STARTER KIT. version 1.1

Size: px
Start display at page:

Download "STARTER KIT. version 1.1"

Transcription

1 STARTER KIT version 1.1 1

2 Thanks for your interest in taking the 10 Million Challange. Choosing Wisely Canada s 10 Million Challenge is a collective action initiative to prevent 10 million unnecessary tests and treatments across Canada by the year By participating in the 10 Million Challenge, you re helping to put the Choosing Wisely recommendations into practice, avoid exposing patients to needless harm, and ensure that precious health care resources are used wisely. Why 10 million? Because we think it s a bold yet achievable goal, informed by the progress made by some of our Choosing Wisely early adopters so far. However, the more important thing to focus on is the impact you could make locally. If you can accomplish that, and others do the same, the 10 million goal will take care of itself. 2

3 About Choosing Wisely Canada Choosing Wisely Canada (CWC) is a campaign to help providers and patients engage in conversations about unnecessary tests and treatments, and make smart and effective choices to ensure high quality care. Unnecessary tests and treatments don t add value to care. In fact, they take away from care by potentially exposing patients to harm, leading to more testing to investigate false positives and contributing to stress for patients. And of course, they put increased strain on the precious resources of our health care system. Launched in April 2014, CWC is modeled after the Choosing Wisely campaign in the United States where more than 70 medical societies have developed top 5 lists of tests and treatments physicians and patients should question things for which there s strong evidence of overuse, waste, or even harm to patients. CWC is organized by a team of leading Canadian physicians, in partnership with the Canadian Medical Association. More than 45 Canadian medical societies are participating in the campaign, representing 71,000 physicians (95% of all physicians in Canada). To date, these societies have released over 160 recommendations in total. 3

4 About this Starter Kit This Starter Kit is intended to provide you with just enough information to get started. The rest is up to you to figure out, based on your local circumstances and the ingenuity of your team. Included in this Starter Kit are: 1. Instructions for participating in the 10 Million Challenge 2. Slide pack for introducing the 10 Million Challenge to your colleagues and stakeholders to gain support and buy-in 3. Spreadsheet all 160+ CWC recommendations to help you pick a focus and target for your project 4. Case studies of inspiring projects elsewhere LET S GET STARTED. 4

5 Instructions Here are the basic steps you need to take to participate: 1. Get the starter kit 2. Pick a focus 3. Register 4. Implement 5. Tell us how you did 5

6 1. Get the Starter Kit Done! 6

7 2. Pick a Focus If you have a specific area of overuse you want to tackle, great! Move on to the next step. If you re still deciding on a focus, check out all the CWC recommendations published to date here: We ve also compiled all CWC recommendations into one simple spreadsheet. You can use the spreadsheet to sort, rank order and prioritize based on what s important to you and your organization. Make sure you pick something that can be measured. Download the spreadsheet. Getting support and buy-in from your colleagues and stakeholders early will help make your project go smoothly; involve them in this process. We ve assembled a slide pack containing everything you need to bring your colleagues and stakeholders up to speed on what Choosing Wisely is and what the 10 Million Challenge is all about. Download the slide pack. 7

8 3. Register Formalize your participation in the 10 Million Challenge by registering with CWC. Registration is easy. Send an to: In the body of the , include the following info: 1. Name of Your Project: 2. Name of Your Organization: 3. Name of Project Lead: 4. Primary Contact (name, , address): 5. Other Team Members (optional): 6. Brief Description of Project (200 words max): Please note that this info will be posted publicly on the CWC website. Once the info is posted, you will be sent a link to it. You ll be able to edit and update this info at anytime. This info will also help us link you up with relevant resources and peer groups. 8

9 4. Implement This is the hard part. There s no recipe book to follow. Your choice of intervention and how it is implemented depends on the amount of impact you want to make, resources you have available, opportunities and constraints within your local environment, etc. The figure below gives a flavour of the types of interventions you might want to consider. High leverage interventions are those that require organizational level changes; these changes are typically hard coded into the systems and policies of the organization, tend to be more difficult to implement, but the results are more likely to be sustained. Low leverage interventions, on the other hand, focus on change at the individual rather than organizational level, tend to be easier to implement, but are generally less sustainable (e.g. people move on). A robust implementation might involve a combination of interventions. The CWC community is developing a series of Implementation Toolkits describing proven interventions related to specific CWC recommendations. These will be available starting April 1, Types of Interventions EDUCATION Clinician education Patient education Awareness campaigns LOW LEVERAGE INTERVENTIONS MEASUREMENT & IMPROVEMENT Performance measurement Quality improvement projects Audit and feedback HARD CODING Medical directive changes Order set changes EMR/CPOE integration HIGH LEVERAGE INTERVENTIONS 9

10 5. Tell Us How You Did Measurement in an essential component of any change initiative. It also allows you to tell us know much impact you ve had so that we can count it towards the 10 million goal. After you ve implemented your change, send us the data for the period before (baseline) and after the intervention, and give us your best estimate of how many unnecessary tests/treatments were prevented due to your effort. You should also monitor the data periodically to see if the impact is sustained. Obviously, long-lasting changes contribute more to the 10 million goal than ones where things quickly revert back to baseline after the initial implementation period. 10

11 Case Studies Here are some examples of successful implementation projects to reduce overuse in the Canadian health care setting. 11

12 LOSE THE TUBE. (CSHM#1/CSIM#2) Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year

13 Don t place or leave in a urinary catheter without reassessment or an acceptable indication. The use of urinary catheters among hospitalized patients is common. Urinary catheter use is associated with preventable harm such as catheter-associated urinary tract infection, sepsis and delirium. Appropriate indications include acute urinary obstruction, critical illness and end-of-life care. Choosing Wisely recommendation from the Canadian Society of Hospital Medicine (CSHM #1) and Canadian Society of Internal Medicine (CSIM #2) How Sunnybrook is Choosing Wisely At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters were re-inserted at the first sign of urinary retention. A medical directive was developed to standardize removal of urinary catheters on transfer to the medicine ward. Staff were then trained to follow the medical directive to remove urinary catheters lacking prespecified reasons and to follow a post-catheter care algorithm to detect and manage any urinary retention in a standard way. This medical directive has resulted in 50% fewer urinary catheters on the medical wards sustained beyond 1-year, and the team has not encountered any inappropriate urinary catheter removals. Appropriate use of urinary catheters is one of 160 recommendations from Choosing Wisely Canada. Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year ChoosingWiselyCanada.org 13

14 WHY GIVE TWO WHEN ONE WILL DO? (CSTM#2) Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year

15 Don t transfuse more than one red blood cell unit at a time when transfusion is required in stable, non-bleeding patients. Transfusions are associated with increased morbidity and mortality in high-risk hospitalized inpatients. Single unit transfusions should be the standard for non-bleeding, hospitalized patients. Additional units should only be prescribed after re-assessment of the patient and their hemoglobin value. Choosing Wisely recommendation from the Canadian Society of Transfusion Medicine (CSTM #2). How Halifax is Choosing Wisely At Capital Health in Halifax, Nova Scotia, a new policy to transfuse one red cell unit and then reassess based on hemoglobin level/clinical symptoms was developed, discussed and approved at the District Medical Advisory Committee which included representation from all clinical departments. Following this, an education memorandum was distributed to physicians and nurses. The new policy was implemented gradually over a period of 11 months for all patient care areas, excluding outpatient clinics and emergency departments. The change included the blood transfusion technologist reviewing every red cell request to ensure it follows the policy based on an issuing algorithm. The overall number of red cell transfused decreased from 15,495 in 2012 to 12,951 in 2014 (16.4% decrease). Appropriate blood transfusion is one of 160 recommendations from Choosing Wisely Canada. Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year ChoosingWiselyCanada.org 15

16 Don t transfuse more than one red blood cell unit at a time when transfusion is required in stable, non-bleeding patients. Transfusions are associated with increased morbidity and mortality in high-risk hospitalized inpatients. Single unit transfusions should be the standard for non-bleeding, hospitalized patients. Additional units should only be prescribed after re-assessment of the patient and their hemoglobin value. Choosing Wisely recommendation from the Canadian Society of Transfusion Medicine (CSTM #2). How Sunnybrook is Choosing Wisely At Sunnybrook Health Sciences Centre in Toronto, 78% of inpatient transfusions are single unit compared to 25-37% in a recent provincial transfusion audit. How did they get there? Institutional guidelines were adopted by the Medical Advisory Committee recommending transfusing one unit at a time in non-bleeding patients. Pre-printed transfusion orders were implemented to remind prescribers of the guidelines at the time of the order. Transfusion orders in non-bleeding patients are prospectively screened by the blood bank medical laboratory technologist to ensure that the transfusion order is appropriate. Finally, transfusion medicine physicians are available for further consultation and provide education. This multifaceted approach has resulted in a sustained practice of single unit transfusions in non-bleeding patients. Appropriate blood transfusion is one of 160 recommendations from Choosing Wisely Canada. Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year ChoosingWiselyCanada.org 16

17 NYGH IS CHOOSING WISELY Make Choosing Wisely your next improvement project. Join the campaign to prevent 10 million unnecessary tests and treatments by year

18 How NYGH is Choosing Wisely In June 2014, North York General Hospital in Toronto launched Choosing Wisely NYGH. With a strong history of providing quality care, at the right time, in the right place, NYGH built on the use of a computerized provider order entry system, advanced electronic medical record, clinical order sets and patient flow strategies to introduce Choosing Wisely. Following the launch, hospital leadership and clinical chiefs were engaged in reviewing the Choosing Wisely recommendations and suggesting additional ones. Patient and family engagement was also a critical component of the campaign with a patient advisor engaged in discussions throughout the design, idea generation and implementation. Valuable insights and feedback from all stakeholders were received, validated and incorporated into clinical order sets and medical directives. After a year of implementing Choosing Wisely at NYGH, significant results have been achieved and sustained: Emergency Department Lab Testing: 40% decrease since September 2014 Pre-Op Laboratory Testing: 37% decrease since January 2015 Inpatient Laboratory Testing: 5% decrease since January 2015 Community Lab Testing by NYGH Physicians: 5% decrease since January 2015 Inpatient ICU Chest X-Rays: 20% decrease since January 2015 Inpatient CT Exams: 5% decrease since January 2015 North York General Hospital is just one of many health care organizations across Canada implementing Choosing Wisely to reduce waste and harm. Join the campaign to prevent 10 million unnecessary tests and treatments by year ChoosingWiselyCanada.org 18

19 19

Global Lab for Innovation

Global Lab for Innovation Global Lab for Innovation Innovation Profile IT for Cost-Effective Decision Making Cedars-Sinai Health System Clinical decision support and the Choosing Wisely guidelines are built into an Electronic Medical

More information

ACTIVELY MANAGED DRUG SOLUTIONS. for maintenance and specialty medication. Actively Managed Drug Solutions is not available in the province of Quebec

ACTIVELY MANAGED DRUG SOLUTIONS. for maintenance and specialty medication. Actively Managed Drug Solutions is not available in the province of Quebec ACTIVELY MANAGED DRUG SOLUTIONS for maintenance and specialty medication Actively Managed Drug Solutions is not available in the province of Quebec ARE YOU UNDERESTIMATING THE IMPACT OF CHRONIC DISEASE?

More information

6/8/2012. Cloning and Other Compliance Risks in Electronic Medical Records

6/8/2012. Cloning and Other Compliance Risks in Electronic Medical Records Cloning and Other Compliance Risks in Electronic Medical Records Lori Laubach, Partner, Moss Adams LLP Catherine Wakefield, Vice President, Corporate Compliance and Internal Audit, MultiCare 1 AGENDA Basic

More information

Application of Engineering Principles to Patient Flow & Healthcare Delivery

Application of Engineering Principles to Patient Flow & Healthcare Delivery Application of Engineering Principles to Patient Flow & Healthcare Delivery Jeanne M Huddleston, MD, MS Medical Director, Health Care Systems Engineering Mayo Clinic 2013 MFMER slide-1 2013 MFMER slide-2

More information

Using Technology to Reduce Catheter-Associated Urinary Tract Infections

Using Technology to Reduce Catheter-Associated Urinary Tract Infections Using Technology to Reduce Catheter-Associated Urinary Tract Infections Abstract Catheter-associated urinary tract infection, a common and potentially preventable complication of hospitalization, is the

More information

healthcare associated infection 1.2

healthcare associated infection 1.2 healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important

More information

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013 Catheter-Associated Urinary Tract Infection (CAUTI) Prevention Basics of Infection Prevention 2 Day Mini-Course 2013 2 Objectives Define the scope of healthcare-associated urinary tract infections (UTI)

More information

The Third National Medicare RAC Summit

The Third National Medicare RAC Summit The Third National Medicare RAC Summit Major Hospital Vulnerabilities II: Medical Necessity and Clinical Documentation Issues in Medicaid and RAC Audits Edmund L. Lafer, MD Temple University Health System

More information

The Blood Budget: how can we reduce costs and influence best practice? Sue Redfearn Blood Transfusion Manager Poole Hospital NHS Foundation Trust

The Blood Budget: how can we reduce costs and influence best practice? Sue Redfearn Blood Transfusion Manager Poole Hospital NHS Foundation Trust The Blood Budget: how can we reduce costs and influence best practice? Sue Redfearn Blood Transfusion Manager Poole Hospital NHS Foundation Trust Poole Hospital vital statistics 680 beds 2011 (reduced

More information

2016 Hospital National Patient Safety Goals

2016 Hospital National Patient Safety Goals 2016 Hospital The purpose of the is to improve patient safety. The goals focus on problems in Improve staff communication NPSG.02.03.01 Get important test results to the right staff person on time. Use

More information

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection L14: Hospital acquired infection, nosocomial infection Definition A hospital acquired infection, also called a nosocomial infection, is an infection that first appears between 48 hours and four days after

More information

Integrated Quality and Safety Framework

Integrated Quality and Safety Framework Integrated Quality and Safety Framework Updated: Dec 2015 Developed by: Patient Experience and Quality Improvement Department Page 2 of 12 Contents Introduction 4 Background 4 Glossary of Key Terms 4 Purpose

More information

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2015

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2015 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop

More information

Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI)

Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI) Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI) ARKANSAS METHODIST MEDICAL CENTER: How a foley catheter management system combined with education

More information

Script/Notes for PowerPoint Presentation. Medication Use Safety Training for Seniors (MUST for Seniors)

Script/Notes for PowerPoint Presentation. Medication Use Safety Training for Seniors (MUST for Seniors) Script/Notes for PowerPoint Presentation Medication Use Safety Training for Seniors (MUST for Seniors) Instructions: You can use the following script to help you prepare your remarks to your organization

More information

Provider Registries: Reduce Health System Costs, Increase Efficiencies, Improve Care

Provider Registries: Reduce Health System Costs, Increase Efficiencies, Improve Care IBM Software Group, Information Management Healthcare Provider Registries: Reduce Health System Costs, Increase Efficiencies, Improve Care 2 Provider Registries: Reduce Health System Costs, Increase Efficiencies,

More information

Blood Transfusion. There are three types of blood cells: Red blood cells. White blood cells. Platelets.

Blood Transfusion. There are three types of blood cells: Red blood cells. White blood cells. Platelets. Blood Transfusion Introduction Blood transfusions can save lives. Every second, someone in the world needs a blood transfusion. Blood transfusions can replace the blood lost from a serious injury or surgery.

More information

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business 2015 SMALL BUSINESS HEALTH Colorado Small Business Enrollment Guide A BETTER WAY to take care of business Choose BETTER. 31 Important deadline Open enrollment begins on November 15, 2014 for coverage beginning

More information

Emergency Department Quality Collaborative: Improving Quality in Emergency Departments by Enhancing Flow. Executive Summary

Emergency Department Quality Collaborative: Improving Quality in Emergency Departments by Enhancing Flow. Executive Summary 60 Renfrew Drive, Suite 300 Markham, ON L3R 0E1 Tel: 905 948-1872 Fax: 905 948-8011 Toll Free: 1 866 392-5446 www.centrallhin.on.ca Emergency Department Quality Collaborative: Improving Quality in Emergency

More information

Bard: Intermittent Catheters. A guide to. Bard: Pelvic Organ Prolapse. An REIMBURSEMENT. overview of OF INTERMITTENT. Prolapse CATHETERS

Bard: Intermittent Catheters. A guide to. Bard: Pelvic Organ Prolapse. An REIMBURSEMENT. overview of OF INTERMITTENT. Prolapse CATHETERS Bard: Intermittent Catheters A guide to Bard: Pelvic Organ Prolapse An REIMBURSEMENT overview of Pelvic OF INTERMITTENT Organ Prolapse CATHETERS 1 Intermittent catheterization is a covered Medicare benefit

More information

College Quarterly. A Simulation-based Training Partnership between Education and Healthcare Institutions. Louanne Melburn & Julie Rivers.

College Quarterly. A Simulation-based Training Partnership between Education and Healthcare Institutions. Louanne Melburn & Julie Rivers. College Quarterly Winter 2012 - Volume 15 Number 1 Home Contents A Simulation-based Training Partnership between Education and Healthcare Institutions Louanne Melburn & Julie Rivers Abstract Partnership

More information

Lakeside Medical Clinic

Lakeside Medical Clinic Dr. William Haver Lakeside Medical Clinic Busy, high-volume clinic streamlines care delivery with the EMR Saskatoon, Saskatchewan WWW.STUARTKASDORF.COM A family physician in Saskatoon, Dr. William Haver

More information

A Guide for Self-Employed Registered Nurses

A Guide for Self-Employed Registered Nurses A Guide for Self-Employed Registered Nurses 2014 (new format inserted) First printing (1997) Revisions (2003, 2014) 2014, Suite 4005 7071 Bayers Road, Halifax, NS B3L 2C2 info@crnns.ca www.crnns.ca All

More information

Central Venous Lines (CVP)

Central Venous Lines (CVP) 2011 Central Venous Lines (CVP) Central Venous Line This pamphlet is about a central venous pressure (CVP) line and why it may be needed. We would like to encourage you to read this pamphlet. The nurses

More information

AN INTRODUCTION TO. Learning Management Systems & SkyPrep

AN INTRODUCTION TO. Learning Management Systems & SkyPrep AN INTRODUCTION TO Learning Management Systems & SkyPrep TABLE OF CONTENTS ABOUT US Who We Are.....3 What We Do.....3 Why We Do It.....3 What is an LMS?.......4 Who Uses an LMS?.......4 How Does an LMS

More information

CHOOSING WISELY UK. Professor Dame Sue Bailey OBE DME Chair Academy of Medical Royal Colleges

CHOOSING WISELY UK. Professor Dame Sue Bailey OBE DME Chair Academy of Medical Royal Colleges CHOOSING WISELY UK Professor Dame Sue Bailey OBE DME Chair Academy of Medical Royal Colleges THE ACADEMY OF MEDICAL ROYAL COLLEGES Membership - All UK and Ireland Colleges and Faculties Faculty of Dental

More information

Module 2: Introduction to M&E frameworks and Describing the program

Module 2: Introduction to M&E frameworks and Describing the program Module 2: Introduction to M&E frameworks and Describing the program Learning Objectives Understand the 4 basic steps required to develop M & E plans Learn to develop goals and objectives Learn to develop

More information

MEMORANDUM OF UNDERSTANDING BETWEEN THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND (Insert Name of Company/Organization)

MEMORANDUM OF UNDERSTANDING BETWEEN THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND (Insert Name of Company/Organization) MEMORANDUM OF UNDERSTANDING BETWEEN THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND (Insert Name of Company/Organization) I. Purpose Under this agreement, the Centers for Disease Control and Prevention

More information

Marketing a Patient- Provider Website In Community Health Clinics

Marketing a Patient- Provider Website In Community Health Clinics Marketing a Patient- Provider Website In Community Health Clinics Introduction Recent studies show the numerous benefits of patient portals, or secure websites, to providers and patients of health clinics.

More information

ADMINISTRATIVE MANUAL Policy and Procedure

ADMINISTRATIVE MANUAL Policy and Procedure ADMINISTRATIVE MANUAL Policy and Procedure TITLE: Point of Care Testing NUMBER: CH 30-111 (Laboratory Diagnostic Bedside Testing) Effective Date: January 2014 Page 1 of 6 Applies To: Holders of Administrative

More information

Insights into Quality Improvement. Key Observations 2014-15 Quality Improvement Plans Long-Term Care Homes

Insights into Quality Improvement. Key Observations 2014-15 Quality Improvement Plans Long-Term Care Homes Insights into Quality Improvement Key Observations 2014-15 Quality Improvement Plans Long-Term Care Homes Introduction Ontario has now had close to four years of experience with Quality Improvement Plans

More information

ONTARIO S EHR CONNECTIVITY STRATEGY IMPROVING PRIMARY TO SPECIALIST REFERRAL THROUGH INTEGRATION. Peter Bascom Chief Architect, ehealth Ontario

ONTARIO S EHR CONNECTIVITY STRATEGY IMPROVING PRIMARY TO SPECIALIST REFERRAL THROUGH INTEGRATION. Peter Bascom Chief Architect, ehealth Ontario ONTARIO S EHR CONNECTIVITY STRATEGY IMPROVING PRIMARY TO SPECIALIST REFERRAL THROUGH INTEGRATION Peter Bascom Chief Architect, ehealth Ontario Cindy Hollister Director, Professional Practice, Canada Health

More information

Documentation Guidelines for Physicians Interventional Pain Services

Documentation Guidelines for Physicians Interventional Pain Services Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record

More information

A Plan For Better Health

A Plan For Better Health A Plan For Better Health Welcome to Crystal Run Health Plans PPO Plans Your health and that of your family is most important. Your health plan should be designed for all your needs giving you access to

More information

Caitlin M Cusack MD MPH Health IT Program Manager, NORC Lead, Value & Evaluation Team, AHRQ National Resource Center for Health IT

Caitlin M Cusack MD MPH Health IT Program Manager, NORC Lead, Value & Evaluation Team, AHRQ National Resource Center for Health IT Caitlin M Cusack MD MPH Health IT Program Manager, NORC Lead, Value & Evaluation Team, AHRQ National Resource Center for Health IT Agenda AHRQ s National Resource Center for Health IT Why do we care about

More information

Welcome to Crozer-Keystone Health Network Primary Care

Welcome to Crozer-Keystone Health Network Primary Care Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits

More information

How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers

How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers Well-planned and managed transitions are essential for high quality care and patient safety. Transitions

More information

Guide for general practice staff on reporting patient safety incidents to the National Reporting and Learning System

Guide for general practice staff on reporting patient safety incidents to the National Reporting and Learning System Guide for general practice staff on reporting patient safety incidents to the National Reporting and Learning System NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients

More information

SAVING LIVES: ACHIEVING MORE

SAVING LIVES: ACHIEVING MORE SAVING LIVES: ACHIEVING MORE Anthony Nolan Organisational strategy for 2015-2018 Where we re coming from In 1974, we were the world s first stem cell donor register. And over 40 years later, we re at the

More information

What Is Patient Safety?

What Is Patient Safety? Patient Safety Research Introductory Course Session 1 What Is Patient Safety? David W. Bates, MD, MSc External Program Lead for Research, WHO Professor of Medicine, Harvard Medical School Professor of

More information

Coding for the Internist: The Basics

Coding for the Internist: The Basics Coding for the Internist: The Basics Evaluation and management is the most important part of the practice for an internist and coding for these visits can have an important effect for the bottom line of

More information

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions December 2011 Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions Background and History What is primary health care?

More information

Supporting Employee Success. A Tool to Plan Accommodations that Support Success at Work

Supporting Employee Success. A Tool to Plan Accommodations that Support Success at Work Supporting Employee A Tool to Plan Accommodations that Support at Work Supporting Employee A Tool to Plan Accommodations that Support at Work Table of Contents Background... Page 1 How the process works...

More information

Introduction to Information and Computer Science: Information Systems

Introduction to Information and Computer Science: Information Systems Introduction to Information and Computer Science: Information Systems Lecture 1 Audio Transcript Slide 1 Welcome to Introduction to Information and Computer Science: Information Systems. The component,

More information

Why Your Business Needs a Website: Ten Reasons. Contact Us: 727.542.3592 Info@intensiveonlinemarketers.com

Why Your Business Needs a Website: Ten Reasons. Contact Us: 727.542.3592 Info@intensiveonlinemarketers.com Why Your Business Needs a Website: Ten Reasons Contact Us: 727.542.3592 Info@intensiveonlinemarketers.com Reason 1: Does Your Competition Have a Website? As the owner of a small business, you understand

More information

Health Care Job Information Sheet #2. Patient Care

Health Care Job Information Sheet #2. Patient Care Health Care Job Information Sheet #2 Patient Care A. Occupations 1) Registered Nurse (RN) 2) Nurse Practitioner (NR) 3) Registered Practical Nurse (RPN) 4) Other positions in the Field B. Labour Market

More information

WHITE PAPER. 9 Steps to Better Patient Flow and Decreased Readmissions in Your Emergency Department

WHITE PAPER. 9 Steps to Better Patient Flow and Decreased Readmissions in Your Emergency Department Communication Solutions WHITE PAPER 9 Steps to Better Patient Flow and Decreased Readmissions in Your Emergency Department Increase patient satisfaction and reduce readmissions all while building loyalty,

More information

InItIatIves for IndustrIal Customers employee energy awareness PlannInG GuIde

InItIatIves for IndustrIal Customers employee energy awareness PlannInG GuIde Initiatives for Industrial Customers EMPLOYEE ENERGY AWARENESS PLANNING GUIDE 2 STEPS TO SUCCESS The following six steps can help you build your own Power Smart Employee Energy Awareness program. These

More information

Implementing Community Based Maternal Death Reviews in Sierra Leone

Implementing Community Based Maternal Death Reviews in Sierra Leone Project Summary Implementing Community Based Maternal Death Reviews in Sierra Leone Background Sierra Leone is among the poorest nations in the world, with 70% of the population living below the established

More information

Enterprise Security Tactical Plan

Enterprise Security Tactical Plan Enterprise Security Tactical Plan Fiscal Years 2011 2012 (July 1, 2010 to June 30, 2012) Prepared By: State Chief Information Security Officer The Information Security Council State of Minnesota Enterprise

More information

NOVA SCOTIA S. Nursing Strategy 2015

NOVA SCOTIA S. Nursing Strategy 2015 NOVA SCOTIA S Nursing Strategy 2015 NOVA SCOTIA S Nursing Strategy 2015 Contents Background...1 Support at Every Stage...2 Evidence & Experience...3 A Multi-Faceted Approach...4 Nursing Education...5 Maintain

More information

Tips To Improve 5-Star Performance Ratings

Tips To Improve 5-Star Performance Ratings Tips To Improve 5-Star Performance Ratings Two different patient surveys impact CMS Star ratings: 1. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, typically mailed to plan

More information

Facilitating the Self-Management of Spinal Cord Injury

Facilitating the Self-Management of Spinal Cord Injury Facilitating the Self-Management of Spinal Cord Injury Michelle A. Meade, Ph.D. University of Michigan Department of Physical Medicine & Rehabilitation Center for Managing Chronic Disease mameade@umich.edu

More information

OneMatch National. Sue Smith, Executive Director, Stem Cells 2011-11- 04

OneMatch National. Sue Smith, Executive Director, Stem Cells 2011-11- 04 OneMatch National Public Cord Blood Bank Blood Matters 2011 Sue Smith, Executive Director, Stem Cells 2011-11- 04 No Disclosures To Declare The presenter does not have any involvement with the industry

More information

Effective Health Care Risk Management Programs: Components for Success

Effective Health Care Risk Management Programs: Components for Success Effective Health Care Risk Management Programs: Components for Success It s Chubb. Or it s Chance. Health care old timers remember that the first real focus on risk management occurred in the late 1970s

More information

A Family Caregiver s Guide to Urgent Care Centers

A Family Caregiver s Guide to Urgent Care Centers Family Caregiver Guide A Family Caregiver s Guide to Urgent Care Centers Urgent care centers help fill the gap between a doctor s office and a hospital s emergency room (ER). They provide treatment for

More information

Shaping our Physician Workforce

Shaping our Physician Workforce Shaping our Physician Workforce Our Vision Every Nova Scotian should have access to a family doctor and other primary care providers. When Nova Scotians need to see a specialist, they should get the best

More information

Traffic light support system User guide

Traffic light support system User guide Working in partnership Traffic light support system User guide Everyone knows about the financial pressures on the NHS. This is an opportunity for nursing staff to help identify savings as well as finding

More information

This document attempts to take some of the fear and uncertainty away from the CRM concept:

This document attempts to take some of the fear and uncertainty away from the CRM concept: What is CRM? What is CRM? Today growing businesses manage customer connections and information in a variety of ways. Some use old fashioned note cards and Rolodex. Others store information on their mobile

More information

Patient Electronic Alert to Key-worker System (PEAKS) Guidelines

Patient Electronic Alert to Key-worker System (PEAKS) Guidelines Patient Electronic Alert to Key-worker System (PEAKS) Guidelines This procedural document supersedes: PAT/EC 4 v.1 Guidelines for Patient Electronic Alert to Key-worker systems (PEAKS). Did you print this

More information

The Blue Matrix: How Big Data provides insight into the health of the population and their use of health care in British Columbia

The Blue Matrix: How Big Data provides insight into the health of the population and their use of health care in British Columbia The Blue Matrix: How Big Data provides insight into the health of the population and their use of health care in British Columbia Martha Burd, Director, Health System Analytics Health System Planning and

More information

Should I Stay or Should I Go? Determining if Convio s Common Ground is Right for Your Nonprofit

Should I Stay or Should I Go? Determining if Convio s Common Ground is Right for Your Nonprofit Should I Stay or Should I Go? Determining if Convio s Common Ground is Right for Your Nonprofit Presented by Keith Heller, Principal, Heller Consulting About Heller Consulting HC Video - Who is HC? Experience

More information

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing

More information

Hemodialysis Access: What You Need to Know

Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need To Know Whether you already get hemodialysis treatment, or you will need to start dialysis soon, this booklet will help you

More information

Working With a Nurse in Your Family Practice

Working With a Nurse in Your Family Practice FPN Layout final Sept 7 9/8/06 10:54 AM Page 6 Enhance your practice. Enhance patient care. A Case for Change The surveys tell us patients are, for the most part, satisfied with the health care they receive.

More information

NHS Constitution Patient & Public Quarter 4 report 2011/12

NHS Constitution Patient & Public Quarter 4 report 2011/12 NHS Constitution Patient & Public Quarter 4 report 2011/12 1 Executive Summary The NHS Constitution was first published on 21 st January 2009. One of the primary aims of the Constitution is to set out

More information

MN-NP GRADUATE COURSES Course Descriptions & Objectives

MN-NP GRADUATE COURSES Course Descriptions & Objectives MN-NP GRADUATE COURSES Course Descriptions & Objectives NURS 504 RESEARCH AND EVIDENCE-INFORMED PRACTICE (3) The purpose of this course is to build foundational knowledge and skills in searching the literature,

More information

State of Maine Department of Health and Human Services (DHHS) Office of MaineCare Services 2010 Maine Medicaid Provider Survey Executive Summary

State of Maine Department of Health and Human Services (DHHS) Office of MaineCare Services 2010 Maine Medicaid Provider Survey Executive Summary State of Maine Department of Health and Human Services (DHHS) Office of MaineCare Services 2010 Maine Medicaid Provider Survey Executive Summary Background As part of the environmental assessment of the

More information

Do I Have Epilepsy? Diagnosing Epilepsy and Seizures. Epilepsy & Seizures: Diagnosis

Do I Have Epilepsy? Diagnosing Epilepsy and Seizures. Epilepsy & Seizures: Diagnosis Epilepsy & Seizures: Diagnosis Do I Have Epilepsy? Diagnosing Epilepsy and Seizures Artwork by Studio E participant Ashley N. (details on inside cover) About the Cover: Cover artwork was created by Ashley

More information

New Model Best Seller Project Plan

New Model Best Seller Project Plan New Model Best Seller Project Plan 1 Objective: To make the book a best- seller on amazon.com (or bn.com) Best Seller Campaign Campaign Date: First Week Author Name: Overall Project On Track? Begin the

More information

Level 1 Certificate in Energy Management Essentials Online. Learner Handbook

Level 1 Certificate in Energy Management Essentials Online. Learner Handbook Certificate in Energy Management Essentials Online Learner Handbook Contents 1 Welcome... 2 2 Expectations... 3 2.1 What you can expect from the Energy Institute and your tutor... 3 2.2 The Energy Institute

More information

Change Management for Health IT: Preparing for your Next Challenge

Change Management for Health IT: Preparing for your Next Challenge Change Management for Health IT: Preparing for your Next Challenge Krystyna Hommen BSc MBA President and CEO, Excelleris Technologies Laurie Poole BScN MHSA Vice President, Telemedicine Solutions, OTN

More information

Chapter 9. a The Future of Pediatric Cardiac Surgery and The Western Canadian Children s Heart Network INTRODUCTION

Chapter 9. a The Future of Pediatric Cardiac Surgery and The Western Canadian Children s Heart Network INTRODUCTION REPORT OF THE REVIEW AND IMPLEMENTATION COMMITTEE FOR THE REPORT OF THE MANITOBA PEDIATRIC CARDIAC SURGERY INQUEST Chapter 9 a The Future of Pediatric Cardiac Surgery and The Western Canadian Children

More information

Electronic Prescriptions, Dashboards and MyHealth @ University Hospital Birmingham

Electronic Prescriptions, Dashboards and MyHealth @ University Hospital Birmingham Electronic Prescriptions, Dashboards and MyHealth @ University Hospital Birmingham Thursday 25 th July 2013 Digital Health: design: develop: deploy: evaluate Electronic Prescribing & Medication Administration

More information

What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines

What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS The Revised Guidance Includes: Interpretive Guidelines Investigative Protocols Compliance & Severity Guidance What s new? The new guidance for

More information

The Value of Improoperative Diagnostic Tests, Treatments and Procedures

The Value of Improoperative Diagnostic Tests, Treatments and Procedures The Value of Improving Appropriate Diagnostic Tests, Treatments and Procedures Presented by: Dr. Eric Bohm & Dr. Thomas Mutter On behalf of the Project Team Disclosure of Potential for Conflict of Interest

More information

Briefing for Doctors. Introduction. Electronic Prescribing. Electronic Prescribing:

Briefing for Doctors. Introduction. Electronic Prescribing. Electronic Prescribing: Electronic Prescribing: Briefing for Doctors Electronic Prescribing Introduction Electronic prescribing (eprescribing) systems can help improve the safety and efficiency of healthcare by aiding the choice,

More information

From Addictions and Mental Health Ontario

From Addictions and Mental Health Ontario Response to Patients First: A Proposal to Strengthen Patient- Centred Health Care in Ontario Addictions and Mental Health Ontario (AMHO) From Addictions and Mental Health Ontario Addictions and Mental

More information

Tips and Strategies on Handoffs

Tips and Strategies on Handoffs Tips and Strategies on Handoffs In 2007, the Handoffs & Transitions Learning Network (H&T) was established to support the mid-atlantic healthcare community in tackling the complex problem of handoffs and

More information

Chemotherapy for head and neck cancers

Chemotherapy for head and neck cancers Chemotherapy for head and neck cancers This information is from the booklet Understanding head and neck cancers. You may find the full booklet helpful. We can send you a free copy see page 7. Contents

More information

MSH Quality Improvement Plans (QIP): Progress Report for 2013/14 QIP

MSH Quality Improvement Plans (QIP): Progress Report for 2013/14 QIP Excellent Care for All Act, (ECFAA) MSH Quality Improvement Plans (QIP): Report for QIP The following template has been provided to assist with completion of reporting on the progress of your organization

More information

Service delivery interventions

Service delivery interventions Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P

More information

CPDP Strategy Session on Stage 2 Meaningful Use

CPDP Strategy Session on Stage 2 Meaningful Use CPDP Strategy Session on Stage 2 Meaningful Use March 29, 2012 Christine Bechtel, Vice President National Partnership for Women & Families David Lansky,President and Chief Executive Officer Pacific Business

More information

THERAPEUTIC USE OF HEAT AND COLD

THERAPEUTIC USE OF HEAT AND COLD THERAPEUTIC USE OF HEAT AND COLD INTRODUCTION Heat and cold are simple and very effective therapeutic tools. They can be used locally or over the whole body, and the proper application of heat and cold

More information

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate

More information

MS Treatments Gilenya

MS Treatments Gilenya 1 MSology Essentials Series Gilenya (fingolimod) Developed by MSology with the invaluable assistance of multiple sclerosis nurse advisors: Trudy Campbell Dalhousie MS Research Unit, Capital Health, Halifax,

More information

Workshop materials Completed templates and forms

Workshop materials Completed templates and forms Workshop materials Completed templates and forms Contents The forms and templates attached are examples of how a nurse or midwife may record how they meet the requirements of revalidation. Mandatory forms

More information

CAUTI TAP: Another Way to Hit the Bullseye. Peg Gilbert, RN, MS, CIC Nancy McDonald, RN, BSN, CPHQ

CAUTI TAP: Another Way to Hit the Bullseye. Peg Gilbert, RN, MS, CIC Nancy McDonald, RN, BSN, CPHQ CAUTI TAP: Another Way to Hit the Bullseye Peg Gilbert, RN, MS, CIC Nancy McDonald, RN, BSN, CPHQ What is the TAP Strategy? The Targeted Assessment for Prevention (TAP) strategy is a method developed by

More information

A Real Time Lab for Pan Canadian Innovation Leveraging Canadian Blood Services Model for Better Value to Health care Systems

A Real Time Lab for Pan Canadian Innovation Leveraging Canadian Blood Services Model for Better Value to Health care Systems A Real Time Lab for Pan Canadian Innovation Leveraging Canadian Blood Services Model for Better Value to Health care Systems November 14, 2014 Submission to the Advisory Panel on Health Care Innovation

More information

CARE PROCESS STEP EXPECTATIONS RATIONALE

CARE PROCESS STEP EXPECTATIONS RATIONALE URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary

More information

Peter Munk Cardiac Centre, University Health Network. Allied Health Personnel Symposium American Association of Thoracic Surgery April 26, 2014

Peter Munk Cardiac Centre, University Health Network. Allied Health Personnel Symposium American Association of Thoracic Surgery April 26, 2014 The Expanding Role of the Nurse Practitioner and Physician Assistant Across the Continuum of Care for the CTS Patient: Preoperative, Postoperative, and After Discharge Jane MacIver RN NP PhD Peter Munk

More information

Toolkit: Designing and Implementing a Targeted Outreach Campaign for At-Risk Students

Toolkit: Designing and Implementing a Targeted Outreach Campaign for At-Risk Students Student Success Collaborative Toolkit: Designing and Implementing a Targeted Outreach Campaign for At-Risk Students SSC Targeted Outreach Campaigns Targeted campaigns enable advisors to direct proactive

More information

Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye

Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye Implementing Advanced Inpatient EMR Systems: Hitting the Quality and Safety Bullseye Jeremy Theal MD FRCPC Director, Medical Informatics ehealth Summit June 16, 2011 1 Defining the Target ehealth solutions

More information

Provincial Forum on Adverse Health Event Management

Provincial Forum on Adverse Health Event Management Provincial Forum on Adverse Health Event Management Using Information Systems for the Management of Adverse Events WORKSHOP 1 Salon B May 26, 2008 WORKSHOP 1 Salon B Using Information Systems for the Management

More information

Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks)

Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks) Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks) Overview During the first year of their residency training

More information

Business Development. MarketDiscovery A Complete Healthcare Business Development Solution

Business Development. MarketDiscovery A Complete Healthcare Business Development Solution Business Development MarketDiscovery A Complete Healthcare Business Development Solution Helping You Focus on Profitable Growth Business development plays a key role in healthcare organizations, and like

More information

Population Health Data and Measurement for Health System Planning and Policy Making

Population Health Data and Measurement for Health System Planning and Policy Making Population Health Data and Measurement for Health System Planning and Policy Making Dr. Cory Neudorf Assistant Professor, University of Saskatchewan Chief Medical Health Officer, Saskatoon Health Region

More information

Air Ambulance and Critical Care Transport Resource Allocation Action Plan. September 17, 2015

Air Ambulance and Critical Care Transport Resource Allocation Action Plan. September 17, 2015 Air Ambulance and Critical Care Transport Resource Allocation Action Plan September 17, 2015 INTRODUCTION In September 2013, BC Emergency Health Services (BCEHS) contracted consultant Chris Nickerson to

More information

Media Packet 10-2009. NPAM@npedu.com 888-405-NPAM. PO Box 540 Ellicott City, MD 21041

Media Packet 10-2009. NPAM@npedu.com 888-405-NPAM. PO Box 540 Ellicott City, MD 21041 Media Packet What is a Nurse Practitioner NP Facts Who are the Nurse Practitioners in Maryland State of the State Quality of NP Practice NP Cost Effectiveness 10-2009 NPAM@npedu.com 888-405-NPAM PO Box

More information

Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective

Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective 1 ABOUT THE AUTHOR Dennis Breslin

More information