1. Kick-Off Meeting AimHHH Model Driver Diagram Example Brainstorm Localization 1 st PDSA

2. By (date), implement at least one new standard process for better engaging patients & families in hand hygiene during hospitalization Aim

3. Consider Trying a Hand Hygiene Huddle (HHH) A short nurse-led conversation with patients & families during admit/orientation to room that covers the Why, How, and Here of hand hygiene. Why important for patients, families, staff to do Why Options to use while in the hospital (to include bedside product) How What to expect while here from everyone Here

4. A HHH will likely to be adopted… The HHH meets all Everett Rogers* 5 characteristics of an innovation likely to be adopted Diffusion of Innovation, Free Press, reprinted 2003 CharacteristicHHH 1Relative advantage Better than no communication on HH 2CompatibilityFits into existing workflow 3Low ComplexityEasy to understand, explain 4TrialabilityEasy to try, low risk 5ObservabilityCan see it happening

5. Potential Impact Why How Here A HHH & Patient Access to Product Knowledge Attitudes/Norms Skill/Access Change in Staff, Patient, Visitor Behavior Improved Outcomes HH compliance HCAHPS RN Communication Scores Patient Activation regarding HH “Driver Diagram”

6. Med/Surg Floor Example New Processes HHH included in orientation to room with all patients (and family if present) Product included in bedside admission kit Hand wipes included on meal trays New standing signs encouraging hand hygiene at entrances Promising Impacts* 20% relative improvement in hand hygiene compliance 19% relative improvement in HCHAPS RN Communication Improved patient reported likelihood to speak up if someone doesn’t clean their hands Decrease in stool nosocomial infection marker (NIM) *Initial improvement seen within 6 months of implementing HHH

7. Time to Brainstorm How might we incorporate a HHH here? How could we add to an existing work flow? What will we try first?

8. Leave in Action 1.Complete a PDSA Worksheet 2.Identify date, time, and location of your next meeting

9. This material was prepared by Qualis Health, the Medicare Quality Improvement Organization for Idaho and Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. WA-C10-QH-1428-06-14