Collaborative Learning Sessions
Stratis Health Resident and Patient Safety Outcomes Congress
May 11, 2011
This culminating event for the Resident and Patient Safety Collaborative brought together nursing home and hospitals that worked to improve specific patient safety initiatives. This collaborative, which began August 1, 2008, will run until the end of July. Attendees to this outcomes congress came together to celebrate the great improvements made over the past three years by hospitals and nursing homes that participated in the collaborative.
Objectives
- Discuss state and national initiatives that may affect nursing home/hospital quality improvement and safety.
- Use lessons learned and best-practices from nursing homes/ hospitals that applied quality improvement and culture change strategies to improve the lives of those they serve.
- Describe how eHealth can help strengthen local health care organizations and systems and support improved care delivery in the future.
Handouts
Agenda
Welcome
Breakout session 1a Pressure Ulcer Reduction
Braden Assessment
Nutritional Assessment
Skin Evaluation
Skin Tears
Skin Bruise Log
Tissue Tolerance Assessment-Lying
Tissue Tolerance Assessment-Sitting
Admission Body Check
Wound Note
Wound Record
Breakout session 1b Organizational Patient Safety Culture
It’s OK Poster
Interdepartmental communication
SBAR Notepad
SBAR Reporting
Breakout session 2a Reducing Personal Alarm Use
Breakout session 2b Improving Surgical Care
Venous Risk Factor
Health Information Technology: Progress, Expectations, Resources
Where Are We Headed?
Success Story Booklet
Learning Session #3
May 6, 2010
Plenary sessions focused on leadership and its role in driving and sustaining change, personal stories of leading change, and a practical session on executive rounding. Breakout sessions will focus on specific topics for nursing homes and hospitals – acting on AHRQ Patient Safety results, “Behavioral Challenges and Dementia: The Importance of Communication”, action planning, and “The Skin Care Fair” (a fun, interactive educational session for nursing assistants to prevent pressure ulcers, presented in "Train the Trainer" format).
Objectives
- Discover and build a network of peer relationships to facilitate sharing ideas and best practices to drive improvement.
- Describe common challenges that arise when leading change and how to overcome them.
- Describe how to apply strategies for sustaining change in an organization.
Handouts
Welcome
Keynote: Driving and Sustaining Change
Breakout session 1a Skin Care Fair
Breakout session 1b Root Cause Analysis
Front Line Manager's Approach to Change
Breakout session 2a Acting on AHRQ and Patient Safety Culture Survey Results
Breakout session 2b Communicating Through the Stages of Dementia
A Leaders Personal Story: Perham Memorial Home
Promoting Skin Integrity: Pressure Ulcer Prevention Hospital and Nursing Home Focus
December 8, 2009
Objectives
- Recognize the impact a pressure ulcer has on the person, their overall health and well being.
- Describe key components of a comprehensive skin integrity program.
- Share with your facility:
- Two practical strategies for implementing a pressure ulcer prevention program.
- One idea for monitoring your pressure ulcer prevention program to ensure it stays on track
- Identify three resources for up-to-date pressure ulcer prevention and treatment strategies
Handouts
Agenda
Welcome
Pressure Ulcer Prevention - Part I Comprehensive Skin Integrity Program
Pressure Ulcer Prevention: Implementation Strategies
Successful Transitions within your setting and across settings
Creating Successful Outcomes
Barrier issues and strategy summary
Learning Session #2
October 28, 2009
The day-long workshop will include sessions on “Just Culture,” reduction of physical restraint use, and the TeamSTEPPS model – all with the common link to resident and patient safety and quality.
Objectives
- Identify networks and be able to share ideas and best practice with other providers.
- Describe the philosophy, principles, and application of a “Just Culture.”
- Explore a holistic and interdisciplinary approach to reducing physical restraints.
- Describe and apply the essential components of the TeamSTEPPS model to improve communication and teamwork within your organization and across care settings.
- Identify safety strategies that will improve safety in the care setting.
Handouts
Agenda
Welcome
"Just Culture"
Breakout session 1a Creating Home, Would you do this at home? (note: Joanne Rader presented Breakout session 1a, 2a, and 3a as concurrent sessions. The slides posted here are her entire presentation.)
"The Four Roles for Problem Solving" Chart
"Where are you on the culture change continuum" Worksheet
Culture Change Continuum
"Use of Alarms as Restraints" Position Paper
Care Planning Case Studies
Facilitating a Learning Circle
Breakout session 1b Just Culture: Case Studies
Just Culture: Case Studies Answers
Breakout session 2a Moving from provider-directed to person-directed care: Where are you? (see note above)
Breakout session 2b TeamSTEPPS
Breakout session 3a Creating Home: Creating a plan of care that is practical and realistic and modifies risk (see note above)
Breakout session 3b Stories from the field: experiences implementing safety strategies
Life Care: Presentation, Learning from Defects Tool
Tri-County Hospital: Presentation, Pre-Op orders, Hand-off communications worksheet, Interdepartmental Communication Form
Grand Itasca Clinic and Hospital: Presentation, Transport passport, Patient Transport Summary, Physician Communication Protocol, Handoff Communication P&P, Procedural Surgical Safety Checklist, Report Tool
Next Steps/Closing
Learning Session #1
March 26, 2009
Stratis Health hosted a learning collaborative workshop for Minnesota hospitals and nursing homes participating in Stratis Health’s patient/resident safety work.
The day-long workshop included plenary sessions focusing on creating and sustaining a culture of safety and quality and working toward patient/resident partnerships to improve communication among caregivers and families, as well as break-out sessions focused on specific topics for nursing homes and hospitals: 1) pressure ulcer treatment and prevention; 2) interpretation of AHRQ staff surveys; 3) clinical perspective on surgical care improvement and methicillin-resistant staphylococcus aureus (MRSA); and 4) person-directed care.
Objectives
- Describe how the CMS National Patient Safety Initiative will help participating Minnesota providers improve patient and resident safety culture in their organizations.
- Apply evidence-based practices to improve care on a variety of clinical topics, i.e., surgical care, pressure ulcers, person-directed care, and MRSA.
- Learn how the Agency for Healthcare Research and Quality (AHRQ) patient/resident safety culture survey can be used to improve the patient/resident environment.
- Understand the TeamSTEPPS model for improved communication and teamwork to enhance patient/resident safety both within your organization and when coordinating care across settings.
Handouts
Agenda
Welcome
"Patient Safety, A Call to Action"
Breakout session 1a "Interpreting AHRQ Hospital Survey on Patient Safety Results and Action Planning
HSOPS Benchmarking Tool
Unsafe Acts Algorithm
Interpreting HSOPS Results
Breakout session 1b "Holistic Approach to Transformational Care"
Breakout session 2a Surgical Site Infection Project (SCIP)
SCIP Hospitals with Protocols in Place
31110 Order Set
31200 Order Set
Surgical Checklist
Orthopedic Post-Op Orders
VTE Risk Factors
Physician Orders
Preprinted Orders for VTE/DVT
Breakout session 2b "Pressure Ulcers--Hospitals and Nursing Homes"
Breakout session 3a "Methicillin-resistant Staphylococcus aureus (MRSA)
MRSA Surveillance
Breakout session 3b "Interpreting AHRQ Nursing Home Culture Survey (NHSOPS) to Improve Resident Safety in Nursing Homes"
NHSOPS Preliminary Results 2008
"Role of Teamwork in Patient Safety"
Next Steps worksheet
|
