www.saferhealthcarenow.ca

Objectives

Give a snapshot of Safer Healthcare Now! Describe the STOP Infections Now

Collaborative Discuss some of the successes and challenges Share some results and accomplishments

A snap shot: Safer Healthcare Now!

Flagship program of Canadian Patient Safety Institute

Launched in 2005 Goal: To invest in healthcare providers to improve the

delivery of safe patient care in Canada by implementing interventions known to reduce avoidable harm.

745 healthcare organizations enrolled 587 (80%) reported data to SHN Central

Measurement Team at the University of Toronto Sectors - Acute Care, Long-Term Care, Mental

Health and Home Care

The Problem

• Each year 8,000 Canadians die from healthcare associated infections

• 220,000 others get infected

Gravel et al, 2007. Point prevalence study for HAIs within Canadian adult acute-care hospitals. Journal of Hospital Infection, 66, 243-248.

…We know what to do

Hand hygiene Environmental cleaning Surveillance Precautions

But for whatever reason we don’t always do them well…

A Solution: The STOP Infections Now Collaborative

18 month virtual collaborative Goal: help participating organizations implement

and improve practices known to reduce healthcare-associated infections.

Supported by planning team, faculty and CPSI staff (Improvement and clinical experts)

7 learning sessions + monthly team calls One-to-one coaching and improvement support Liberating structures + Model for Improvement +

clinical content

LS1 LS2 LS3 LS4/5 LS6

Pre-work

Call to action

October 5thInformation

Call 1

Feb 29 & Mar 7, 2012 Nov 10, 2011

Sept 16th2011

Stop Infections Now Collaborative Model

Oct 12thInformation

Call 2

One week

Nov 16, 2011 Nov 23, 2011 Jun 6, 202

P

DS

A

LS7Closing

Oct 17, 2012

Monthly Team Calls between Learning Session (LS)

Monthly calls until May 2013

One week

P

DS

A

P

DS

A

Collaborative AIMs

Support teams in the Virtual Learning Collaborative to achieve: – 30% reduction in healthcare associated infections

– hand hygiene compliance rates of at least 80%

Requirements for participation

Interdisciplinary team committed to building sustainable strategies to reduce HAI’s and improve hand hygiene

Commitment to measure results and complete monthly reports

Active participation in Learning Sessions and monthly calls

Sharing Support by Executive Leader

Principles of the Collaborative

Everyone teaches, everyone learns Active participation Participation is by invitation, not assignment Measurement is fundamental to targeted improvement work Nothing about me without me Practice deep respect for people and local solutions Act your way into a new way of thinking Go slow to go fast Get started by getting started

Results to date

Completed:– 7 learning sessions

– 10 monthly team calls

Evaluation poll results from all virtual sessions Monthly performance data Baseline and mid point self evaluation Teams monthly reports Many ideas shared and stories of success

WHO Hand Hygiene Self-Assessment

Team self-assessment for collaborative

Hand Hygiene overall compliance

Environmental Cleaning

Infection Rates

Challenges

Virtual learning sessions Measurement Getting started on work Keeping the momentum going Competing demands and team drop off Executive sponsor support

What the teams liked!

Sharing ideas Smaller breakout sessions and Liberating

Structure exercises Shorter learning sessions Guest speakers and interviews Seeing data and results Opportunity for discussions and Q&A

A few words from the teams

Let's go. We are enthusiastic! The enthusiasm to keep going comes from

stories shared … Keep it up! “We just redid our patient/family audits and the

results were great – we went from 30% of patients feeling comfortable giving reminders to staff for hand hygiene to 80% being comfortable enough to give reminders. Perhaps we are changing our culture”

Sharing Accomplishments: Measurement Report for Staff

A special thanks to our planning team and faculty

Michael GardamUniversity Health NetworkLeah Gitterman

University Health NetworkAnne Maclaurin

Canadian Patient Safety InstitutePaige Reason

University Health NetworkKatie Procter

BC Patient Safety & Quality CouncilLiz RykertMeta Strategies

Bruce HarriesImprovement Associates

Virginia FlintoftSHN Central Measurement Team

Carrie HainesCanadian Patient Safety Institute

Jason ThompsonCanadian Patient Safety Institute

Paule BernierSHN, Quebec RegionErika Bailey

Erika Lee Bailey and AssociatesKeith McCandless

Social Invention Group

TEAM EXECUTIVE SPONSORTheresa Fillatre

Canadian Patient Safety Institute

For more information

Visit

www.saferhealthcarenow.ca

OR

Anne MacLaurin

amaclaurin@cpsi-icsp.ca