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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 1 ICELW 2011 Conference - Columbia University, New York

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Page 1: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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

Page 2: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 3: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 4: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 5: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 6: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 7: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 8: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 9: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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

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Page 10: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 11: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

L i M t S tLearning Management System

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

Page 12: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 13: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 14: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 15: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 16: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 17: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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

Page 18: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 19: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 20: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

Case Study and Panel QuestionsCase Study and Panel Questionsyy

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Page 21: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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

Page 22: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

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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Page 23: e-Learning Solutions for Healthcare: INFECTIOUS DISEASE · Preventing Central Line-Associated Bloodstream Infections (PS 204) Audience: Staff who insert, remove and monitor central

Contact InformationContact Information

Mark SchneiderMark Schneider

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

[email protected]@ynhh.org

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