Oklahoma Hospital Association 2019 Excellence in Quality Award Storyboard Template

1. Oklahoma Hospital Association 2019 Excellence in Quality Award Storyboard Template Please submit the completed template to Patrice Greenawalt: pgreenawalt@okoha.com no later than noon on 10/01/2019

2. Information and Instructions • Select a clinical topic area you worked on between January 1, 2018 and September 30, 2019, to share how your interventions reduced patient harm. • Complete the information requested on the slides 3-10 of this template to describe your project. Use the questions on each slide as a guide; each question does not need to be answered in full detail. • Highlight your challenges, solutions, innovations, data and stories that bring your work to life. Share tools and tips that will help others. • Submit your storyboard to Patrice Greenawalt: pgreenawalt@okoha.comno later than noon on10/01/19. Late submissions will not be considered. • OHA Clinical Initiatives staff will finalize your storyboard to display at OHA Convention November 13-14, 2019 . Following OHA Convention, you may take your storyboard poster back to your hospital to display. • Questions? Contact Patrice Greenawalt: pgreenawalt@okoha.com

3. Insert Photos with Hospital Name of Team Members Name/Title Hospital Photo Team Photo Brief description of hospital (i.e. St. Elmo is a 120 bed acute care hospital located in rural southwestern Oklahoma. Team member name/title

4. Statement of ProblemBriefly tell your story: What is your Clinical topic area? Why did you choose it? What unit(s) is involved? You may add run charts or other descriptive information.(Example: We chose to focus on falls because we identified an increasing trend in falls with injury on Med-Surg Unit 201 from 1/1/18 – 6/30/18.)

5. Goal StatementIdentify goal(s) including improvement target, Time frame, and unit(s)Example: Our goal was to decrease falls by 30% on Med-Surg Unit 201 by August 31, 2018.

6. Implementation Describe the steps taken to address problem (include information such as involvement of staff, interventions, resources utilized, policy/procedure changes, small tests of change, patient/family involvement.) Example: Utilizing xyz resources, we initiated use of the ABCD criteria to screen each patient on Med-Surg Unit 201 to identify those at highest risk for falls; the AHA/HRET Fall Prevention Tips for Patients and Families document was reviewed with all patients and families and a copy left at the bedside; hourly rounding was implemented and a documentation form created.

7. Team Members Briefly describe those who participated in the change processExample: A Fall Prevention Team was created by the Quality Manager, and included the CNO, a primary care physician, Director of Med-Surg Unit 201, and two nursing staff from Med-Surg Unit 201. The team met bi-monthly to review Med-Surg 201 falls data, to plan implementation strategies, and evaluate outcomes.

8. RESULTSInsert a run chart or other graphic illustration(s) of your Project Results

9. OutcomesBriefly describe your findings and results: improvement, challenges, barriersExample: Following implementation of interventions, the fall rate on Med-Surg Unit 201 decreased by 50%. Hourly rounding increased interaction with patients and families and also increased requests for toileting and ambulation assistance. Additionally, floor mats were purchased and used for those patients determined to be a risk for falls.

10. Recommendations and Next Steps Briefly describe What did you learned in this process; what advice can you offer to others interested in making similar improvements; How are you sustaining these gains; what else would you like to share?Example: Utilization of the AHA/HRET falls change package was critical in the success of this project. We will continue utilizing the risk assessment tool, hourly rounding, and patient and family education, with implementation on all in-patient units within the next 6 months. The Falls Prevention Team allowed for involvement from senior leadership to the direct care provider, with open dialogue and sharing from all perspectives.