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Wisconsin Pressure Ulcer Coalition Data Update

Wisconsin Pressure Ulcer Coalition Data Update. Outcomes Congress Nathan Williams Jody Rothe, RN, WCC December 2, 2009. Timely Risk Assessment: Percent of admissions with timely risk assessment performed. Denominator:

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Wisconsin Pressure Ulcer Coalition Data Update

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  1. Wisconsin Pressure Ulcer Coalition Data Update Outcomes Congress Nathan Williams Jody Rothe, RN, WCC December 2, 2009

  2. Timely Risk Assessment:Percent of admissions with timely risk assessment performed • Denominator: • Number of admissions for the month to your facility or pilot population • Numerator: • Number of above admissions that have timely assessments with a standardized risk-assessment tool, such as the Braden Scale • Hospitals and Nursing Homes: within 8 hours of admission • Home Health, Hospice and Assisted Living: at time of admission evaluation

  3. Timely Risk AssessmentFebruary 2009

  4. Timely Risk AssessmentOctober 2009

  5. Timely Skin Assessment:Percent of admissions that have a timely, comprehensive skin assessment performed • Denominator: • Number of admissions for the month to your facility or pilot population • Numerator: • Number of above admissions that have timely, comprehensive skin assessments • Hospitals and Nursing Homes: within 8 hours of admission • Home Health, Hospice and Assisted Living: at time of admission evaluation

  6. Timely Skin AssessmentFebruary 2009

  7. Timely Skin AssessmentOctober 2009

  8. Timely Preventive Strategies:Percent of patients/residents/clients who receive preventive strategies soon after being identified as at-risk • Denominator: • Number of admissions for the month to your facility or pilot population, who are identified as at-risk • Numerator: • Number of above admissions that receive timely, preventive strategies • Hospitals and Nursing Homes: within 24 hours of admission • Home Health, Hospice and Assisted Living: within 48 hours of admission evaluation

  9. Timely Preventive StrategiesFebruary 2009

  10. Timely Preventive StrategiesOctober 2009

  11. Pressure Ulcer Prevalence:Percent of patients/residents/clients with pressure ulcers at one point in time during the month • Denominator: • Number of patients/residents/clients who had their skin assessed on the chosen day • Numerator: • Number of patients/residents/clients with (a) pressure ulcer(s) • Number of patients with at least one pressure ulcer are counted, not the number of pressure ulcers • All patients with at least one pressure ulcer are included, regardless of the stage(s)

  12. Pressure Ulcer PrevalenceFebruary 2009

  13. Pressure Ulcer PrevalenceOctober 2009

  14. Facility-Acquired Rate:Percent of patients/residents/clients with facility-acquired pressure ulcers • Denominator: • Number of patients/residents/clients who had their skin assessed on the chosen day • Numerator: • Number of patients/residents/clients with at least one facility-acquired pressure ulcer • Count the number of patients with at least one pressure ulcer, not the number of pressure ulcers • Include all patients with at least one pressure ulcer, regardless of the stage(s)

  15. Facility-Acquired RateFebruary 2009

  16. Facility-Acquired RateOctober 2009

  17. Assessment Totals in 2009January – October 2009

  18. Progress Summary • Rates for all five measures have improved! • Risk and Skin assessments & preventive strategies are up • Pressure ulcers and facility-acquired pressure ulcers are down • Please continue to send us your monthly data • This helps us to evaluate the overall success of our project • Thank you for your continued interest and participation!

  19. Prevention & Reduction Project Lessons Learned Year One • Beginning measure rates ran high • Raising rates higher is more challenging • Implementing process changes take time • Trending the data points to the need for standardization • Benchmarking against yourself is the best policy

  20. Prevention & Reduction Project Lessons Learned Year One • Showing the most positive change and impact in preventing and reducing Pressure Ulcers • Prevalence • Facility acquired • Understanding that slow progress is still progress towards the goal of preventing and reducing pressure ulcers

  21. Contact Information: MetaStar, Inc. 2909 Landmark Place Madison, WI 53713 (608) 274-1940 or (800) 362-2320 www.metastar.com nwilliam@metastar.com jrothe@metastar.com This material was prepared by MetaStar, the Medicare Quality Improvement Organization for Wisconsin, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.  9SOW-WI-PS-09-226.

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