Knowledge on the Go

Restraints can have a negative emotional impact on pediatric patients. Being physically restrained can be traumatic and lead to feelings of helplessness, anxiety and loss of control. Having to put pediatric patients in restraints takes a toll on staff as well.

Tanya Isaacs, Behavioral Health Clinical Instructor and Cheryl Miller, Behavioral Health Registered Nurse from The Queen’s Medical Center in Honolulu, Hawaii join us to talk to us today about their journey toward zero restraint use in pediatric psychiatry are.

Guests:

Cheryl Miller, BSN, RN-PMH-BC 

Moderator:

Show Notes:

[01:08 – 02:07]  How did Queen’s Medical Center determine the right path to take to zero restraint use in your pediatric psychiatry unit

[02:08 – 03:47]  Defining moment that helped to solidify this decision from Tanya and Cheryl

[03:48 – 05:32]  How they began this initiative

[05:33 – 07:28]  “The how to help me plan”

[07:29 – 09:42]  How the “how to help me plan” changed the way that you practice as a clinician

[09:43 – 11:47]  Were they able to reduce restraint use for your pediatric patients with mental health issues?

[11:48 – 14:29]  Other impacts other than a decrease in restraint use

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Contact Knowledge on the Go: [email protected]

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Antimicrobial resistance continues to be a public health threat across the globe.  Recent updates to the Joint omission standards provide an opportunity to evaluate our current programs for improvements.  Today’s program looks at what two health organizations are doing to optimize antimicrobial utilization, mitigate antimicrobial resistance and improve patient outcomes. 

Joining Vizient’s Jim Lichauer for this discussion are Michael Postelnick System Program Director of Antimicrobial and Diagnostic Stewardship at Northwestern Medicine and Lucas Schulz, Antimicrobial Stewardship Program Director and PGY1 and PGY2 for Infectious Disease at University of Wisconsin Health. 

Guest speakers:

Lucas Schulz, PharmD, BCIDP

Moderator:

Show Notes:

[1:10] The Joint Commission and CMS updates are driving antimicrobial stewardship programs (ASP) forward

[3:50] EP 10 criteria to determine necessary resources to operate the stewardship program effectively and ensure that the resource allocation matches the determined needs

[5:20] EP 12 is revised to specifically require competency-based training for medical staff

[7:35] EP 20 recommends reporting ASP data to hospital leadership and prescribers

[9:45] Joint Commissions new standards include ambulatory care

[13:25] CMS rules for infection prevention and antimicrobial stewardship (CMSQSO-22-20)

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Contact Knowledge on the Go: [email protected]

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Mortality is often viewed as a key indicator of the quality of care in a healthcare organization, and something that most organizations are working to improve upon.

Through Vizient's work with national organizations all working to improve mortality, key lessons learned have emerged that can help organizations improve mortality within their facilities. Shannon Hale Performance Improvement Program director at Vizient joins host Nicole Spatafora, AVP, Performance Improvement, Vizient, to discuss his work on mortality improvement.

Guest:

Moderator:

Show Notes:

[00:47 – 02:48]  Why it is so important that healthcare facilities look at mortality

[02:49 – 04:24]  Getting C-Suite buy in

[04:25 – 07:36]  How organizations can get their frontline engaged

[07:37 – 08:58]  What happens if you don't have engagement at the C-suite level or frontline level

[08:59 – 10:55]  Sustaining change

[10:56 – 12:15]  PI Mortality future plans

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Transitions from hospital to post-acute care is both time consuming and complex. When discharge tasks are not coordinated and stacked on the patient’s last day, any disruption can cause a cascade of negative events. In fact, 30% of all hospital admissions have a 24-hour discharge delay due to non-clinical reasons.  

Bennett Masden, Director of Quality at Great River Health in West Burlington, Iowa joins host Margaret Rudisill, Performance Improvement Director at Vizient to explore how moving tasks before the day of discharge can help reduce a patient’s length of stay.   

Guest Speaker:

Moderator:

Show Notes:

[01:22] Task rebalancing to alleviate resource constraints at discharge

[02:04] Use a process map to determine when tasks are happening and decide what tasks can move earlier

[03:13] How to respond to pushback

[04:10] A cross-functional team of stakeholders develops an action plan and encourages commitment

[04:31] Example: moving exercise oximetry tests to the day before discharge

[05:35] Other examples: medication reconciliation and physical therapy

[07:35] Staff reaction to task rebalancing

Links | Resources:

Contacting Knowledge on the Go:  [email protected]

Bennet Masden’s email: [email protected]

Margaret Rudisill’s contact: [email protected]

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Similar to residency programs physicians and other healthcare disciplines undergo, these programs give recently graduated nurses the support and learning opportunities to smooth the transition from novice to competent clinicians, while providing valuable peer and mentor support; keys that also address turnover.

Janine Lindgreen, nurse residency coordinator, and Dawn Profit, staff development specialist, both of University of Kentucky, Albert B. Chandler Hospital join Host LaTammy Marks to discuss what healthcare organizations can do to improve their new nurse graduate journey, utilizing the Vizient American Association of Colleges of Nursing, or AACN Nurse Residency Program, also NRP, and how they can increase the use of evidence-based practice while focusing on continuous performance improvement.

Guests:

Dawn Profit

Moderator:

Show Notes:

[02:56 – 04:39] How University of Kentucky operationalized the NRP

[04:40 – 06:55]  A performance and improvement project done by the nursing residents and how a process improved as a result of this work including evidence-based practice

[06:56 – 10:01]  Ways that University of Kentucky utilizes the NRP to monitor retention

[10:02 – 11:44]  Describing the quarterly scorecard and why focusing on  nurse retention is important to monitor on the scorecard for your organization

[11:45 – 14:23]  How participation in these PI Collaborative supports the NRP

[14:24 – 16:20]  What has contributed to the overall success of their NRP

[16:21 – 17:29]  Advice for organizations that are starting a NRP program to shift their focus to retention of nurses, especially new nurses

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Care is moving outside the hospital at a faster and faster pace. Due to  payer mandates, shifts in sites of care to locations outside the hospital will bring an additional 18 percent expansion of patient visits to physician offices and outpatient facilities by 2032. Strategies for home infusion will play a big role in this shift as well. Currently, over 550 medications are available for home infusion. On this episode, two leading experts will detail their successful home infusion strategy at their organization.

Guests:

Brett Benfield

Moderator:

Show Notes:

[01:35] Fairview Pharmacy Services and home infusion

[03:06] IVIG Stewardship Program

[04:13] Process to establish patients in home infusion

[05:25] Pharmacist involvement

[05:50] Getting buy-in from colleagues

[06:58] Impact on patients

[08:12] Looking to the future

[08:39] Take-aways from the program

Resources:

Contacting Knowledge on the Go: [email protected]

Jim’s email: [email protected]

Alicia’s email: [email protected]

Brett’s email: [email protected]

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Recent studies have demonstrated that sepsis patients have a much higher readmission risk than other common conditions such as heart failure, heart attacks, and pneumonia. The National Institutes of Health states that sepsis is a substantial healthcare burden, accounting for 6.2% of total hospital costs in the United States.

Shannon Chase Weck, Performance Improvement Specialist and Sepsis Coordinator at Houston Methodist West in Texas joins Host Shannon Hale to discuss share their work to decrease sepsis readmissions.

Guests:

Moderator:

Show Notes:

[00:58 – 01:24] Looking at Sepsis as an organization

[01:25 – 02:30] Organizations approach to sepsis readmissions

[02:31 – 03:09] Grand Prix theme and outcomes

[03:10 – 04:58] How they have sustained improvements

[04:59 – 06:15] The barriers

[06:16 – 07:23] Ah-has to share

For more information, email [email protected]

Change management is a term bandied about a lot in industry as a whole and in the health care industry in particular. Yet, organizations struggle in carrying it out and few seem to see lasting results from their efforts. In this episode, two industry leaders in change management share principles to make your change management initiatives succeed.

Guest speaker:

Kimberly Kisner, MBA

Moderator:

Show Notes:

[03:04] Defining change management

[03:46] Leading change

[05:35] Change fatigue

[08:47] Leading practices in change management

[10:22] How organizations should approach change management

[13:50] Communicating in times of uncertainty

[18:31] Sustaining change

[20:16] Start at the beginning of the process—steps to take

Links | Resources:

Contacting Knowledge on the Go: [email protected]

Amber’s email: [email protected]

Dwayne’s email: [email protected]

Kimberly’s email: [email protected]

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Many issues facing our healthcare systems, such as rising costs, staffing shortages, supply chain disruptions, why should sustainability be top of mind for healthcare organizations and what they how can they improve their sustainability journey.

Rebecca Hou, Environmental Sustainability product advisor for Vizient joins Host LaTammy Marks to discuss this important issue.

Guests:

Rebecca Hou

Environmental Sustainability Product Advisor

Vizient

Moderator:

LaTammy Marks

PI Program Director

Vizient

Show Notes:

[01:23 – 02:19]  Rebecca’s role at Vizient

[02:20 – 04:18]  Why environmental sustainability should be top of mind in healthcare

[04:19 – 05:32]  Health risks our patient populations can face

[05:33 – 07:00]  Hospitals focus on increased health risk utilization to improve sustainability

[07:01 – 08:44]  How organizations are contributing to the environmental risk

[08:45 – 10:35]  What healthcare organizations can do to decrease emissions

[10:36 – 12:05]  The number one thing that organizations can do to start focusing on sustainability

For more information, email [email protected]

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We have a Workplace Violence Survey underway now. The survey consists of 9 questions related to 4 outcome metrics. The deadline to submit data is August 18, 2023. If interested, please contact [email protected]

Closing out Workplace Violence Awareness Month, Lindsay Mayer and Heidi Boehm deep dive into protocols and procedures for dealing with the aftermath of a violent event.

Guest speaker:

Moderator:

Show Notes:

[01:02] Survey employees to learn how supported they feel.    

[02:59] Awareness campaigns help reduce workplace violence.   

[05:39] Implement a comprehensive and standardized debriefing process.   

[08:37] Simply checking in with staff, post-event, is a powerful tool.

[09:50] COVID has impacted the launch of a post-event leadership guidebook.    

[11:02] Routine, ongoing data collection is very important.

[12:29] Leaders must be equipped with the necessary tools.

For more information, email [email protected]

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