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Continuous Quality Improvement Program Showcase

Continuous Quality Improvement Program Showcase. Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN. CQI PLANS. Nancy Dean, RN, FNP Phoenix Job Corps Center. How to Begin?. Steps. Steps for CQI. Develop an hypothesis of what the problem is

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Continuous Quality Improvement Program Showcase

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  1. Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN

  2. CQI PLANS Nancy Dean, RN, FNP Phoenix Job Corps Center

  3. How to Begin? Steps

  4. Steps for CQI • Develop an hypothesis of what the problem is • Collect data • Review the data • Does the data confirm and validate the hypothesis? • Formulate a plan of action to create change • Utilize on and off center resources • Implement a plan of change • Review the outcome for success or change • Time frame is dependent on the importance as it relates to student and center success

  5. CQI Examples Recent CQI at Phoenix JCC

  6. Pregnancy CQI • Hypothesis: Increase in Pregnancy with Male JC Students Being the Fathers • Data collected showed that within 1 quarter there were 6 pregnancies after entry • Review of the data demonstrated that 4/6 were by male JC students • The data confirmed the hypothesis

  7. Pregnancy CQI • Plan formulated was to have on-center and outside resources do presentations to PJC students-male and female separately • Pregnancy Coordinator contacted Planned Parenthood to come and do a seminar with the students. This was conducted for both residential and non residential students • Also utilized center physician and residents and the CMHC and the MH interns to assist the HWC staff

  8. Pregnancy CQI • Statistics were kept and reviewed data at 3 and 6 months • Outcome measure was that there were only 2 pregnancies after the plan of action and none were by JC male students

  9. Pittsburgh Job Corps Center Barbara Lloyd, RN

  10. Quality Improvement • Definition • Planning your program • Means to obtain needed feedback • What do you do with the feedback received • Closing the loop

  11. Continuous Quality Improvement • Continuous Quality Improvement is a process to ensure programs are systematically and intentionally improving services and increasing positive outcomes for the persons they serve. CQI is a cyclical, data-driven process; it is proactive, not reactive. A CQI environment is one in which data is collected and used to makes positive changes—even when things are going well—rather than waiting for something to go wrong and then fixing it. CQI is an ongoing process that involves the Plan, Do, Study, Act cycle.

  12. Planning Your CQI Program

  13. Planning Your Next Steps • Wellness Staff Meetings

  14. Planning Your Next Steps • Good planning means students are involved in each step of the process.

  15. Getting Feedback • PJCC Wellness Survey • Wellness Committee meetings • Student Government Association

  16. Acting on the Feedback • Informational surveys and discussions • Special events • Student incentives and recognition

  17. Closing the Loop • Survey Effectiveness • Assure Recognition • Document Results

  18. Questions

  19. Bamberg Job Corps Center Joann Stroman, RN, MHA, MSN, BSN

  20. Tools Used to Identify Areas of Improvement • Surveys for students not utilizing Wellness • Surveys for students utilizing Wellness • Focus Groups • Direct Observation • Use of a Complaint Log • SGA Wellness Committee

  21. Wellness Survey • Non/Infrequent Users • SURVEY SAYS!!! • How often have you visited the Wellness Center since you enter the program _____never _____1-5 _______ 5-10 _______ unable to count • Do you feel the Wellness staff is respectful and maintain professionalism? • What changes would you recommend for the Wellness Center based on your experience and observation?

  22. Wellness Survey • Frequent Users • SURVEY SAYS!!! • Today I was seen by: Mrs. Ferguson, Ms. Stroman, Dr. Stephens, Dr. Furtick, Ms. Perry, FNP, Dr. Jeffords, Dr. Thomas, Ms. Brooks (please circle) • I was treated with respect by the Wellness staff . Yes _______ No________ • I am satisfied with the care that I received today. Yes _______ No _______ • What do you think will make the Wellness Center better? • Please respond to any no answer.

  23. Complaint Log • Wellness Complaint Log

  24. Problem Resolution Plan • Resolution Plan

  25. Denison Job Corps Kristin Kastner, RN

  26. How do I decide?? Brainstorming Data integrity Review reports

  27. Areas of interest Student satisfaction survey results Influenza vaccination rates 45 day re-test results Suspicious alcohol screenings Identification of wellness staff Incidence of STI rates

  28. Results must be measurable • Surveys • Review results • Observation • Student/ staff feedback • Annual health and wellness report

  29. Document • Topic • Date range • Measurement mechanism • Corrective action • Goal

  30. = compliance 612. R15

  31. Questions?

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