NACS Wave 2, LS3

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  • Mention: how to raise hand for question Annotation Arrow Emoticons Dec 13, 2010
  • 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, LS3

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

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