GHA Hospital Engagement Network HAC Learning Collaborative Webinar ~ May 16, 2012 Kathy McGowan, GHA Kelley Dotson, GHA Anne Hernandez, A LLIANT | GMCF

GHA Hospital Engagement Network

HAC Learning Collaborative

Webinar ~ May 16, 2012Webinar ~ May 16, 2012

Kathy McGowan, GHAKathy McGowan, GHAKelley Dotson, GHAKelley Dotson, GHA

Anne Hernandez, ALLIANT | GMCFAnne Hernandez, ALLIANT | GMCF

Learn. Act. Improve. Learn. Act. Improve. Spread.Spread.

Keep the Drum Beat Keep the Drum Beat Going.Going.

• Success Storyo Pressure Ulcer Prevention

• Educationo Documenting a Small Test of Change

• Questions & Answers

• Action Items

Learning Objectives



WHAT HAS WORKED?

Teri Newsome, RN, ICP

Vice President of Quality

Habersham Medical Center

All Teach ~ All Learn



Small Test of Change

EDUCATION



What have you ALREADY done???

Collect baseline data

Complete Root Cause Analysis

Complete Process Flow Map (Chart)

Select specific HAC to address

Prioritize your “cause”



What to do NEXT???

Develop Corrective Actions & A Follow-up

• Determine workable solutions for the root causes

• Re-visit any “quick fix” solutions that were put in place

• Use other PI tools to assist



Team’s Role

• Team designs a plan (Plan)

• Team creates time-lined actions (Do)

• Team/assigned individuals measure (Study)

• Team acts on the outcome of measurements (Act)



Depending on the aim, your team should choose PROMISING CHANGES and use Plan-Do-Study-Act (PDSA) cycles to:

1.Test a change quickly on a small scale

2.See how it works

3.Refine the change as necessary before implementing it on a broader scale

Science of Improvement ~Testing Change



Key changes are then implemented in a cyclical fashion

Performance Improvement Team Should Ask Three Questions:



Think SMART

Your Goal should be SMART

S pecific

M easurable

A greed to

R elative

T ime-based (becomes standard process)



• GOAL: Overall goal you would like to reach

• Every goal will required multiple smaller tests of change

Small Test of Change Worksheet



PLAN

Describe your first (or next) test of change

Person Responsible

When to be done

Where to be done

Provide non-slip/skid socks to patients at risk for falls

Materials Manager

4 weeks Med-Surg Unit

Small Test of Change Worksheet Describe your first (or next) test of change



PLANList the tasks needed to set up this test of change

Person Responsible

When to be done

Where to be done

1. Research most appropriate product available Materials Mgr. & Med-Surg RN Mgr.

10 days Department

2. Obtain three quotes on product Materials Mgr. 14 days Department

3. Determine number needed for trial period Med-Surg RN Mgr.

7 days IT

4. Place order Materials Mgr. 21 days Department

5. Educate staff on use of non-slip/skid socks Med-Surg RN Educator

14 days Med-Surg Unit

6. Add to Order/Entry System RN/IT Liaison 21 days IT

7. Stock in Pyxis Materials Mgr. 24 days Med-Surg Unit

8…….

Small Test of Change WorksheetList the tasks



PLAN

Predict what will happen when the test is carried out

Measures to determine if prediction succeeds

1. Falls will decrease by 75% in one month

1. Monitor falls daily on Med-Surg unit Track weekly rate x 4 weeks

2. 2.

3. 3.

Small Test of Change Worksheet Predict what will happen



DO Describe what actually happened when you ran the test of change:

STUDY Describe the measured results and how they compare to the predicted results:

ACT Describe what changes to the plan will be made for the next cycle from what you learned:

Small Test of Change WorksheetDo Study ACT



ACTION ITEMS – To Do by May 30th

1. Send one completed “Worksheet for Testing Change” to GHA

2. Contact Kelley Dotson, GHA or Nancy Fendler, GMCF if you need further assistance selecting a goal or completing a small test of change.



Educational TELNET/Webinars

Next Telnet/Webinar

•3rd Wednesday every month•June 20, 2012•11:00 am – 12:00 pm



Evaluations

• Please let us know how we are doing

• Please complete the electronic survey

Documents

GHA Hospital Engagement Network HAC Learning Collaborative Webinar ~ May 16, 2012 Kathy McGowan, GHA Kelley Dotson, GHA Anne Hernandez, A LLIANT | GMCF