1. Nurse Sensitive Outcome Measures Creating Practical Educational Tools July 24 th, 2014 Shelley Fraser, MSN RN, Practice Consultant Professional Practice and Nursing, PHC Barb Bedell, MSN RN, Practice Consultant Professional Practice and Nursing, PHC Brittany Watson, BSN RN, Nurse Educator Professional Practice and Nursing, PHC HEARR

2. Agenda Overview of the project Utilizing data to engage point of care staff Utilizing Clinical Experts to identify best practice Utilizing an evidence based educational methodology to scale response to data Utilizing evidence based education tools Questions/comments

3. Making it Meaningful How do we deliver data to point of care staff in a way that is meaningful, sustainable and helps to promote best practice?

4. The Plan Data is delivered to Program Quality Safety Committee by QI Consultant Nursing Leadership Interprets Data Nurse Educators select the level of intervention Nurse Educators & POC Staff Collaborate Patient Outcomes Improve Administrative Decision Support (Supplies Data ) Data is supplied by period to the programs Data is collected by period

5. Educational Methodology No organization can afford to continue to cling to a traditional learning mindset. The risk will be too high. Your organization will rise to the next level if you move forward focusing on providing learners just what they need, at every moment of need, in the form needed. Conrad Gottfredson, 2012

6. Defining Risk Ministry of Health had set a target: –<10 cases (adverse event) per 1000 discharges (data is pulled from the Discharge Abstract Database) Risk Stratification At PHC: –>7 UTIs: 1000 patient discharge HIGH RISK –4-6 UTIs: 1000 patient discharge MEDIUM RISK –<3 UTIs: 1000 patient discharge LOW RISK

7. Educational Interventions Based on Risk Low risk interventions include: monitoring data or quick steps to serve as a reminder. Medium risk interventions include: simulation, e-learning or tutorials to provide more detail. High risk interventions include: job aides, sneaker support to educate and coach staff in the moment.

8. UTI Risk Assessment Tool

9. Having the Conversation

10. Selecting the Tools PHC Connect – Nursing

11. Next Steps Education sessions Fall 2014

12. Contacts Shelley Fraser sfraser@providencehealth.bc.ca sfraser@providencehealth.bc.ca Barb Bedell bbedell@providencehealth.bc.ca bbedell@providencehealth.bc.ca Brittany Watson bwatson@providencehealth.bc.ca bwatson@providencehealth.bc.ca