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PINS – patient experience KPIs for nursing

PINS – patient experience KPIs for nursing. Rosie Kelly Clinical Manager, Acute Children’s Services, SET. How we got here. 2008 – Regional Workshops to determine KPIs 2009 Pilot study – 3 clinical areas in SET, BHSCT and Dublin

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PINS – patient experience KPIs for nursing

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  1. PINS – patient experience KPIs for nursing Rosie Kelly Clinical Manager, Acute Children’s Services, SET

  2. How we got here • 2008 – Regional Workshops to determine KPIs • 2009 Pilot study – 3 clinical areas in SET, BHSCT • and Dublin • 2012/13 – 2 PINS workshops (1 in Belfast, 1 in NSW) to agree project and sign up participants • 2013/14 PINS Project

  3. Final 8 top ranked KPIs

  4. Organisational Context Organisational Indicators EXAMPLES • Reported number of falls • Pressure ulcer incidence • Nurse facilitated discharge rates • Compliance with hand hygiene Indicators for Safe & Effective Care EXAMPLES • Performance against supervision standard • Attendance – management rates • Management of salaries & wages budget incl Bank, Agency & overtime Patient Experience KPIs Patient/ Client EXAMPLES • Patient’s confidence in the knowledge & skills of the nurse • Nurse’s understanding of what is important to the patient • Time spent by nurses with the patient • Involvement of patients in decisions about their nursing care

  5. Data Collection & Analysis Timeframe • Survey – distributed to all patients on discharge (over 7 weeks) • Stories – 3 family stories over 1 week and 3 patient stories over 1 week • Document – review patient record in conjunction with asking staff about patient goals (10 reviews over 1 week) • Observation – of nursing presence in a specified bay over a 30 minute time period (3 over 1 week)

  6. Measurement framework

  7. Observations of Practice Will measure the following KPIs: KPI 5: Time spent by nurses and midwives with the patient.

  8. Reviewing the Patient Record Will measure the following KPIs: KPI 1: “ Consistent delivery of care against identified need” KPI 8: “ Nurse / Midwife understanding of what is important to the patient” This will be undertaken in conjunction with asking questions of staff

  9. SET Experience • Staff engagement is key • Triangulation added weight to findings • Time consuming to embed in practice • Ownership • Action Planning a bonus this time

  10. Challenges • Time out for staff • Using new data collection tools • Recognising action plans as positive tools

  11. Using the KPIs to change and improve practice

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