster
Pull your chairs into a circle away from the table if you need to fit everyone
Everyone: How would you like to work together?
Each facility: Vhat would you like to work on first?
Volunteer? Pick one idea and try to fill out a PDSA worksheet

11. Collaborative Practice Opportunities Table

12. Planning your Changes (in your handouts and toolkit)

13. Cluster Planning
We’ll regroup at 4:05
Stay seated with your cluster

14. spreads really matter need to maintain
If you want to me interesting, you better be interested … if your bored … guess what
even contagious … good ideas take hold … good ideas with passion soar
The Most Valuable People in Your Network ~ Rob Cross U VA … The secret to these networks has never been their size … quality.
Dunbar rule of 150 says … he who seeks to change the existing order … lukewarm supports … unless they are freinds
Build relationships before you need them and ask them to help you … social capital … not exposure.
3. Brand your passions … focus on boundaries and concentrate your efforts … be a magnet

15. To Sustain or Re-ignite Momentum
Find your passion! Tell your friends at work! Expand your network: tell someone new what you’re doing! Ask them a question!

16. Next steps
Contact information
We will mail you a copy of your team list to complete if needed.
Measurement
Make sure we know who your measurement contact is
Measurement call ASAP
Share what you have learned with others at your facility
All slides from today will be available on our website for downloading

17. Upcoming Events Coaching call 1st Regional ½ day workshops
December 8th 11am-12noon
Gather as a team if you can
We will send call numbers soon
1st Regional ½ day workshops
January 2012
Let us know if you would like to host and how many people you could accommodate
Antibiotic Stewardship
Begins January 2012
Stay tuned for more information

18. THANK YOU! Continuing Education Evaluations Feedback Forms Team lists
Nurses – on-line link
Physicians, nursing home adminstrators, etc.
Feedback Forms
Team lists
Nametags