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Through the collaboration of the BJH SCN, ABJHI and the frontline health care providers, the H&K OA program in Alberta has one of the most robust quality data available in all of Canada. The provincial Measurement Framework allows sites to track quality performance, identify opportunities for quality improvement and measure the impact of changes in processes. This allows sites to set benchmark targets and priorities designed to increase quality at a sustainable cost to the public health system.
The program has adopted well-established quality improvement methodologies, such as:<\/p>\n
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The H&K arthroplasty program has achieved significant improvements in quality of care to date. In addition to the associated improvements in processes, there were significant gains in efficiencies in care, clinical outcomes and costs, including:<\/p>\n
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Royal Alexandra Hospital<\/p>\n
Team works closely with the Elder Friendly Care team to increase awareness and improve sleep patterns on unit. The outcomes are based on readmission rates, length of stay and patient feedback.<\/p>\n
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Royal Alexandra Hospital<\/p>\n
Unit managers perform purposeful rounding of patients and staff weekly, in order to increase staff engagement and address patient concerns before discharge. The outcomes are based on direct feedback after rounds and patient satisfaction survey.<\/p>\n
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Royal Alexandra Hospital<\/p>\n
This project is to ensure ALL patients get a follow-up phone call within 48hrs of discharge from the OSC. The charge or floor nurses completes this scripted phone call. All call notes are sent to the unit manager, to highlight common questions or concerns. The outcome measures are patient confidence after discharge and a decrease in readmission rates and post-op phone calls to the unit and clinic.<\/p>\n
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Chinook Regional Hospital<\/p>\n
Goal is to improve the length of time between decision for discharge and discharge from unit. The project involves better rounding of the orthopedics team to complete all discharge instructions and have the patient discharged off unit within 2 hours after decision to discharge.<\/p>\n
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One of the responsibilities of a Working Group (WG) site representative is to review all reports generated by ABJHI, celebrate program successes and identify opportunities for improvement. When a gap in care or low-performing KPI measure is identified, the WG representative can send a deep-dive data request to ABJHI to better understand the underlying causes. Once the source of the trends are identified, the WG site representative can collaborate with their local team and site counterparts to develop and implement a tailored action plan to improve the targeted KPI. The Local Action Plan Process development template will guide you through the necessary steps to establish a strong accountability, communication and succession planning system within your local team, which will aid in the better design and delivery of a new QI project.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” custom_margin=”|auto|28px|auto||” custom_padding=”1px||18px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ text_font=”Arial||||||||” text_line_height=”2em” header_font=”Arial||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”center” header_2_text_color=”#000000″ header_2_font_size=”36px” header_2_line_height=”1.3em” header_3_font=”Source Sans Pro|700|||||||” header_3_text_color=”#054b7c” header_3_font_size=”23px” header_3_line_height=”1.8em” header_4_font=”Source Sans Pro|||on|||||” header_4_text_align=”center” header_4_text_color=”#000000″ header_4_font_size=”24px” header_4_line_height=”1.4em” header_5_font=”Arial||||||||” header_6_font=”Arial||||||||” text_orientation=”center” custom_margin=”||-5px|||” custom_padding=”47px||23px|||” header_2_font_size_tablet=”” header_2_font_size_phone=”20px” header_2_font_size_last_edited=”on|phone” header_3_font_size_tablet=”” header_3_font_size_phone=”14px” header_3_font_size_last_edited=”on|phone” header_4_font_size_tablet=”30px” header_4_font_size_phone=”25px” header_4_font_size_last_edited=”on|desktop” locked=”off” global_colors_info=”{}”]<\/p>\n
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[\/et_pb_text][et_pb_button button_url=”https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/contact-leaders\/” url_new_window=”on” button_text=”CONTACT US” button_alignment=”center” _builder_version=”4.17.4″ _module_preset=”0ffd3206-9c0b-48a2-9c76-4f799b22fcc9″ custom_button=”on” button_text_size=”19px” button_text_color=”#000000″ button_bg_color=”#FFFFFF” button_border_width=”3px” button_border_color=”#000000″ button_border_radius=”7px” button_letter_spacing=”2px” button_font=”Source Sans Pro|600||on|||||” button_icon_color=”#000000″ button_on_hover=”off” custom_margin=”-13px||2px|||” custom_padding=”6px|||||” locked=”off” global_colors_info=”{}” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”rgba(0,0,0,0.11)” button_bg_enable_color__hover=”on” button_border_color__hover_enabled=”on|hover” button_border_color__hover=”#000000″][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”off|desktop” admin_label=”FAQ” _builder_version=”4.17.4″ min_height=”1808.2px” custom_margin=”||-1px|||” custom_padding=”15px|0px|16px|0px|false|false” locked=”off” global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.17.4″ width=”80.9%” custom_margin=”0px|auto|0px|auto|false|false” custom_padding=”19px||4px|||” module_alignment_tablet=”” module_alignment_phone=”” module_alignment_last_edited=”on|desktop” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ background_color=”rgba(12,113,195,0.08)” background_enable_image=”off” background_size=”contain” custom_padding=”30px|30px|30px|30px|true|true” custom_padding_tablet=”30px||30px||true|false” custom_padding_phone=”|20px||20px|true|true” custom_padding_last_edited=”on|phone” border_color_all=”#008291″ global_colors_info=”{}”][et_pb_text module_id=”care-path” _builder_version=”4.17.4″ text_font=”Source Sans Pro||||||||” text_text_color=”#000000″ text_font_size=”20px” text_line_height=”1.5em” link_font=”Open Sans|600|||on|||#4472c4|solid” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_font=”Source Sans Pro|600||on|||||” header_text_align=”center” header_text_color=”#000000″ header_font_size=”26px” header_line_height=”1.3em” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”center” header_2_text_color=”#000000″ header_2_line_height=”1.3em” header_3_font=”Source Sans Pro|600||on|||||” header_3_text_align=”center” header_3_text_color=”#000000″ header_3_font_size=”26px” header_3_line_height=”1.3em” header_4_font=”Source Sans Pro|600||on|||||” header_4_text_align=”center” header_4_text_color=”#000000″ header_4_font_size=”26px” header_4_line_height=”1.3em” header_5_font=”Source Sans Pro|600||on|||||” header_5_text_align=”center” header_5_text_color=”#000000″ header_5_font_size=”26px” header_5_line_height=”1.3em” header_6_font=”Source Sans Pro|600||on|||||” header_6_text_align=”center” header_6_text_color=”#000000″ header_6_font_size=”26px” header_6_line_height=”1.3em” text_orientation=”center” custom_margin=”0px|20px|0px|20px|false|false” custom_padding=”0px||||false|false” animation_style=”zoom” animation_intensity_zoom=”10%” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n
Did you know Shared Decision Making<\/a><\/strong> helps improve the appropriateness of care?<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ width=”auto” custom_margin=”33px|auto|-8px|auto||” custom_padding=”2px||4px||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_divider color=”#000000″ _builder_version=”4.17.4″ _module_preset=”default” custom_margin=”2px||-16px|||” custom_padding=”32px|||||” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ min_height=”113px” custom_margin=”25px|auto||auto||” custom_padding=”11px||2px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text module_id=”documentation” _builder_version=”4.17.4″ text_font=”Open Sans||||||||” 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header_2_text_align=”center” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> Time from patient\u2019s admission to hospital to patient discharge from hospital (in days).<\/span> Length of Stay (LOS) measures the duration of a single episode of hospitalization. The average LOS provides a good benchmark for efficient care. A multidisciplinary team is important to coordinate appropriate discharge. The provincial goal is to reduce LOS, so if your team sees your site\u2019s LOS increasing you may get a notification on your trigger report.<\/span><\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> Rate of Infection determined by the Infection, Prevention and Control Unit for elective primary replacements.<\/span> Infection is monitored and regulated by Infection Prevention and Control (IPC) Alberta and the reported measure includes both in-hospital and post-discharge infection. Contracting infection can increase LOS, transfusion rates as well as readmission rates.<\/span><\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> The rates provided below are inclusive of the following events: acute renal failure, bleeding, myocardial infraction, pulmonary embolism, deep vein thrombosis, cerebrovascular accident, ileus, gastro-intestinal bleed and pneumonia.<\/span> In hospital medical events are a rare occurrence in H&K. The most common of these events are pulmonary embolism (PE) and deep vein thrombosis (DVT). This measure is a combination of multiple different events so you may need to investigate further which particular event caused this measure to rise. Mobilization POD1 is important to reduce rates of DVT.<\/span><\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> The rates provided below are inclusive of the patients who are discharged to home, whether with support or without.<\/span> Discharge location is heavily weighted around planning appropriate discharge for the patient. Discharge planning is a process used to decide what a patient needs for a smooth move from one level of care to another. The multidisciplinary team plays an important role in discharge planning by evaluating and determining the patients at home situation, then arranging for appropriate support. Effective planning can also decrease readmission rates.<\/span><\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> Elective primary patients who present at emergency within 30 days post discharge.<\/span> It is important to track, reduce and prevent surgical site infections, as it can increase readmission rates (and cause longer LOS). A well communicated discharge education program is crucial, some sites have developed a video that can play in the patient\u2019s room, others offer teaching in groups so patients can discuss what they learned the information is provided. The Nursing Discharge Instructions form has been provincially standardized and should be used by all sites to handout to patients upon departure. Following discharge, all relevant patient information should be communicated back to the case manager at the clinic in a timely manner. The case managers at the clinic can provide a check-in call with the patient to provide support with post-op care and to discuss complications the patient may be having.<\/span><\/p>\n This measure is a good opposite measure to LOS and can indicate if a short LOS is not truly effective.<\/span><\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#000000″ text_font_size=”15px” text_line_height=”1.6em” link_font=”Open Sans|600|||on|||#005e85|” link_text_color=”#4472c4″ link_font_size=”16px” link_line_height=”1.2em” ul_font=”Open Sans||||||||” ol_font=”Open Sans||||||||” quote_font=”Open Sans||||||||” header_2_font=”Source Sans Pro|600||on|||||” header_2_text_align=”left” header_2_text_color=”#000000″ header_2_line_height=”1.3em” background_color=”rgba(12,113,195,0.08)” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” link_font_size_tablet=”18px” link_font_size_phone=”15px” link_font_size_last_edited=”on|phone” header_2_font_size_tablet=”30px” header_2_font_size_phone=”25px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n Definition:<\/strong> Elective primary patients readmitted to hospital for any reason, within 30 days of discharge.<\/span> This measure is very similar to Emergency Department Visits within 30 days. As above: monitor surgical site infections, provide strong discharge education, use the Nursing Discharge Instructions form, and coordinate with clinic case managers to provide post-op check-in calls.<\/span><\/p>\n This measure is also a good opposite measure to LOS as it can also indicate if a short LOS is not truly effective.<\/span><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ width=”auto” custom_padding=”0px||1px||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Header” _builder_version=”4.16″ background_color=”#005e85″ use_background_color_gradient=”on” background_color_gradient_stops=”#005e85 42%|#0762a1 100%” background_color_gradient_overlays_image=”on” background_color_gradient_start=”#005e85″ background_color_gradient_start_position=”42%” 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global_colors_info=”{}”]<\/p>\n Quick Links<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans|600|||||||” text_text_color=”#ffffff” text_font_size=”15px” text_line_height=”2.2em” link_font=”Open Sans|600|||||||” link_text_color=”#ffffff” link_font_size=”15px” link_line_height=”-2em” custom_margin=”-9px|||||” custom_padding=”|||31px||” global_colors_info=”{}”]<\/p>\n Care Path<\/a> [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans|600|||||||” text_text_color=”#ffffff” text_font_size=”15px” text_line_height=”2.2em” link_font=”Open Sans|600|||||||” link_text_color=”#ffffff” link_font_size=”15px” link_line_height=”-2em” custom_margin=”-12px|||||” custom_padding=”19px|||31px||” global_colors_info=”{}”]<\/p>\n WG Rep Agreement Form<\/a> [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" QUALITY IMPROVEMENT PROJECTSInfluencing change at a local level Through the collaboration of the BJH SCN, ABJHI and the frontline health care providers, the H&K OA program in Alberta has one of the most robust quality data available in all of Canada. The provincial Measurement Framework allows sites to track quality performance, identify opportunities for quality […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_et_pb_use_builder":"on","_et_pb_old_content":"\n Using Measurement to Influence Change at a Local Level<\/strong><\/p>\n\n\n\n Through the collaboration of the BJH SCN, ABJHI and the frontline health care providers, the H&K OA program in Alberta has one of the most robust quality data available in all of Canada. The provincial Measurement Framework allows sites to track quality performance, identify opportunities for quality improvement and measure the impact of changes in processes. This allows sites to set benchmark targets and priorities designed to increase quality at a sustainable cost to the public health system.<\/p>\n\n\n\n The program has adopted well-established quality improvement methodologies, such as:<\/p>\n\n\n\n The H&K arthroplasty program has achieved significant improvements in quality of care to date. In addition to the associated improvements in processes, there were significant gains in efficiencies in care, clinical outcomes and costs, including:<\/p>\n\n\n\n What\u2019s Happening Around the Province Right Now?<\/strong><\/p>\n\n\n\n The following table describes the ongoing local quality improvement initiatives across the province.<\/p>\n\n\n\n Starting a QI Project<\/strong><\/p>\n\n\n\n One of the responsibilities of a Working Group (WG) site representative, is to review all reports generated by ABJHI, celebrate program successes and identify opportunities for improvement. When a gap in care or low-performing KPI measure is identified, the WG representative can send a deep-dive data request to ABJHI to better understand the underlying causes. Once the source of the trends is identified, the WG site representative can collaborate with their local team and site counterparts to develop and implement a tailored action plan to improve the targeted KPI.<\/p>\n\n\n\n For tips on investigating your data, click here: *link to video*<\/p>\n\n\n\n I need a deep-dive into my data, click here: *link to contact us page, where they can specify the reporting period and the KPI measure data that they\u2019d like to take a closer look at. This gets sent to the ABJHI QI manager*<\/p>\n\n\n\n For more information on Action Plan Process development for QI, click here: *link to Local Action Plan template*. This document will guide you through the necessary steps to establish a strong accountability, communication and succession planning system within your local team, which will aid in the better design and delivery of a new QI project.<\/p>\n\n\n\n Tips and Tricks for Common KPIs<\/strong><\/p>\n\n\n\n The following table* describes common causes for a positive and negative variance for each KPI measure.<\/p>\n\n\n\nTips and Tricks for common KPIs<\/h3>\n
General Try This<\/span><\/h2>\n<\/div>\n
Use QI investigation methods to examine:<\/span><\/h3>\n
\n
\n
Measure #10: Acute Length of Stay (LOS) \u2013 Hip & Knee<\/h2>\n
HQD:<\/strong> Efficiency<\/span>
Target:<\/strong> Less than 48 hours<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
Examples of QI projects that are currently in place to help reduce LOS<\/span><\/h3>\n
\n
Measure #11: Infection<\/h2>\n
HQD:<\/strong> Appropriateness<\/span>
Target:<\/strong> Reduce from current<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
Measure #12: In Hospital Medical Events<\/h2>\n
HQD:<\/strong> Safety<\/span>
Target:<\/strong> Reduce from current<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
Measure #14: Discharge Location<\/h2>\n
HQD:<\/strong> Appropriateness<\/span>
Target:<\/strong> 100% Appropriately Discharged<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
Measure #15: Emergency Department Visits within 30 Days<\/h2>\n
HQD:<\/strong> Safety<\/span>
Target:<\/strong> Reduce from current<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
\n
\n
Measure #16: Readmission within 30 Days<\/h2>\n
HQD:<\/strong> Safety<\/span>
Target:<\/strong>\u00a0Reduce from current<\/span><\/p>\n<\/div>\nNotes<\/span><\/h3>\n
Try This<\/span><\/h3>\n
\n
\n
\n
Order Sets<\/a>
Teaching Books<\/a>
Measurement Framework<\/a><\/p>\n
Current QI Projects<\/a>
KPI Top Performers<\/a>
KPI Tips and Tricks<\/a>
Acronyms<\/a><\/p>\nSite<\/strong><\/td> Project Title<\/strong><\/td> Project Description (including intended goals, steps etc)<\/strong><\/td><\/tr> Royal Alexandra Hospital \u2013 Orthopedic Surgery Centre<\/td> Quiet At Night<\/td> Team works closely with the elder friendly care (EFC) team to increase awareness and improve sleep patterns on unit. The outcomes are based on readmission rates, length of stay and patient feedback.<\/td><\/tr> Royal Alexandra Hospital \u2013 Orthopedic Surgery Centre<\/td> Leader Rounding<\/td> Unit managers perform purposeful rounding of patients and staff weekly, in order to increase staff engagement and address patient concerns before discharge. The outcomes are based on direct feedback after rounds and patient satisfaction survey.<\/td><\/tr> Royal Alexandra Hospital \u2013 Orthopedic Surgery Centre<\/td> Discharge Follow-up Phone Call<\/td> This project is to ensure ALL patients get a follow-up phone call within 48hrs of discharge from the OSC. The charge or floor nurses completes this scripted phone call. All call notes are sent to the u nit manager, to highlight common questions or concerns. The outcome measures are patient confidence after discharge and a decrease in readmission rates and post-op phone calls to the unit and clinic.<\/td><\/tr> Chinook Regional Hospital<\/td> H&K KPI & Scorecard Check-in<\/td> Goal is to improve the length of time between decision for discharge and discharge from unit. The project involves better rounding of the orthopedics team to complete all discharge instructions and have the patient discharged off unit within 2 hours after decision to discharge.<\/td><\/tr> RDRH \u2013 NA?<\/td> <\/td> <\/td><\/tr> <\/td> <\/td> <\/td><\/tr> <\/td> <\/td> <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n KPI Measure<\/strong><\/td> Reasons for Positive Variance<\/strong><\/td> Reasons for Negative Variance<\/strong><\/td><\/tr> <\/td> <\/td> <\/td><\/tr> <\/td> <\/td> <\/td><\/tr> <\/td> <\/td> <\/td><\/tr><\/tbody><\/table><\/figure>\n","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-167","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/pages\/167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/comments?post=167"}],"version-history":[{"count":97,"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/pages\/167\/revisions"}],"predecessor-version":[{"id":4447,"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/pages\/167\/revisions\/4447"}],"wp:attachment":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/hksurgical\/wp-json\/wp\/v2\/media?parent=167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}