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Suffolk Wound Care Nurses June 10, 2014 Maureen Valvo IPRO.

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Presentation on theme: "Suffolk Wound Care Nurses June 10, 2014 Maureen Valvo IPRO."— Presentation transcript:

1 Suffolk Wound Care Nurses June 10, 2014 Maureen Valvo IPRO

2 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.

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

4 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

5 Suffolk Wound Care Nurses Quality Assurance Performance Improvement (QAPI) http://qio.ipro.org/nursing-homes-hac/qapi/webinar 5

6 Suffolk Wound Care Nurses Quality Assurance Performance Improvement (QAPI) http://qio.ipro.org/nursing-homes-hac/qapi/webinar 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.

7 Suffolk Wound Care Nurses http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/NHQAPI.html 7

8 Suffolk Wound Care Nurses http://qio.ipro.org/nursing-homes-hac/clinical-topics-tools-resources/pressure-ulcer-clinical-tools-resources 8

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12 Suffolk Wound Care Nurses 12 QAPI for Wound Care: A Practical Guide for Quality Assurance Performance Improvement Webinar https://www.youtube.com/watch?v=K0_n_lgvNSQ 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 https://www.youtube.com/watch?v=K0_n_lgvNSQ 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 https://www.youtube.com/watch?v=K0_n_lgvNSQ 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.

13 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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18 Suffolk Wound Care Nurses 18 http://woundcareadvisor.com/resources/tool-kit/

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20 Suffolk Wound Care Nurses 20 http://woundcareadvisor.com/wp-content/uploads/2013/05/Ankle-brachial-index.pdf

21 Suffolk Wound Care Nurses 21 http://woundcareadvisor.com/wp-content/uploads/2013/01/Diabetes-Foot-Exam.pdf

22 Suffolk Wound Care Nurses http://woundcareadvisor.com/wp-content/uploads/2013/06/Job-task-analysis.pdf 22

23 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 http://woundcareadvisor.com/wp-content/uploads/2012/07/Lanarkshire-Oximetry-Index.pdf

24 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

25 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

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

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

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32 Suffolk Wound Care Nurses 32 http://qio.ipro.org/wp-content/uploads/2013/10/2013-07-02_resource_guide.pdf

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35 Suffolk Wound Care Nurses 35 http://www.npuap.org/wp-content/uploads/2014/03/NPUAP-RCA-Template-March-2014.pdf

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38 Suffolk Wound Care Nurses 38 https://www.nhqualitycampaign.org/goalDetail.aspx?g=PU

39 Suffolk Wound Care Nurses 39 http://qio.ipro.org/nursing-homes-hac/qapi/quality-improvement-qi-resources

40 Suffolk Wound Care Nurses http://www.sciencedaily.com/releases/2014/05/140512101257.htm 40

41 Suffolk Wound Care Nurses Long Island Wound Healing Association http://www.liwha.org/ 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, e-mail preferred. Contact Information Email: LIWHA@optonline.netLIWHA@optonline.net 41

42 For more information Maureen Valvo (516) 326-7767 ext. 308 Maureen.valvo@hcqis.org CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY 11042-1002 REGIONAL OFFICES Albany, NY Princeton, NJ 20 Corporate Woods Blvd 4385 US 1 South Albany, NY 12211-2370 Princeton, NJ 08540 Hamden, CT Camp Hill, PA 1952 Whitney Ave., 2 nd Fl. 3705 Trindle Road Hamden CT 06517 Camp Hill, PA 17011 Morrisville, NC Lumetra 909 Aviation Pkwy, Suite 300 500 Kearny St., Suite 300 Morrisville, NC 27560 San Francisco, CA 94108-4429 www.ipro.org IPRO Corporate Template 4/22/14

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