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Flex Reverse Site Visit Breakout Session July 11, 2019 Mentors for Quality 1

Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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Page 1: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Flex Reverse Site Visit Breakout SessionJuly 11, 2019

Mentors for Quality

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Page 2: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Flex Program in Alaska

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➢ State of Alaska, Flex Coordinator Tricia Franklin➢ ASHNHA – Contractor➢ Mountain-Pacific Quality Health – Contractor

Page 3: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Alaskan Hospital Numbers

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Page 4: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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13 CAHsAlaska Critical Access Hospitals (CAHs)

Only 2 of the 13 have road access

Page 5: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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Alaska Facts

➢586,412 square miles➢737,438 population➢8 of 10 communities not

connected to road system

Page 6: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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Juneau – Capital of AlaskaMajority of communities are accessible only by air or water

Page 7: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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WeatherSevere weather events happen frequently and can isolate a community

Page 8: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

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Other Forms of Travel

Page 9: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Alaskan CAHs – Air miles from Anchorage

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Utqiagvik (Barrow) -500 miles

Kodiak Island – 250 milesPetersburg Medical Center – 650 miles

Page 10: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

ASHNHA Flex Activities

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➢ CAH Site Visits➢ CAH Monthly virtual calls➢ In-person trainings➢ Quality webinars➢ Small Hospital Committee➢ Patient Safety Committee➢ CNO, CFO Collaboratives

Page 11: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

CAH Staff Challenges

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➢ High staff turnover➢ Staff wear many “hats”➢ No one to train with at their hospital➢ No quality experience, no Certified

Professional in Healthcare Quality (CPHQ)

Page 12: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Mentors for Quality Program Developed 2014

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Objective 1.1 Assist critical access hospitals in implementing quality improvement activities to improve patient outcomes

Page 13: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Mentors for Quality (M4Q)Purpose

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To provide professional development to quality department leaders and staff by providing continued educational opportunities along with experienced peer mentoring.

Page 14: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q Overview

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The ASHNHA Mentors for Quality program pairs more experienced patient safety leaders with less experienced staff from hospitals and long-term care facilities throughout Alaska.

Page 15: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q History

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➢ 2014 Six pairs – five finished➢ 2015 Eight pairs – four finished➢ 2016 Eight pairs – three finished➢ 2017-2018 Focus group➢ 2018-2019 Current program – six pairs, all

finished➢ 2019-2020 - Beginning new group

Page 16: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q Program 2014-2016

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➢ Model for Improvement/PDSA➢ Kick-off meeting and training➢ Calls every two weeks with the group➢ Open to those at a hospital not in quality or

infection prevention

Page 17: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q Challenges

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➢ Staff retention during the project➢ Bad pairing – night nurse can’t

communicate with mentor➢ No leadership support➢ Mentee has too many “hats”➢ Project involves other staff that don’t

want to be involved

Page 18: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q 2018-2019 Program

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➢ Six-twelve month mentorship➢ ASHNHA pairs up those with similar job

responsibilities➢ Hospital leadership buy-in a must➢ Weekly calls between mentor & mentee➢ Develop a project➢ Prepare for CPHQ exam with mentor assistance➢ Attend monthly M4Q roundtable calls➢ Prepare poster presentation

Page 19: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q Pairing

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➢ First step to send out information about the program so you have a group

➢ Matching mentors/mentees➢ Type of job (infection prevention)➢ Interest in project➢ Similar sized facility➢ Tribal with Tribal

Page 20: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

M4Q Project Selection

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➢ Select meaningful quality improvement project➢ Measurable outcomes➢ Effect positive change

Page 21: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Paperwork

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➢ Letter of Intent➢ Signed by CEO

Page 22: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Mentor Site Visit

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➢ Chance to meet in-person➢ QI project work

Page 23: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Sample Project

Page 24: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Poster Presentations

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Page 25: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Medication Scan Rate

Page 26: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Sterilization FMEA

Page 27: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Resident Weights

Page 28: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Increased Survey Readiness

Page 29: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

RCA2 Implementation

Page 30: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Sepsis Care Improvement

Page 31: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Cerificate of Recognition

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Page 32: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Mentors for Quality 2016 Kick-off

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Page 33: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Mentors for Quality 2019 Certificates and

Recognition

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Page 34: Mentors for Quality - ruralcenter.org · Mentors for Quality 1. Flex Program in Alaska 2 State of Alaska, Flex Coordinator Tricia Franklin ... (CPHQ) Mentors for Quality Program Developed

Questions?