obtaining success our journey to 100%
DESCRIPTION
Obtaining Success Our Journey to 100%. MITCHELL COUNTY HOSPITAL CORE MEASURES Presented by: Vicki Cox, RN MSN. Identifying Areas of Weakness. HF - discharge instructions PN - documentation of blood culture time prior to antibiotic initiation. Engaging the people that matter. - PowerPoint PPT PresentationTRANSCRIPT
MITCHELL COUNTY HOSPITAL
CORE MEASURES
PRESENTED BY: VICKI COX, RN MSN
Obtaining SuccessOur Journey to 100%
Identifying Areas of Weakness
HF - discharge instructionsPN - documentation of blood culture time
prior to antibiotic initiation
•DISCUSSED IMPORTANCE OF CORE MEASURES WITH OUR PHYSICIANS AND NURSES
•STRESSED SIGNIFICANCE OF BUY-IN TO ASSIST IN ACCOMPLISHING SUCCESS
•WELCOMED SUGGESTIONS FOR IMPROVEMENT
Engaging the people that matter
1)ACTIVITY LEVEL2)DIET/FLUID INTAKE
3)FOLLOW-UP WITH MD AFTER DC4)ALL DC MEDICATIONS
5)WHAT TO DO IF HF SYMPTOMS WORSEN AFTER DC
6)WEIGHT MONITORING AFTER DC
Did the WRITTEN dc instructions (or other documentation of educational
materials) given to the patient/caregiver address…
Putting Our Heads Together
NursingAdministrationQualityCase ManagementMedical Staff
A Form is Born…
ALL PATIENTS WITH AN ADMITTING DIAGNOSIS OF HF OR ANY PATIENT THAT HAS HF
LISTED AS A CO-MORBIDITY
So…which patients get the form?
Safety Net
ALL patients sign & receive copies of:
Home Meds Reconciliation Discharge Report+
Discharge Assessment
Discharge Assessment Contains:
Discharge DietDischarge ActivityFollow-up Appointment(s)‘I should call my doctor if’ box
….combined with Med Reconciliation DC Report, meets all 6 elements of the discharge instruction standard.
Ongoing focus…
Concurrent reviews when possibleOne-on-one education as non-compliance is
noted Compliance posted in nursing departments
quarterlyCore measure education yearly at annual
skills/equipment workshopReport to physicians quarterly on “report card”Educate and collaborate with all new
physicians regarding core measure process
Contributing to our Success:
Engage ALL staff Utilize a collaborative/team approachImplement ideas/suggestions such as rewards
…most importantly…Change the culture
(and maintain the excellence)
…
Because it’s the RIGHT thing to do for the
Patient EVERY time