Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health’s subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers, Baylor Health Care System, Scott & White Healthcare or Baylor Scott & White Health. ©2015 Baylor Scott & White Health. BID THHBP_954 9.15

PurposeThe goal of the skin champion program was to reduce the number of hospital acquired pressure ulcers. The sustainment goal of the program is the prevention of hospital acquired pressure ulcers. The ultimate purpose is to “save our skin.”

Significance • Patient Safety• Aligning care practices• Safe, quality care• Data use to drive change• Defining areas of opportunity• Addressing areas of opportunity• HAPU impact on:

– Patients – Caregivers – Associated costs

Strategies

Skin Champion Team• Interprofessional team who educates, consults,

advocates, and drives prevention… our skin savers• Physician• Wound Care Nurse• Dietician• Physical Therapy• Nurses• Director of Professional Practice• OR staff• Education • Occupational Therapy

Evaluation

Implications for practice• Skin Savers:

– Proactive evaluation – Proactive assessment – Proactive intervention – Education

Skin Champions: Save Our Skin SOSAlaina Tellson, RN-BC, BSN, PhD (c), NEA-BC • Maria Hoffman, RN, BSN, WCC The Heart Hospital Baylor Plano

14%

12%

10%

8%

6%

4%

2%

0%

3.97%

Jun-

12

Jul-1

2

Aug-

12

Sep-

12

Oct-

12

Nov-

12

Dec-

12

Jan-

13

Feb-

13

Mar

-13

Apr-

13

May

-13

Jun-

13

Jul-1

3

Aug-

13

Sep-

13

Oct-

13

Nov-

13

Dec-

13

Jan-

14

Feb-

14

Mar

-14

Apr-

14

May

-14

Jun-

14

Jul-1

4

Aug-

14

Sep-

14

Oct-

14

Nov-

14

Dec-

14

Jan-

15

Feb-

15

Mar

-15

Apr-

15

May

-15

Jun-

15

Prev

alen

ce (%

)

6.99% 4.74% 8.79% 4.57% 1.84% 0.69% 1.05% 2.22% 0.89% 1.13% 0.70%

---- Prevalence --- 2013 NDQNI 1st Quarter Mean 8.33%--- 2013 BHCS Benchmark 1.59%---- 2013 THHBP Goal 1.33%

� 01 HAPU Avg� 02 HAPU Avg� 03 HAPU Avg� 04 HAPU Avg

Interventions:• Search for causes to our HAPU problem• Increase prevalence rounding to weekly

Interventions:• Add part-time wound care RN• OR-increase prevention measures

Interventions:• Multidisciplinary team efforts• 4PUP hotline and email

Interventions:• Expand multidisciplinary collaboration- NPs• More education- Stage Fair roadshow

Interventions:• MAP Trial & Repositioning• Progressive Mobility Protocol

Interventions:• TED hose problem-Give TED a Break Campaign• Ask the Expert Event

Interventions:• Refocus on Prevention- Back to the Basics• We’ve Got Your Backside Covered

Interventions:• PrU Documentation in EHR• Positioning wedges trial

Interventions:• PCT Workshop & Education• Role of support surfaces in HAPU development

Interventions:• Staff Survey- impediments to repositioning• Supplement Tasting Roadshow

Supplies:Bed evaluationsHAPU prevention

supplies

Identified problems: why patient at risk?

Established resources: hotline,

email address, experts

Education:Ask the expertMonthly road

shows

Collaboration: added

interprofessional teams and

departments