AHRQ Safety Program for Long-term Care: HAIs/CAUTI Organizational Lead Pre-Training Webinar...
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Transcript of AHRQ Safety Program for Long-term Care: HAIs/CAUTI Organizational Lead Pre-Training Webinar...
AHRQ Safety Program for Long-term Care: HAIs/CAUTI
Organizational Lead
Pre-Training Webinar
Organizational Lead Onboarding
May 28, 2015
Health Research & Educational Trust
Project Team Members
OVERVIEW
Marcia Cooke
Agenda
Topic Presenter Time
Project Overview Marcia Cooke 10 minutes
National Project Support Marcia Cooke 10 minutes
How We Achieve Project Goals Sue Collier 15 minutes
Using Adobe Connect Amanda Wilkins 5 minutes
Website Justin Snow 10 minutes
Org Lead and LTC Facility Expectations Lindsay Kolczynski 10 minutes
Facility Recruitment Strategies Lindsay Kolczynski 10 minutes
Next Steps, Q&A Amanda Wilkins (Facilitator) 15 minutes
Objectives
Upon completion of this webinar, participants will be able to:
• Summarize the education and measurement components of the AHRQ Safety Program for Long-term Care: HAIs/CAUTI
• Explain how to be successful in the project
• Identify where to find project resources
• Provide support to recruited LTC facilities
Partnerships and Dissemination
National Project TeamHRET UM Abt Qualidigm APIC SHM Baylor
National Project TeamHRET UM Abt Qualidigm APIC SHM Baylor
State or Regional Lead Organizations, Multi-Facility
Operators
State or Regional Lead Organizations, Multi-Facility
Operators
FacultyFaculty
Organizational Leads
Recruitment/Coaching/Project Liaison
Organizational Leads
Recruitment/Coaching/Project Liaison
National & Regional Faculty UM, Abt, Qualidigm, APIC,
SHM, Baylor
Coaching/Endorsement
National & Regional Faculty UM, Abt, Qualidigm, APIC,
SHM, Baylor
Coaching/Endorsement
FacilitiesFacilities
Project Vitals
Lead Organization
– Participation Period:• May 2015 – August 2016
– Activities include:• Recruitment• Engagement• Monitoring• Coaching/Support
Project Period for Cohort 4
– Participation Period:• July 2015 – August 2016
– Activities include:• 2 months of kickoff and facility
onboarding• 11 months of data collection,
educational activities and coaching
Project Goals
Primary Goals—reduce CAUTI and improve Safety Culture• Develop/adapt evidence-based CAUTI elimination and safety practices and resources for LTCFs• Reduce CAUTIs• Improve safety culture
Secondary Goals—support expanded infection prevention efforts for C. diff, UTI, MDROs by providing education to:
• Improve hygiene practices (hand, environmental)• Promote antibiotic stewardship • Promote catheter stewardship• Reduce re-hospitalizations
How will LTC Facilities Benefit from Participation
Potential to:
• Improve performance on Nursing Home Compare Quality Measures
• Enhance data collection skills and prepare for mandatory reporting of infection data (NHSN)
• Benchmark against other LTC facilities (project-level and nationally)
• Improve communication and relationships with referring hospitals
• Improve compliance with survey requirement related to quality of care, infection control, etc.
Cohort 4 Timeline
NATIONAL PROJECT SUPPORT
What you can expect from us
Support from HRET and the National Project Team
• Project management– Scheduling– Monthly Org Lead Call
• Education– Live webinars– Train-the-trainer packets to train front-
line staff– Subject matter experts– Learning Session outlines and templates
• Coaching• Data collection, reports and analysis• Communications• Project resources for all stakeholders
– Organizational Lead Operations Manual
– Facility Implementation Guide– LTC Safety Toolkit
Meet the HRET Team
Sarah Dalton
Project Management Support
• Scheduling of all educational events handled by HRET, except coaching calls and learning sessions– Step-by-step guide on how to manage the project and your facility teams
(Organizational Lead Manual)
• Monthly Org Lead calls– Peer learning and open forum about project– Monthly status report
AHRQ FundingSupport
E-mail signed subcontracts to Jeanette Lyons (
E-mail questions about invoicing process or payment
schedule to Lindsay Kolczynski ([email protected])
CommunicationSupport
Weekly newsletter• Upcoming deadlines and events• Forward or customize for your
facilities
How HRET Advisors Support You
• Act as a liaison between Org Leads and the national project team
• Answer questions about the project and available resources
• Guide org leads in data submission and due dates
• Assist in planning three in-person Learning Sessions• Coordinate faculty coach to present• Share template agendas, presentations and handouts
• Join first four Coaching Calls
Ashley Hofmann, MSW
Katie Johnson, MHS
Anna Wojcik, MPH
Coaching Call Support
What: State-/Region-/System-specific coaching call
When: Monthly, beginning in September
Who: Facilitated and run by the organizational lead
All facility team leads
Faculty Coach provides clinical and cultural expertise
HRET Advisor provides project management support
and technical assistance
Why: Review data and track project progress
Discuss educational webinars and project interventions
Share successes, challenges and best practices with other facilities
Ask Faculty Coach and facility teams to engage in use of project tools, resources
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HOW WE ACHIEVE PROJECT GOALS
Sue Collier
Tools For Success
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Education Components: Learning Sessions
• Each Org Lead will host three Learning Sessions for recruited facilities• Suggestions for planning your Kick-off Learning Session #1 include:
• Set a date between July 1-24 and advertise to your facilities (full day, ~6.5 hours)• Determine a venue
Reserve space for 1-2 representatives from each facility recruited Provide the necessities: internet, projector/project screen, computer, lunch
• Attend the planning call with your HRET advisor to discuss other details Review agendas, presentations and resources provided to you by your HRET advisor Customize presentations with your organization and facilities’ information A representative of HRET and your faculty coach will attend the Learning Session to
present on aspects of project participation
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Education Components: Distance Learning
Name of series # of Topics Frequency What Format for Facility
Team Lead Format for Front-line Staff
Onboarding 4 Weekly Project orientation Webinar Trained by Facility Team Lead
Training Modules 4 Once every two weeks
Infection prevention Video Videos, and trained by Facility Team
Lead
Safety Culture Survey Results Forum 1 Once Safety culture Webinar N/A
Content 9 MonthlyClinical and cultural interventions
Webinar Trained by Facility Team Lead
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Education Components: Schedule
Onboarding Webinar Series Date Time
1. Building a Culture of Safety Team Thursday, August 6 1:00 – 1:45 p.m. CT
2. CAUTI Definitions Thursday, August 13 1:00 – 1:45 p.m. CT
3. CAUTI Surveillance Thursday, August 20 1:00 – 1:45 p.m. CT
4. Data Collection Training Thursday, August 27 1:00 – 1:45 p.m. CT
Training Module Series Release Date
1. Hand Hygiene Week of Aug 31 N/A
2. Environment & Equipment Week of Sep 14 N/A
3. Isolation Precautions Week of Sep 28 N/A
4. Antibiotic Stewardship Week of Oct 12 N/A
Monthly Webinar Series Date Time
National Content 3rd Thursday of each month, beginning in November 11:15 a.m. – 12:00 p.m. CT
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Support for Education Components
• Train-the-Trainer Guide• Core Team Webinar Archive
– Webinar Recording– Core Team Presentation Slides– Chat Summary and Q&A– Supplemental Materials
• All Staff Training Materials– Video and Facilitator Slides– Discussion Guide/Activity– Event Evaluation Template– Certification of Completion Template
• Additional Resources
23
Each educational activity will include:
Measurements: Processes and Outcomes
Data Collected Frequency Time to Complete
Background/Cultural Measures
Registration 1x to enroll 10 minutes
Facility Demographics Baseline 15 minutes
Safety Culture Survey Baseline and follow-up 10 minutes
Process Measures
Team Communication Guide Quarterly 10 minutes
Skills Questionnaire Baseline, mid-point, final 15 minutes
Outcome Measures
Catheter Utilization CAUTI rates Urine culture order rates Monthly
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Support for Measuring Processes and Outcomes
• Checklist tools to support awareness and adherence to evidence-based recommendations
• NHSN CAUTI definition assessment worksheet
• NHSN CAUTI definition pocket cards
• Support for survey and certification regulation compliance with:
• F-tag 315 (catheter with undocumented necessity)
• F-tag 441 (infection prevention/control failure)
25
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USING ADOBE CONNECT
Amanda Wilkins
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Using Adobe Connect
• Adobe Connect is used to deliver all distance learning education• Informational Webinars• Onboarding Webinars• Monthly National Content Webinars• Safety Culture Results Forum
• Different ways for participants to engage during the webinar• All hyperlinks are live, many of the images of documents and infographics from the
project are live weblinks• Click on links in weblinks pod• Download files• Polling• Chat pod
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• Forward invitations to your facilities• Register for educational events
• Save webinar confirmation email to calendar
• Log in to webinar 5-10 minutes in advance• Monitor participation—strive for 80% participation rate among
your LTC facilities• Become familiar with the project website and its resources• Review webinar etiquette with facility teams
Org Lead Responsibilities
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• Register for educational events
• Save webinar confirmation email to calendar
• Log in to webinar 5-10 minutes in advance
• Make sure audio is available via computer speakers or telephone
• Participate in 100% onboarding webinar series, Safety Culture Survey Results
Forum and 80% or more of the national content webinar series
• Become familiar with the project website and its resources
LTC Facility Team Responsibilities
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LTC SAFETY WEBSITE
Justin Snow
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ORGANIZATIONAL LEAD ANDLTC FACILITY TEAM LEAD EXPECTATIONS
Lindsay Kolczynski
Org Leads are Critical to Project Success
• Recruit, register and retain at least 15 facilities throughout the project period
• Understand the project• Goals
• Expectations and Responsibilities
• Clinical and culture interventions (i.e., the change package)
• Educational offerings and schedule
• Actively engage in the project
• Attend all educational programming
• Encourage and closely mentor all facilities
• Monitor facility data reporting and monitoring
• Run and review facility data reports
• Monitor facility data/survey submission
• Share facility successes with the National Project Team (NPT)
• Provide individual and group coaching• Check-in with struggling facilities—report action plan to the NPT
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Org Lead Responsibilities
Education• Participate in and distribute train-the-trainer materials
for all educational activities:
– Onboarding Series
– Training Module Series
– National Content Series
• Share C.A.U.T.I. and T.E.A.M.S. Infographic with LTC
facilities
• Discuss components of the C.A.U.T.I. and T.E.A.M.S.
intervention during coaching calls
• Monitor LTC facility team (lead) participation rates in
educational activities and use of train-the-trainer materials to
educate front-line staff on each individual topic prior to next
event in the series
Data• Distribute data measurement materials to the
appropriate core team members• Monitor and review data submission with LTC facilities
– Outcome– Skills Questionnaire– Safety Culture Survey
• Ensure that each facility completes all surveys by the designated deadlines
• Distribute and participate in Safety Culture Survey Results Forum
• Encourage each facility to complete evaluations after each educational event
• Review and discuss data results during coaching calls and one-on-one with facility teams as needed
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LTC Facility Team Lead Expectations
• 100-105 hours over a 13-14 month period (~4.5% FTE)
• Form the facility team
• Attend all educational activities
• Train staff via the train-the-trainer module for each educational module
• Ensure data collection requirements are met
• Monitor progress toward goals
• Utilize expertise of the project team and your faculty coach
• Utilize project tools and resources
• Celebrate successes with facility team
Facility Team Lead Responsibilities
Education• Participate in all educational activities for facility team
leads– Onboarding Series– Training Module Series– National Content Series
• Use train-the-trainer materials to educate front-line staff on each educational topic prior to next event in the series.
• Display C.A.U.T.I. and T.E.A.M.S. Infographic in facility
• Discuss components of the C.A.U.T.I. and T.E.A.M.S. intervention during team huddles, with administrators and clinical leadership and residents/families.
• Consider sustainability of C.A.U.T.I. and T.E.A.M.S. interventions that are incorporated into work
Data• Complete registration and demographics assessment• Distribute data measurement materials to the appropriate
team members• Collect outcome data and enter data on a monthly basis• Utilize Team Communication Guide and submit report on
a quarterly basis• Ensure required staff complete all safety culture surveys
and skills questionnaires• Participate in Safety Culture Survey Results Forum• Encourage each facility to complete evaluations after
each educational event• Review and discuss data results facility staff, leadership,
committees and resident/family council
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RECRUITMENT STRATEGIES
Which Facilities Can Participate?
Who is eligible?– Multi-facility operators/long-term care communities– LTCFs that are part of an inpatient facility– Stand-alone nursing homes– Small and rural homes
Who is ineligible?– Long-Term Acute Care facilities (LTACs) are ineligible for this project
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What to Communicate to Facilities
• Program goals
• There are many benefits of joining this program not just CAUTI
• Be realistic about program requirements and time commitment
• Data collection and review are not optional
• This is a learning collaborative: all teach and all learn
38
Discuss Program Goals
• Prevent CAUTIs and other HAIs in LTCFs
• Increase infection prevention skills of all staff
• Improve safety culture through improved teamwork and
communication
39
Program Requirements & Time Commitment
Be realistic about Facility Team Lead requirements and time involved
Key Responsibilities of Facility Team Lead:• Secure program champions: administrator, nurse, physician, CNA• Build and support the facility team• Lead cultural and clinical interventions• Attend all educational webinars and in-person meetings • Comply with data requirements• Meet ≥ monthly w/ team to review progress, trouble-shoot, sustain gains (can happen
during short training sessions)• Attend monthly coaching calls
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Data collection is not optional
Facilities must supply:
Measure Frequency NotesFacility Demographics 1 time Start of the program
Nursing Home Survey on Patient Safety 2 times ≥ 60% staff complete; at the start and finish of the program
Staff Skills Questionnaires 3 times At least 10 staff
# Residents and Resident with Catheter counts Daily Collected daily and entered monthly
# CAUTIs Monthly Collected daily and entered monthly
# urine cultures ordered each month for all residents Monthly Residents with and without urinary catheters
Team Communication Guide questions 4 times
Staffing Turnover notify you, not us, of changes
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Recruitment and EnrollmentSupport
Recruitment Support• Customizable marketing flyer• Informational Slide Deck; HRET team available to present• Facility Informational Webinars
Enrollment Support• Enrollment Packet
• Facilities submit 3 forms to you: Commitment Letter, DUE, Team Roster
• Facility Team Lead Tasks & Time Commitment for you to share
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1. How to Avoid Potential Pitfalls
Barrier/PitfallFacilities enroll in the project without being fully aware of required resources and drop out of the project
Solution• Facility administration needs to be aware of resources required AND key staff
participating need to be aware of requirements• Administration participates in Facility Informational Webinar
43
2. How to Avoid Potential Pitfalls
Potential PitfallFacilities do not understand that this project includes a focus on safety culture, infection prevention and antibiotic stewardship—not just CAUTI prevention
Solution• Communicate that strong safety culture is associated with better clinical and operational outcomes • Explain that implementing any change, e.g., CAUTI intervention, is influenced by culture• Educational content focuses on IP and proper use of antibiotics to prevent HAIs
Support from HRET• How to administer and interpret results• Action planning tools to assist teams to improve where needed
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QUESTIONS?
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Questions
Important Dates for Cohort 4
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Activity Date/TimeOrg Lead Subcontract Due June 19
Org Lead Training Monday, June 22 in Chicago
Facility Informational Webinars Wednesday, June 3 or Thursday, June 23 at 11:00 a.m. CT
Learning Session #1 July 1-24
Registration Due July 24
Facility Demographics Questionnaire Opens July 1, Due July 31
Skills Questionnaire Opens July 1, Due July 31
Onboarding Educational Series Every Thursday in August, from 1:00-1:45 p.m. CT
Patient Safety Culture Survey Released week of August 24, Due Sept 30
Content Webinar Educational Series 3rd Thursday of each month from 11:15 a.m.-12:00 p.m. CT,beginning in November
Next Steps
1. Email signed subcontract to Jeanette Lyons ([email protected]) by June 19
2. Ask all interested LTCFs to save-the-date for the Facility Informational Webinar on
June 3 or June 23 at 11:00 a.m. CT
3. Recruit LTCFs and ensure they register by July 24
4. Identify a date and location for Learning Session #1 between July 1-24
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