Transcription
The ECLIPSE ProgramEndowed Clinical Professor for Service and Educationat Saginaw Valley State UniversitySally Decker, Jane Barnsteiner, Janalou Blecke
Dissemination of QSEN Competenciesto faculty and community partners Use of concept mapsUse of conferencesUse of the overall competency framework in classesUse of TEAMSTEPS to focus on communication
Mapping Used first for overall QSENoutcome and later for KSA level QSEN used as a mapping columnin the course concept map
Patient Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care basedon respect for patient’s preferences, values, and needs; knowledgeQSEN Patient Centered Care (knowledge)Analyze multiple dimensions of ptcentered care:Pt/family/community preferences, valuesCoordination and integration of careinformationInformation, communication andeducationPhysical comfort and emotional supportInvolvement of family and friendsTransition and continuityAnalyze how diverse cultural, ethnic,spiritual and social backgrounds functionas sources of patient, family andcommunity valuesAnalyze social, political, economic, andhistorical dimensions of patient careprocesses and the implications for ptcentered careIntegrate knowledge of psychological,spiritual, social, developmental andphysiological models of pain and sufferingAnalyze ethical and legal implications of ptcentered care – describe the limits andboundaries of therapeutic pt centeredcareAnalyze strategies that empower patientor families in all aspects of the health careprocessAnalyze features of physical facilities thatsupport or pose barriers for pt centeredcareAnalyze reasons for common barriers toactive involvement of patients and familiesin their own health care processIntegrate principles of effectivecommunication with knowledge of qualityand safety competenciesAnalyze principles of consensus buildingand conflict resolutionAnalyze advanced practice nursing roles inassuring coordination, integration andcontinuity of careDescribe process of reflective 462463464466480482483484486
Map coordinates for courses pic and Assignment FocusNANDA Diagnostic Categories(Assessment & Diagnosis)NIC Intervention Categories (Planning Implementation)NOC Outcomes (Outcome Identification & Evaluation)Standards: AACN Essentials, QSEN, and ANA
Conferences2009, 2010And faculty invited topresent at otherconferences
Communication: TeamSTEPPS (Team Strategies and Tools to Enhance Performanceand Patient Safety) TeamSTEPPS is a teamwork system designed forhealth care professionals that is:A powerful solution to improve patient safety within your organization.An evidence-based teamwork system to improve communication andteamwork skills among health care professionals.
Subscores
Team Stepps We Used
Role of the Endowed Clinical Professorto support QSEN disseminationJuly 1, 2008 Dr Jane Barnsteiner was appointed as theAndersen/Lange Endowed Clinical Professor in Nursing. Thebroad goals were to: Provide leadership in dissemination of QSEN into thecurriculum Develop and implement a series of learning collaborativeswith faculty and clinical partners to improve quality and safety
Quality Improvement Projects Example: Glycemic ControlExample: Alcohol WithdrawalExample: Communication (Silence Kills)Example: Teamwork/communication Example: Heart Failure Example: Remote Monitoring
Process Agencies wrote a one page proposal of a project For the selected agencies, teams were created to address theproject and included a member of the SVSU faculty A model for improvement was identified (PDSA or Six Sigma) The aims of the project were identified (specific,measureable, actionable, relevant, timeframe)
Interest form for Eclipse project: (return to Sally Decker at SVSU)Overall goal related to Quality and Safety that would be the focus of an Eclipse Team:Overall Goal: To reduce readmission rates and length of stay for patients with heartfailure and Bay Medical CenterIntermediate Goal: To use Six Sigma methodologyOutcome:Decrease readmission and length of stayTiming of interest in working with a team on this project:Current x , in about one year , not able to forecastOverall idea for what this project might look like at your agency:Revise standing heart failure orders, integrated plan of care, improved education tophysicians, nurses and patientsIdea of who the participants might be:Current team is lead by four Sigma Champions, nursing staff, mgt, Home Care,physicians, pharmacist and case managementName of agency Bay Medical CenterContact personSandy Garzell(phone and email) 989-894-9510, sandy.garzell@bhsnet.org
Questions used: What work has currently been done in your organization onthis topic? What hospital and nursing policies currently exist? Do you collect data related to this topic? What QI models are you using? Why is this a priority for the organization? What outcome is envisioned? Who are the stakeholders, team members and agencychairperson?
Project Goals(Established 7/29/08) Ultimate goal / Project Aim / Mission:To improve glycemic control of the MidMichiganHealth adult patient populationFour Teams:1.2.3.4. In-PatientPeri-OperativeHome CareLong Term CareEach Team Established Specific Goals
ECLIPSE Project:Improved Glycemic ControlIn-Patient: Clare Gladwin Gratiot MidlandPeri-Operative: Clare Gladwin Gratiot MidlandHome Care: Alma Bay City Clare Gladwin Gratiot MidlandLong Term Care: Gladwin Pines Stratford Village
Original Goals Implement RALS system at each affiliateSystem wide policy on hypoglycemiaSystem wide use of same blood glucose recordImplement system wide order setsAchieve 60% physician complianceLess than 5% incidence of hypoglycemiaSystem wide nursing education
In-Patient Team MembersChair – J. Foor MSN, RNGladwin – K. Kulick RD, CDEClare – D. Peckinpaugh BSN, RN, CDEMidland – J. Ellison BSN, RN; C. Ahearn BSN, RNGratiot – S. Anderson BSN, RNCoordinator – A. Frederick MSN, RNSVSU – M. Graiver, MSN, RN, Associate Professor
10A1CAverage 8.3%9Average 6.5%Average 6.8%876580% in TargetSliding Scalein UseNorovirusNo Sliding Scale4Oct-08Dec-08Jan-09Mar-09Target Range 6.5 – 7%Apr-09Jun-09Jul-09
“Value added” Visibility as part of ECLIPSEContinual movement toward next visit by Dr BarnsteinerInvolvement of SVSU faculty in the “real world” of agencyDr Barnsteiner – resource as to what “others” had done,cheerleader, help with clarification of aims and identificationof measurements
Future Plans
Questions
The ECLIPSE Program Endowed Clinical Professor for Service and Education at Saginaw Valley State University . Analyze advanced practice nursing roles in assuring coordination, integration and continuity of care . project and included a member of the SVSU faculty A model for improvement was identified (PDSA or Six Sigma) .
