Optimizing the Skin hampion’s Role in HAPI Reduction QI ... · • One HAPI incident costs $43,...
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• Hospital-Acquired Pressure Injuries (HAPIs) are considered by CMS as costly but preventable Hospital- Acquired Conditions (CMS, 2018). • One HAPI incident costs $43, 180 per hospital day (AHRQ, 2014). • The purpose of this QI initiative was to reduce HAPI incidence rate in 6E by optimizing the Skin Champion’s role in implementing, managing, and sustaining LAMC’s Pressure Injury Prevention Protocol (PIPP). • In 2017, the HAPI incidence data revealed that more than 28% of HAPIs developed in 6E. • By reducing HAPIs in 6E, the medical center will strategically improve the hospital-wide HAPI metrics. PURPOSE CONCLUSION FUTURE PLANS • The Pressure Injury Prevention Committee (PIPC) reviewed hospital- wide HAPI incidence rate and performed RCAs. • The PIPC consisted of interprofessional team members, which designed the PIPP to include SKIN Bundle and 2 RN Skin Check. • In May 2017, the PIPP was presented to stakeholders and Skin Champions Peer Group for education, application, and unit dissemination. • For 2 weeks, Skin Champions-led unit- based education, supported by CWONs and CNS, was provided to all 6E staff. • Skin Champions-led skin rounds were performed every Tuesday on targeted patient assignment. • Findings from skin rounds were shared using P2P feedback and shift huddles. • “Skin Board” to highlight the PIPP and skin updates was developed and maintained by Skin Champions. • One-pager educational materials were also created by Skin Champions in collaboration with CWONs and CNSs. • Skin Champions provided “Just in Time” staff education using P2P feedback on timely documentation of Braden scale, turning and repositioning, PI preventive strategies, patient plan, and 2 RN skin check in KP Health Connect (KPHC). PROCESS Optimizing the Skin Champion’s Role in HAPI Reduction QI Initiative • To help sustain positive outcomes in 6 East, the unit’s DA proposed to add two additional 0.6 FTE “Mobility Techs” for six hours per shift. • To schedule Skin Champions 4 hpw for ongoing education, skin rounds, and monitoring and tracking of PIPP documentation and application. • The 2 RN Skin Check at shift change will be introduced by Skin Champions at the end of 2nd Quarter 2018. • A significant reduction in HAPI incidence rate was immediately evident after PIPP QI initiative implementation. • The Skin Champion’s role was optimized to include direct provision of staff education and ongoing PIPP implementation, management, and sustainment. • This contributed to a sustainable decline in HAPI incidence average rate of 3.36% pre - QI Initiative implementation to 1.46% post - QI Initiative implementation. • On an average, a potential $315, 214 in cost savings over 9 months for HAPI prevention. RESULTS Scan the code to download the posters and executive summaries from this poster session. Need a QR Reader? Go to your phone’s App Store and download QR Reader App • A 32-bed SDU (6E) was chosen for the QI initiative due to high HAPI incidence rate per year. • The number of HAPI incidence was calculated using the formula: # of patients with HAPI/1000 Patient Days. • HAPI incidence rate significantly dropped from 7.88% to 1.16%, a month after QI implementation. • A steady reduction in HAPI incidence to “Target ZERO” was achieved four months after Skin Champion’s role optimization in the QI Initiative. Esperanza Arcena, BSN, RN; Jesse-Julian Gonzalez, BSN, RN; Stephanie Galarion, BSN, RN WOCN; Ngozi Uwagboi, BSN, RN; Lorraine Gambino, BSN, RN; Lorina Punsalang, MSN, AGCNS, SCRN, RN-BC; Maya Chong, BSN, RN; Jon Gabriel, BSN, RN, CWON, & Maylien Brual, BSN, RN, CWON [email protected] (So. California/LAMC)
Transcript of Optimizing the Skin hampion’s Role in HAPI Reduction QI ... · • One HAPI incident costs $43,...
• Hospital-Acquired Pressure Injuries (HAPIs) are considered by CMS as costly but preventable Hospital-Acquired Conditions (CMS, 2018).
• One HAPI incident costs $43, 180 per hospital day (AHRQ, 2014).
• The purpose of this QI initiative was to reduce HAPI incidence rate in 6E by optimizing the Skin Champion’s role in implementing, managing, and sustaining LAMC’s Pressure Injury Prevention Protocol (PIPP).
• In 2017, the HAPI incidence data revealed that more than 28% of HAPIs developed in 6E.
• By reducing HAPIs in 6E, the medical center will strategically improve the hospital-wide HAPI metrics.
PURPOSE CONCLUSION
FUTURE PLANS
• The Pressure Injury Prevention Committee (PIPC) reviewed hospital-wide HAPI incidence rate and performed RCAs.
• The PIPC consisted of interprofessional team members, which designed the PIPP to include SKIN Bundle and 2 RN Skin Check.
• In May 2017, the PIPP was presented to stakeholders and Skin Champions Peer Group for education, application, and unit dissemination.
• For 2 weeks, Skin Champions-led unit-based education, supported by CWONs and CNS, was provided to all 6E staff.
• Skin Champions-led skin rounds were performed every Tuesday on targeted patient assignment.
• Findings from skin rounds were shared using P2P feedback and shift huddles.
• “Skin Board” to highlight the PIPP and skin updates was developed and maintained by Skin Champions.
• One-pager educational materials were also created by Skin Champions in collaboration with CWONs and CNSs.
• Skin Champions provided “Just in Time” staff education using P2P feedback on timely documentation of Braden scale, turning and repositioning, PI preventive strategies, patient plan, and 2 RN skin check in KP Health Connect (KPHC).
PROCESS
Optimizing the Skin Champion’s Role in HAPI Reduction QI Initiative
• To help sustain positive outcomes in 6 East, the unit’s DA proposed to add two additional 0.6 FTE “Mobility Techs” for six hours per shift.
• To schedule Skin Champions 4 hpw for ongoing education, skin rounds, and monitoring and tracking of PIPP documentation and application.
• The 2 RN Skin Check at shift change will be introduced by Skin Champions at the end of 2nd Quarter 2018.
• A significant reduction in HAPI incidence rate was immediately evident after PIPP QI initiative implementation.
• The Skin Champion’s role was optimized to include direct provision of staff education and ongoing PIPP implementation, management, and sustainment.
• This contributed to a sustainable decline in HAPI incidence average rate of 3.36% pre - QI Initiative implementation to 1.46% post - QI Initiative implementation.
• On an average, a potential $315, 214 in cost savings over 9 months for HAPI prevention.
RESULTS
Scan the code to download the posters and executive summaries from this poster session.
Need a QR Reader? Go to your phone’s App Store and download QR Reader App
• A 32-bed SDU (6E) was chosen for the QI initiative due to high HAPI incidence rate per year.
• The number of HAPI incidence was calculated using the formula: # of patients with HAPI/1000 Patient Days.
• HAPI incidence rate significantly dropped from 7.88% to 1.16%, a month after QI implementation.
• A steady reduction in HAPI incidence to “Target ZERO” was achieved four months after Skin Champion’s role optimization in the QI Initiative.
Esperanza Arcena, BSN, RN; Jesse-Julian Gonzalez, BSN, RN; Stephanie Galarion, BSN, RN WOCN; Ngozi Uwagboi, BSN, RN; Lorraine Gambino, BSN, RN; Lorina Punsalang, MSN, AGCNS, SCRN, RN-BC; Maya Chong, BSN, RN; Jon Gabriel, BSN, RN, CWON, & Maylien Brual, BSN, RN, [email protected] (So. California/LAMC)
