Transcript NACS - Wave 03 Session 03

New Approach to Controlling Superbugs
Virtual Learning Session 3
Data – Measuring Progress
Interacting in WebEx
Be prepared to use:
•Pointer
•Raise your hand
18-Jul-15
2
Agenda:
1. Welcome and Introductions
2. Quick poll
3. Why Measure
4. Types of Measures
5. The NACS Measurement Buffet
6. Getting started with the SHN! measures
Positive Deviance-the 6 D’s
1. Define: the problem and a successful outcome
2. Determine: if there are any “positive deviants”
3. Discover: uncommon practices/behaviours
4. Design: activities enabling others to access and practice
new behaviours
5. Discern: effectiveness of activities or project through
ongoing monitoring and evaluation
6. Disseminate
Why Measure?
• To establish benchmarks
• To monitor compliance with policies and
procedures
• To understand the impact/efficacy of your
interventions
• Motivation
What to Measure
Measure what the front line
thinks is important
• Measure the things that provide value for
your setting
Ask yourself?
• Is the information relevant? Will gathering data add
value?
• Can this process or outcome be measured?
• Can the data be fed back to frontline staff in a way
that makes sense to them?
Whatever is being measured, it is important
to use the information gathered. Continually
review the data and develop action plans to
address any issues
Types of Measures
Process:
• Measure how people do things
• Most done by auditing or observation
• Purpose is to verify that health care providers
are following procedures
• E.g. donning and doffing PPE, environmental
cleaning
Outcome:
• Measure the impact of what people do
• For example: number of surgical site
infections, number of residents acquiring an
antibiotic resistant organism
The Measurement Buffet
Process Measures
• Volume of ABHR used
• Volume of soap used
• Number of gowns, boxes of gloves used
Process Measures
• % of eligible admissions screened for MRSA
• % of eligible admissions screened for VRE
• Hand hygiene compliance
Process Measures Continued…
• % of bed spaces where ABHR is readily
available, full, easy to activate
• % high touch areas in patient environment
where there was appropriate cleaning as
demonstrated by using a fluorescent
marker
Process Measures Continued…
• Reduction in mean time to placement on
contact precautions (for known patients
and from time of lab notification)
Outcome Measures
• Surveillance for new healthcare
associated MRSA clinical isolates
• Surveillance for new healthcare
associated VRE clinical isolates
• Surveillance for new cases of healthcare
associated C. difficile infection
Getting Started
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Take a critical look at your setting
Identify the data you need to collect
Get help
Choose a time period
Review data/analyze information
Share data with the frontline
Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010
14.0
Rate per 1,000 pt days
12.0
10.0
8.0
6.0
4.0
2.0
0.0
Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- JulMar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep
05
05
05
05
06
06
06
06
07
07
07
07
08
08
08
08
09
09
09
09
10
10
10
Quarter
8A Glove and Sanitizer Use with Overall HH Compliance
60
100%
90%
80%
70%
40
60%
30
50%
40%
20
30%
20%
10
10%
0
0%
08/09
Q1 09/10
Q2 09/10
8A Glove use
Q3 09/10
8A Sanitizer use
Q4 09/10
Q1 10/11
8A HH Compliance
Q2 10/11
% Hand hygiene compliance
Purchased units per 100 pt days
50
Safety Cross
Safety Calendar: AKA Bug Tracker
Hand Hygiene Compliance
Quinte Health Care
Social Network Mapping
Who do you talk to about the prevention of superbugs?
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
Ward Clerk
Patient
Education
Manager
Today, who do you talk to
about the prevention of
25
superbugs?
Who do you want to work with in the future?
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
Ward Clerk
Patient
Education
Manager
With whom would you like
to work with in the future
that you haven’t 26
in past
superbug prevention work
• Next Learning Session: Monday March 7th 1 pm
EST
• Next Coaching Call: Monday February 14th 1pm
EST
www.stopsuperbugs.com