people centredpositivecompassionexcellence using the safety thermometer to negotiate cquin &...

15
People Centred Positive Compassion Excellence Using The Safety Thermometer To Negotiate CQUIN & Approach a Whole System Improvement Tracy Burrell Assistant Director of Nursing &Quality

Upload: silvester-rose

Post on 23-Dec-2015

215 views

Category:

Documents


0 download

TRANSCRIPT

People Centred Positive Compassion Excellence

Using The Safety Thermometer

To Negotiate CQUIN & Approach a Whole System

ImprovementTracy Burrell

Assistant Director of Nursing &Quality

People Centred Positive Compassion Excellence

Objectives

•Trust information

•Background

•How we used Safety Thermometer Data

•Outcomes

•Improvements

People Centred Positive Compassion Excellence

The Trust• Established 1st December 2007. • 2010 gained teaching hospital status - Blackpool Teaching Hospitals NHS

Foundation Trust • April 2012 merged with community health services• Serves a population of approximately 440,000 residents

People Centred Positive Compassion Excellence

Background•March 2009 – 326 hospital acquired pressure ulcers >2 Cost of £2,000,000

• March 2010 – 197 hospital acquired pressure ulcers (spot prevalence)

• March 2011 – 167 hospital acquired pressure ulcers (spot prevalence)

•March 2012 – 117 hospital acquired pressure ulcers (spot prevalence)

People Centred Positive Compassion Excellence

• National CQUIN – 50% staged reduction on national median

• Prevalence not incidence

• Sufficient patients surveyed consistently to establish baseline median

• 6 data points Sept 12 – Feb 13

2012/13 – National CQUIN Challenge!!

People Centred Positive Compassion Excellence

Using the Data

0

20

40

60

80

100

120

0 2000 4000 6000 8000 10000 12000 14000 16000 18000Number of patients surveyed

Acute organisations: Pressure ulcers- all

Patie

nts p

er 1,

000 w

ith an

y pre

ssure

ulcer

Select view: Select organisation to highlight:

People Centred Positive Compassion Excellence

Using data to focus improvement

PUs (any type) Falls (with harm) New VTE (any type) UTIs in patients with a catheter

0

100

200

300

400

500

600

700

800

900

1,000

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%N

umbe

r of h

arm

sCum

ulative percentage of harm

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

PUs (any type) Falls (with harm) UTIs in patients with a catheter

New VTE (any type)

Cu

mu

lati

ve

pe

rcen

tag

e o

f ha

rm

Nu

mb

er

of

ha

rms

People Centred Positive Compassion Excellence

0%5%

10%15%20%25%30%35%40%45%50%

Regional and BTH Pareto Comparison

BTH

SHA

People Centred Positive Compassion Excellence

OH MY

GOD!!!!!

People Centred Positive Compassion Excellence

What did this allow?• Supported dialogue with CCG’s• Comprehensive report• Negotiate CQUIN• Identify non Trust acquired PU• Triangulation of data – Board level reporting of Incidence • Understanding outliers – rectify• Replicated for Falls• Identify Blackpool top 10 Nursing Homes• Collaborative working – Trust and CCG’s• Shared process with NW Safety Collaborative

People Centred Positive Compassion Excellence

Service DevelopmentsCare Home TeamBlackpool CCG funded pilot -12 months commenced in April 2013The Care home team- 1 matron and 3 case managersTo target 15 homes :-

Reduce ambulance call outs by 20%Reduce A/E attendance by 20%Reduce hospital admission by 20%100% of residents involved in the planning of their care95% of residents have a care plan in placeTraining for care home staff in falls, pressure ulcer prevention and urine infection

• Falls Prevention• Transfer Best Practise Standards• Multi Disciplinary approach

• 2014 – Replicated in North Lancashire

People Centred Positive Compassion Excellence

Improvements as a Result - PU•March 2012 – 117 hospital acquired pressure ulcers •March 2013 – 76 hospital acquired pressure ulcers•March 2014 – 52 hospital acquired pressure ulcers (78 reported via Safeguard actual)

•April 2009 – March 2014 - 84% reduction in prevalence

• April12-March 14: 32% reduction in patient incidence

• £1,400,000 Saving – Patient Impact

• Five year journey - still travelling

People Centred Positive Compassion Excellence

Improvements as a Result -Falls• Care homes reporting falls more accurately• 150 staff trained in falls prevention• 21% reduction in ambulance call outs• 20% less residents being transported with falls and

redirected to other services• 100% of residents involved in the planning of their

care• 95% of residents have a care plan in place• Improvements in the way falls are managed in the

home• Increased amount of residents prescribed with

Calcium/ Vitamin D supplements• Greater collaboration with stakeholders• Increased quality of care and resident experience

People Centred Positive Compassion ExcellencePeople Centred Positive Compassion Excellence

People Centred Positive Compassion Excellence

Thank You

Any Questions

?