hai collaborative meeting august 8, 2012 denise flook, rn, mph, cic hai collaborative lead vice...

HAI Collaborative MeetingAugust 8, 2012

Denise Flook, RN, MPH, CIC HAI Collaborative Lead

Vice President, Infection Prevention/Staff Engagement

Learn. Act. Improve. Spread.Learn. Act. Improve. Spread. Keep the Drum Beat Keep the Drum Beat Going.Going.

Learning Objectives

1. Describe Georgia’s Standardized Infection Ratio (SIR) for CLABSI related to the national SIR

2. Outline steps to be taken to reduce CLABSI in the state

3. Review best practices for Process data collection and submission

4. Identify what specific actions you will do in the next week based on this information

5. Identify the action steps your team should complete before the September meeting.


Framing Our Meeting

• Putting Patients First. Preventing All Preventable Infections

• Think of what worked and how you can learn from it

• What would you add/adapt to make it work in your hospital

• Think about what insights you gained

• Goal – decrease HAIs by 40%

• Substantial CLABSI reduction by August 2012


Net Forward Energy

Share a win or success from the last monthWhat did you try that worked?


Refocus Our Goals

• Reduce Hospital Acquired Conditions by 40%

• CLABSI: <1/1000 catheter days

• CAUTI: 25% reduction in rates


Review of Measures

• Refer to the HAI Measures Chart


Process Measure Due Dates

• July Process Measure Data by August 15

• August Process Measure Data by September 19

• September Process Measure Data by October 17

• October Process Measures Data by November 21

• November Process Measures by December 19

• Outcomes Data should be submitted into NHSN by the 21st of the month following the collection month.


Where Are We On Our Quest To Zero


Reliable Process Leads to Better Outcomes


SHARING DATA WITH TEAMS WILL HELP TO DRIVE PROCESS


USING RUN CHARTS TO EVALUATE PROGRESS

Lynne Hall

HAI Learning Collaborative

08/08/12

Attachment 2


Run Charts – watching performance over time

• Purpose: to measure and track a key input, process, or output measure over time


Run Charts – watching performance over time x

• Run charts got their name because of the practice of counting “runs” or sequences of consecutive points of either side of the median

• Too many or too few clusters are a signal that something special is happening within your process

• Graphs of data show improvement over time

• Tool for assessing the effectiveness of change


RUN CHARTS

Run charts have a variety of benefits: •Help improvement teams formulate aims by depicting how well (or poorly) a process is performing

– Identifying problems, opportunities (trends, patterns, or output measure over time)

– Determining potential root cause(s)

– Follow-up and verification of results

•Provides a quick look at a process


IHI RESOURCES

RUN CHART TOOL

•http://www.ihi.org/knowledge/Pages/Tools/RunChart.aspx

TRACKER TOOL

•http://app.ihi.org/Workspace/tracker/


Monitoring Improvement…RUN CHARTS

1. Plot your data.

2. Find your mean or average

3. Identify runs

4. Look for Special Cause Variation

5. Note any changes made in the process


Monitoring Improvement: Run Chart Rules

• Common Cause Variation – the random variation associated with a process (No process is a straight line)

• Special Cause Variation – a difference in the normal process variation– Six or more consecutive increasing or decreasing points

– Nine or more consecutive points on the same side of the median

– 14 or more consecutive points alternating up and down around the median


Monitoring Improvement…RUN CHARTS x

1. Plot your data.

2. Find your mean or average

3. Identify runs

4. Look for Special Cause Variation

5. Note any changes made in the process

Implemented new fall process


RUN CHARTS x


Summary

• Run charts– provide a quick visual to look at a process over time

– Identifies areas for improvement

– Identifies if a change in a process is working

– Looks at patterns over time

– Helps determine potential root cause analysis

– Follow-up and verification of results


A Word About Our Targets

• Our patients are counting on us to eliminate preventable infections

• How can we ramp up efforts to make it happen?

• How can GHA assist you?

• An offer: Lean Project Leader


Next Steps

1. Create a run chart showing your CLABSI, CAUTI rates for the last six months

2. Meet with your team and share the run chart, other data

3. Send your run chart to Denise Flook

4. Enter your process data into the Novi Survey by August 15

5. Complete the meeting evaluation by August 14


Action Step

What is one action you will take in the next week to prevent HAI in

your hospital?


Remember to join the Community of Practice

Community of Practice for Partnership for Patients– Healthcare Communities


Open Mic

• Ask questions

• Ask for special assistance

• Make offers and requests


Resources

• www.onthecuspstophai.org

• http://www.cdc.gov/nhsn/PDFs/training/intro-AnalysisBasics-PSC.pdf.

• http://www.cdc.gov/nhsn/PDFs/AnalysisBasics.pdf.


CONTACT INFORMATION

Denise Flook

[email protected].

770-249-4518

hai collaborative meeting august 8, 2012 denise flook, rn, mph, cic hai collaborative lead vice...

Documents

drum beat

substantial clabsi reduction

action steps

national siroutline

process data collection

denise flook

statereview best practices

net forward energy