New Approach to Controlling Superbugs
Virtual Learning Session 3
Data – Measuring Progress
Michael Gardam
Leah Gitterman
Interacting in WebEx
Jan 28, 2015 2
Be prepared to use:
•Pointer
•Raise your hand
Agenda:
1. Welcome and Introductions
2. Quick poll
3. Why Measure
4. Types of Measures
5. The NACS Measurement Buffet
6. G...
Quick Poll
Why Measure?
• To establish benchmarks
• To monitor compliance with policies and
procedures
• To understand the impact/eff...
Types of Measures
Process:
• Measure how people do things
• Most done by auditing or observation
• Purpose is to verify th...
Types of Measures
Outcome:
• Measure the impact of what people do
• For example: number of surgical site
infections, numbe...
Measure what the front line
thinks is important
What to Measure
• Measure the things that provide value for
your setting
Ask yourself?
• Is the information relevant? Will gathering data ...
Whatever is being measured, it is important
to use the information gathered. Continually
review the data and develop actio...
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 c...
Process Measures Continued…
• % of bed spaces where ABHR is readily
available, full, easy to activate
• % high touch areas...
Process Measures Continued…
• Reduction in mean time to placement on
contact precautions (for known patients
and from time...
Outcome Measures
• Surveillance for new healthcare
associated MRSA clinical isolates
• Surveillance for new healthcare
ass...
Getting Started
• Take a critical look at your setting
• Identify the data you need to collect
• Get help
• Choose a time ...
Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
Jan-
Mar
05
Apr-
Jun
05
Ju...
8A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/...
Combined nosocomial MRSA, C.diff and VRE rate, 9A, 2005-2010
0.0
1.0
2.0
3.0
Jan-
Mar
05
Apr-
Jun
05
Jul-
Sep
05
Oct-
Dec
...
9A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/...
Safety Cross
Safety Calendar: AKA Bug Tracker
Hand Hygiene Compliance
Quinte Health Care
Social Network Mapping
27
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
War...
28
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
War...
• Keep a log of all PD activities
• Access the worksheets here:
http://www.saferhealthcarenow.ca/en/interventions/aro_mrsa...
www.stopsuperbugs.com
Next Learning Session:
December 6, 2010
Wave 3 starts:
January 10, 2011
NACS Wave 2, Learning Session 3
of 30

NACS Wave 2, Learning Session 3

Published on: Mar 3, 2016
Published in: Health & Medicine      Business      
Source: www.slideshare.net


Transcripts - NACS Wave 2, Learning Session 3

  • 1. New Approach to Controlling Superbugs Virtual Learning Session 3 Data – Measuring Progress Michael Gardam Leah Gitterman
  • 2. Interacting in WebEx Jan 28, 2015 2 Be prepared to use: •Pointer •Raise your hand
  • 3. 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
  • 4. Quick Poll
  • 5. Why Measure? • To establish benchmarks • To monitor compliance with policies and procedures • To understand the impact/efficacy of your interventions • Motivation
  • 6. 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
  • 7. Types of Measures Outcome: • Measure the impact of what people do • For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism
  • 8. Measure what the front line thinks is important What to Measure
  • 9. • 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?
  • 10. Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues
  • 11. The Measurement Buffet Process Measures • Volume of ABHR used • Volume of soap used • Number of gowns, boxes of gloves used
  • 12. Process Measures • % of eligible admissions screened for MRSA • % of eligible admissions screened for VRE • Hand hygiene compliance
  • 13. 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
  • 14. Process Measures Continued… • Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)
  • 15. 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
  • 16. Getting Started • 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
  • 17. Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 Jan- Mar 05 Apr- Jun 05 Jul- Sep 05 Oct- Dec 05 Jan- Mar 06 Apr- Jun 06 Jul- Sep 06 Oct- Dec 06 Jan- Mar 07 Apr- Jun 07 Jul- Sep 07 Oct- Dec 07 Jan- Mar 08 Apr- Jun 08 Jul- Sep 08 Oct- Dec 08 Jan- Mar 09 Apr- Jun 09 Jul- Sep 09 Oct- Dec 09 Jan- Mar 10 Apr- Jun 10 Jul- Sep 10 Quarter Rateper1,000ptdays
  • 18. 8A Glove and Sanitizer Use with Overall HH Compliance 0 10 20 30 40 50 60 08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Purchasedunitsper100ptdays 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %Handhygienecompliance 8A Glove use 8A Sanitizer use 8A HH Compliance
  • 19. Combined nosocomial MRSA, C.diff and VRE rate, 9A, 2005-2010 0.0 1.0 2.0 3.0 Jan- Mar 05 Apr- Jun 05 Jul- Sep 05 Oct- Dec 05 Jan- Mar 06 Apr- Jun 06 Jul- Sep 06 Oct- Dec 06 Jan- Mar 07 Apr- Jun 07 Jul- Sep 07 Oct- Dec 07 Jan- Mar 08 Apr- Jun 08 Jul- Sep 08 Oct- Dec 08 Jan- Mar 09 Apr- Jun 09 Jul- Sep 09 Oct- Dec 09 Jan- Mar 10 Apr- Jun 10 Jul- Sep 10 Quarter Rateper1,000ptdays
  • 20. 9A Glove and Sanitizer Use with Overall HH Compliance 0 10 20 30 40 50 60 08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Purchasedunitsper100ptdays 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %Handhygienecompliance 9A Glove use 9A Sanitizer use 9A HH Compliance
  • 21. Safety Cross
  • 22. Safety Calendar: AKA Bug Tracker
  • 23. Hand Hygiene Compliance
  • 24. Quinte Health Care
  • 25. Social Network Mapping
  • 26. 27 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 superbugs? Who do you talk to about the prevention of superbugs?
  • 27. 28 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 in past superbug prevention work Who do you want to work with in the future?
  • 28. • Keep a log of all PD activities • Access the worksheets here: http://www.saferhealthcarenow.ca/en/interventions/aro_mrsa/pages/measurement.aspx Home » Interventions » NACS » Measurement Worksheets
  • 29. www.stopsuperbugs.com Next Learning Session: December 6, 2010 Wave 3 starts: January 10, 2011

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