This document summarizes programs and strategies to reduce Methicillin-resistant Staphylococcus aureus (MRSA) infections. It discusses the creation of an electronic infection control network across Indianapolis hospitals to track over 17,000 patients with a history of MRSA. Through collaborative initiatives involving multiple hospitals, MRSA rates were reduced by 60-85%. The strategies discussed include fostering organizational change, engaging frontline staff, implementing standardized processes, and using data to document impact and disseminate effective practices nationally. The presentation emphasizes that change initiatives require both top-down support and bottom-up engagement from staff.
Taking Transformational Change To Scale.Doebbeling.3.9.10.FinalBrad Doebbeling
Taking transformational change to scale:Reducing MRSA and other infections.
5th National Pay for Performance Summit:
Mini Summit IV: Tools and Strategies to Support Transformational Change
San Francisco, CA, March 8-10, 2010
This presentation was used for the Ryan White Part B Quality Management Committee to support more effective recruitment of patients for quality management activities
Taking Transformational Change To Scale.Doebbeling.3.9.10.FinalBrad Doebbeling
Taking transformational change to scale:Reducing MRSA and other infections.
5th National Pay for Performance Summit:
Mini Summit IV: Tools and Strategies to Support Transformational Change
San Francisco, CA, March 8-10, 2010
This presentation was used for the Ryan White Part B Quality Management Committee to support more effective recruitment of patients for quality management activities
Join us for a discussion of methods and tools that can be used to support evidence-informed decision making in the context of health equity. Learn about resources to help you apply health equity principles to planning processes that contribute to evidence informed public health.
Guest speakers from Niagara Region Public Health discussed the use of the 10 promising practices to address health equity. This included the results of a qualitative study to identify barriers and facilitators, and provided recommendations for strengthening planning and implementation practice to improve health equity.
This webinar is jointly produced by the National Collaborating Centre for Methods and Tools (NCCMT) and the National Collaborating Centre for Determinants of Health (NCCDH), and is supported through funding from the Public Health Agency of Canada.
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
Improving measurement through Operations Researchjehill3
Improving measurement through Operations Research
Peter Winch, Johns Hopkins Bloomberg School of Public Health
CORE Group Spring Meeting, April 28, 2010
Objectives
1.Understand the importance of measurement in driving improvement
2.Introduce Patient Safety Metrics: a cloud-based tool for data collection and performance monitoring.
3.Demonstrate new auditing tools designed to reduce the burden of measurement
4.Outline the application of Patient Safety Metrics beyond Safer Healthcare Now!
Referring physicians constitute a unique source of information on how hospitals can grow their business. M.D. Anderson’s innovative “dashboard” feedback-and-response system gives new influence to these doctors, illuminates a path to increased physician satisfaction, and suggests that to get better, it pays to get smarter.
The Information Use Map assesses and identifies opportunities for improved data use and feedback mechanisms for stakeholders across different levels of the health system.
https://www.cpc.unc.edu/measure/publications/ms-11-46-c
Presentation recording: http://universityofnc.adobeconnect.com/p1kr6eri348/
How the CIHI – CPSI collaborative on hospital harm can support patient safety initiatives in your organization
Most patients in Canadian hospitals experience safe care, but when harm happens there is a significant impact on patients, families, the healthcare team, and the health system in general. Until now, there hasn't been a standard approach to measuring and monitoring harm experienced by patients in hospital.
What is possible in a hospital getting to zero harm cincinati childrens story...Proqualis
Apresentação de Stephen Muething durante o SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil.
Join us for a discussion of methods and tools that can be used to support evidence-informed decision making in the context of health equity. Learn about resources to help you apply health equity principles to planning processes that contribute to evidence informed public health.
Guest speakers from Niagara Region Public Health discussed the use of the 10 promising practices to address health equity. This included the results of a qualitative study to identify barriers and facilitators, and provided recommendations for strengthening planning and implementation practice to improve health equity.
This webinar is jointly produced by the National Collaborating Centre for Methods and Tools (NCCMT) and the National Collaborating Centre for Determinants of Health (NCCDH), and is supported through funding from the Public Health Agency of Canada.
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
Improving measurement through Operations Researchjehill3
Improving measurement through Operations Research
Peter Winch, Johns Hopkins Bloomberg School of Public Health
CORE Group Spring Meeting, April 28, 2010
Objectives
1.Understand the importance of measurement in driving improvement
2.Introduce Patient Safety Metrics: a cloud-based tool for data collection and performance monitoring.
3.Demonstrate new auditing tools designed to reduce the burden of measurement
4.Outline the application of Patient Safety Metrics beyond Safer Healthcare Now!
Referring physicians constitute a unique source of information on how hospitals can grow their business. M.D. Anderson’s innovative “dashboard” feedback-and-response system gives new influence to these doctors, illuminates a path to increased physician satisfaction, and suggests that to get better, it pays to get smarter.
The Information Use Map assesses and identifies opportunities for improved data use and feedback mechanisms for stakeholders across different levels of the health system.
https://www.cpc.unc.edu/measure/publications/ms-11-46-c
Presentation recording: http://universityofnc.adobeconnect.com/p1kr6eri348/
How the CIHI – CPSI collaborative on hospital harm can support patient safety initiatives in your organization
Most patients in Canadian hospitals experience safe care, but when harm happens there is a significant impact on patients, families, the healthcare team, and the health system in general. Until now, there hasn't been a standard approach to measuring and monitoring harm experienced by patients in hospital.
What is possible in a hospital getting to zero harm cincinati childrens story...Proqualis
Apresentação de Stephen Muething durante o SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil.
This may sounds like a B-movie on the Sci-Fi Channel, but the CA-MRSA scare is all too real - one of several health alerts this year that proved just how vulnerable we are despite all our scientific know-how and advances in medicine. Bacteria, living organism made of one cell has mastered gene manipulation, enzyme technology, personal defence and technology transfer.
All invasive practical procedures, operations, plastic surgery, transplant surgery, hip or knee replacement, open heart surgery will soon come to a grinding halt. The very technology we’ve created to help us live more comfortable and, yes, often healthier lives will turn around and bite us-hard..........
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium responsible for several difficult-to-treat infections in humans. It is also called Oxacillin-resistant Staphylococcus aureus (ORSA). Community-associated MRSA infections (CA-MRSA) are MRSA infections in healthy people who have not been hospitalized or had a medical procedure (such as dialysis or surgery) within the past one year.
This presentation is about MRSA which is also known a 'superbug.' It consist of information on MRSA,MRSA infection,its genetics,types,symptoms,prevention,research,etc
Strengthening Health Systems through the application of Wireless TechnologyOPS Colombia
Presentación realizada por el Dr. Trishan Panch, de Harvard School of Public Health, el 20 de Septiembre en OPS Colombia, en el espacio de intercambio sobre e-health.
El Dr. Panch, participa, con el auspicio de esta Representación, como conferencista en el IV Congreso Colombiano de Bioingeniería e Ingeniería Biomédica que se realizará en Barranquilla del 21 al 24 de septiembre del 2011.
Workshop: Effective Patient Adherence Management by Engaging Enabling Technologies
Pei-Yun Sabrina Hsueha, Vimla L. Patelb, Fernando Sanchezc, Marcia Itod,e, Chohreh Partoviana, María V. Giussi Bordonig, Marion Ballf,a
a IBM T.J. Watson Research Center, Yorktown Heights, NY, USA
b Center for Cognitive Studies in Medicine and Public Health, the New York Academy of Medicine, New York, NY, USA
c Health and Biomedical Informatics Center, University of Melbourne, Melbourne, Australia
d IBM Brazil Research Lab, Sao Paolo, Brazil
e Telehealth/Teledentistry Center, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
f Johns Hopkins University, Baltimore, MD, USA
g Health Informatics Department, Hospital Italiano de Buenos Aires, Argentina.
Abstract
Effective patient adherence management strategies require better understanding of patient-generated data, including patient-reported data and measurements from devices and sensors, as key to assisting providers in learning more about their patients’needs and enhancing patient centric care. Gaining “meaningful use” of patient-generated data could ultimately lead to improvements in patient safety and outcomes. In this workshop, we review proof of concept studies using technology to assess patient health literacy and self-efficacy with the goal of providing timely intervention, remedy, and improvements in cost and quality of care. In particular, we focus on engagement-enabling technolgoies that can leverage non-clinical information sources and reflect patient activities in the “wild”. We look into barriers to adherence, patients and providers roles in improving adherence, and the use of technology to assist patients in staying on track. The speakers will address the issues related tothe integration of patient-generated data into everyday life and clinical practice and share lessons learned from implementing these designs in practice. This workshop aims to share requirements gathered for the design of next-generation healthcare systems, especially in areas where the explosive availability of patient-generated data is expected to make impacts.
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
Getting Knowledge into Action for Best Quality HealthcareNHSScotlandEvent
NHS Education for Scotland and Healthcare Improvement Scotland are working with NHS Boards to define new approaches to implementing and sharing knowledge which support practitioners to get knowledge into action at the frontline. This shift in focus from accessing to applying knowledge will integrate knowledge management more closely with quality improvement. This interactive workshop will use creative knowledge management techniques to challenge the way we apply knowledge in practice.
Before we change actions or activities within the healthcare, the first point is to understand how staff and consumers think about the system we are in now.
With exponential innovation in digital medicine and mobile health, what is utterly lacking is evidence generation and implementation science to help transform health systems into learning healthcare systems. This talk was given at Connected Health Conference, Dec 2016 as part of NODE Health Initiative.
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance. Many positions in primary care now require QI training as part of employees' professional development.
Our expert faculty discuss tools you can use to build and implement a QI infrastructure within your team-based setting to improve patient care.
Panelists:
• Deb Ward, RN, Senior Quality Improvement Manager, Community Health Center, Inc.
• Kathleen Thies, PhD, RN, Consultant, Researcher, Weitzman Institute
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGEWALDEN U.docxaudeleypearl
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the key stakeholders who need to provide the hospitals with funds for purchase of cancer screening machines and hiring of enough oncologists.
The risk involved with this change is the cancer screening costs which might not be affordable to all people.
Organization Description and Readiness for Change
Recommending an Evidence-Based Practice Change
Increasing cancer screening awareness can be done in the community especially in various institution where many people come together.
Cancer screening awareness can also be increased by passing the information on importance of screening in social media and also for every patient that visits the hospital.
Cancer screening services should also be done freely to attract more people to go for screening services.
The facility can implement these changes by training all the nursing staffs and physicians on cancer screening information so they can pass the information to all the people they interact with and attend.
*
Recommending an Evidence-Based Practice Change
One of the measurable outcomes that can be achieved with the implementation of cancer screening awareness is the early detection of different types of cancers like colorectal, breast, cervical, prostate, among others (Alfa Scientific Designs, 2017).
The second outcome is the education on prevention strategies that people could adopt to help prevent cancer by educating the people on some of the cancer risk factors (Alfa Scientific Designs, 2017).
The awareness can also help in acknowledging the existence of screening services in the healthcare facility.
Knowledge of the early signs associated among the public could also be achieved through awareness campaigns.
Overall Quality Improvement in Processes: Continuous quality improvement initiat ...
BUILDing Multi-Sector Collaborations to Advance Community HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Similar to Reducing MRSA Doebbeling for 8.28.10 (20)
Steven Asch Fostering Transformational Change In An Integrated System
Reducing MRSA Doebbeling for 8.28.10
1. Programs to Reduce MRSA infections Symposium on Healthcare Associated Infections UT Southwestern Medical Center Dallas, Texas Saturday, August 28, 2010 Brad Doebbeling, MD, MSc Professor of Medicine, Epidemiology, & Biomedical Engineering, Indiana University School of Medicine Senior Scientist, IU Center for Health Services Research, Indianapolis VA COE, Regenstrief Institute, Indianapolis Award Number: HHSA290200600013I, Task Order No. 4
11. Panarchy or Ecocycle Model of Change Maturity Renewal Creative Destruction Birth For more information on the ecocyle go to http://www.plexusinstitute.org/edgeware/archive/think/main_aides9.html
12. Institutional level A change in culture A change in laws A change in resource distribution/availability Organizational level A change in strategiesA change in procedures A change in resource distribution/availability Network or group level A change in conversation A change in routine A change in resource commitment or influence Individual level A change of heart A change of habits A change of ambition “Getting To Maybe: How the World is Changed” Frances Westley, Brenda Zimmerman, Michael Patton, 1996, Random House Canada
20. Unique Strategy for Sustained Organizational Change Combining Lean and Positive Deviance Lean from manufacturing Major QI Approach in Healthcare Positive Deviance (PD) Experts within organization Opportunity to learn & innovate- Challenges and synergies
21.
22. Technique to engage front line staff in owning & improving processes and sustaining change
33. Discovery & Action Dialogues Seven facilitators trained in the first month Jumped in the deep water with 20 minutes of training
34. Transmission Disaster Response Teams Transmission Disaster Response Teams D&ADs dialogues and leader rounds linked with specific transmission cases to build collective mindfulness within and across units.
35. Sharing Results Community briefing Making sense of maps on the units Clinical leaders Admin leaders Where am I? Is our network smarter than MRSA?
36. Social Network Mapping + Culture Survey Dreaming up & researching questions Social networking software Creating a “family of measures”
37. Social Network Analysis Reveals communicative patterns of complex groups and teams Identifies the strength and frequency of connections (e.g., with whom and how often do you communicate about reducing MRSA) Describes current network in general & MRSA Bundle implementation in particular
38. Whom would you like to include or see involved in future MRSA prevention work?
39. Organizational Benefits of Change Staff developed skills and processes Documented, standardized processes Isolation signs and chart stickers Documented protocols for Active Surveillance & Prevention Patient, family and staff education materials and methods
40. Partnering in Data Collection, Analysis, Reporting Document impact in standardized language Characterize efforts and strategies that work and disseminate nationally Engagement of teams & coaches planning and conducting Dissemination strategies- capturing stories, social networks, engagement, outcomes
41. Document ROI Impact Reduction in MRSA isolates in an ICU Literature Cost Savings (per Infection): $ 6,916 - $35,000 Active Surveillance & Precautions Cost: Max $ 610 per infected patient (10%) Methods challenging Working with teams (& CFOs) to capture these data in meaningful way Source: The Impact of Methicillin Resistance in Staphylococcus AureusBacteremia on Patient Outcomes: Mortality, Length of Stay, and Hospital Charges, Cosgrove, et al, February 2003
50. • “Collaboration” – What does it mean? “Alone we can do so little; together we can do so much.” – Helen Keller “Strength is derived from unity. The range of our collective vision is far greater when individual insights become one.” – Andrew Carnegie “Collaboration equals innovation.” - Michael Dell
56. Testing Spread and Implementation of Novel MRSA-Reducing Practices HHSA290200600013 (Current)
57.
Editor's Notes
Collaborative unique nationally as an opportunity to learn from electronically and culturally interconnected system of hospitals (INPC) and international consortiumReduced rates of up to 60-85% in Pittsburgh VA, RWJ Sites, and our phase 1 using similar methods
Combining Lean Techniques (Lean) and Positive Deviance (PD) strategiesLean historically used in manufacturing industry, but increasingly used with much success in healthcarePositive Deviance (PD) recognizes that the experts are within an organization Opportunity to learn- challenges and synergies in combining approaches
Reveals communicative patterns of complex groups and teams Identifies the strength and frequency of the connections between members (e.g., with whom and how often do you communicate about reducing MRSA)Describes the current social network for work in general and the MRSA Bundle implementation in particular
Future, All
Reduction in MRSA isolates in an ICU Literature Cost Savings (avoidance) per Infection: $ 6,916.00 - $35,000Active Surveillance Cost & Precautions max 10% of infection cost at $ 610 per patientMethods challengingWe want to work with you (and CFOs) in capturing these data in meaningful way informed by your institutional perspectives
Staff Satisfaction- that they can actively prevent disease, morbidity, and mortalityStaff Satisfaction- that they are national leaders in a clinical activity at the HEART of nursing (Nightingale)