University of Minnesota Amplatz Children's Hospital Always Event: My Story

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University of Minnesota Amplatz Children's Hospital Always Event: My Story

  1. 1. The MyStory Journey: Capturing each child’s story to personalize the care we provide pediatric patients and their families Evidence strongly supports the importance of capturing the personal story and preferences of a child admitted to an University  of  Minnesota  Amplatz  Childrens  Hospital  -­  MyStory  Dashboard Measurement   Pre  -­   MyStory   Previous   Current   Long-­ Term   Status  vs.   acute care hospital setting. At University of Minnesota Amplatz Children’s Hospital, we have developed an initiative, Data  Source Metric Time  Period Data Measurement Measurement Target Target Trend Target "Hospital  workers  talk  to  you?" 1Q  12 96.1% 85.7% 100% 100% Satisfaction  Survey "Listen  when  you  told  them  something?" 1Q  12 85.0% 78.6% 93% 100% "Let  you  make  choices?"   1Q  12 70.0% 67.9% 85% 100% Childrens   "Find  ways  to  make  hosp  feel  like  home?" 1Q  12 58.3% 64.8% 79% 100% called MyStory, that recognizes not just the patient, but the child as an individual. "When  hurting,  help  you  feel  better?"   1Q  12 80.0% 83.9% 90% 100% "Like  how  they  took  care  of  you?"   1Q  12 83.3% 87.5% 92% 100% * "Did  the  Doctors  pay  enough  attention  to  your  experiences  and   4Q  11 62.6% 96.9% 86.4% 100% suggestions  in  caring  for  your  child?" NRC  Picker  Parent  Satisfaction "Did  the  Nurses  pay  enough  attention  to  you  experiences  and  suggestion   4Q  11 63.6% 94.9% 88.0% 100% in  caring  for  your  child?" "Would  you  have  liked  more  involvement  in  making  the  decisions  about   4Q  11 67.3% 90.8% 77.3% 100% your  childs  hospital  care?" "How  much  did  you  participate  in  your  childs  care,  such  as  feeding  or   4Q  11 93.9% -­ 95.2% 100% bathing?" "Was  the  information  about  his  or  her  condition  discussed  with  your  child   Objectives: 4Q  11 57.6% 96.4% 81.3% 100% in  a  way  he  or  she  could  understand?" "Did  someone  explain  to  your  child  the  tests  that  were  being  done  in  a   4Q  11 64.5% 94.8% 83.3% 100% ** way  he  or  she  could  understand?" Do  My  Caregivers  Know  My  Favorite  Things? Jan  12  -­  Feb  12 41% 53% 60% 75% Networ Well   Get   Do  My  Caregivers  Know  Things  I  Dont  Like? Jan  12  -­  Feb  12 30% 9% 60% 75% k families that will be an Always Event ™ when caring for children — MyStory Evidence-based Key: Arrow Up = Performance Improving Arrow Straight = Performance Same Green = Going Well Yellow = Monitor Arrow Down = Performance Declining Red = Requires Mgmt Attention o MyStory as an Always Event™ is a * Questions taken from Children’s perceptions survey© Lindeke,L., Fulkerson, J., Chesney, M., Johnson, L., Savik, K. interprofessional effort to capture (2009). Children’s perceptions of healthcare survey. Nursing Administration Quarterly, 33(1), p. 26-31. ** Questions taken from NRC Picker Patient Satisfaction Survey© each patient’s “story.” Outcomes: o Document the “story” in a convenient tool within the electronic health record. MyStory The MyStory project outcomes are measured by a number of metrics that have been put into a dashboard that is formatted to match the clinical My Story: (Teen) o Use the patient’s “story” to personalize Personalizing quality and safety dashboard the organization uses. the care we provide to patients, and Interprofessional Patient & Family This is to be used as a template only! Give to health care team to enter in EPIC. Pediatric My name is: You can call me: Age: My Story: My caregiver(s) name(s) are: to involve them in care planning and Collaboration Involvement (School Age) I am from: decision making. Care My friends are: My name is: You can call me: Age: My favorite hobbies/activities are: My caregiver(s) name(s) are: I am from: I am good at: My friends are: patients by learning their story and In the future, I want to: This is to be used as a template only! Give to health care team to enter in EPIC. My favorite toys or things to do are: My past experience with being sick or coming to the hospital: My Story: engaging them in care planning and I am good at: When I grow up, I want to be: (Infant and Toddler) Before a procedure, I need to know: Draw a picture of what you want to be when you grow up: decision making. Transforming the care we provide to children My name is: You can call me: Age: My caregiver(s) name(s) are: I am from: Special parent requests: uofmchildrenshospital.org Tools & Implementation: My favorite toys are: I become upset or cry when:uofmchildrenshospital.org electronic health record Things that comfort me are: You can distract me with: My past experience being sick or coming to the hospital: Lessons Learned: to be used in the outpatient areas: o Surgery waiting room of this type of initiative is invaluable. uofmchildrenshospital.org MyStory is a navigator/button on the left Cheristi Cognetta-Rieke, BSN, DNPc, RN; University of Minnesota Amplatz Children’s Hospital, Minneapolis, MN MyStory is being funded by the Picker Institute as an Always Event ™.

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