program powerpoint clean saves
TRANSCRIPT
Clean SavesBest practices for elevating hand hygiene compliance above 90% for longer than 12 month periods
Hand Hygiene
Compliance
Health Care Associated Infections
Worried?
Hand Hygiene Compliance fades
with time
Causing trouble…
Health Care
Associated Infections
Patients
Healthcare System
Hospital Personnel
Taxpayers
Join in!
Illinois Masonic Medical Center
The Heart Hospital Baylor Plano
Vanderbilt University Medical Center
Memorial Sloan-Kettering Cancer Center
St. Christopher's Hospital for Children
Cincinnati Children’s Hospital
Culture Change
Baseline Data
Motivational Interviews
Inter-disciplinary
Champions Education
External Connections
Observations
Feedback
↑ HHC
↓ Fewer HCAIs
↑Lives & Money Saved
Compelling Story
Role Modeling
Capability Building
Reinforcing
Culture Change
Gain Commitment
Model Behaviors
Modify Behavior
Improve Skills
Keller, S., & Aiken, C. (2009). The inconvenient truth about change management. McKinsey Quarterly.
Cornerstone #1 Keller, S., & Aiken, C. (2009). The inconvenient truth about change management. McKinsey Quarterly.
Spin a Compelling Story
Motivational interviewing + / - Behavioral
motivators
Gain Commitment
Cornerstone #2 Keller, S., & Aiken, C. (2009). The inconvenient truth about change management. McKinsey Quarterly.
• Compliance not Commitment
• False Reflections
“Yes, sir.”
Model the Behavior
Model Behaviors
Reinforce Change
↑Surprise ↓Money
Cornerstone #3 Keller, S., & Aiken, C. (2009). The inconvenient truth about change management. McKinsey Quarterly.
Modify Behaviors
Cornerstone #4 Keller, S., & Aiken, C. (2009). The inconvenient truth about change management. McKinsey Quarterly.
Mindsets – build BELIEF
Field & Forum – overcome BARRIERS
Capability Building
Build Skills
Changing culture Greenhalgh, T., Rober, G., MacFarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review. The Milbank Quarterly, 82(4), 581-629. Retrieved May 2013.
Culture Change
Baseline Data
Motivational Interviews
Inter-disciplinary
Champions Education
External Connections
Observations
Feedback
↑ HHC
↓ Fewer HCAIs
↑Lives & Money Saved
WHO’s Hand Hygiene Self Assessment Framework
Baseline Hand Hygiene Compliance Rates
Baseline Data
Modify Behavior
Gain Commitment
Mot
ivat
iona
l Int
ervi
ews
createsystem tension, a compelling story, complexity, innovation-system fit, negotiation amongst adopters, and
perceived relative advantage
anticipate implications (i.e. task issues)
build capabilities and confidence
Interdisciplinary Engagement
• Vertical integration• Hand Hygiene Council• Covert observers
Gain Commitment
Ch
amp
ion
s • Opinion leaders• Multidisciplinary• Model hand hygiene
AND receiving feedback
Gain Commitment
Personnel 5 Moments
Less than you think
Peer feedback
Less recontamination
Fewer gloves
Patients Why it’s important
How to get clean
Asking health care workers
Education (cont.)
Improve Skills
Behavioral FeedbackC
ompl
ianc
e • Timely• Individualized• Competitive• Customizable
Con
tinu
al • Screensaver• Posters
Cor
rect
ing • Professional
peer feedback• Violation
letters
Modify Behavior