Phase 2 QI Project Background

The response for participating in Phase 2 QI Projects has been overwhelming!  If you would still like to sign up, please do so here.

As promised, here are the some background on three of the Phase 2 QI Projects at St. Joseph’s Health Centre, Bridgepoint Hospital and Mount Sinai Hospital.

1) St. Joseph’s Health Centre  – Day Surgery

In the surgery and pre-admission department, one of the services provided by St. Joseph’s is day surgical ophthalmic procedures.  St. Joseph’s is looking to improve the ability to ensure that all patient have the right information before they arrive, and that patient flow is safe and seamless through the department while still meeting wait time provincial targets.

The Director and Manager of the area are very engaged and great to work with the interested students and think that this project would be a great fit for a charter and one or 2 ramps of PDSA cycles.

Please click here for a diagram of this Quality Improvement Initiative.

2) Bridgepoint Hospital – Falls Prevention Strategy and Program

It is Bridgepoint’s aim to Eliminate All Falls with Injury by 2012.

In January 2010, Bridgepoint launched a new Project Structure to implement a hospital-wide Falls Prevention program by 2011. The structure and logic model consist of a steering committee, mandated with overall strategic accountability for the project. Also critical are the Development Team, charged with the practical build of the Falls Prevention toolkit and the 4E Pilot Team who operationalize and evaluate the tools using the Model for Improvement methodology.

The current phase of the strategy represents Phase 3 out of a 4 phase project approach and follows 2 years of strategy development which included researching Falls Prevention literature and best practices, review of the RNAO Best Practice Guidelines, stakeholder assessments and mapping current and future state processes.

Staff are committed to providing all patients with Bridgepoint’s Standard Falls Prevention Practices and Post-Fall Protocol. Education on these standard practices has been provided to staff on all inpatient units and ambulatory care. To heighten awareness, as staff attend education, they receive Falls Prevention buttons bearing our Falls Prevention logo. Awareness materials (posters, buttons) accompany education and are being placed on units and around the hospital.

One of the most noteworthy change ideas piloted is Safety Huddles. Each morning on 4 East between 8:55 and 9:05 all staff follow a standardized format and ask: Did anyone fall? Did we have any good catches, Have there been any new admissions? This is followed by a specific review of all patients who are at risk, or anyone else the staff have concerns about.

To support our implementation efforts over the next 6 months, Bridgepoint joined the Falls Prevention Virtual Learning Collaborative (VLC) lead by Safer Healthcare Now! (SHN). This initiative connects, via Webex, 48 teams in hospitals and LTC facilities across Canada. Teams will plan, implement and measure Falls Prevention interventions using the Model for Improvement. SHN’s goal is a 40% reduction in falls causing injury across the sample population of all participating organizations by March 2011.

Bridgepoint Hospital is looking to have student teams contribute to the Falls Prevention program by participating in testing some of these new initiatives through PDSA cycles.

Click here for the project plan.

3) Mount Sinai –  Releasing Time to Care (RTC)

RTC works by helping to direct time toward patient care in the most efficient way possible.  It is a systematic way of delivering safe, dignified, reliable, and efficient care to patients and a structured improvement approach with clear leadership roles.  RTC can also be describe as a mechanism for engaging and empowering staff so they can challenge the status quo and voice improvement ideas.

Releasing Time to Care was developed in England by the NHS Institute for Innovation and Improvement.  In January 2008, the Releasing Time to Care: The Productive Ward program was launched nation-wide in England.  International spread commenced in 2008.  The QIPP Agenda requires all UK hospitals to implement Productives by 2013/2014.  In 2009, the RTC Ontario Pilot was launched.

Part of RTC is an initiative called Well-Organized Ward (WOW).  Some WOW initiatives include increasing ‘direct care time’ in order to improved patient outcomes and experiences, making the unit look and feel better and easier to work in, decreasing mistakes & errors, and reducing risk.

Mount Sinai is looking to have student teams help test the RTC and WOW initiatives throughout the hospital using PDSA cycles.