1. www.saferhealthcarenow.ca Information Call

2. www.saferhealthcarenow.ca STOP Infections Now! You Joined Incorrectly!  There is NO phone icon beside your name. You will be Unable to join the breakout sessions. You Joined Incorrectly!  There is NO phone icon beside your name. You will be Unable to join the breakout sessions. You Joined Correctly! There IS a phone icon beside your name. You will be able to join the breakout sessions. You Joined Correctly! There IS a phone icon beside your name. You will be able to join the breakout sessions. Did you Join the Call Correctly? If there is NO phone icon beside your name: 1. Hang up and disconnect from WebEx. 2. Rejoin using original link. Enter name & Email & click on Join Now 3. A popup will display the phone information. Direct Line Enter numbe r Line with Extension “ I will call in”

3. www.saferhealthcarenow.ca STOP Infections Now! Interacting in WebEx 4-Oct-153 Be prepared to use: Pointer Raise your hand

4. www.saferhealthcarenow.ca STOP Infections Now!

5. www.saferhealthcarenow.ca STOP Infections Now! Our Planning Team Theresa Fillatre Canadian Patient Safety Institute Michael Gardam University Health Network Leah Gitterman University Health Network Anne Maclaurin Canadian Patient Safety Institute Paige Reason University Health Network Katie Procter BC Patient Safety & Quality Council Liz Rykert Meta Strategies Bruce Harries Improvement Associates Virginia Flintoft SHN Central Measurement Team Carrie Haines Canadian Patient Safety Institute Dannie Currie SIA, Safer Healthcare Now! Denise Sorel Canadian Patient Safety Institute Jason Thompson Canadian Patient Safety Institute Paule Bernier SIA SHN, Quebec Tanis Rollefstad SIA, Safer Healthcare Now!

6. www.saferhealthcarenow.ca STOP Infections Now! Our Faculty Erika Bailey Erika Lee Bailey and Associates Petra Welsh Fraser Health Authority Liz Van Horne Public Health Ontario Susan McDonald Siemens Healthcare Diagnostics Keith McCandless Social Invention Group Kathy Dunn Public Health Agency of Canada Laurie O’Neil Public Health Agency of Canada Jennifer Plant Timmins and District Hospital Betty Fradgley Seniors Health Alberta Anne-Marie Lowe Institut National de Sante Publique du Quebec Angela Thomas University Health Network Gwen Brown St. Francis Memorial Hospital Colleen Snelgrove Thunder Bay Regional Health Sciences Center Mohammad Salhia University Health Network Melissa Crump Vancouver General Hospital Chantal Backman The Ottawa Hospital Jane Kirk GOJO Industries Chris Hayes Canadian Patient Safety Institute Greg Kennedy Petra Walsh Fraser Health Authority Kathy McGhie 3M, Infection Prevention Solutions Matthew Muller Saint Michaels Hospital Steve Black

7. www.saferhealthcarenow.ca STOP Infections Now! The Problem Each year 8,000 Canadians die from healthcare associated infections 220,000 others get infected Treatment is more costly than prevention ($129 million for 2010)

8. www.saferhealthcarenow.ca STOP Infections Now! Agreement Certainty Low High Simple Complicated Complex Adapted from Brenda Zimmerman, 2010

9. www.saferhealthcarenow.ca STOP Infections Now! Approaching different problems 9 Simple/complicated problems – Search for solutions, “problem solve” – Checklists, algorithms, best practices Complex problems – No one size fits all – Local solutions, multiple actions – Allows for paradoxes – Importance of relationships – “minimum specifications”

10. www.saferhealthcarenow.ca STOP Infections Now! …We know what to do Hand hygiene Environmental cleaning Surveillance Precautions Practice bundles But for whatever reason we don’t always do them well…

11. www.saferhealthcarenow.ca STOP Infections Now! Previous Initiatives: NACS May 2010 – May 2011 3 “waves” Positive Deviance and Liberating Structures ~ 60 teams from across Canada joined over the 12 month period

12. www.saferhealthcarenow.ca STOP Infections Now! STOP Infections Now Collaborative Help participating institutions improve compliance with evidence based strategies to reduce HAI’s Use Liberating structures and the Model for Improvement to engage people in changing behaviours and promoting culture change

13. www.saferhealthcarenow.ca STOP Infections Now! 12+6 Month Virtual Collaborative Supported by hand hygiene and NACS faculty 7 learning sessions + monthly team calls One-to-one coaching Liberating structures + Model for Improvement STOP Infections Now Collaborative

14. www.saferhealthcarenow.ca STOP Infections Now! Improvement tools and strategies Liberating structures + Model for Improvement SINC GSK Implementation of change ideas using PDSA cycles (change package with ideas will be provided) Measurement: did the change make a difference One-to-one coaching Networking through learning sessions, team calls and the Community of Practice

15. www.saferhealthcarenow.ca STOP Infections Now! Model for Improvement Powerful tool for accelerating improvement Model used by many healthcare organizations to improve healthcare processes and outcomes

16. www.saferhealthcarenow.ca STOP Infections Now! New Option for Transformation Culture eats strategy for breakfast Same People Same Incentives Same organizational Structure Change Patterns of Relating Include and Unleash Everyone Liberating Structures

17. www.saferhealthcarenow.ca STOP Infections Now! What Teams Can Expect Understand issues related to improvement work and culture change Coaching support Resources: GSK and change package Community of practice Learning with teams from across Canada

18. www.saferhealthcarenow.ca STOP Infections Now! LS1 LS2 LS3 LS4/5 LS6 Pre-work Call to action October 5th Information Call 1 February 29 th /March 7 th November 10th P D S A P D S A Sept 16th 2011 Stop Infections Now Collaborative Oct 12th Information Call 2 One week Nov. 16 th Nov.23 rd June 6 th P D S A LS7 Closing Oct/Nov All collaborative calls between LS Regular use of CoP Monthly calls until end of 18 months P D S A

19. www.saferhealthcarenow.ca STOP Infections Now!AIM Support teams in the Virtual Learning Collaborative (VLC) to achieve a 30% reduction in healthcare associated infections Support teams to achieve hand hygiene compliance rates of at least 80%

20. www.saferhealthcarenow.ca STOP Infections Now! Principles of this Collaborative Everyone teaches, everyone learns Active participation Measurement is fundamental to targeted improvement work

21. www.saferhealthcarenow.ca STOP Infections Now! Principles of this Collaborative Nothing about me without me Practice deep respect for people and local solutions Practice self discovery within a group

22. www.saferhealthcarenow.ca STOP Infections Now! Why Measure? To establish benchmarks To monitor compliance with policies and procedures To understand the impact/efficacy of your interventions

23. www.saferhealthcarenow.ca STOP Infections Now! Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues

24. www.saferhealthcarenow.ca STOP Infections Now! 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?

25. www.saferhealthcarenow.ca STOP Infections Now!Measures MandatoryOptional** WHO assessment (pre and post)Other local or selected measures that teams want to use such as: ABHR use Soap use Placement of ABHR (before and after) Hand hygiene audit At least one of: CDAD, MRSA* VRE* outcome measures Environmental Cleaning Culture Survey

26. www.saferhealthcarenow.ca STOP Infections Now!

27. www.saferhealthcarenow.ca STOP Infections Now! Virtual Sessions: Using Webex Connect people through internet &/or telephone to create a virtual interactive learning environment Requirements: – Meeting room with computer internet access – MS word, PowerPoint and Excel on computer – Discussion with IT re: firewall – Ability to play videos on the desktop – Telephone with speaker capabilities & hands free capacity

28. www.saferhealthcarenow.ca STOP Infections Now! Webex Training Sessions (for enrolled teams, choose one): October 12 th Time: 9:00 PDT; 10:00 MDT/CST; 11:00 CDT; 12:00 EDT; 1:00 ADT; 1:30 NDT October 18 th Time: 12:00 PDT; 1:00 MDT/CST; 2:00 CDT; 3:00 EDT; 4:00 ADT; 4:30 NDT

29. www.saferhealthcarenow.ca STOP Infections Now! Requirements for Registration Interdisciplinary team committed to building sustainable strategies to reduce HAI’s and improve hand hygiene Commitment to submit data Active participation and sharing Support by Executive leader Enrolment in SHN and in SINC

30. www.saferhealthcarenow.ca STOP Infections Now! Costs & Registration $1,000 per team (up to 7 team members) 7 virtual learning sessions Monthly team calls Multiple action periods

31. www.saferhealthcarenow.ca STOP Infections Now!Questions Paige Reason Project Manager paige.reason@uhn.ca 416-340-4800 x 8365 Anne MacLaurin Project Manager – SHN! amaclaurin@cpsi-icsp.ca 780-498-7254 French SIA Support Paule Bernier Safety and Improvement Advisor – SHN! Quebec pbernier@jgh.mcgill.ca 514-340-8222 x 5044