Canadian AMI Virtual Learning Collaborative Information Call May

What is a Virtual Learning Collaborative A VLC creates a learning network for healthcare professionals focused on a specific improvement project within a defined timeframe and learning structure. It consists of a series of Virtual Learning Sessions, Action Periods, and WebEx Calls.

Advantages of VLC Achieve similar results at a reduced cost while improving access to participants Knowledge transfer and spread of change concepts parallel to traditional BTS Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)

Model For Improvement * A simple yet powerful tool for accelerating improvement The model has been used very successfully by hundreds of health care organizations in many countries to improve many different health care processes and outcomes *Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP **The Plan-Do-Study-Act cycle was developed by W. E. Deming

Principles of a Learning Collaborative The Model for Improvement is used to accelerate movement between knowing and doing Everyone Teaches; Everyone Learns The Learning Sessions are preparation for the Action Periods

Principles of a Learning Collaborative Active participation by all teams enrolled; provides more value in the Learning Sessions Monthly reporting and use of data is fundamental to improvement work

Why an AMI VL Collaborative? Time is muscle (myocardium) 44% to 70%, with an average of 62% of AMI patients who received thrombolytics had this myocardium-saving treatment delivered within 30 minutes of hospital arrival. Methodology has been used to effectively introduce numerous changes within healthcare settings

AIM Canadian Emergency Departments ensure 90% of acute myocardial infarction (AMI) patients (STEMI or new LBBB only) receive thrombolytic therapy within 30 minutes or less of hospital arrival

Measures in the AMI VLC % STEMI or new LBBB who received thrombolytic within 30 minutes of arrival at ED. % STEMI or new LBBB who received an ECG within 10 minutes of arrival at ED.

Baseline Data Expectations Baseline data should be submitted to the CMT by July Sample Size –Minimum = 6 patients –Maximum = 10 patients

Virtual Learning Session Connect people using internet and telephone communication to create an interactive learning environment. Both workshops and idea exchange forums which prepare teams to make changes during the Action Periods

Action Period Activities Data submission to CMT PDSA Rapid Cycle Testing Teams’ Conference Calls Safety Improvement Advisor and faculty consultation Team Collaboration

Team Success Factors Leadership support Access to appropriate technology Commitment to improvement goal Boushon, B., Provost, L., Gagnon, J. &Carver P. (2006)

What Does Your Team Need to Participate Virtually? Representative team committed to changing practice Productive learning room Computer with Internet access and MS Excel Telephone with speaker

Teams are Expected to: Enrol in Safer Healthcare Now! Obtain executive sponsor support Be committed to participation in action oriented learning, conference calls, reporting requirements and measurement. Test system and process changes. Have enthusiasm for learning and sharing Be interested in testing, evaluating and shaping the virtual learning approach

What is a Team? A group of multidisciplinary staff who regularly work together to provide/support the delivery of AMI care in an organization and who have the capacity to: –address care/team process improvements –relate their measurement to their improvement work –participate as an learning group in collaborative sessions Organizations may self-select their teams for registration in the AMI VLC using the above principles

List of Potential Team Members Paramedic Emergency Room Nurse Cardiology Technologist Emergency Room Physician Cardiologist Nurse Manager Nurse Practitioner or Educator Quality Improvement Representative Other Professionals interested in improving AMI care

Costs & Registration $ per team –4 learning Sessions –Team Calls –Action Period Support –Closing Congress Registration: ives/Pages/default.aspx ives/Pages/default.aspx