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Quality Care Improvement Project 4D Trauma Unit. Kelly Quinn RN, MS , CNS Allison Morton , RN, BSN Jignasa Pancholy, RN Holland Stephen s , RN, MSN, CNL. HCAHPS. ( Hospital Consumer Assessment of Healthca r e Providers and Systems).
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Quality Care Improvement Project 4D Trauma Unit Kelly Quinn RN, MS, CNS Allison Morton, RN, BSN Jignasa Pancholy, RN Holland Stephens,RN, MSN, CNL
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) • Designed to elicit comparable & measurable data based on perceptions of patients’ experience of hospitals nationally. • Results are ranked & hospital reimbursements can be affected based on our performance • SFGH lags just 4 percentage points behind the national average when patients are asked to rank hospitals worst to best.
HCAHPS 10 Composites • Communication about medication • Communication with doctors • Communication with nurses • Discharge information • Pain control • Rate hospital • Responsiveness of hospital staff • Room kept clean • Room quiet at night • Would recommend the hospital
Project to Improve Noise at Night on 4D • Based on the HCAHPS: the lowest score was patients' perceptions of noise at night • Aim Statement: Goal is to reduce noise at night by 10% by April 20th 2012 • Baseline: Patient survey doneJanuary 2012 on 4D
Interventions • SILENT campaign to remind nurses to be noise conscience after11p • Shhhh in the hallway • It's nighttime • Low TV volume ( TV Signs) • Earplugs can be offered! • No loud voices • Turn down nursing station phone ringers
Supportive Interventions • Volunteers educate patients on what to expect at night (e.g. VSQ4H, AMLs, early MD rounds) • Bi-weekly patient survey conducted • Noise audits performed to identify noise-prone areas of the unit
Future Projects Impacting Patient Experience • Nurse to patient communication regarding side effects of medications • Cheat sheet on COWs • Signs (e.g. pt rooms/hallways/med room) • CALNOC med pass audit • "Med of the week" • M/S AIM: Increase “communication about medicine” score by 10% (from 55-65%)
Future Projects Impacting Patient Experience (cont): • Organizing education material and accessibility • Music therapy available for patients to decrease pain • Increasing responsiveness to patient needs • Increasing communication with MDs/NPs
Staff Communication • Focus placed on increasing staff communication and disseminating knowledge about unit changes • Emails • Monthly meetings • Communication binder • Open forum board for suggestions/feedback • Positive Recognition Board
Roles and ResponsibilityOf Quality Care Coordinator Nurse • Provides patient centered care. • Educates patients and professionals. • Enhances care and work environs. • Develops systems to support quality nursing and quality care. • Provides assistance to patients throughout care transitions. • However, this is a nurse among nurses. Our goal is to support you in your role as med-surg nurses.
Sustainability • Continue to create immediate, visible, flexible and unit-specific changes that address the unique needs of the unit • Unit shared governance based project • Continue to promote nursing excellence • Continue to improve patient experience by providing support and voice for the nurses