1 / 20

Partnering to Reduce Pressure Ulcers

Partnering to Reduce Pressure Ulcers. Empire Quality Partnership January 27, 2008. Caring Together: Pressure Sore Improvement Training Program. CCLC is an affiliate of the Greater New York Hospital Association. Overview of Caring Together. 80 health care organizations

tate
Download Presentation

Partnering to Reduce Pressure Ulcers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Partnering to Reduce Pressure Ulcers Empire Quality Partnership January 27, 2008

  2. Caring Together: Pressure Sore ImprovementTraining Program CCLC is an affiliate of the Greater New York Hospital Association

  3. Overview of Caring Together • 80 health care organizations • Long term care providers (NHs & HHAs) • Hospitals • Joint training across settings • Building a common perspective, vocabulary, and basic understanding • Movement toward building partnerships across settings

  4. Terminology • Pressure Ulcer (NPUAP) – • localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction. • A number of contributing or confounding factors are associated with pressure ulcers and are yet to be elucidated. • Decubitis Ulcer • Bedsore • “Pressure Sore” – to recognize the team-based nature of the training

  5. Why do we need to focus on pressure sore improvement?

  6. Percentage of High-Risk Long-Stay Residents Who Have Pressure Sores

  7. Percentage of Low-Risk Long-Stay Residents Who Have Pressure Sores

  8. Percentage of Short-Stay Residents with Pressure Sores

  9. Hospital Picture: Decubitus Ulcers • US Hospitals, 2004: 26.051 • NYS Hospitals, 2005: 34.6 • NYS Hospitals, 2006: 33.8 Source: The Health Economics and Outcomes Research Institute (THEORI) of GNYHA analysis of risk-adjusted AHRQ Patient Safety Indicators

  10. Perspectives • Centers for Medicare and Medicaid Services • NYS Department of Health • Bureau of Residential Services • Pay for Performance • Quality Improvement Organizations • Advancing Excellence in America’s Nursing Homes • NYS Office of the Medicaid Inspector General • Residents or Patients

  11. Part of the Solution: Pressure Sore Improvement Training • NYS Health Workforce Training Initiative (HWRI) • CCLC’s Quality Improvement Consortium Training Programs • Focus: improving team-based approach to pressure sore improvement • Need for additional collaborative opportunities

  12. CCLC’s Quality Improvement Consortium (QIC)Training Program Tier FourCaring Together:Pressure Sore Improvement Spring 2008 Train-the-Trainer Spring 2008 through Winter 2009 Local Training

  13. Engaging the Hospital Community • Curriculum development • Announcement through GNYHA’s hospital quality channels • Invitation to partner through CCLC’s long term care members • Attend trainer workshops together • Ongoing communication & local training

  14. CCLC Pressure Sore Improvement Training Program Table of Contents Module 1: Prevention Module 2: Assessment Module 3: Treatment Module 4: Documentation Module 5: Regulatory Aspects of Wounds & Risk Management Module 6: Leadership and Team Building Resources

  15. Timeline • Development of curriculum, 2007 • January 2008: Pilot training • March 17: Executive Briefing • March 24: First train the trainer workshop • Through May/June 2008 • Local training at member organizations • Through Winter 2009 • Ongoing coordination with CCLC & QISN • Development of standard measurement tool • Identification of deeper clinical education needs • Assistance with partner relationships

  16. St. Elizabeth Ann’s Health Care and Rehabilitation Center – SVCMC • 300-bed facility on Staten Island • Specialty populations - ventilator, HIV/AIDS, neurobehavioral, subacute • Challenges and opportunities for pressure sore improvement • Experience with training collaborative • Next steps

  17. Village Care of New York • VCNY nursing homes • Village Nursing Home: 200-bed going through significant changes • Rivington House: 206-bed HIV/AIDS • Challenges and opportunities for pressure sore improvement • Experience with training collaborative • Next steps

  18. Next Steps • Standardized tracking tool • Assistance with hospital partnerships • Additional and targeted training

More Related