Nurse Sensitive Outcome Measures Creating Practical Educational Tools July 24th, 2014

Shelley Fraser, MSN RN, Practice Consultant Professional Practice and Nursing, PHC

Barb Bedell, MSN RN, Practice Consultant Professional Practice and Nursing, PHC

Brittany Watson, BSN RN, Nurse Educator Professional Practice and Nursing, PHC

HEARR

Agenda

Overview of the project

• Utilizing data to engage point of care staff

• Utilizing Clinical Experts to identify best practice

• Utilizing an evidence based educational methodology

to scale response to data

• Utilizing evidence based education tools

• Questions/comments

Making it Meaningful

How do we deliver data to point of care staff in a way

that is meaningful, sustainable and helps to promote

best practice?

The Plan

Data is delivered to Program QualitySafety Committeeby QI Consultant

Nursing Leadership Interprets Data

Nurse Educators select the level of intervention

Nurse Educators & POC StaffCollaborate

Patient OutcomesImprove

Administrative Decision Support

(Supplies Data)

Data is supplied by period to the programs

Data is collected by period

Educational Methodology

No organization can afford to continue to cling to a

traditional learning mindset. The risk will be too high.

Your organization will rise to the next level if you move

forward focusing on providing learners just what they

need, at every moment of need, in the form needed.

Conrad Gottfredson, 2012

Defining Risk

• Ministry of Health had set a target:

– <10 cases (adverse event) per 1000 discharges

(data is pulled from the Discharge Abstract Database)

• Risk Stratification At PHC:

– >7 UTIs: 1000 patient discharge HIGH RISK

– 4-6 UTIs: 1000 patient discharge MEDIUM RISK

– <3 UTIs: 1000 patient discharge LOW RISK

Educational Interventions Based on Risk

• Low risk interventions include: monitoring data or

quick steps to serve as a reminder.

• Medium risk interventions include: simulation,

e-learning or tutorials to provide more detail.

• High risk interventions include: job aides, sneaker

support to educate and coach staff in the moment.

UTI Risk Assessment Tool

Having the Conversation

Selecting the Tools

• PHC Connect – Nursing

Next Steps

• Education sessions Fall 2014

Contacts

• Shelley Fraser

sfraser@providencehealth.bc.ca

• Barb Bedell

bbedell@providencehealth.bc.ca

• Brittany Watson

bwatson@providencehealth.bc.ca