It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L...
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Transcript of It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L...
![Page 1: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/1.jpg)
It Takes a Village
Contra Costa Regional Medical Center
Stuart Forman, MDKathryn Moore, OTR/L
Ronald Marquez, PTAngela Bennett, RN
Trent Tate, RCP
![Page 2: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/2.jpg)
Where we were
VAP Rate/ 1000 ventilator days
![Page 3: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/3.jpg)
![Page 4: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/4.jpg)
Where we are now
Last VAP January 2011
![Page 5: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/5.jpg)
How did we get there?
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Step 1: Examine the evidence
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Step 2: Find a Champion
![Page 8: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/8.jpg)
Step 3: Engage a team
![Page 9: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/9.jpg)
Step 4: Small tests of change
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Step 5: Rapid Cycle Improvement
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Step 6: Build on Success
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ABCDE Building Blocks
• Wake up and breath protocols• Ventilator bundles• CAM-ICU • Daily ventilator rounds• ICU OT/PT staffing
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What Were Our Barriers?• Inertia• Staffing• Skeptical doctors• Antiquated chart system• Data gathering
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How Did We Overcome These Barriers?
• EBM• Use people’s normal work flow• Invite participation from all team members• Showcase results• Engage quality and infection control managers
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What Did We Learn From This Improvement Effort?
• Don’t try everything at once• Culture beats strategy • Engaged leaders • Put front line workers in charge• Data collection is not easy
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![Page 17: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/17.jpg)
![Page 18: It Takes a Village Contra Costa Regional Medical Center Stuart Forman, MD Kathryn Moore, OTR/L Ronald Marquez, PT Angela Bennett, RN Trent Tate, RCP.](https://reader036.fdocuments.us/reader036/viewer/2022070415/5697bf741a28abf838c7f922/html5/thumbnails/18.jpg)
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What Can We Teach From Our Journey?
• Step 1: Find the evidence of efficacy• Step 2: Find a champion• Step 3: Engage the team• Step 4: Small tests of change• Step 5: Rapid cycle improvement—don’t
expect perfection• Step 6: Share and build on your successes• Step 7: Lather, rinse repeat
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Feel Free to Contact Us:
Stuart Forman, MD, FAAFPMedical Director, Critical Care Services2500 Alhambra Ave.Martinez, CA 94553