Massachusetts Clostridium difficile Prevention Partnership Collaborative

1. Massachusetts Clostridium difficile Prevention Partnership Collaborative Collaborative Launch November 15, 2011 Susanne Salem-Schatz Massachusetts Coalition for the Prevention of Medical Errors Laurie Herndon Massachusetts Senior Care Foundation Sharon Benjamin Alchemy

2. Table Talk • What are you struggling with in your own facilities? • What do you hope to learn from one and other? • If you did a site visit or have other experience with different facility types what do you notice?

3. Network Mapping We are collecting information to draw a beginning map of our network. We know from research about change that understanding our network helps us build effective relationships and solve tough problems. Network maps have been powerful tools in other collaboratives such as the Pittsburgh VA and Regenstreif Institute work on MRSA. So, please take just a few minutes to fill out our questionnaire.

4. spreads really matter need to maintain

5. PLEASE DO Each person should do the following • Make sure your name is on the list – if not add it. • Fill out the first page by answering the questions • For each name on the list: • In the first column, put a check mark next to the names of people that you HAVE worked with in the past on infection control • In the next column, put a check mark next to the names of people that you WANT to work with on infection control • A TIP: Start with your facility, then your cluster, and go from there. Return your form to us today!

6. Planning for Improvement

7. What is “the work” you are planning? • How will your cluster work together • How will you do work in your own organizations? • Who is on your team • Who else should be? • How will you share what you learned today with the rest of your team? • How will you work together • Scheduled meetings • Huddles

8. The Model for Improvement Increase appropriate use of contact precautions How will we know that a change is an improvement? What changes can we make that will result in improvement? Act Plan Study Do Aims Measures Changes W.EdwardsDeming *2001 Associates in Process Improvement

9. Collaborative Measurement Strategy SNF team list includes measurement contact • Will schedule a call ASAP for hospital and SNF measurement representatives Briefly • Nora McElroy, MA DPH Epimiologist • CDI measurement • Based on NHSN Lab-ID definitions and algorithms • Measurement Graphic in handouts and Toolkit • Hospital admissions and transfers for residents with CDI or consequences of CDI

10. Cluster Planning • Sit with your cluster • Pull your chairs into a circle away from the table if you need to fit everyone • Everyone: How would you like to work together? • Each facility: Vhat would you like to work on first? • Volunteer? Pick one idea and try to fill out a PDSA worksheet

11. Collaborative Practice Opportunities Table

12. Planning your Changes (in your handouts and toolkit)

13. Cluster Planning • We’ll regroup at 4:05 • Stay seated with your cluster

14. spreads really matter need to maintain

15. To Sustain or Re-ignite Momentum Find your passion! Tell your friends at work! Expand your network: tell someone new what you’re doing! Ask them a question!

16. Next steps • Contact information • We will mail you a copy of your team list to complete if needed. • Measurement • Make sure we know who your measurement contact is • Measurement call ASAP • Share what you have learned with others at your facility • All slides from today will be available on our website for downloading

17. Upcoming Events Coaching call • December 8th 11am-12noon • Gather as a team if you can • We will send call numbers soon 1st Regional ½ day workshops • January 2012 • Let us know if you would like to host and how many people you could accommodate Antibiotic Stewardship • Begins January 2012 • Stay tuned for more information

18. THANK YOU! • Continuing Education Evaluations • Nurses – on-line link • Physicians, nursing home adminstrators, etc. • Feedback Forms • Team lists • Nametags