2014 Course Guide - ynhhs.emergencyeducation.orgynhhs.emergencyeducation.org/downloads/2014_CHSCourses.pdf · 2014 Course Guide Yale New Haven Health System Center for Healthcare

2014 Course Guide

Yale New Haven Health System Center for Healthcare Solutions (YNHHS‐CHS) 1 Church Street, 5th Floor, New Haven, CT 06510

(203) 688‐5000 www.ynhhs.org/chs

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TABLE OF CONTENTS Patient Safety .........................................................................................................................................4 Infectious Diseases .................................................................................................................................9 Bioterrorism Training............................................................................................................................ 11 Protection of the Healthcare Workforce/Personal Protective Equipment ............................................. 13 Healthcare Compliance......................................................................................................................... 17 ABOUT YNHHS‐CHS

As part of a large, nationally recognized nonprofit healthcare system, the Yale New Haven Health System

Center for Healthcare Solutions (YNHHS‐CHS) is a healthcare consulting organization dedicated to

making national and international healthcare organizations and systems more effective, safe and secure.

Leveraging its clinical and operational understanding of healthcare delivery systems, extensive expertise

and a national network of partners and subject matter experts, YNHHS‐CHS evaluates, develops and

disseminates programs and services nationally and internationally.

YNHHS‐CHS is an expert in translating academic and clinical research into practical solutions for real‐world settings. With subject matter experts across a wide range of topics such as education and training, assessments, evaluations, planning, program implementation, background check systems, healthcare‐associated infections, health information technology/electronic health records, healthcare compliance and patient safety, YNHHS‐CHS provides expertise to support healthcare delivery improvement efforts to improve services, improve healthcare and lower costs. In addition to YNHHS‐CHS courses, emergency management courses are available through the Yale New Haven Health System Center for Emergency Preparedness and Disaster Response (YNHHS‐CEPDR) learning management system, http://ynhhs.emergencyeducation.org. Courses and workshops are customizable to meet your organization’s requirements. Please contact us at one of the offices below:

[email protected] • www.ynhhs.org/chs

Eastern Region 1 Church Street, 5th Floor New Haven, CT 06510 Tel. 203.688.5000 Fax 203.688.4618

National Capital Region 1101 Pennsylvania Ave., NW, 6th Floor Washington, DC 20004 Tel. 202.590.0774 Fax 703.852.3520

Western Region 4562 School Street Yorba Linda, CA 92886 Tel. 714.321.7195 Fax 203.688.4618


http://ynhhs.emergencyeducation.org

mailto:[email protected]


YNHHS‐CHS Course Guide

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YNHHS‐CHS programs and services focus on: HEALTHCARE ASSOCIATED INFECTIONS Delivering education and training programs in multiple modalities that address the Joint

Commissions National Patient Safety Goals Providing an infection control policy and procedure manual template that meets regulatory

standards and can be adapted to address your facility’s unique needs Linking your organization’s clinical experts in infection control, hospital epidemiology and patient

safety with national subject matter experts in these topics Infection Prevention and Control Manual

PATIENT SAFETY Developing and delivering education and training programs in multiple modalities HEALTHCARE REFORM/AFFORDABLE CARE ACT Workshops, educational papers, symposia that deliver an in‐depth understanding of healthcare

reform (ACA) and its effects on healthcare through the lens of healthcare administrators, clinicians, insurers and other stakeholders

Assessments and evaluations of current healthcare delivery systems and clinical processes to determine strengths and gaps and recommend activities to become compliant with the ACA mandates

Strategic planning, guidance and facilitation to assist healthcare‐related organizations to determine approaches, policies and plans to meet the requirements of the ACA

Approaches, models and pilot interventions for healthcare providers and insurers to address delivery of patient care as it relates to population health improvement, decreased hospital admissions and lowering the cost of care

Support to identify interventions in the development and delivery of activities across the healthcare continuum for addressing the ACA mandates

Technical support for the identification and development of requests for funding from governmental and private entities to support the implementation and evaluation of clinical, operational and financial models for healthcare reform

Assistance in the implementation of clinical, operational and financial interventions across healthcare delivery to enhance clinical outcomes, improve health of populations and decrease the cost of care

Evaluation of the successes of clinical patient care interventions through applied research methodologies to determine evidence‐based practices and replicate interventions as appropriate with at risk populations

BACKGROUND CHECK PROGRAM Providing a customized approach that utilizes best‐practice system design demonstrated in the

CMS pilot and a web‐based software platform designed to work with multiple registries, rap‐back systems and State Police and FBI fingerprint checks



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HEALTHCARE COMPLIANCE Delivering online education on the HIPAA Act, HITECH Act including privacy and security

compliance regulations, patient identifiers and civil penalties

- Continuing Medical Education Credits (CMEs) Online courses from the YNHHS‐CHS learning management system offer continuing medical education credits (CMEs). According to the Accreditation Council for Continuing Medical Education (a national organization that sets the standards for the accreditation of all providers of continuing medical education), CME is defined as “educational activities that serve to maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public or the profession.” CMEs can be converted to Continuing Education Units (CEUs) if the program meets the licensing board’s regulations (244 CMR 5.04 (2)(b)) or if the content contributes directly to the professional competence of the licensed nurse. There is no automatic conversion of CME credits to nursing contact hours, nor does the licensing board possess a formula for converting CMEs to CEUs. However, general guidelines state that every 50 minutes of continuous learning in a CME program is equal to approximately one contact hour of continuing education for nursing license renewal. The Center for Continuing Medical Education, through Yale University School of Medicine, is an approved Accreditation Council for Continuing Medical Education provider of CME credits. Registered through the Yale School of Medicine, YNHHS‐CHS provides CME credits for all of its online courses. For additional information about CMEs from YNHHS‐CEPDR, please contact us at (203) 688‐5000 or [email protected].


mailto:[email protected]


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YNHHS‐CHS Courses

PATIENT SAFETY TRAINING Patient safety courses provide training for individuals who directly or indirectly care for patients about ways to prevent or minimize situations that increase the risk of infections associated with patient care.

Course Name Targeted Audience Modality Course Overview Competency/Capability Addressed

Prevention of Healthcare Associated Infections (PS 101)

Non‐clinical healthcare workers (environmental services, dietary, transportation)

Online Introductory level PS 101 topics: Definition of healthcare‐associated infections (HAIs) and an explanation of how they are spread

Discussion of the significance of multidrug‐resistant organisms (MDROs)

Instructions on how to perform proper hand hygiene to reduce the risk of contamination and the spread of organisms

Information on how to prevent the spread of HAIs

Assists individuals and organizations in meeting the Joint Commission National Patient Safety Goal 07.03.01 training requirement for healthcare workers in the area of HAIs, including MDROs

Aligns with recommendations of the Centers for Disease Control and Prevention (CDC), the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA) and the Association of Professionals in Infection Control and Epidemiology (APIC)

AMA PRA Category 1 CME credit (online)



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YNHHS‐CHS Courses (Patient Safety continued)


Preventing the Transmission of Multidrug‐Resistant Organisms (PS 201)

Clinical (physicians, nurses, patient care assistants, clinical laboratory professionals, mid‐level practitioners and radiology technicians)

Online Intermediate level PS 201 topics: Definition of healthcare‐associated infections (HAIs) and an assessment of their impact in the healthcare setting

Discussion of the significance of multidrug‐resistant organisms (MDROs) and their failure to respond to treatment

Identification of evidence‐based practices used to prevent MDROs in acute care facilities

Fostering an enhanced atmosphere of patient safety to encourage the elimination of preventable MDROs

Performing proper hand hygiene to reduce the risk of contamination and the spread of organisms Encouraging patients’ active involvement in their own care as a patient safety strategy

The Joint Commission National Patient Safety Goal 07.03.01 training requirement for healthcare workers in the area of HAIs, including MDROs

Aligned with recommendations/ requirements of the CDC, the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA) and the Association of Professionals in Infection Control and Epidemiology (APIC)




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Preventing Surgical Site Infections (PS 203)

Clinicians specializing in surgical procedures (surgeons, anesthesiologists, operating room nurses, recovery room nurses) and allied health professionals (surgical technicians)

Online Intermediate level PS 203 topics: Definition of a surgical site infection (SSI) and identification of the associated risk factors

Description of the two methods in place to establish surveillance of the surgical site

Identification of evidence‐based practices suggested to prevent the development of SSIs

Recognition of the importance of clinical guidelines set forth to reduce SSIs postoperatively

The Joint Commission National Patient Safety Goal 07.05.01 training requirements for healthcare workers involved in surgical procedures to minimize the occurrences of surgical site infections


Preventing Central Line‐Associated Bloodstream Infections (PS 204)

Clinical practitioners (physician, nurse practitioner, physician assistant, nurse) in acute care hospitals, infusion centers and skilled nursing facilities who insert, remove and otherwise monitor central lines

Online Intermediate level PS 204 topics: Definition of a central line‐associated bloodstream infection (CLABSI) and identification of the associated risk factors

Identification of evidence‐based practices suggested to prevent the development of CLABSIs

List of guidelines for the insertion and removal of central venous catheters (CVCs)

Recognition of the importance of clinical staff adherence to guidelines set forth to reduce CLABSIs

The Joint Commission National Patient Safety Goal 07.04.01 training requirements for healthcare workers involved in the placement of central lines in order to minimize central line‐associated bloodstream infections




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It’s In Our Hands: Preventing Hospital Acquired Infections

All healthcare employees

Online DVD

Introductory level It’s In Our Hands topics: How to reduce the spread of infections through hand contact

Protocols for hand washing

Effective communication approaches for a safe work environment

A 12‐minute video that provides healthcare workers with an explanation of the need for consistent hand hygiene protection and how easily infections can spread from one person to another

The video includes recommendations for coworkers about maintaining a safe work environment

Infection Control and Prevention Manual

Infection prevention specialists as well as physicians, nurses, patient care assistants, clinical laboratory professionals, mid‐level practitioners and radiology technicians

CD‐ROM Infection Control and Prevention Manual (ICPM) is: Adaptable to your organization’s unique needs and local and state regulatory environment

Utilizes best practice guidelines for the various levels of precautions

Fully customizable to your organization to include specific protocols utilized by your organization. The ICPM can include:

- Applicable contact information

- Local and state‐specific disease reporting guidelines

- Your organization's name and logo

Aligns with recommendations of the Centers for Disease Control and Prevention (CDC), the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA) and the Association of Professionals in Infection Control and Epidemiology (APIC)



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TeamSTEPPS® Training Team Strategies and Tools to Enhance Performance and Patient Safety Instructors with on the ground experience in both communications and healthcare lead teams through a three‐phase process: Pre‐training assessment for site readiness

Training Implementation and sustainment

All healthcare workers and leaders across the continuum of care

Instructor‐led

TeamSTEPPS® training: Focuses on defining team skills

Demonstrating the tools and strategies team members can use to gain proficiency in the competencies/skills and identification of tools

Strategies that can be used to overcome common barriers to achieve desired outcomes

Case scenarios and video vignettes are used to further reinforce the tools and strategies used

The TeamSTEPPS® curriculum is aligned with the Joint Commission National Patient Safety Goal #2, Improve the Effectiveness of Communication



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YNHHS‐CHS Courses

INFECTIOUS DISEASES TRAINING Infectious disease courses provide training to healthcare workers on safely caring for patients who have illnesses that can be transmitted by contact with infected blood or body fluids.


The Tuberculosis (TB) Training Program (ID 202)

Healthcare workers who may come in contact with tuberculosis (TB) patients

Online

Intermediate level ID 202 topics: Healthcare community’s concerns regarding tuberculosis (TB)

Use of the Mantoux tuberculin skin test (TST), acid‐fast bacilli (AFB) smears and chest X‐ray for screening purposes

Groups of persons that should be screened for TB

Measures healthcare workers should follow when working with TB patients

Appropriate methods of isolating patients with suspected or active TB

Pertinent information that should be provided to patients with active TB and their visitors

Requirements for notification regarding patients with known cases of active TB

Steps to be taken if a staff member is potentially exposed to TB

Recommendations and requirements of the Centers for Disease Control and Prevention (CDC), the National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention: Division of Tuberculosis Elimination and the Occupational Safety and Health Administration (OSHA)




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YNHHS‐CHS Courses (Infectious Diseases continued)


Bloodborne Pathogens Training Program (ID 203)

All RNs (clinical nurses, clinical nurse specialists, APRNs), MDs, PAs, direct care givers, clinical laboratory professionals and those individuals who come into contact with blood specimens

Online

Intermediate level ID 203 topics include: Risks associated with

Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV)

Potential routes of exposure from bloodborne pathogens

Practices which help to limit the risk of transmission of bloodborne pathogens, including: – Proper hand hygiene

– Proper use of personal protective equipment

– Safe handling of specimens

– Methods for the safe disposal of sharps and the cleaning of spills

Steps to be taken in the event of an exposure to a potential bloodborne pathogen

OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030). This standard was devised in 1991 to protect healthcare workers who are at risk for bloodborne pathogens, including Hepatitis B, Hepatitis C and HIV/AIDS exposure. The standard was updated in 2001 to reflect the requirements of the Needlestick Safety and Prevention Act.




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YNHHS‐CHS Courses

BIOTERRORISM TRAINING These courses focus on recognizing and responding to biological disasters.


Bioterrorism Preparedness for Clinicians (EM 201)

Recommended for physicians and other clinicians, medical professionals and first responders

Online

Intermediate level EM 201 topics: Bioterrorism events and agents

Recognizing clinical syndromes

Preventing person‐to‐person transmission

Communication methods

Mental health issues Additional resources Designed to prepare

physicians and other clinicians for a bioterrorist event or other potential public health emergency

Columbia University School of Nursing and Association of Teachers of Preventive Medicine Clinician Competencies

Texas Department of State Health Services requirement for education for renewal of nursing license

1 AMA PRA Category 1 CME Credit (online)

Planning and Response to a Pandemic Influenza for Healthcare Workers (EM 180)

Healthcare workers and volunteers in acute care hospitals, community health centers, home health agencies, urgent care centers, skilled nursing facilities, ambulatory surgery centers and public health agencies

Instructor‐led

Webinar Online

Introductory level EM 180 topics: Origin of pandemic influenza and the risk of an outbreak

Difference between seasonal, epidemic and pandemic influenza

Impact of an outbreak Ways to protect yourself and your family in the event of a pandemic influenza

Correct use of personal protective equipment (PPE) to limit your exposure and protect yourself from infection

Coping strategies to deal with the stress of a pandemic outbreak

WHO Checklist for Influenza Pandemic Preparedness Planning

HHS Pandemic Influenza Plan Supplement 3 Healthcare Planning

CDC Guideline for Hand Hygiene in Health‐Care Settings




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YNHHS‐CHS Courses (Bioterrorism Training continued)


Planning and Response to a Pandemic Influenza for Clinicians (EM 280)

Physicians, APRNs, PAs, RNs, LPNs and first responders

Online

Intermediate level EM 280 topics: Describing the phases of a pandemic and your healthcare facility’s ability to respond

Identifying who will lead the community in the event of an outbreak and what type of community support is provided

Recognizing the impact of an outbreak

Listing ways to protect yourself and your family in the event of a pandemic influenza

Limiting your exposure and protecting yourself from infection by correctly using PPE

Assessing coping strategies to deal with the stress of a pandemic outbreak

WHO Checklist for Influenza Pandemic Preparedness Planning

HHS Pandemic Influenza Plan Supplement 3 Healthcare Planning

CDC Guideline for Hand Hygiene in Healthcare Settings




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YNHHS‐CHS Courses

PROTECTION OF THE HEALTHCARE WORKFORCE / PERSONAL PROTECTIVE EQUIPMENT (PPE) Healthcare and other facilities are often required to provide information on hazardous substances and the risks associated with them as well as procedures needed to ensure the safety of healthcare workers and patients during an emergency or disaster.


Best Practices for the Protection of Healthcare Facility‐Based First Receivers (EM 120)

For workers who may identify a contaminated victim arriving at a healthcare facility unannounced. This group includes staff that would set up the decontamination system before victims arrive or track patients from a location outside of the decontamination zone

Online Narrated CD‐ROM

Webinar Instructor‐led

Introductory level EM 120 topics: Recognizing what hazardous substances are and the risks associated with them in an incident

Identifying potential outcomes associated with an emergency created when hazardous substances are present

Reviewing their role in their facility's emergency response plan when responding to an incident

Describing the methods and observations that may be used to recognize the presence of hazardous substances in the work area

Listing the ways employees can protect themselves during an incident

OSHA, 29CFR 1910.120(q)(6)(i) Hazardous Waste Operations and Emergency Response (HAZWOPER) awareness‐level standard related to hospital‐based first responders

1 AMA PRA category 1 CME credit (online)



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YNHHS‐CHS Courses (Protection of the Healthcare Workforce/PPE continued)


N95 Respirator and Personal Protective Equipment (PPE) Training for Healthcare Workers (EM 121)

Civilian and military healthcare workers who need to don and doff N95 respirators and basic personal protective equipment (PPE) while caring for certain infectious patients, including those with pandemic influenza

Online Instructor‐led

CD‐ROM Webinar

Introductory level EM 121 topics: Recognizing the need for respirator and personal protective equipment (PPE) use

Identifying the types of infection transmission and discuss the importance of PPE

Reviewing the proper methods for inspecting, donning and doffing a respirator and PPE

Explaining the effective use of a respirator and PPE

Listing common errors made in PPE and N95 respirator use

Discussing proper disposal methods for PPE

OSHA Respirator Standard 1910.134(k), 1910.120

Armed Forces training requirements (USACHPPM, NHRC, AFRL)


N95 Respirator Fit Tester Training (EM 122) Prerequisite: EM 121

Civilian and military healthcare trainers who need to perform a fit test for healthcare workers who must wear an N95 respirator

Online Instructor‐led

Webinar CD‐ROM

Intermediate level EM 122 topics: Identifying the need to conduct the N95 respirator fit test

Conducting a fit test for N95 respirator use

Discussing the use of the medical questionnaire prior to N95 respirator fit test

Performing proper inspection and disposal of respirators

OSHA Respirator Standard 1910.134(k)

Armed Forces training requirements (USACHPPM, NHRC, AFRL)




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Best Practices for the Protection of Healthcare Facility‐Based First Receivers, Operations Level (EM 220) Prerequisite: EM 120 EM 220 training consists of a four‐hour online instruction followed by a four‐hour practical session in which participants demonstrate the skills learned in the didactic session.

MD/DO, PA, NP, RN, LPN, allied health, maintenance, environmental services, facility, engineering staff, hazmat, security and contractors who are part of decontamination teams and/or setting up and taking down decontamination facilities

Two‐part course:

Online and Instructor‐led practical

Intermediate level

EM 220 topics: Recognizing the presence of hazardous substances in an emergency through signs and symptoms of exposure

Preparing for appropriate hazard awareness and recognition by understanding and use of a hazard risk assessment

Identifying the different types of personal protective equipment (PPE) used during the decontamination process

Demonstrating proper donning and doffing of Level C PPE based on a given hazard

Identifying special decontamination considerations

Demonstrating ambulatory and non‐ambulatory decontamination during a mass decontamination incident

Regulations outlined in Congressional Federal Register, CFR 1910.120, and the Best Practices for Hospital‐Based First Receivers of Patients, which was a result of the Occupational Health Safety Act revisions of February 2005 to address the concerns of hospital responders

1 AMA PRA category 3 CME credit (1 credit per online module)



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Course Name Course Name Course Name Course Name Course Name

Best Practices for the Protection of Healthcare Facility‐Based First Receivers, Operations Level Refresher (EM 220 R)* *Online annual review Prerequisite: EM 220

MD/DO, PA, NP, RN, LPN, allied health, maintenance, environmental services, facility, engineering staff, security and contractors who are part of decontamination teams and/or setting up and taking down decontamination facilities

Online Intermediate level EM 220R topics: Identifying hazardous substances

Performing basic hazard and risk assessment techniques

Taking steps to maintain safety

Selecting the proper personal protective clothing and equipment (PPE)

Donning and doffing Level C protection

Explaining Level C protection using a powered air purifying respirator (PAPR)

Using PPE effectively Preparing for a decontamination event

Performing victim decontamination

Explaining special decontamination considerations

Regulations outlined in Congressional Federal Register, CFR 1910.120, and the Best Practices for Hospital‐Based First Receivers of Patients, which was a result of the Occupational Health Safety Act revisions of February 2005 to address the concerns of hospital responders




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YNHHS‐CHS Courses

HEALTHCARE COMPLIANCE Healthcare and facilities are required to protect the privacy of patients. Learners will learn about the Health Insurance Portability and Accountability Act (HIPAA) compliance rules and how the Health Information Technology for Economic and Clinical Health (HITECH) Act expands those rules by helping protect personal health information (PHI) when in an electronic format.


HIPAA Privacy and Security Rules (HC 110)

Recommended for all workers in a healthcare organization, subject to HIPAA compliance

Online Introductory level HC 110 topics: The HIPAA Act, including the privacy and security compliance regulations, patient identifiers and civil penalties

The concepts of patient authorization, the use or disclosure of PHI and how to safeguard PHI

The HITECH Act and its impact on HIPAA regulations

The types of electronic resources and media protected by HITECH and strategies used to protect the information



Documents

2014 Course Guide - ynhhs.emergencyeducation.orgynhhs.emergencyeducation.org/downloads/2014_CHSCourses.pdf · 2014 Course Guide Yale New Haven Health System Center for Healthcare