Transcript 6/10/14Slides - Quality Improvement Organizations

Suffolk Wound Care Nurses
June 10, 2014
Maureen Valvo
IPRO
IPRO provides a full spectrum of healthcare
assessment and improvement services that foster
the efficient use of resources and enhance healthcare
quality to achieve better patient outcomes.
Suffolk Wound Care Nurses
AGENDA
Discussion:
Wound Care Issues,
Successful Healing,
Products,
Sharing Solutions
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Quality Improvement Updates:
 QAPI-Quality Assurance Performance Improvement
 IPRO QAPI Training Webinar Series
 IPRO Pressure Ulcer Tools
 QAPI for Wound Care Webinar (Wound Rounds)
 QAPI to Reduce Pressure Ulcers (Wound Care Advisor)
 Gold Stamp: Self-Assessment of Pressure Ulcer Prevention +
Management Education
 NPUAP Pressure Ulcer Root Cause Analysis Template
 Science Daily Article Hope for Chronic Wounds
 LI Wound Healing Association
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Quality Assurance Performance Improvement (QAPI)
http://qio.ipro.org/nursing-homes-hac/qapi/webinar
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Quality Assurance Performance Improvement (QAPI)
http://qio.ipro.org/nursing-homes-hac/qapi/webinar
IPRO QAPI Webinar Training
1.Form a QAPI interdisciplinary team to view the IPRO QAPI webinars and materials.
2.Together Complete a QAPI Self-Assessment [ the 6th posted item under Session 1-“QAPI SelfAssessment Tool”]
3.Together view Learning Session 1 webinar and meet weekly to discuss progress on the areas
identified for improvement
4.Within 1 to 2 months, View the next Learning Session.
5. The Sessions also guide reduction of Anti-Psychotic medications a Centers for Medicare &
Medicaid (CMS) designated focus. Specifically look at the inappropriate use of Anti-psychotics
for residents with only a diagnosis of Dementia, no Psychosis.
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http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/NHQAPI.html
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http://qio.ipro.org/nursing-homes-hac/clinical-topics-tools-resources/pressure-ulcer-clinical-tools-resources
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QAPI for Wound Care Webinar : A Practical Guide for
Quality Assurance Performance Improvement
https://www.youtube.com/watch?v=K0_n_lgvNSQ
In the near future, all nursing homes must have in place and implement an acceptable QAPI
plan. Learn how your facility can benefit from focusing on quality of wound care. Michelle Stuercke,
CNO of NuCare Symphony, along with Anne Scheurich, VP Clinical Operations for WoundRounds,
present their experiences in wound care QAPI.
Includes:
Understand the QAPI process and traditional QA programs
Identify the 12-steps to implement QAPI
Review a pressure ulcer root cause analysis
Review a case study on a wound care Performance Improvement Plan
Sponsored by WoundRounds®: WoundRounds® is the point-of-care wound management & prevention solution that empowers nurses
to deliver better wound care in less time.
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Jeri Lundgren is director of clinical services at Pathway Health in Minnesota. She has been specializing in wound
prevention and management since 1990.
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http://woundcareadvisor.com/resources/tool-kit/
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http://woundcareadvisor.com/wp-content/uploads/2013/05/Ankle-brachial-index.pdf
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http://woundcareadvisor.com/wp-content/uploads/2013/01/Diabetes-Foot-Exam.pdf
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http://woundcareadvisor.com/wp-content/uploads/2013/06/Job-task-analysis.pdf
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Lanarkshire Oximetry Index
ByDonna Sardina, RN, MHA,WCC, CWCMS, DWC
Purpose
The Lanarkshire oximetry index (LOI) is a noninvasive procedure using a
pulse oximeter for assessment of peripheral arterial perfusion to
determine if it is safe to apply venous compression bandaging.
Indications
Assess peripheral arterial perfusion when:
• there is evidence of calcified vessels (ankle brachial pressure index [ABPI] > 1.3)
• you have difficulty locating arteries with Doppler
• the patient has diabetes or lymphedema
• you work in a facility where you only need to perform one to two vascular
assessments a month.
http://woundcareadvisor.com/wp-content/uploads/2012/07/Lanarkshire-Oximetry-Index.pdf
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Plan-Do-Study-Act (PDSA) Cycle Planning Sheet
 Description
 What idea do you want to test?
 Plan
 What exactly will you do?
 Who Will carry Out the Plan?
 When will it take place?
 Where will it take place?
 What do you predict will happen?
 What data/information will you collect to know whether there is an
improvement?
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PDSA Cycle Progress Sheet
Complete this part as you carry out your cycle. Keep notes on what happens.
DO
Complete this part when you have completed your cycle, after you have gathered your data and
reflected on what happened. Include expected and unexpected results.
STUDY
Record what you will take forward from this cycle or what you will do differently next time. What
other tests or cycles will you do?
ACT
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PDSA Reporting Form PDSA Cycles
Date _________________
Form completed by __________________Contact ______________
Objective______________________________________
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SBAR
Situation Background Assessment Recommendation
SBAR wound and skin provider communication record
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http://qio.ipro.org/wp-content/uploads/2013/10/2013-07-02_resource_guide.pdf
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http://www.npuap.org/wp-content/uploads/2014/03/NPUAP-RCA-Template-March-2014.pdf
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https://www.nhqualitycampaign.org/goalDetail.aspx?g=PU
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http://qio.ipro.org/nursing-homes-hac/qapi/quality-improvement-qi-resources
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http://www.sciencedaily.com/releases/2014/05/140512101257.htm
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Long Island Wound Healing Association
http://www.liwha.org/
LIWHA is a nonprofit organization established to provide an independent
forum for clinicians involved in advanced wound healing. Members will
acquire and exchange knowledge of the diagnosis, management, and
treatment of acute and chronic wounds. The goal is improved patient
outcomes while promoting the science and art of wound care.
Membership is open to physicians, NP's, PA's, RN's, and medical
assistants engaged in the care of patients with wounds. Affiliate
membership is available to administrators and industry representatives.
Contact Christine Fanelli for an application, e-mail preferred.
Contact Information
Email: [email protected]
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For more information
Maureen Valvo
(516) 326-7767 ext. 308
[email protected]
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