Suffolk Wound Care Nurses June 10, 2014 Maureen Valvo IPRO.

Suffolk Wound Care Nurses

June 10, 2014

Maureen Valvo IPRO

IPRO provides a full spectrum of healthcare

assessment and improvement services that foster

the efficient use of resources and enhance healthcare

quality to achieve better patient outcomes.

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AGENDA

Discussion:

Wound Care Issues,

Successful Healing,

Products,

Sharing Solutions

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Quality Improvement Updates: QAPI-Quality Assurance Performance Improvement

IPRO QAPI Training Webinar Series

IPRO Pressure Ulcer Tools

QAPI for Wound Care Webinar (Wound Rounds)

QAPI to Reduce Pressure Ulcers (Wound Care Advisor)

Gold Stamp: Self-Assessment of Pressure Ulcer Prevention + Management Education

NPUAP Pressure Ulcer Root Cause Analysis Template

Science Daily Article Hope for Chronic Wounds

LI Wound Healing Association

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Quality Assurance Performance Improvement (QAPI)http://qio.ipro.org/nursing-homes-hac/qapi/webinar

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Quality Assurance Performance Improvement (QAPI)http://qio.ipro.org/nursing-homes-hac/qapi/webinar

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IPRO QAPI Webinar Training1.Form a QAPI interdisciplinary team to view the IPRO QAPI webinars and materials. 2.Together Complete a QAPI Self-Assessment [ the 6th posted item under Session 1-“QAPI Self- Assessment Tool”]

3.Together view Learning Session 1 webinar and meet weekly to discuss progress on the areas identified for improvement

4.Within 1 to 2 months, View the next Learning Session.

5. The Sessions also guide reduction of Anti-Psychotic medications a Centers for Medicare & Medicaid (CMS) designated focus. Specifically look at the inappropriate use of Anti-psychotics for residents with only a diagnosis of Dementia, no Psychosis.

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http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/NHQAPI.html

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 http://qio.ipro.org/nursing-homes-hac/clinical-topics-tools-resources/pressure-ulcer-clinical-tools-resources

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QAPI for Wound Care Webinar : A Practical Guide for

Quality Assurance Performance Improvementhttps://www.youtube.com/watch?v=K0_n_lgvNSQ

In the near future, all nursing homes must have in place and implement an acceptable QAPI plan. Learn how your facility can benefit from focusing on quality of wound care. Michelle Stuercke, CNO of NuCare Symphony, along with Anne Scheurich, VP Clinical Operations for WoundRounds, present their experiences in wound care QAPI.

Includes:

Understand the QAPI process and traditional QA programs

Identify the 12-steps to implement QAPI

Review a pressure ulcer root cause analysis

Review a case study on a wound care Performance Improvement Plan

Sponsored by WoundRounds®: WoundRounds® is the point-of-care wound management & prevention solution that empowers nurses to deliver better wound care in less time.

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Jeri Lundgren is director of clinical services at Pathway Health in Minnesota. She has been specializing in wound prevention and management since 1990.

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http://woundcareadvisor.com/resources/tool-kit/

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http://woundcareadvisor.com/wp-content/uploads/2013/05/Ankle-brachial-index.pdf

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http://woundcareadvisor.com/wp-content/uploads/2013/01/Diabetes-Foot-Exam.pdf

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http://woundcareadvisor.com/wp-content/uploads/2013/06/Job-task-analysis.pdf

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Lanarkshire Oximetry Index

ByDonna Sardina, RN, MHA,WCC, CWCMS, DWC

Purpose

The Lanarkshire oximetry index (LOI) is a noninvasive procedure using a pulse oximeter for assessment of peripheral arterial perfusion to determine if it is safe to apply venous compression bandaging.Indications

Assess peripheral arterial perfusion when:

• there is evidence of calcified vessels (ankle brachial pressure index [ABPI] > 1.3)

• you have difficulty locating arteries with Doppler

• the patient has diabetes or lymphedema

• you work in a facility where you only need to perform one to two vascular assessments a month.

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http://woundcareadvisor.com/wp-content/uploads/2012/07/Lanarkshire-Oximetry-Index.pdf

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Plan-Do-Study-Act (PDSA) Cycle Planning Sheet

Description

What idea do you want to test?

Plan

What exactly will you do?

Who Will carry Out the Plan?

When will it take place?

Where will it take place?

What do you predict will happen?

What data/information will you collect to know whether there is an improvement?

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PDSA Cycle Progress SheetComplete this part as you carry out your cycle. Keep notes on what happens.

DO

Complete this part when you have completed your cycle, after you have gathered your data and reflected on what happened. Include expected and unexpected results.

STUDY

Record what you will take forward from this cycle or what you will do differently next time. What other tests or cycles will you do?

ACT

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Suffolk Wound Care NursesPDSA Reporting Form PDSA Cycles Date _________________ Form completed by __________________Contact ______________

Objective______________________________________

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Suffolk Wound Care Nurses SBAR

Situation Background Assessment Recommendation

SBAR wound and skin provider communication record

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http://qio.ipro.org/wp-content/uploads/2013/10/2013-07-02_resource_guide.pdf

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http://www.npuap.org/wp-content/uploads/2014/03/NPUAP-RCA-Template-March-2014.pdf

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https://www.nhqualitycampaign.org/goalDetail.aspx?g=PU

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http://qio.ipro.org/nursing-homes-hac/qapi/quality-improvement-qi-resources

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http://www.sciencedaily.com/releases/2014/05/140512101257.htm

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Suffolk Wound Care NursesLong Island Wound Healing Association

http://www.liwha.org/

LIWHA is a nonprofit organization established to provide an independent forum for clinicians involved in advanced wound healing. Members will acquire and exchange knowledge of the diagnosis, management, and treatment of acute and chronic wounds. The goal is improved patient outcomes while promoting the science and art of wound care. Membership is open to physicians, NP's, PA's, RN's, and medical assistants engaged in the care of patients with wounds. Affiliate membership is available to administrators and industry representatives.

  Contact Christine Fanelli for an application, e-mail preferred.

  Contact Information

Email: LIWHA@optonline.net

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For more information

Maureen Valvo(516) 326-7767 ext. 308 Maureen.valvo@hcqis.org

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