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Medication 53333-phpapp02

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Medication 53333-phpapp02

  1. 1. KP Riverside Medical Center 2008-12Riverside Maternity Service HCAHPSScores Past Present and the Future
  2. 2.  To provide the best possible patient centered care maximizing the overall health of our membersWhat is our goal?
  3. 3. Overall rating of hospital stay 90 80 70Axis Title 60 Series1 50 40 30 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
  4. 4. willingness to recommend 100 90 80Axis Title 70 60 50 40 30 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  5. 5. Nurse Communication: treat you with respect 90 85 80 75Axis Title 70 65 60 55 50 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  6. 6. Nurse communication: how often they listened to you 90 85 80 75 70Axis Title 65 Series1 60 55 50 45 40 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
  7. 7. Nurse Communication: nurse explain things in a way you could understand 90 85 80 75 70Axis Title 65 60 55 50 45 40 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  8. 8. Doctor Communication: treat you with respect 100 95 90Axis Title 85 80 75 70 1 3 5 7 9 111315171921232527293133353739414345474951
  9. 9. Doctor communication: listen to you carefully 95 90 85Axis Title 80 75 70 65 60 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  10. 10. Doctor Communication: explain things in a way you could understand 95 90 85Axis Title 80 75 70 65 60 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  11. 11. responsiveness: how fast you got help as fast as you wanted 90 80 70Axis Title 60 50 40 30 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  12. 12. responsiveness: how fast you got help to go to bathroom 100 90 80Axis Title 70 60 50 40 30 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  13. 13. Pain Management: how well your pain was managed 90 85 80 75Axis Title 70 65 60 55 50 45 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  14. 14. Pain Management: how often they did everything to control your pain 95 90 85 80 75Axis Title 70 65 60 55 50 45 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  15. 15. Communication about medication: explain what the new medication is for 100 95 90 85Axis Title 80 75 70 65 60 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  16. 16. Communication about medication: explain possible side effect of new medication 80 70 60Axis Title 50 40 30 20 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  17. 17. Discharge: did the staff talk with you about whether you would have the help you needed when you left the hospital 85 80 75Axis Title 70 65 60 55 50 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  18. 18. Discharge: did you get discharge information in writing 100 98 96 94Axis Title 92 90 88 86 84 82 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  19. 19. cleanliness: how often were your room and bathroom kept clean 90 85 80 75 70Axis Title 65 60 55 50 45 40 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  20. 20. Quietness: how often was the area around your room quiet at night 80 70 60Axis Title 50 40 30 20 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
  21. 21.  Concentrate on Medication communation Our goal is to increase our HCAHPS score pertaining to communication about medication from 66% to 75% by 12/12 and to 85% by 6/13 This will place us in top 100 percentile in 6 months.What now?
  22. 22.  1-Education (knowledge base) 2-Communication 3-WorkflowThe Primary Drivers for Change
  23. 23.  Every provider (MDs, Nurses, Lactation Consultants) that become in contact with patient is aware of this goal Provider education about every medication that is dispensed to the patient. Patient education becomes a priorityEducation
  24. 24.  Disseminate the goals to staff through every mean MD’s (OBGYN, Anesthesia and Pediatrics), Midlevel providers (OBGYN, Anesthesia and Pediatrics) will be notified via Email announcements, and department meeting announcements of this goal. Nursing Staff will be notified through UBT meetings, News Letter, and Daily HuddleEducation – PI goal
  25. 25.  Nursing staff and Lactation consultants – education about the purpose of the any medication administered to the patient and possible side effects to the fetus, or the new born Devote 1 minute of the daily Huddles to a new drug that is common to the MAR of the patients who are in the unit. Staff will be provided with concise written information about the medication on rounds. Will request a member of each discipline to produce such flash cards. Will educate the Providers about the medication on their department meeting. On average there are about 15 medication on a low risk Obstetrical patient intra-partum and post-partumEducation – Provider Knowledge base
  26. 26.  Provide the patient with information about the medication, possible side effects, and safety during lactation Provide the patient with printed information upon request Document on care board the number of medications that were discussed with the patient on daily basis Leadership rounders will track such documentation on care boardEducation - patient
  27. 27.  Process measure ◦ Daily huddle documentation ◦ Daily and hourly round documentation on Care board ◦ Brief survey of patients prior to implementing the change regarding medication education from 5/23/2012 – 6/08/2012 (roughtly 100 patients) and compile the information weekly ◦ Update the staff about improvement In the measureHow do measure change?
  28. 28.  Outcome Measure HCAHPS score usually delayed by 90 days. update the staff regularly of the improvement of the measure.How do we measure change?
  29. 29. Questions?

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