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Coming Full Circle: AMI and Med Rec Across the Continuum

Coming Full Circle: AMI and Med Rec Across the Continuum Western Node Breakthrough Series Collaborative May 2007 – May 2008. Teams Continue to Enroll. Safer Healthcare Now! Western Node. A. A. P. P. D. D. S. S. Breakthrough Series Collaborative. Action Period One.

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Coming Full Circle: AMI and Med Rec Across the Continuum

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  1. Coming Full Circle: AMI and Med Rec Across the Continuum Western Node Breakthrough Series Collaborative May 2007 – May 2008

  2. Teams Continue to Enroll

  3. Safer Healthcare Now! Western Node

  4. A A P P D D S S Breakthrough SeriesCollaborative Action Period One Action Period Two Action Period Three A P D S Learning Session One Learning Session Two Learning Session Three Planning & Pre-work Closing Congress & Distribute Findings Sept 24/25, 2007 Victoria Feb 4/5. 2008 Edmonton May 5/6, 2008 Winnipeg May 14/15, 2007 Saskatoon Support Communities of Practice Email Teleconferences Monthly Team Reports

  5. Overall Collaborative Goals • 95% of AMI and Med Rec teams (excluding Home Care Teams) will submit data to Safer Healthcare Now! Central Measurement Team • 80% of registered teams will submit Monthly Reports to the Collaborative • 70% of teams will achieve at least one goal as identified by the self assessment ratings

  6. AMI Stream – Goals Admission Meds • 90% of teams working on medications at admission will meet targets as specified in the Getting Started Kit (e.g., 95% of admitted patients will receive Aspirin within 24 hrs) Reperfusion Strategies • 75% of teams working on reperfusion strategies will achieve targets as specified in the Getting Started Kit (e.g., 90% of STEMI patients will receive lytics within 30 minutes of ED door arrival) Discharge Meds • 90% of teams working on medications at discharge will meet targets as specified in the Getting Started Kit (e.g., 95% of discharged patients will have an order of beta blockers at discharge) Smoking Cessation • 90% of teams working on smoking cessation will meet targets as specified in the Getting started Kit ( e.g., 100% of eligible patients will get smoking cessation counseling during hospital stay)

  7. Medication Reconciliation: Acute & Long-Term Care - Goals • 80% of teams will reduce the # of undocumented intentional discrepancies by 75% from baseline • 75% of teams will reduce the # of unintentional discrepancies by 75% from baseline

  8. Home Care Stream – Learning Goals • Explore the process of obtaining, updating and communicating a complete Best Possible Medication History (BPMH) • Identify core processes to aid in the BPMH and identification of medication errors • Develop a BPMH tool for the home care environment for SHN! • Develop and test 2 measures which have relevance to monitoring the process and outcomes to prevent harm in the Home Care environment

  9. Team Expectations • Secure sponsorship from Senior Leader • Perform “Enrollment Package” activities in preparation for Learning Session 1 • Enrollment in the Collaborative will also enroll you into SHN! • Commitment to data submission (Monthly Reports & Central Measurement Team) • Attendance at the Learning Sessions & Congress/Spread Session

  10. Costs for the Teams – Approximate Figures • Multidisciplinary team of 5-7 members (clinical experts, physician/champion, day to day leaders and system leaders) • 0.2 FTE for a team leader to coordinate activities • Data entry person (2 hrs a week) • ~ $1000 per team member for each Learning Session (includes registration, accommodation and travel costs) • 2 - 3 team members should attend all Learning Sessions • Approximately $10,000 per team to attend 3 Learning Sessions (May Congress/Spread Workshop not included)

  11. Med Rec Faculty

  12. AMI Faculty – still recruiting

  13. Obtaining Senior Leader Commitment • Build the case (how does this intervention fit with the organizational strategic direction and performance agreements) • Keep Senior Leader involved (use data to communicate) • Use the data to show potential benefits of your work • Identify an advocate who has the ear of the Senior Leader

  14. Next Steps • Secure support from Senior Leader • Enroll your team using the Call to Action Team Enrollment Form • Register on-line (www.saferhealthcarenow.ca) for Learning Sessions • Participate in the “Enrollment Calls” – schedule attached • Prepare for Learning Session 1 (May 14 & 15th, Saskatoon, SK)

  15. Upcoming Calls Enrolment Package – Teleconference (Getting Started) ALL Teams April 17, 10 – 11 am MDT 1-866-368-6248 Participant code: 0242667 Medication Reconciliation in Home Care April 23, 10 - 11am MDT            1-866-368-6248 Participant Code:  2132760 Medication Reconciliation inLong-Term Care April 24, 10 – 11 am MDT 1-866-368-6248 Participant code: 2132760

  16. QUESTIONS ?

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