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Implementing Teach-Back Throughout HCMC. November 8, 2012 RARE Action Learning Day Jennifer Rudolph, HCMC. Structure. Performance Excellence Department Manage Organizational Initiatives Advise on the Projects to Implement Facilitate & Manage the Project. Future Process. - PowerPoint PPT Presentation
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Implementing Teach-Back Throughout HCMC
November 8, 2012RARE Action Learning DayJennifer Rudolph, HCMC
Structure
• Performance Excellence Department
• Manage Organizational Initiatives
• Advise on the Projects to Implement
• Facilitate & Manage the Project
Future Process
HIG
H R
ISK
ME
DIU
M R
ISK
LOW
RIS
K DIS
CH
AR
GE
D
Patient Admitted
Review criteria to categoriz
e into H, M, L
Follow-up appointment
made
Follow-up appointment
made
Medication Education & Discharge
Instruction using teach back
Discharge summary
sent to PCP
Follow-up phone call
Discharge summary
sent to PCP
Follow-up phone call
(24-48 hours)
Home care visit
Follow-up appointment
occurs
Home care visit
Follow-up appointment
occurs
Follow-up appointment occurs
MEDIUM
Medication Reconcillation
Medication Reconcillation
Medication Reconcillation
Medication education and discharge instruction
using teach back
Prim
ary C
are
Specia
lty Care
Home Health Care
Skille d Nurs ing Fac ilit y
Hospice
HCMC Hospital Transitions of Care Program2012
Teachback: Operationalize a process, using best practices,
that supports nurses, pharmacists, and providers with applying teachback to
education patients on medications and discharge
instructions.
Epic AVS: Develop standard work for
completion of AVS that meets regulatory
requirements, is patient friendly, bases for teach-
back, & contains pertinent information.
Redesign of Case Management: Redesign case management to incorporate workflow changes that align their work with the goals of the organization, and that creates a more patient and
family centric model.
Follow-Up Appointments: Follow-up appointment
occurs within 3 days (high risk) and 5 days (medium
risk) of discharge.
Medication Reconciliation: TBD
Discharge Follow-Up Phone Calls: Implement a
process based on best practices that provides patients in the high and
medium risk categories a follow-up phone call within
24 hours (high) and 48 hours (medium).
Criteria Review: Use best practices and HCMC
experience, to develop and implement a process, to
assess inpatients for their admission risk.
Discharge Summary: Within 24 hours of discharge ensure
discharge summaries are available to PCP for
all patients. Program Objective: Improve clinical processes and tools to communicate and optimize the patient’s
health after hospitalization to decrease avoidable hospital
readmissions.
Every Project Has A Charter
Timeline
Fall 2012 Continued
Organizational Training (Ambulatory, Pharmacy,
etc.)
By December 2012
Training for New Employees
Implemented
August 2012
Started Provider Education &
Plan
June 2012 Approved for all
of HCMC
July 2012Teach-back at
ReNEW
May 20122 day workgroup to
develop training- initial focus
inpatient
March 2012
Teachback chosen as a
project
April 2012 Teach-back
project started, planning phase
Defined Training Objectives• Define teach-back
• Know the benefits of using teach-back
• State expectations of using teach-back at HCMC
• Demonstrate use of teach-back
Training Plan
Benefits
• Organization: Standard Teaching Method• Operational leaders: Dedicated Project Management• Patient care units: Team Environment• Patients: Increased Understanding and Compliance• C-Suite: Fewer Avoidable Readmissions
Sustainment
• Hardwiring
• New Employee Education
• Integrated into other education & programs
• Becoming the culture at HCMC