Transcript Enrollment Package Conference Call

Coming Full Circle:
AMI and Med Rec Across the Continuum
Enrollment Package Conference Call
April 18, 2007
Western Node Breakthrough Series Collaborative
May 2007 – May 2008
Supported by the Western Node of SHN!
The funding for this Collaborative has been provided by
the:
• BC Patient Safety Task Force
• Health Quality Council of Alberta
• Saskatchewan Health Quality Council
• Manitoba Patient Safety Task Force
Objectives for the Call
• Review the BTS Collaborative Model (Christina Krause)
• The What and Why of Pre-work (Christina Krause)
• Team in Pre-Work (Tanis Rollefstad)
• Review the Collaborative Goal & Charter (Tanis Rollefstad)
• Learning Session #1 Activities (Marlies van Dijk)
• Discussion & Questions
Breakthrough Series
Collaborative
Action Period One
Planning &
Pre-work
Action Period Two
Action Period Three
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Learnin
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Session
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Learnin
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Session
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Learnin
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Session
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Closing
Congress &
Distribute
Findings
May 14 &15, 2007
Saskatoon, SK
Sept 24 & 25, 2007
Victoria, BC
Feb 4 & 5, 2008
Edmonton, AB
May 5 & 6, 2008
Winnipeg
Support
Communities of Practice
Email
Teleconferences
Monthly Team Reports
Why Do We Do Pre-Work?
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Assures that teams come prepared for Learning
Session #1
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Builds the assets of a Collaborative
– Assess strengths and needs
– Finding early adopters
– Identifying challenging issues
– Build relationships among teams and between
teams and faculty
Team’s Preparation: Enrollment Package
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Review the Enrolment materials and identify the individuals who will be
working on this improvement effort (both initial site team and senior leaders)
Meet at least once prior to Learning Session #1 (May 14 & 15, 2007,
Saskatoon, SK).
Meet with your organization’s senior leadership to determine direction for
your aim and to arrange needed resources for the team.
Form your improvement team.
Identify your team’s aims (goals).
Plan your measurement strategy and collect baseline data.
If you have a Storyboard created, consider bringing to share
Optional: call Collaborative co-Director for a teleconference meeting to
“catch up” (250.492.3319 to make an appointment).
Register on-line (www.saferhealthcarenow.ca) for Learning Session #1.
Phone Delta Bessborough and make a reservation for accommodations.
Join the SHN! Communities of Practice www.saferhealthcarenow.ca
Teams in Pre-Work
• Get the right people at the table
• Begin building the team
• Send the right people to the Learning
Sessions – clinical leaders and day-to-day
leaders
Three Components of an Effective Team
System Leadership
(Organizational Leaders)
Day-to-Day Coordination
(Day-to-Day Leaders)
Technical Expertise
(Clinical Leaders)
Team Leader
• Make sure to send in your Team Enrollment
Form with you team’s key contact information
• Key contact role :
– ensure communication with collaborative
staff/Faculty & team members
– Prepares the Monthly Report for the Collaborative
– Submits the SHN! data
Medication Reconciliation
Mission and Collaborative Goals
•
Mission:
– Over the course of the next year, a breakthrough improvement in medication
reconciliation.
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Goals:
– Aligned with that stated in the Medication Reconciliation Getting Started Kit available on the
Safer Healthcare Now! website (www.saferhealthcarenow.ca).
– The primary goal of medication reconciliation is to eliminate undocumented intentional
discrepancies and unintentional discrepancies by reconciling all medications, at all
interfaces of care, for all patients.
– Develop a process which provides an accurate list across the continuum of care, from
admission to an acute care setting, transfer within the setting or to another facility,
discharge to the community, and ongoing in the home.
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The primary emphasis is to create systems of care that dramatically reduce the number of
ADEs through the reconciliation of medications.
Medication Reconciliation
Measures
1.
Mean # of undocumented intentional discrepancies
(documentation accuracy).
Target: Reduce baseline in area of focus by 75%.
2.
Mean # of unintentional discrepancies (medication error).
Target: Reduce baseline in area of focus by 75%.
3.
Percentage of Patients Reconciled at Discharge (Acute Care
Measure only)
Target: To increase the percentage of patients with a Best Possible
Medication Discharge Plan (BPMDP) by 75%.
Home Care – Learning Goals
• Explore the process of obtaining, updating and communicating
a complete Best Possible Medication History (BPMH)
• Identify core processes to aid in the BPMH and identification
of medication errors
• Develop a BPMH tool for the home care environment for
SHN!
• Develop and test 2 measures which have relevance to
monitoring the process and outcomes to prevent harm in the
Home Care environment
Improved Care for Acute Myocardial Infarction
Mission and Collaborative Goals
• Mission:
– Over the course of the next year, a breakthrough improvement in AMI
care.
• Goals:
– Aligned with that stated in the AMI Getting Started Kit available on the
Safer Healthcare Now! website (www.saferhealthcarenow.ca).
– Prevent deaths among patients hospitalized for AMI by ensuring
reliable delivery of evidence-based care.
– Develop a system by which all seven of the key components of care
for AMI are provided reliably to all patients.
Improved Care for Acute Myocardial Infarction
Measures
Process Measures (8):
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% AMI patients who received ASA within 24 hours before or after hospital arrival
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% AMI patients prescribed ASA at discharge
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% of AMI patients prescribed beta-blocker at discharge.
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% of AMI patients who received either thrombolytics within 30 minutes of hospital arrival or
Percutaneous Coronary Intervention (PCI) within 90 minutes of hospital arrival.
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% ACE-inhibitor or angiotensin receptor blockers (ARB) at discharge for patients with systolic
dysfunction
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% AMI patients who were prescribed ACEI or ARB at discharge.
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% AMI patients (cigarette, cigar and pipe smokers) who received smoking cessation advice, counselling
and/or cardiac rehabilitation program during hospital stay.
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% AMI patients who were prescribed a statin at discharge.
Improved Care for Acute Myocardial Infarction
Measures
Outcome Measures (2):
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% AMI patients with Perfect Care (provision of all key
components of care, or documentation of clear
contraindication).
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% AMI patients who died during hospital stay.
Measurement in Pre-Work
• Collecting Baseline Data
– Just enough measurement, sampling
– Provides information to set clearer goals in the aim
statement
– Introduces the concept of run charts
– Measures may change during the collaborative – it’s about
learning
Learning Session #1 Activities
• Hear and work directly with Faculty during breakout
sessions
• Refine Aims, start building charter
• Learn more about the Improvement Model
• Work through measurement issues
• Team meetings provide opportunities for you to
develop plans and receive input from Faculty
• Connect and learn from other participating teams
Next Steps
• If you haven’t yet done so:
– Enroll your team using the Team Enrollment Form
(found in the Call to Action .pdf)
– Register on-line for Learning Session 1 at
www.saferhealthcarenow.ca
– Book travel and accommodation (Delta Bessborough SHN!
rate extended until April 18th)
• Participate in Office Hours – schedule attached
• Prepare for Learning Session 1 (May 14 & 15th, Saskatoon, SK)
Upcoming Calls
Med Rec in Home Care
April 23, 10 - 11am MDT
1-866-368-6248; Participant Code: 2132760
Med Rec in Long-Term Care
April 24, 10 - 11am MDT
1-866-368-6248; Participant Code: 2132760
Office Hours
*open time for teams to call and ask questions about measurement, Enrollment Activities, etc)
Med Rec
May 2, 1 - 2 pm MDT
1-866-368-6248, Participant Code 2132760#
AMI
May 4, 12 - 1 pm MDT
1-866-368-6248, Participant Code 4238262#
Discussion Questions
• Where are you at?
• What are your challenges?
• If you’d like, schedule an individual follow-up
teleconference with Christina Krause, Collaborative
Co-Director:
[email protected] or 250.492.3319