STARTER KIT. version 1.1
|
|
- Kristina Townsend
- 7 years ago
- Views:
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 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 informationACTIVELY 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 information6/8/2012. 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 informationApplication 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 informationUsing 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 informationhealthcare 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 informationCatheter-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 informationThe 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 informationThe 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 information2016 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 informationNursing 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 informationIntegrated 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 informationQuality 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 informationChanging 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 informationScript/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 informationProvider 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 informationBlood 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 informationColorado 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 informationEmergency 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 informationBard: 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 informationCollege 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 informationLakeside 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 informationA 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 informationCentral 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 informationAN 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 informationCHOOSING 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 informationModule 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 informationMEMORANDUM 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 informationMarketing 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 informationADMINISTRATIVE 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 informationInsights 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 informationONTARIO 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 informationDocumentation 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 informationA 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 informationCaitlin 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 informationWelcome 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 informationHow 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 informationGuide 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 informationSAVING 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 informationWhat 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 informationCoding 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 informationDraft 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 informationSupporting 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 informationIntroduction 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 informationWhy 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 informationHealth 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 informationWHITE 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 informationInItIatIves 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 informationImplementing 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 informationEnterprise 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 informationNOVA 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 informationTips 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 informationFacilitating 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 informationOneMatch 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 informationEffective 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 informationA 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 informationShaping 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 informationTraffic 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 informationThis 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 informationPatient 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 informationThe 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 informationShould 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 informationA 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 informationHemodialysis 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 informationWorking 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 informationNHS 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 informationMN-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 informationState 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 informationDo 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 informationNew 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 informationLevel 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 informationChange 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 informationChapter 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 informationElectronic 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 informationWhat 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 informationThe 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 informationBriefing 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 informationFrom 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 informationTips 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 informationChemotherapy 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 informationMSH 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 informationService 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 informationCPDP 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 informationTHERAPEUTIC 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 informationSTROKE 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 informationMS 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 informationWorkshop 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 informationCAUTI 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 informationA 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 informationCARE 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 informationPeter 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 informationToolkit: 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 informationImplementing 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 informationProvincial 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 informationGoals 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 informationBusiness 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 informationPopulation 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 informationAir 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 informationMedia 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 informationChronic 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