Creang(Professional(Posters(hdsi.uchicago.edu/wp-content/uploads/2016/05/...Creang(Professional(Posters|( 5 Things(to(Avoid((Common(complaints(of(the(audience)((Tell(asimple,(clear(story.

Crea%ng Professional Posters Presented by the areas of Healthcare Delivery Science & Quality Performance Improvement

2 Crea%ng Professional Posters|

Poster Workshop Objec%ve

Par%cipants will:

•  Learn how to format a improvement project in a scholarly fashion using a professional poster

•  Become familiar with the Quality and Safety Symposium poster templates

•  Review a poster example


Why Posters?

Posters are a common format used to present results of a project at professional conferences.

Posters are a unique format: a hybrid of a published paper and an oral presenta%on.1

–  Provide the opportunity to present your findings while interac%ng with the viewers

–  Unique opportunity to adapt how you present your project to the audience, which is oOen people with varying levels of familiarity with your topic1

–  More detailed than an oral presenta%on, less detailed than a paper1 –  Audience will focus on different angles of your project, allowing you to learn

from them as well

Miller, JE. Preparing and Presen%ng Effec%ve Research Posters. Health Services Research. 2007 Feb; 42(1 Pt 1):311-‐328.


Purpose of a Poster

Tell a simple, clear story.1

•  Pick 2-‐3 key points you want the viewers to walk away with

•  Introduce the ques%ons around these key points in the background

•  Give a brief overview of your methods and data

•  End with a summary of your findings and how they affect those key points



Things to Avoid (Common complaints of the audience)


•  Too dense to quickly read and iden%fy take-‐away points

•  Too technical

–  Remember you have a variety of backgrounds reading this •  Too much jargon

–  Avoid too many acronyms



Things to Do


•  Your goal is to tell a story about your improvement work, think about:

o  The most important pieces of informa%on-‐ what is NECESSARY to logically tell your story? §  WHO, WHAT, WHERE, WHEN, HOW, WHY

o  What informa%on can be leO off the poster or is beger shared in discussion at the poster session?

o  Is there a par%cular aspect of the work you want to highlight? (e.g. focus on RN workflow

for a nursing conference poster)

•  Charts, Tables, Graphs-‐ Visuals easily convey your data to the viewer

•  An%cipate ques%ons or discussion points for your presenta%on


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Quality and Safety Symposium 2015 Showcase your quality improvement work-‐ both successes and failures are welcomed to promote collabora%ve learning. Projects should priori%ze one or more of the following focus areas:

•  FY2015UCM Clinical Effec%veness Quality and Safety Goals: Promo%ng the Culture of Safety, Elimina%ng Harm Events, Improving Transi%ons in Care, Enhancing Clinical Documenta%on and Informa%on Management

•  FY2015 Departmental Quality and Safety Goals

•  Enhancing the Experience of our Pa%ents and Families

•  Improvements in Efficiency, Throughput, and the Reduc%on of Waste

•  External Na%onal Quality Indicators

Crea%ng Professional Posters|

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Symposium Poster Planning

•  Involve your team

o  Who will want to contribute to the poster? o  Who should be in the acknowledgements vs. author spots? o  Plan %me to disseminate the poster to your team for feedback before the

submission deadline (April 15th)

•  Use the Symposium Poster Template

o  All posters are printed into a Compendium and given to the Board of Trustees o  The template allows this Compendium to be standardized

•  Submit your poster online: hgp://clinicaleffec%veness.uchicago.edu


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Poster Format

All posters should include the same basic informa%on, organized by headers

•  Title

•  Background

•  Aims

•  Project Design/Strategy

•  Changes Made

•  Visual(s) of data

•  Outcomes & Lessons Learned

•  Next Steps

•  Authors and Affilia%ons

•  Acknowledgements


Template can be adapted


An Example

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Background •  What did you set out to address?

•  Why does this mager? What are the implica%ons of the way things were currently being done or the problem at hand?

•  Did this project align with any UCM 2014 Annual Opera%ng Goals?

Abbrevia=ons and acronyms are defined the first =me they appear

Bullet points make the informa=on easy to read

Tells the reader why this is

important work

Introduce the reader to the approach


Background •  Hand Hygiene (HH) is the single best way to prevent the spread of Healthcare Associated Infec%ons (HAIs) and provides an ideal opportunity for applica%on of lean principles to healthcare worker (HCW) behavior.

•  Despite overwhelming evidence and knowledge around the importance of HH, Hand Hygiene compliance of healthcare workers in hospitals across the country hovers between 18% -‐ 45%.

•  Our ins%tu%on iden%fied similar trends of compliance with HH performance hovering around 30% upon entering and exi%ng a pa%ent room on two pilot inpa%ent units aOer implementa%on of an aggregate Electronic Compliance Monitoring (ECM) system (GoJo Smartlink.)

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Aims

•  What did you hope to accomplish?

•  Is your Aim SMART?

Simply stated & concise

Image source: hgp://plantbaseddie%%an.com/wp-‐content/uploads/2013/12/SMART-‐Goals.jpg


An ins%tu%onal goal, incorporated into the hospital Annual Opera%ng Plan, was established to reach or exceed 75% hand hygiene compliance upon entering and exi%ng a pa%ent room or area.

Aims

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Project Design/Strategy •  Did you use QI tools to determine or implement change?

•  How did you measure the interven%on’s impact? (Outcome measure)

Explain QI Tools and how they

were implemented

Who

Describe the approach


•  A mul%disciplinary Hand Hygiene Leadership Commigee was established providing representa%on from various clinical, administra%ve, opera%onal, and quality improvement disciplines

•  UCM is tes%ng ECM to measure hand hygiene, with the hopes that beger data will help us to improve actual hand hygiene performance.

•  Two pilot units were selected to tes%ng an aggregate ECM system in the adult inpa%ent seqng. The team is applying Lean Principles to agempt to improve hand hygiene on those units.

•  Voice of the Customer interviews were conducted on the pilot units to iden%fy current views around HH behavior, reported compliance of HH for that unit, and the ECM system (see right for summary of themes.)

•  This data was then extracted and analyzed using an Affinity approach. A team of leaders and front line staff from the pilot unit used the affini%zed data to assist with the iden%fica%on of poten%al failure modes and root causes of poor hand hygiene compliance.

•  The team brainstormed poten%al solu%ons to those opportuni%es and then evaluated those opportuni%es based on impact to goal and ease of implementa%on. This allowed the team to priori%ze and create an improvement roadmap.

Project Design/Strategy

South WestBoth Units Combined

Think current # is low/bad 7 11 18Other Staff (sum of MDs specifically and any other) 14 20 34 Other Staff -‐ MDs 8 9 17

Other Staff (any other than me personally or my discipline) 6 11 17

Patient, family, visitors 10 13 23 Forget 3 2 5 Urgency 1 3 4 Not enough time 4 5 9 GoJo User Interface 1 1 Don't Understand GoJo 8 11 19 Don't believe #s (are right or accurate) 2 8 10 Believe the #s 6 13 19 Standards unclear 1 2 3 Dispenser/HH equipment Issues 7 3 10 But I'm not touching anything… 9 8 17 Washed on way out, don't need to again on way in 1 2 3 Empty Rooms 1 1 2 Other count against when it shouldn't 2 2 Reminders (including POC, signs, and verbal) 8 8 16 Education 5 12 17 Accountability 7 7 Make it a competition 3 3 Offer rewards 2 1 3 Provide data 5 7 12 Provide data by discipline 4 4

System counts against us when it

shouldn't (perception)

How to improve

Number of Responses Containing Theme

Larger Affinity Group

18Spectrum of

forget, no time, urgent/emergent

57It's not me, it's

you

Affinity Group

Affinity Summary

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Visual of the QI tool

Where

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Changes Made •  Results or Progress To Date

•  What did your team do?

•  How did you measure that you did it? (Process Measure)

Explains what each set of data that is compared

represents

Explains what the changes

included (WHAT)


Changes Made

• A Hand Hygiene Toolkit was created as a resource for management and staff including educa%on on the importance of HH, ins%tu%onal policies and expecta%ons, barriers to measuring HH, and suggested approaches for implementa%on of HH improvement efforts into daily prac%ces. • Ins%tu%onal policy for Hand Hygiene was simplified and disseminated throughout the ins%tu%on via intranet and email from Senior Leadership.

• To beger incorporate Hand Hygiene into daily prac%ces and to integrate with ins%tu%on-‐wide Lean approaches, a HH measure was added to the unit’s KPIs (Key Performance Indicators) on their MDI (Managing for Daily Improvement) board. The board was also moved from the nursing workroom to a unit hallway to allow for mul%disciplinary engagement in HH efforts. • Mul%disciplinary huddles were created and expecta%ons around agendance set by hospital leadership to ensure engagement of all disciplines around HH through huddles held at the MDI board. Hand Hygiene is also a recurring topic at weekly mul%disciplinary rounds.

•  A roadmap for designing improvement of hand hygiene compliance was created, seqng monthly Just Do It events with representa%on from clinical, administra%ve, facility planning, environmental services, and ancillary support staff dedicated to implementa%on of agreed upon solu%ons. Events to date have focused on design of workflow to ensure successful hand hygiene compliance, including: • Room set up for new pa%ents • Environmental services workflows & ensuring that pumps are full • Placement of soap and sani%zer pumps • Documenta%on and use of worksta%ons on wheels

• Future events will address: • Transpor%ng pa%ents (specifically when PT/OT exit & enter room with the pa%ent) • Supply storage and the need to leave a pa%ent room to get supplies • Empty pa%ent rooms • Interdisciplinary champions and methods for individualized feedback

Explains how the interven=on

(communica=on) was measured. Process outcome.

Team members complete a fishbone diagram to help understand “why are dispensers

empty?”

Ac=on shown in a visual

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Outcomes & Lessons Learned

Explains outcome measure and how it is

communicated

Explains what was learned


Visual of results

Outcomes & Lessons Learned

•  Mul%disciplinary engagement has been successful as measured by par%cipa%on of each discipline in the Just Do It events. We will also track agendance of each discipline at unit-‐based shiO huddles.

•  The first pilot unit has shown small improvement over the first few months and

•  Hand Hygiene performance con%nues to be monitored with an%cipated improvement as improvement ini%a%ves are rolled-‐out.

HH compliance rate is visible 24/7 on a screen on the unit, and is summarized and shared weekly at mul%disciplinary rounds.

•  How did your project affect your aim?

•  How did you measure this effect? (Outcome Measure Results)

•  Any lessons learned for a next itera%on?

•  What would you recommend to others trying to solve this problem?

•  Where there any unan%cipated issues/benefits?

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Next Steps

Explains what’s next And why


•  Quality Improvement is never finished-‐ what’s next?

•  Sustainability? New PDSA Cycle?

Next Steps

The developed Road Map will be followed and executed over the upcoming year, with Just Do It events guiding the design and implementa%on of individual interven%ons. The Plan-‐Do-‐Study-‐Act approach will be used to assess individual improvement ini%a%ves and to monitor the overall effect on Hand Hygiene performance throughout this year-‐long journey. As the pilot units learn from their tests of change, those learnings will be integrated into the Hand Hygiene Toolkit.

Reflect on your work to date and share your insights

Can also include planned next steps and high level

=meline

This sec=on may include more

informa=on if a project is in progress

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Display your data visually

•  Some visual should be included to showcase your results or progress to date data

–  Graph –  Table –  Before/AOer Picture

Possible Data to display:

•  How did you measure that the interven%on was happening? (A Process Measure)

•  How did you measure the interven%on’s impact? (Outcome measure)

Refer to the handouts for more info on choosing a measure & displaying data


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Example of a Graph

Impact of G4P: Baseline -‐ Standard HH Campaign-‐ Giving for Performance

Sustainability of G4P: Baseline -‐ Giving for Performance-‐ Standard HH Campaign

Clear, descrip=ve, =tle

Shows the data that was described in the interven=on

and results sec=ons

Use dis=nct colors and shapes to

differen=ate data sets (i.e. not all shades of blue

with square data markers)

Clearly labeled axes

Legend


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Tips •  Choose your Atle thoughCully

o  What will catch your audience’s agen%on? o  Does it accurately describe your work? o  Is it specific enough?

•  Take a step back, look at the spacing & flow of your poster o  Does it have a lot of words? o  Is there adequate white space?

•  Consider your audience o  Did you use uncommon abbrevia%ons? Is there jargon

that readers won’t understand? o  Have a colleague who was not involved in the work

read the poster to ensure that the informa%on is clear

•  Proofread before submiJng! o  Check for typos, grammar, etc. o  Check for PHI or other sensi%ve informa%on or data


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Helpful Reminders

•  Posters are due April 15, 2014

•  You may reduce the font size down to a minimum of 9-‐point if necessary; smaller font sizes are not permiged.

•  Feel free to adjust the placement of headings in the template

•  Don’t forget authors & the first author’s email address

•  Submit your poster in PowerPoint format

•  Submit via the online form: hgp://clinicaleffec%veness.uchicago.edu/qualitysymposium/

•  For ques%ons: please use the comments sec%on of the Submission Form to relay these to the Poster Review Commigee or email [email protected]


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Let’s get to work!

Here are some helpful resources to refer to aOer this Poster Workshop:

•  hgp://clinicaleffec%veness.uchicago.edu/qualitysymposium/

•  hgp://colinpurrington.com/%ps/academic/posterdesign

•  hgp://www.ak%vadesign.com/

•  hgp://www.personal.psu.edu/drs18/postershow/


Creang(Professional(Posters(hdsi.uchicago.edu/wp-content/uploads/2016/05/...Creang(Professional(Posters|( 5 Things(to(Avoid((Common(complaints(of(the(audience)((Tell(asimple,(clear(story.

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