NACS Wave 2, Learning Session 3

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  • Mention:
    how to raise hand for question
    Annotation Arrow
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  • Solutions before our eyes
    What enables people to find these solutions?
    Findings are accessible to all
  • Solutions before our eyes
    What enables people to find these solutions?
    Findings are accessible to all
  • Solutions before our eyes
    What enables people to find these solutions?
    Findings are accessible to all
  • Solutions before our eyes
    What enables people to find these solutions?
    Findings are accessible to all
  • Solutions before our eyes
    What enables people to find these solutions?
    Findings are accessible to all
  • Geralyne removed from this one
    If on fringes probably didn’t answer survey-they were named but didn’t answer the survey
  • Geralyne removed from this one
  • NACS Wave 2, Learning Session 3

    1. 1. New Approach to Controlling Superbugs Virtual Learning Session 3 Data – Measuring Progress Michael Gardam Leah Gitterman
    2. 2. Interacting in WebEx Jan 28, 2015 2 Be prepared to use: •Pointer •Raise your hand
    3. 3. Agenda: 1. Welcome and Introductions 2. Quick poll 3. Why Measure 4. Types of Measures 5. The NACS Measurement Buffet 6. Getting started with the SHN! measures
    4. 4. Quick Poll
    5. 5. Why Measure? • To establish benchmarks • To monitor compliance with policies and procedures • To understand the impact/efficacy of your interventions • Motivation
    6. 6. Types of Measures Process: • Measure how people do things • Most done by auditing or observation • Purpose is to verify that health care providers are following procedures • E.g. donning and doffing PPE, environmental cleaning
    7. 7. Types of Measures Outcome: • Measure the impact of what people do • For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism
    8. 8. Measure what the front line thinks is important What to Measure
    9. 9. • 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?
    10. 10. Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues
    11. 11. The Measurement Buffet Process Measures • Volume of ABHR used • Volume of soap used • Number of gowns, boxes of gloves used
    12. 12. Process Measures • % of eligible admissions screened for MRSA • % of eligible admissions screened for VRE • Hand hygiene compliance
    13. 13. Process Measures Continued… • % of bed spaces where ABHR is readily available, full, easy to activate • % high touch areas in patient environment where there was appropriate cleaning as demonstrated by using a fluorescent marker
    14. 14. Process Measures Continued… • Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)
    15. 15. Outcome Measures • Surveillance for new healthcare associated MRSA clinical isolates • Surveillance for new healthcare associated VRE clinical isolates • Surveillance for new cases of healthcare associated C. difficile infection
    16. 16. Getting Started • Take a critical look at your setting • Identify the data you need to collect • Get help • Choose a time period • Review data/analyze information • Share data with the frontline
    17. 17. Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 Jan- Mar 05 Apr- Jun 05 Jul- Sep 05 Oct- Dec 05 Jan- Mar 06 Apr- Jun 06 Jul- Sep 06 Oct- Dec 06 Jan- Mar 07 Apr- Jun 07 Jul- Sep 07 Oct- Dec 07 Jan- Mar 08 Apr- Jun 08 Jul- Sep 08 Oct- Dec 08 Jan- Mar 09 Apr- Jun 09 Jul- Sep 09 Oct- Dec 09 Jan- Mar 10 Apr- Jun 10 Jul- Sep 10 Quarter Rateper1,000ptdays
    18. 18. 8A Glove and Sanitizer Use with Overall HH Compliance 0 10 20 30 40 50 60 08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Purchasedunitsper100ptdays 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %Handhygienecompliance 8A Glove use 8A Sanitizer use 8A HH Compliance
    19. 19. Combined nosocomial MRSA, C.diff and VRE rate, 9A, 2005-2010 0.0 1.0 2.0 3.0 Jan- Mar 05 Apr- Jun 05 Jul- Sep 05 Oct- Dec 05 Jan- Mar 06 Apr- Jun 06 Jul- Sep 06 Oct- Dec 06 Jan- Mar 07 Apr- Jun 07 Jul- Sep 07 Oct- Dec 07 Jan- Mar 08 Apr- Jun 08 Jul- Sep 08 Oct- Dec 08 Jan- Mar 09 Apr- Jun 09 Jul- Sep 09 Oct- Dec 09 Jan- Mar 10 Apr- Jun 10 Jul- Sep 10 Quarter Rateper1,000ptdays
    20. 20. 9A Glove and Sanitizer Use with Overall HH Compliance 0 10 20 30 40 50 60 08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Purchasedunitsper100ptdays 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %Handhygienecompliance 9A Glove use 9A Sanitizer use 9A HH Compliance
    21. 21. Safety Cross
    22. 22. Safety Calendar: AKA Bug Tracker
    23. 23. Hand Hygiene Compliance
    24. 24. Quinte Health Care
    25. 25. Social Network Mapping
    26. 26. 27 Legend RN External Clinical Educator Allied Health Director ICP Admin Housekeeping MD Executive Volunteer Resources Ward Clerk Patient Education Manager Today, who do you talk to about the prevention of superbugs? Who do you talk to about the prevention of superbugs?
    27. 27. 28 Legend RN External Clinical Educator Allied Health Director ICP Admin Housekeeping MD Executive Volunteer Resources Ward Clerk Patient Education Manager With whom would you like to work with in the future that you haven’t in past superbug prevention work Who do you want to work with in the future?
    28. 28. • Keep a log of all PD activities • Access the worksheets here: http://www.saferhealthcarenow.ca/en/interventions/aro_mrsa/pages/measurement.aspx Home » Interventions » NACS » Measurement Worksheets
    29. 29. www.stopsuperbugs.com Next Learning Session: December 6, 2010 Wave 3 starts: January 10, 2011

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