Measurement

The best possible topic to end an eight hour conference day…

Outcome Indicators

What are we trying to accomplish?What is ultimately better?What will tell our patients and their families?

For this initiative we are talking about SSI and UTI rates

Can be

to change…

Process Indicators

What are you changing – is it really happening?Voice of the system – what is being done differently?Processes improve more quickly than outcomes

For this initiative, these are generally your secondary drivers

You will need a data collection plan

Balancing Measures

Is something else changing in the system because of changes introduced?Are there unintended consequences we want to keep track of?Can be positive (e.g. better resident experience) or negative (e.g. more falls with reduced restraints)

You decide if this is something you want to measure

COLLECTING & REPORTING DATA

Outcomes

If you are not a NSQIP hospital your SSI/UTI outcomes may not be as easily accessible and we can discuss with your team directly how to measure outcome.

For NSQIP sites – look at your SSI/UTI rates monthly

Monitoring Outcomes

Baseline Data

Ongoing Outcomes Monitoring

Goal

And we want to see these data!

Process Measures

If you are working on UTI…

You will need to measure these two things:

Appropriate Reason for CatheterCatheter Duration/Removal

If you are working on SSI…

You will need to measure the following (as appropriate based on your aim):

Perioperative antimicrobial coverageAppropriate hair removal & skin prep

Maintenance of perioperative glucose controlPerioperative normothermia

We want to see

these data too!

But how do you collect it?

In your groups – spend the next few minutes discussing…1. Your data collection planOR (if you already have one)2. You data reporting plan (how will you get this

info out to your team members)

Data Collection Tools

There are two documents for your reference on the table – they may help when considering your data collection.

Also think about, how will you ensure that the data you collect is actually in the chart?