Canadian AMIVirtual Learning Collaborative

Information CallMay 31-2010

What is a Virtual Learning Collaborative

• A VLC creates a learning network for healthcare professionals focused on a specific improvement project within a defined timeframe and learning structure.

• It consists of a series of Virtual Learning Sessions, Action Periods, and WebEx Calls.

Advantages of VLC

• Achieve similar results at a reduced cost while improving access to participants

• Knowledge transfer and spread of change concepts parallel to traditional BTS

Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)

Model For Improvement *• A simple yet powerful tool for

accelerating improvement

• The model has been used very successfully by hundreds of health care organizations in many countries to improve many different health care processes and outcomes

*Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP

**The Plan-Do-Study-Act cycle was developed by W. E. Deming

Principles of a Learning Collaborative

• The Model for Improvement is used to accelerate movement between knowing and doing

• Everyone Teaches; Everyone Learns

• The Learning Sessions are preparation for the Action Periods

Principles of a Learning Collaborative

• Active participation by all teams enrolled; provides more value in the Learning Sessions

• Monthly reporting and use of data is fundamental to improvement work

Why an AMI VL Collaborative?• Time is muscle (myocardium)

• 44% to 70%, with an average of 62% of AMI patients who received thrombolytics had this myocardium-saving treatment delivered within 30 minutes of hospital arrival.

• Methodology has been used to effectively introduce numerous changes within healthcare settings

AIM

Canadian Emergency Departments ensure 90% of acute myocardial infarction (AMI) patients (STEMI or new LBBB only) receive thrombolytic therapy within 30 minutes or less of hospital arrival

Measures in the AMI VLC• % STEMI or new LBBB who received

thrombolytic within 30 minutes of arrival at ED.

• % STEMI or new LBBB who received an ECG within 10 minutes of arrival at ED.

Baseline Data Expectations• Baseline data should be submitted to the

CMT by July 31-2010

• Sample Size– Minimum = 6 patients – Maximum = 10 patients

Virtual Learning Session

• Connect people using internet and telephone communication to create an interactive learning environment.

• Both workshops and idea exchange forums which prepare teams to make changes during the Action Periods

Action Period Activities• Data submission to CMT

• PDSA Rapid Cycle Testing

• Teams’ Conference Calls

• Safety Improvement Advisor and faculty consultation

• Team Collaboration

Team Success Factors• Leadership support

• Access to appropriate technology

• Commitment to improvement goal

Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)

What Does Your Team Need to Participate Virtually?

• Representative team committed to changing practice

• Productive learning room

• Computer with Internet access and MS Excel

• Telephone with speaker

Teams are Expected to:• Enrol in Safer Healthcare Now!

• Obtain executive sponsor support

• Be committed to participation in action oriented learning, conference calls, reporting requirements and measurement. Test system and process changes.

• Have enthusiasm for learning and sharing

• Be interested in testing, evaluating and shaping the virtual learning approach

What is a Team?• A group of multidisciplinary staff who regularly work

together to provide/support the delivery of AMI care in an organization and who have the capacity to:– address care/team process improvements– relate their measurement to their improvement work – participate as an learning group in collaborative

sessions

• Organizations may self-select their teams for registration in the AMI VLC using the above principles

List of Potential Team Members• Paramedic• Emergency Room Nurse• Cardiology Technologist • Emergency Room Physician• Cardiologist• Nurse Manager• Nurse Practitioner or Educator• Quality Improvement Representative• Other Professionals interested in improving AMI

care

Costs & Registration• $500.00 per team

– 4 learning Sessions– Team Calls– Action Period Support– Closing Congress

• Registration: http://www.saferhealthcarenow.ca/EN/events/conferencesEvents/collaboratives/Pages/default.aspx