Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman,...
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Transcript of Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman,...
![Page 1: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/1.jpg)
Continuous Quality Improvement Program
Showcase
Nancy Dean, RN, FNP
Barbara Lloyd, RN
Joann Stroman, RN, MHA, MSN, BSN
Kristin Kastner, RN
![Page 2: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/2.jpg)
CQI PLANS
Nancy Dean, RN, FNP
Phoenix Job Corps Center
![Page 3: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/3.jpg)
How to Begin?
Steps
![Page 4: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/4.jpg)
Steps for CQI• Develop an hypothesis of what the problem is• Collect data• Review the data• Does the data confirm and validate the hypothesis?• Formulate a plan of action to create change• Utilize on and off center resources• Implement a plan of change• Review the outcome for success or change• Time frame is dependent on the importance as it
relates to student and center success
![Page 5: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/5.jpg)
CQI Examples
Recent CQI at Phoenix JCC
![Page 6: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/6.jpg)
Pregnancy CQI
• Hypothesis: Increase in Pregnancy with Male JC Students Being the Fathers
• Data collected showed that within 1 quarter there were 6 pregnancies after entry
• Review of the data demonstrated that 4/6 were by male JC students
• The data confirmed the hypothesis
![Page 7: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/7.jpg)
Pregnancy CQI• Plan formulated was to have on-center and
outside resources do presentations to PJC students-male and female separately
• Pregnancy Coordinator contacted Planned Parenthood to come and do a seminar with the students. This was conducted for both residential and non residential students
• Also utilized center physician and residents and the CMHC and the MH interns to assist the HWC staff
![Page 8: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/8.jpg)
Pregnancy CQI
• Statistics were kept and reviewed data at 3 and 6 months
• Outcome measure was that there were only 2 pregnancies after the plan of action and none were by JC male students
![Page 9: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/9.jpg)
Pittsburgh Job Corps Center
Barbara Lloyd, RN
![Page 10: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/10.jpg)
Quality Improvement
• Definition• Planning your program• Means to obtain needed feedback• What do you do with the feedback
received• Closing the loop
![Page 11: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/11.jpg)
Continuous Quality Improvement
• Continuous Quality Improvement is a process to ensure programs are systematically and intentionally improving services and increasing positive outcomes for the persons they serve. CQI is a cyclical, data-driven process; it is proactive, not reactive. A CQI environment is one in which data is collected and used to makes positive changes—even when things are going well—rather than waiting for something to go wrong and then fixing it. CQI is an ongoing process that involves the Plan, Do, Study, Act cycle.
![Page 12: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/12.jpg)
Planning Your CQI Program
![Page 13: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/13.jpg)
Planning Your Next Steps
• Wellness Staff Meetings
![Page 14: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/14.jpg)
Planning Your Next Steps
• Good planning means students are involved in each step of the process.
![Page 15: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/15.jpg)
Getting Feedback
• PJCC Wellness Survey• Wellness Committee meetings• Student Government Association
![Page 16: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/16.jpg)
Acting on the Feedback
• Informational surveys and discussions
• Special events• Student incentives and recognition
![Page 17: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/17.jpg)
![Page 18: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/18.jpg)
Closing the Loop
• Survey Effectiveness
• Assure Recognition
• Document Results
![Page 19: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/19.jpg)
Questions
![Page 20: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/20.jpg)
Bamberg Job Corps Center
Joann Stroman, RN, MHA, MSN, BSN
• .Goal•Outcome
• Intervention•Problem
Area
Staff
Weaknesses
Strengths
![Page 21: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/21.jpg)
![Page 22: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/22.jpg)
Tools Used to Identify Areas of Improvement
• Surveys for students not utilizing Wellness
• Surveys for students utilizing Wellness
• Focus Groups• Direct Observation• Use of a Complaint Log• SGA Wellness Committee
![Page 23: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/23.jpg)
Wellness Survey• Non/Infrequent Users• SURVEY SAYS!!!
1. How often have you visited the Wellness Center since you enter the program _____never _____1-5 _______ 5-10 _______ unable to count
2. Do you feel the Wellness staff is respectful and maintain professionalism?
3. What changes would you recommend for the Wellness Center based on your experience and observation?
![Page 24: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/24.jpg)
Wellness Survey• Frequent Users• SURVEY SAYS!!!• Today I was seen by: Mrs. Ferguson, Ms. Stroman, Dr.
Stephens, Dr. Furtick, Ms. Perry, FNP, Dr. Jeffords, Dr. Thomas, Ms. Brooks (please circle)
1. I was treated with respect by the Wellness staff . Yes _______ No________
2. I am satisfied with the care that I received today. Yes _______ No _______
3. What do you think will make the Wellness Center better?
4. Please respond to any no answer.
![Page 25: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/25.jpg)
Complaint Log
• Wellness Complaint LogStudent Date Complaint Resolution/Date Notification
![Page 26: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/26.jpg)
Problem Resolution Plan
• Resolution Plan Problem Goal Interventions Staff Date of
ResolutionResolved
No Flu Vaccine
Reduce on Center Flu to < 5% of OBS
• Staff Training• Student training• Center wide
Disinfecting• Early testing for
all Flu like s/s• Early Isolation • Regional
request to replace leave time for all flu cases
HWM, LPN, MDLogistic, Finance,CDSS, SD
Ongoing until March 31, 2014 or as directed by CDC
To date 1 confirmed flu case
![Page 27: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/27.jpg)
Denison Job Corps
Kristin Kastner, RN
![Page 28: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/28.jpg)
How do I decide??
Brainstorming Data integrity Review reports
![Page 29: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/29.jpg)
Areas of interest
• Student satisfaction survey results• Influenza vaccination rates• 45 day re-test results• Suspicious alcohol screenings• Identification of wellness staff• Incidence of STI rates
![Page 30: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/30.jpg)
Results must be measurable
• Surveys• Review results• Observation • Student/ staff feedback• Annual health and wellness report
![Page 31: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/31.jpg)
Document
• Topic• Date range• Measurement mechanism• Corrective action• Goal
![Page 32: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/32.jpg)
= compliance
612. R15
![Page 33: Continuous Quality Improvement Program Showcase Nancy Dean, RN, FNP Barbara Lloyd, RN Joann Stroman, RN, MHA, MSN, BSN Kristin Kastner, RN.](https://reader030.fdocuments.us/reader030/viewer/2022032704/56649d745503460f94a53c4b/html5/thumbnails/33.jpg)
Questions?