Canadian AMI Virtual Learning Collaborative
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Transcript of Canadian AMI Virtual Learning Collaborative
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Canadian AMIVirtual Learning Collaborative
Information CallMay 31-2010
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What is a Virtual Learning Collaborative
• A VLC creates a learning network for healthcare professionals focused on a specific improvement project within a defined timeframe and learning structure.
• It consists of a series of Virtual Learning Sessions, Action Periods, and WebEx Calls.
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Advantages of VLC
• Achieve similar results at a reduced cost while improving access to participants
• Knowledge transfer and spread of change concepts parallel to traditional BTS
Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)
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Model For Improvement *• A simple yet powerful tool for
accelerating improvement
• The model has been used very successfully by hundreds of health care organizations in many countries to improve many different health care processes and outcomes
*Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP
**The Plan-Do-Study-Act cycle was developed by W. E. Deming
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Principles of a Learning Collaborative
• The Model for Improvement is used to accelerate movement between knowing and doing
• Everyone Teaches; Everyone Learns
• The Learning Sessions are preparation for the Action Periods
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Principles of a Learning Collaborative
• Active participation by all teams enrolled; provides more value in the Learning Sessions
• Monthly reporting and use of data is fundamental to improvement work
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Why an AMI VL Collaborative?• Time is muscle (myocardium)
• 44% to 70%, with an average of 62% of AMI patients who received thrombolytics had this myocardium-saving treatment delivered within 30 minutes of hospital arrival.
• Methodology has been used to effectively introduce numerous changes within healthcare settings
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AIM
Canadian Emergency Departments ensure 90% of acute myocardial infarction (AMI) patients (STEMI or new LBBB only) receive thrombolytic therapy within 30 minutes or less of hospital arrival
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Measures in the AMI VLC• % STEMI or new LBBB who received
thrombolytic within 30 minutes of arrival at ED.
• % STEMI or new LBBB who received an ECG within 10 minutes of arrival at ED.
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Baseline Data Expectations• Baseline data should be submitted to the
CMT by July 31-2010
• Sample Size– Minimum = 6 patients – Maximum = 10 patients
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Virtual Learning Session
• Connect people using internet and telephone communication to create an interactive learning environment.
• Both workshops and idea exchange forums which prepare teams to make changes during the Action Periods
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Action Period Activities• Data submission to CMT
• PDSA Rapid Cycle Testing
• Teams’ Conference Calls
• Safety Improvement Advisor and faculty consultation
• Team Collaboration
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Team Success Factors• Leadership support
• Access to appropriate technology
• Commitment to improvement goal
Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)
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What Does Your Team Need to Participate Virtually?
• Representative team committed to changing practice
• Productive learning room
• Computer with Internet access and MS Excel
• Telephone with speaker
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Teams are Expected to:• Enrol in Safer Healthcare Now!
• Obtain executive sponsor support
• Be committed to participation in action oriented learning, conference calls, reporting requirements and measurement. Test system and process changes.
• Have enthusiasm for learning and sharing
• Be interested in testing, evaluating and shaping the virtual learning approach
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What is a Team?• A group of multidisciplinary staff who regularly work
together to provide/support the delivery of AMI care in an organization and who have the capacity to:– address care/team process improvements– relate their measurement to their improvement work – participate as an learning group in collaborative
sessions
• Organizations may self-select their teams for registration in the AMI VLC using the above principles
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List of Potential Team Members• Paramedic• Emergency Room Nurse• Cardiology Technologist • Emergency Room Physician• Cardiologist• Nurse Manager• Nurse Practitioner or Educator• Quality Improvement Representative• Other Professionals interested in improving AMI
care
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Costs & Registration• $500.00 per team
– 4 learning Sessions– Team Calls– Action Period Support– Closing Congress
• Registration: http://www.saferhealthcarenow.ca/EN/events/conferencesEvents/collaboratives/Pages/default.aspx
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