People CentredPositiveCompassionExcellence Using The Safety Thermometer To Negotiate CQUIN &...
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Transcript of People CentredPositiveCompassionExcellence Using The Safety Thermometer To Negotiate CQUIN &...
People Centred Positive Compassion Excellence
Using The Safety Thermometer
To Negotiate CQUIN & Approach a Whole System
ImprovementTracy Burrell
Assistant Director of Nursing &Quality
People Centred Positive Compassion Excellence
Objectives
•Trust information
•Background
•How we used Safety Thermometer Data
•Outcomes
•Improvements
People Centred Positive Compassion Excellence
The Trust• Established 1st December 2007. • 2010 gained teaching hospital status - Blackpool Teaching Hospitals NHS
Foundation Trust • April 2012 merged with community health services• Serves a population of approximately 440,000 residents
People Centred Positive Compassion Excellence
Background•March 2009 – 326 hospital acquired pressure ulcers >2 Cost of £2,000,000
• March 2010 – 197 hospital acquired pressure ulcers (spot prevalence)
• March 2011 – 167 hospital acquired pressure ulcers (spot prevalence)
•March 2012 – 117 hospital acquired pressure ulcers (spot prevalence)
People Centred Positive Compassion Excellence
• National CQUIN – 50% staged reduction on national median
• Prevalence not incidence
• Sufficient patients surveyed consistently to establish baseline median
• 6 data points Sept 12 – Feb 13
2012/13 – National CQUIN Challenge!!
People Centred Positive Compassion Excellence
Using the Data
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People Centred Positive Compassion Excellence
Using data to focus improvement
PUs (any type) Falls (with harm) New VTE (any type) UTIs in patients with a catheter
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People Centred Positive Compassion Excellence
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Regional and BTH Pareto Comparison
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People Centred Positive Compassion Excellence
What did this allow?• Supported dialogue with CCG’s• Comprehensive report• Negotiate CQUIN• Identify non Trust acquired PU• Triangulation of data – Board level reporting of Incidence • Understanding outliers – rectify• Replicated for Falls• Identify Blackpool top 10 Nursing Homes• Collaborative working – Trust and CCG’s• Shared process with NW Safety Collaborative
People Centred Positive Compassion Excellence
Service DevelopmentsCare Home TeamBlackpool CCG funded pilot -12 months commenced in April 2013The Care home team- 1 matron and 3 case managersTo target 15 homes :-
Reduce ambulance call outs by 20%Reduce A/E attendance by 20%Reduce hospital admission by 20%100% of residents involved in the planning of their care95% of residents have a care plan in placeTraining for care home staff in falls, pressure ulcer prevention and urine infection
• Falls Prevention• Transfer Best Practise Standards• Multi Disciplinary approach
• 2014 – Replicated in North Lancashire
People Centred Positive Compassion Excellence
Improvements as a Result - PU•March 2012 – 117 hospital acquired pressure ulcers •March 2013 – 76 hospital acquired pressure ulcers•March 2014 – 52 hospital acquired pressure ulcers (78 reported via Safeguard actual)
•April 2009 – March 2014 - 84% reduction in prevalence
• April12-March 14: 32% reduction in patient incidence
• £1,400,000 Saving – Patient Impact
• Five year journey - still travelling
People Centred Positive Compassion Excellence
Improvements as a Result -Falls• Care homes reporting falls more accurately• 150 staff trained in falls prevention• 21% reduction in ambulance call outs• 20% less residents being transported with falls and
redirected to other services• 100% of residents involved in the planning of their
care• 95% of residents have a care plan in place• Improvements in the way falls are managed in the
home• Increased amount of residents prescribed with
Calcium/ Vitamin D supplements• Greater collaboration with stakeholders• Increased quality of care and resident experience