Vulnerable Adult KPIsat Heart of England Foundation Trust

Vulnerable Adult KPIsat Heart of England Foundation Trust

Fiona Burton – Head NurseFiona.burton@heartofengland.nhs.uk

0121 424 0338

Care metrics

Patient experience metrics− Falls Assessment and care planning, Nutrition, Pain Management

− Pressure Area Care, Medicine Administration, Observations, InfectionPrevention, Continence; (Diabetes – added January 2011)

Adult safeguarding scorecard

Falls scorecard

Deteriorating patient scorecard

Tissue Viability scorecard

Ward dashboard

Nursing performance meetings

Care metrics

Patient experience metrics− Falls Assessment and care planning, Nutrition, Pain Management

− Pressure Area Care, Medicine Administration, Observations, InfectionPrevention, Continence; (Diabetes – added January 2011)

Adult safeguarding scorecard

Falls scorecard

Deteriorating patient scorecard

Tissue Viability scorecard

Ward dashboard

Nursing performance meetings

Patient Observations

Observations documentation provides details of ward, patientname, DOB, hospital number, consultant, frequency ofobservations.

Patients receive twice daily obs of temp, pulse, blood pressure,resps, level of consciousness and O2 sats, unless otherwisedocumented.

Patients are assessed against MEWS in accordance with Trustpolicy.

24 hour cumulative balances are evident on all fluid balanceobservations.

Evidence of documentation of referrals to medical staff for patientswith MEWS of 4 or more.

Observations repeated within 30 minutes when 4 or more.

Patient Observations

Observations documentation provides details of ward, patientname, DOB, hospital number, consultant, frequency ofobservations.

Patients receive twice daily obs of temp, pulse, blood pressure,resps, level of consciousness and O2 sats, unless otherwisedocumented.

Patients are assessed against MEWS in accordance with Trustpolicy.

24 hour cumulative balances are evident on all fluid balanceobservations.

Evidence of documentation of referrals to medical staff for patientswith MEWS of 4 or more.

Observations repeated within 30 minutes when 4 or more.

Incremental improvementTrust wide 71% January 2010to 94% November 2011

Huge reduction in number of‘RED’ wards 36 January 2010to 4 December 2011

Special measures effective – ieweekly monitoring andsupport

Monthly newsletter

550 patients audited everymonth

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4536

2114 9 13 8

1 4 2 3 9 8 2 2 1 5 7 5 4 3 5 4

616

19 2828 20

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23 24 18

2717 25

11 18 16

42 41 40

25 32 30 29

712

13 11 16 24 35

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3934 40

24 45 4357

56 60

38 42 4564 49

6049

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Metrics: Nursing Care Indicators2010-2011 Results

2010 2011

Scoring:

0-79%

80-89%

90-100%

0-84%

85-94%

95-100%

Incremental improvementTrust wide 71% January 2010to 94% November 2011

Huge reduction in number of‘RED’ wards 36 January 2010to 4 December 2011

Special measures effective – ieweekly monitoring andsupport

Monthly newsletter

550 patients audited everymonth

Bar chart to demonstrateRed : Amber : Green Wards

January 2010 – December 2011

Bar chart to demonstrateRed : Amber : Green Wards

January 2010 – December 2011

0

10

20

30

40

50

60

70

80

90

100

Jan

Feb

Ma

r

Ap

r

Ma

y

Jun Jul

Au

g

Sep

Oc

t

No

v

De

c

Jan

Feb

Ma

r

Ap

r

Ma

y

Jun Jul

Au

g

Sep

Oc

t

No

v

De

c

4536

2114 9 13 8

1 4 2 3 9 8 2 2 1 5 7 5 4 3 5 4

616

19 2828 20

21

12

23 24 18

2717 25

11 18 16

42 41 40

25 32 30 29

712

13 11 16 24 35

43

3934 40

24 45 4357

56 60

38 42 4564 49

6049

Nu

mb

er

of w

ard

s

Month

Metrics: Nursing Care Indicators2010-2011 Results

2010 2011

Scoring:

0-79%

80-89%

90-100%

0-84%

85-94%

95-100%

As far as you know do the staff wash or clean their hands betweentouching patients?

Do you feel informed about potential medication side effects? * Do you feel you have enough privacy when discussing your condition

or treatment with staff? * Do you feel that you have been treated with respect and dignity on

this ward? Do you feel involved in decisions about your treatment and care? * Have hospital staff been available to talk about any worries or

concerns you have ? * Do you get enough help from staff to eat your meals? Whilst you have been on this ward have you ever shared a sleeping

area with a member of the opposite sex? Do you think that hospital staff do everything they can to help control

your pain? When you use the call buzzer is it answered? Have staff talked to you about your discharge from hospital?

*CQUIN

As far as you know do the staff wash or clean their hands betweentouching patients?

Do you feel informed about potential medication side effects? * Do you feel you have enough privacy when discussing your condition

or treatment with staff? * Do you feel that you have been treated with respect and dignity on

this ward? Do you feel involved in decisions about your treatment and care? * Have hospital staff been available to talk about any worries or

concerns you have ? * Do you get enough help from staff to eat your meals? Whilst you have been on this ward have you ever shared a sleeping

area with a member of the opposite sex? Do you think that hospital staff do everything they can to help control

your pain? When you use the call buzzer is it answered? Have staff talked to you about your discharge from hospital?

*CQUIN