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e-Learning Solutions for Healthcare:

INFECTIOUS DISEASE

June , 2011

Presented by:Presented by:Mark Schneider, Ph.D.

Yale New Haven Health System Center for Healthcare Solutions

1ICELW 2011 Conference - Columbia University, New York

eLearning Solutions for HealthCare:eLearning Solutions for HealthCare:INFECTIOUS DISEASE

Background: Healthcare Acquired Infections (HAIs are infectious diseases ‘in the News’) Background: Healthcare Acquired Infections (HAIs are infectious diseases ‘in the News’)

Issue: Health, Morbidity/Mortality, Costs, Training, AudienceIssue: Health, Morbidity/Mortality, Costs, Training, Audience

Current: eLearning Solutions and eManualCurrent: eLearning Solutions and eManualg

Roundtable Discussion: New Ideas from You

g

Roundtable Discussion: New Ideas from YouRoundtable Discussion: New Ideas from You Roundtable Discussion: New Ideas from You

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Healthcare Acquired Infections (HAIs)Healthcare Acquired Infections (HAIs)

What are HAIs?What are HAIs?

“Infections that patients acquire during the course of receiving treatment for other conditions within a healthcare “Infections that patients acquire during the course of receiving treatment for other conditions within a healthcare setting” - CDCsetting” - CDC

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Healthcare Acquired Infections (HAIs) – Where?Healthcare Acquired Infections (HAIs) Where?

Where are HAIs contracted?Where are HAIs contracted?

Hospitals

Long term care facilities

Hospitals

Long term care facilitiesLong-term care facilities

Clinics

Long-term care facilities

Clinics

Dialysis centers

Home care

Dialysis centers

Home care

Outpatient locations

Anywhere healthcare services

Outpatient locations

Anywhere healthcare services are providedare provided

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Healthcare Associated Infections (HAIs) Why?

Patient safety issue throughout the worldPatient safety issue throughout the world

Healthcare Associated Infections (HAIs) – Why?

Each year in the US, 1.7 million patients acquire an HAI (99,000 die)Each year in the US, 1.7 million patients acquire an HAI (99,000 die)

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Healthcare Associated Infections (HAIs) Ho M ch?Healthcare Associated Infections (HAIs) - How Much?

Why are HAIs a ‘cost’ issue?Why are HAIs a ‘cost’ issue?

The Centers for Medicare and Medicaid Services prevents hospitals from receiving payment for HAIsThe Centers for Medicare and Medicaid Services prevents hospitals from receiving payment for HAIs

HAIs add approx. $5 billion to our healthcare costsHAIs add approx. $5 billion to our healthcare costs

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Infection Control Training for Healthcare Workers Infection Control Training for Healthcare Workers

Healthcare ‘training’ issues?Healthcare ‘training’ issues?g

Competing training priorities

Multiple shifts

g

Competing training priorities

Multiple shiftsMultiple shifts

Varied job roles

C

Multiple shifts

Varied job roles

CCompliance tracking

Limited time

Compliance tracking

Limited time

Reduced budgets

National patient safety goals

Reduced budgets

National patient safety goals

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Recent Training Survey Recent Training Survey

Feedback from healthcare facilities?Feedback from healthcare facilities?Feedback from healthcare facilities?

1 hour or less sessions

Feedback from healthcare facilities?

1 hour or less sessions

Online preferred for most topics

Awareness and intermediate

Online preferred for most topics

Awareness and intermediate

Covers multiple audiencesCovers multiple audiences

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L i C S l ti f HAI P tieLearning Course Solutions for HAI Prevention

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The Yale New Haven Health System

Center for Healthcare Solutions

e-learning HAI solutions: g

Web based infection control courses

Online customizable infection control manual

Learning management system solutiong g y

CME Credit offered by:

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L i M t S tLearning Management System

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http://ynhhs.emergencyeducation.org/chs.asp

Prevention of Healthcare Prevention of Healthcare Acquired Infections (PS 101)

Audience: Non-clinical healthcare workers (e.g., environmental services, dietary, transportation)

Audience: Non-clinical healthcare workers (e.g., environmental services, dietary, transportation)

Topics:Topics:

– Definition of Healthcare-Acquired Infections (HAIs)

– How HAIs are contracted

– Definition of Healthcare-Acquired Infections (HAIs)

– How HAIs are contractedHow HAIs are contracted

– How to reduce the risk of contamination

How HAIs are contracted

– How to reduce the risk of contamination

– How to prevent the spread – How to prevent the spread

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Preventing the Transmission of Preventing the Transmission of Multidrug-Resistant Organisms (PS 201)

Audience: Clinical (e.g., physicians, nurses, laboratory, radiology technicians) Audience: Clinical (e.g., physicians, nurses, laboratory, radiology technicians)

Topics:

– Definition of Multi Drug-Resistant Organisms (MDROs)

Topics:

– Definition of Multi Drug-Resistant Organisms (MDROs)Definition of Multi Drug Resistant Organisms (MDROs)

– Failure of MDROs to respond to treatment

Definition of Multi Drug Resistant Organisms (MDROs)

– Failure of MDROs to respond to treatment

– Reducing the risk of contamination and spread

– Patient safety strategies

– Reducing the risk of contamination and spread

– Patient safety strategies

– Encouraging patients’ active involvement – Encouraging patients’ active involvement

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Preventing Surgical Site Infections Preventing Surgical Site Infections (PS 203)

Audience: Surgical procedure staff (e.g., surgeons, anesthesiologists, operating room nurses, recovery room nurses, surgical technicians)

Audience: Surgical procedure staff (e.g., surgeons, anesthesiologists, operating room nurses, recovery room nurses, surgical technicians)

Topics:Topics:

– Definition of Surgical Site Infections (SSIs)

– Identification of the associated risk factors

– Definition of Surgical Site Infections (SSIs)

– Identification of the associated risk factors

– Description of methods to establish surveillance of the surgical site

Preventing the development of SSIs

– Description of methods to establish surveillance of the surgical site

Preventing the development of SSIs– Preventing the development of SSIs

– Recognition of clinical guidelines to reduce SSIs postoperatively

– Preventing the development of SSIs

– Recognition of clinical guidelines to reduce SSIs postoperatively

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Preventing Central Line-Associated Preventing Central Line Associated Bloodstream Infections (PS 204)

Audience: Staff who insert, remove and monitor central lines (e.g., physician, nurse practitioner, physician’s assistant, nurse)

Audience: Staff who insert, remove and monitor central lines (e.g., physician, nurse practitioner, physician’s assistant, nurse)

Topics:Topics:– Definition of Central Line-Associated Bloodstream Infections

(CLABSIs), and identification of the associated risk factors – Definition of Central Line-Associated Bloodstream Infections

(CLABSIs), and identification of the associated risk factors

– Preventing the development of CLABSIs

– Guidelines for the insertion / removal of catheters

– Preventing the development of CLABSIs

– Guidelines for the insertion / removal of catheters

– Recognition of the guidelines to reduce CLABSIs – Recognition of the guidelines to reduce CLABSIs

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It’s In Our Hands – Preventing Healthcare It s In Our Hands Preventing Healthcare Acquired Infections (PS DVD)

Audience: This DVD video or online class is intended for all healthcare workers

Audience: This DVD video or online class is intended for all healthcare workers

Topics:Topics:– Reduce the spread of infections

through hands– Reduce the spread of infections

through hands

– Protocols for hand washing

– Communicate hand washing ti

– Protocols for hand washing

– Communicate hand washing tipracticespractices

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Infection Control & Prevention e Manual (IPCM)Infection Control & Prevention, e-Manual (IPCM)

Audience:Audience:Audience: Healthcare workers in infection prevention/control (e.g., administrators,

Audience: Healthcare workers in infection prevention/control (e.g., administrators, outbreak coordinators, medical/nursing staff, educators, public health staff)outbreak coordinators, medical/nursing staff, educators, public health staff)

Topics:– Just in time online reference

Topics:– Just in time online referenceJust in time online reference

– Precautions, guidelines, diseases

Customizable

Just in time online reference

– Precautions, guidelines, diseases

Customizable– Customizable

– Solution for infection control compliance practice

– Customizable

– Solution for infection control compliance practice

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compliance practicecompliance practice

R l t d O li CRelated Online Courses

Pandemic Flu (EM 180 & EM 280)

Tuberculosis (ID 202)

Pandemic Flu (EM 180 & EM 280)

Tuberculosis (ID 202)Tuberculosis (ID 202)

Bloodborne Pathogens (ID 203)

Tuberculosis (ID 202)

Bloodborne Pathogens (ID 203)

Bioterrorism (EM 201)Bioterrorism (EM 201)

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R l t d S iRelated Services

Assessments/Analysis

Education

Assessments/Analysis

EducationEducation

Research

Education

Research

Planning/ImplementationPlanning/Implementation

Subject Matter ExpertiseSubject Matter Expertise

Project ManagementProject Management

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Case Study and Panel QuestionsCase Study and Panel Questionsyy

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Case Study:

‘Typical’ Healthcare Facility –‘Typical’ Healthcare Facility –

Round Table Discussion on eLearning for HAIs

Typical Healthcare Facility We need an HAI training solution:

Cost effective

Typical Healthcare Facility We need an HAI training solution:

Cost effective

Tracked

Low time investment

Tracked

Low time investmentLow time investment

Effective

Low time investment

Effective

Compliant

Available 24/7 (for different shifts)

Compliant

Available 24/7 (for different shifts)

Easy to administer

Relevant

Easy to administer

Relevant

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Relevant

Preventative

Relevant

Preventative

Discussion:Discussion:eLearning Solutions for the Prevention of HAIs, Your Suggestions

Simulations?Simulations?

Mobile Learning?Mobile Learning?

Social Media?

Knowledge Management?

Social Media?

Knowledge Management?Knowledge Management?

Others?

Knowledge Management?

Others?

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Contact InformationContact Information

Mark SchneiderMark Schneider

(203) 688-2577(203) 688-2577

mark.schneider@ynhh.orgmark.schneider@ynhh.org

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