1. AMI and Med Rec Across the Continuum
Coming Full Circle:
AMI and Med Rec Across the Continuum
Western Node Breakthrough Series Collaborative
May 2007 – May 2008
Marlies

2. Teams Continue to Enroll

3. Since the SHN campaign launched in April 2005, growth and involvement has been dramatic. This campaign, which began with 60 participants and 144 patient care teams (June 2005), has grown and evolved into today’s 176 participating organizations and 584 teams
176 participating organizations and 584 teams

4. Laurie Thompson starts here
Safer Healthcare Now! Western Node

5. Breakthrough Series Collaborative
Action Period One
Action Period Two
Action Period Three A S P D A S P D A P S D
Learning Session One
Learning Session Two
Learning Session Three
Planning &
Pre-work
Closing Congress & Distribute Findings
Christina Starts Here 
Teleconferences
March 14:  “Call to Action” teleconference
10 – 11 am (MTN time)  
Dial in:
Participant Code: 
Learning Sessions
May 14 & 15th, 2007 – 1st Learning Session (Saskatoon, SK)
September 24 & 25th, 2007 – 2nd Learning Session (Victoria, BC)
February 4 & 5th, rd Learning Session (Edmonton, AB)
May 5 & 6th, Congress and Spread Workshop (Winnipeg, MB)
May 14/15, 2007
Saskatoon
Sept 24/25, 2007
Victoria
Feb 4/
Edmonton
May 5/6, 2008
Winnipeg
Support
Communities of Practice Teleconferences Monthly Team Reports

6. Overall Collaborative Goals
95% of AMI and Med Rec teams (excluding Home Care Teams) will submit data to Safer Healthcare Now! Central Measurement Team
80% of registered teams will submit Monthly Reports to the Collaborative
70% of teams will achieve at least one goal as identified by the self assessment ratings

7. AMI Stream – Goals Admission Meds Reperfusion Strategies
90% of teams working on medications at admission will meet targets as specified in the Getting Started Kit (e.g., 95% of admitted patients will receive Aspirin within 24 hrs)
Reperfusion Strategies
75% of teams working on reperfusion strategies will achieve targets as specified in the Getting Started Kit (e.g., 90% of STEMI patients will receive lytics within 30 minutes of ED door arrival)
Discharge Meds
90% of teams working on medications at discharge will meet targets as specified in the Getting Started Kit (e.g., 95% of discharged patients will have an order of beta blockers at discharge)
Smoking Cessation
90% of teams working on smoking cessation will meet targets as specified in the Getting started Kit ( e.g., 100% of eligible patients will get smoking cessation counseling during hospital stay)

8. Medication Reconciliation: Acute & Long-Term Care - Goals
80% of teams will reduce the # of undocumented intentional discrepancies by 75% from baseline
75% of teams will reduce the # of unintentional discrepancies by 75% from baseline

9. Home Care Stream – Learning Goals
Explore the process of obtaining, updating and communicating a complete Best Possible Medication History (BPMH)
Identify core processes to aid in the BPMH and identification of medication errors
Develop a BPMH tool for the home care environment for SHN!
Develop and test 2 measures which have relevance to monitoring the process and outcomes to prevent harm in the Home Care environment

10. Team Expectations Secure sponsorship from Senior Leader
Perform “Enrollment Package” activities in preparation for Learning Session 1
Enrollment in the Collaborative will also enroll you into SHN!
Commitment to data submission (Monthly Reports & Central Measurement Team)
Attendance at the Learning Sessions & Congress/Spread Session

11. Costs for the Teams – Approximate Figures
Multidisciplinary team of 5-7 members (clinical experts, physician/champion, day to day leaders and system leaders)
0.2 FTE for a team leader to coordinate activities
Data entry person (2 hrs a week)
~ $1000 per team member for each Learning Session (includes registration, accommodation and travel costs)
2 - 3 team members should attend all Learning Sessions
Approximately $10,000 per team to attend 3 Learning Sessions (May Congress/Spread Workshop not included)
Peter starts here

12. Med Rec Faculty Faculty Name Province Dr. Peter Norton, Co-Chair West
Fruzsina Pataky, Co-Chair BC
Marg Colquhoun, Pharmacist, ISMP ON
Robin Ensom, Pharmacist
Yvette Penman, Home Care AB
Sandra Leung, LTC
Beatrice de Rocquigny, Pharmacist MB
Lila Ho-Takeda, LTC
Peter starts here

13. AMI Faculty – still recruiting
Faculty Name
Province
Dr. James McMeekin, Cardiologist AB
Bernice Budz, RN BC
Dr. Tom Ashton, Cardiologist
Mary Anne Waters, Tobacco
Dr. Bruce Roe, Internist MB
Lillian Hall, RN
Dr. George Garbe, Cardiologist SK
Tanis Rollefstad, QI/AMI
West

14. Obtaining Senior Leader Commitment
Build the case (how does this intervention fit with the organizational strategic direction and performance agreements)
Keep Senior Leader involved (use data to communicate)
Use the data to show potential benefits of your work
Identify an advocate who has the ear of the Senior Leader

15. Next Steps Secure support from Senior Leader
Enroll your team using the Call to Action Team Enrollment Form
Register on-line ( for Learning Sessions
Participate in the “Enrollment Calls” – schedule attached
Prepare for Learning Session 1 (May 14 & 15th, Saskatoon, SK)
Marlies starts here

16. Upcoming Calls Enrolment Package – Teleconference (Getting Started)
ALL Teams
April 17, 10 – 11 am MDT
Participant code:
          Medication Reconciliation in Home Care
April 23, am MDT
           
Participant Code: 
Medication Reconciliation in Long-Term Care
April 24, 10 – 11 am MDT
Participant code:

17. QUESTIONS ?