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Coming Full Circle: AMI and Med Rec Across the Continuum
Western Node Breakthrough Series Collaborative
May 2007 – May 2008
Teams Continue to Enroll
Saferhealthcare Overview Total # Enrolled Teams September 2005 to February 2007
118
296
403443
491
546 557579
602
0
100
200
300
400
500
600
700
Total # of Teams EnrolledTeams
Sep-05 Nov-05 Mar-06 Jun-06 Aug-06 Nov-06 Dec-06 Jan-07 Feb-07
Learning
Session One
Learning
Session One
Learning
Session Two
Learning
Session Two
Learning
Session Three
Learning
Session Three
Breakthrough SeriesCollaborative
Planning & Pre-work
Action Period One Action Period Two
Closing Congress & Distribute Findings
A
S
P
D
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P
D
A
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P
D
Action Period Three
Support
Communities of Practice Email Teleconferences Monthly Team Reports
May 14/15, 2007 Saskatoon
Sept 24/25, 2007Victoria
Feb 4/5. 2008Edmonton
May 5/6, 2008Winnipeg
Overall Collaborative Goals
• 95% of AMI and Med Rec teams (excluding Home Care Teams) will submit data to Safer Healthcare Now! Central Measurement Team
• 80% of registered teams will submit Monthly Reports to the Collaborative
• 70% of teams will achieve at least one goal as identified by the self assessment ratings
AMI Stream – GoalsAdmission Meds• 90% of teams working on medications at admission will meet targets as specified in
the Getting Started Kit (e.g., 95% of admitted patients will receive Aspirin within 24 hrs)
Reperfusion Strategies• 75% of teams working on reperfusion strategies will achieve targets as specified in
the Getting Started Kit (e.g., 90% of STEMI patients will receive lytics within 30 minutes of ED door arrival)
Discharge Meds• 90% of teams working on medications at discharge will meet targets as specified in
the Getting Started Kit (e.g., 95% of discharged patients will have an order of beta blockers at discharge)
Smoking Cessation• 90% of teams working on smoking cessation will meet targets as specified in the
Getting started Kit ( e.g., 100% of eligible patients will get smoking cessation counseling during hospital stay)
Medication Reconciliation:
Acute & Long-Term Care - Goals
• 80% of teams will reduce the # of undocumented intentional discrepancies by 75% from baseline
• 75% of teams will reduce the # of unintentional discrepancies by 75% from baseline
Home Care Stream – Learning Goals• Explore the process of obtaining, updating and communicating a
complete Best Possible Medication History (BPMH)
• Identify core processes to aid in the BPMH and identification of medication errors
• Develop a BPMH tool for the home care environment for SHN!
• Develop and test 2 measures which have relevance to monitoring the process and outcomes to prevent harm in the Home Care environment
Team Expectations
– Secure sponsorship from Senior Leader– Perform “Enrollment Package” activities in preparation for
Learning Session 1– Enrollment in the Collaborative will also enroll you into SHN!
– Commitment to data submission (Monthly Reports & Central Measurement Team)
– Attendance at the Learning Sessions & Congress/Spread Session
Costs for the Teams – Approximate Figures
• Multidisciplinary team of 5-7 members (clinical experts, physician/champion, day to day leaders and system leaders)
• 0.2 FTE for a team leader to coordinate activities• Data entry person (2 hrs a week)• ~ $1000 per team member for each Learning Session (includes
registration, accommodation and travel costs)• 2 - 3 team members should attend all Learning Sessions • Approximately $10,000 per team to attend 3 Learning Sessions
(May Congress/Spread Workshop not included)
Med Rec Faculty Faculty Name Province
Dr. Peter Norton, Co-Chair West
Fruzsina Pataky, Co-Chair BC
Marg Colquhoun, Pharmacist, ISMP ON
Robin Ensom, Pharmacist BC
Yvette Penman, Home Care AB
Sandra Leung, LTC AB
Beatrice de Rocquigny, Pharmacist MB
Lila Ho-Takeda, LTC AB
AMI Faculty – still recruiting
Faculty Name Province
Dr. James McMeekin, Cardiologist AB
Bernice Budz, RN BC
Dr. Tom Ashton, Cardiologist BC
Mary Anne Waters, Tobacco BC
Dr. Bruce Roe, Internist MB
Lillian Hall, RN MB
Dr. George Garbe, Cardiologist SK
Tanis Rollefstad, QI/AMI West
Obtaining Senior Leader Commitment
• Build the case (how does this intervention fit with the organizational strategic direction and performance agreements)
• Keep Senior Leader involved (use data to communicate)
• Use the data to show potential benefits of your work
• Identify an advocate who has the ear of the Senior Leader
Next Steps
• Secure support from Senior Leader • Enroll your team using the Call to Action Team
Enrollment Form • Register on-line (www.saferhealthcarenow.ca) for
Learning Sessions• Participate in the “Enrollment Calls” – schedule attached• Prepare for Learning Session 1 (May 14 & 15th,
Saskatoon, SK)
Upcoming Calls
Enrolment Package – Teleconference (Getting Started)ALL Teams
April 17, 10 – 11 am MDT1-866-368-6248 Participant code: 0242667
Medication Reconciliation in Home Care April 23, 10 - 11am MDT
1-866-368-6248 Participant Code: 2132760
Medication Reconciliation in Long-Term CareApril 24, 10 – 11 am MDT
1-866-368-6248 Participant code: 2132760
QUESTIONS ?
