Watch and Learn: Transforming Patient Education
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1 Watch and Learn: Transforming Patient Education March 3, 2016 Dana McLure, MBA, Project Manager Nursing Administration, St. Jude Children s Research Hospital Neely James, BSN, RN, RN-BC, Systems Analyst II, St. Jude Children s Research Hospital
2 Presenters: Dana McLure, MBA Project Manager, Nursing Administration and Patient Care Services St. Jude Children s Research Hospital Neely James, BSN, RN, RN-BC Systems Analyst II, Patient Care Services Informatics St. Jude Children s Research Hospital
3 Conflict of Interest Dana McLure, MBA Has no real or apparent conflicts of interest to report. Neely James, BSN, RN, RN-BC Has no real or apparent conflicts of interest to report.
4 Agenda History of St. Jude Children s Research Hospital Project History and Background Initiation, Planning, Implementation Monitoring and Current State of Project Future State Questions and Answers
5 Learning Objectives Describe the step-by-step approach used to deliver vital information to patients who have recently been diagnosed with a catastrophic disease Identify how videos were used to deliver patient and family education through technology Discuss key considerations from a technology perspective during the development process
6 STEPS in Transforming Patient Education Nursing and Patient Patient and Family Education Automated Processes Communication Improved Decreased Nursing Work Effort
7 St. Jude Children s Research Hospital Opened in 1962: No child should die in the dawn of life. Danny Thomas Currently there are 64 inpatient beds On average there are 200 to 300 outpatients seen daily Magnet Accreditation received August 2015
8 Project History and Background Patient admission is an over-whelming process Significant amounts of education must be provided upon admission Mandated education topics Patient and family comprehension is impacted by stressors 1 Nurses at Unit Council initiated discussion to improve this process, July 2013
9 Initiation, Planning, and Implementation Team developed Project goal and scope identified Data collected and reviewed
10 Pre-Project Survey Data Admission education made me feel comfortable with routines and planning care Admission education was provided in a way I could understand The way I received the admission education was satisfactory Admission education was provided in a time that was convenient for our family If I needed any admission education repeated, I was able to get it at my convenience Strongly Agree or Agree = 89% Strongly Agree or Agree = 83% Strongly Agree or Agree = 83% Strongly Agree or Agree = 89% Strongly Agree or Agree = 94%
11 Initiation, Planning, and Implementation Education topics identified Video goals developed Scriptwriting process determined
12 Initiation, Planning, and Implementation Video scripts written In-house videography team Professional voice-overs utilized Filming and editing completed May
13 Development and Integration Usability of current technology evaluated Collaborations developed Team goals defined within technical capabilities Technical Components
14 Development and Integration Automation of process necessary Simplicity needed for end-users Testing and evaluation of processes
15 Development and Integration Barriers and technical limitations identified Additional teams consulted to develop resolutions Delays created by technology and new processes Original go-live planned for July Actual go-live completed September
16
17 Roll Out Education Web-based and hands on training Instructions disseminated to both staff and patients and families On-going support provided
18 Monitoring and Current State Post-project surveys for patients and families Nursing feedback Additional video developed based on feedback from surveys one year later
19 Post-Project Survey Data Admission education made me feel comfortable with routines and planning care Admission education was provided in a way I could understand The way I received the admission education was satisfactory Admission education was provided in a time that was convenient for our family If I needed any admission education repeated, I was able to get it at my convenience Strongly Agree or Agree = 100% Strongly Agree or Agree = 100% Strongly Agree or Agree = 100% Strongly Agree or Agree = 100% Strongly Agree or Agree = 100%
20 Future State Additional videos planned for all inpatient units Re-filming due to relocation of units Translation into Spanish
21 Future State Multiple disciplines evaluating process Supplementary animated education videos in progress
22
23 Future State Potential patient portal educational opportunities Expand in outpatient and procedure areas Include other institutional departments
24 STEPS in Transforming Patient Education Nursing and Patient Patient and Family Education Automated Processes Communication Improved Decreased Nursing Work Effort
25 Questions and Answers Contact Information Dana McLure, MBA Project Manager, Nursing Administration and Patient Care Services St. Jude Children s Research Hospital Dana.McLure@stjude.org Neely James, BSN, RN, RN-BC Systems Analyst II, Patient Care Services Informatics St. Jude Children s Research Hospital Neely.James@stjude.org
26 References 1. Agency for Healthcare Research and Quality. Making Health Care Safer: A Critical AHRQ Publication 01-E058, Yeh,M., Chen, H., Lui, P. Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement. Patient Education and Counseling,57. (2005)
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