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INTERACT Webinar Series
October 26, 2016
with presenters: Carol Dietz, RN, MBA, CPHQ
Sheila Eckenrode, BSN, MA, CPHQ Florence Johnson, RN, MSN, MHA
Session 8: Change in Condition File Cards and Care Paths
Today’s Session Objectives
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Understand how to use the INTERACT Change in Condition File Cards and Care Paths
Develop a plan for implementing the Change in Condition File Cards and Care Paths on each of your units within your facility
Understand the importance of using the SBAR tool when reporting a change of condition to the MD/APRN/PA and during an acute care transfer
Update on implementation progress by individual facilities
• Minimum participation in the INTERACT webinars: – 7 webinars out of the 9 webinars (deadline to complete is January 15,
2017)
and • Send readmission data to Qualidigm for at least 4 months –
deadline to send to Qualidigm is Jan 15, 2017 – Enter data into the Advancing Excellence tool: ‘Safely Reducing
Hospitalization Tracking Tool’ and sign the Data Use Agreement (DUA) document allowing Qualidigm to access your readmission data for 4 months
– Send your facility’s readmission data via email or fax for at least 4 months using your corporate tool or the readmission collection tool created by the New England QIN-QIO (contact Florence if you need a copy of this tool)
INTERACT Participation Certificate
Readmission Tracking Tool
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2016 Readmission Rate Collection Tool
Organization: Name of person completing form
Month Enter total number of
residents (average daily census at end of month)
Enter total number of Hospital Readmissions
within 30 days
Enter total number of transfers to the ED within
30 days
Enter total number of transfers to an
Observation bed/unit within 30 days
Calculated 30-Day Readmission Rate
January
February
March
April
May
June
July
August
September
October
November
December
Total Annual 0 0 0
INTERACT Participation Certificate and
(new for the 2016 webinar series) • Your nursing home administrator will
complete the INTERACT Implementation Checklist to verify the degree to which the INTERACT Quality Improvement Program has been implemented in your building (deadline to send to Qualidigm is January 15, 2017)
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INTERACT Implementation Checklist
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Accessing the INTERACT Webinars after each session • If you missed a session you can go on our website to listen to the
missed session (we download the participation list monthly – each facility is only allowed 2 on-lines sessions to watch)
New England QIN-QIO website: http://www.healthcarefornewengland.org/ • Click on the ‘Events’ tab • Scroll down to the ‘Previous Events’ link • Click on month to find the session you missed • Click on the webinar recording link • Complete the information before downloading the
webinar presentation
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INTERACT Session Dates • March 30, 2016 • April 27, 2016 • May 25, 2016 • June 29, 2016 • July 27, 2016 • August 31, 2016 • September 28, 2016
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Decision Support Tools
• Acute Change in Condition File Cards
• Care Paths • Designed to provide staff with
evidence based best practices
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Acute Change in Condition File Cards • Can be used by all nursing home licensed
nursing staff and primary care clinicians • Provide guidance on when to communicate
acute changes in status to MD, NP, and /or PA • Recommend placement at nurse’s station or
on med carts for quick reference • 4" x 6" laminated cards may be put in a flip-
chart or rolodex format for placement by nursing station phones, or med carts
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Care Paths
• Provide guidance on the recognition, evaluation, and management of 10 common conditions leading to transfers
• Works in conjunction with the Change in Condition File Cards
• Buy-in from Medical Director and other medical team members is essential
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Care Paths
Provide decision trees for the implementation of evidence based best practice
Helpful for new graduates, orientation of new staff and may be used to support policy and procedure
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Polling Questions
• My facility uses the Care Paths….
Yes NO
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Sharing Session
Review issues from last month’s homework
Discuss successes and barriers during 15 minute sharing session
Discuss this month’s homework
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Homework from Session 7 Prior to your next INTERACT team meeting: • The team leader will download the Advanced Care
Planning Tools and the Communication Guide from the INTERACT website and make copies of the tools for the team to review.
• The team leader will download these tools to a facility computer on a shared drive.
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Homework from Session #7 During your next team meeting: • The team will review together the Advanced Planning
tools and Communication Guide • The team will discuss how and when the staff nurses,
social workers, supervisors and leadership/medical director will be educated on the use of these tools and will decide which unit will begin to use these tools
• A timeline will be developed by the team to define when the education will occur and when the tools will first be implemented
• The plan will include a debrief by the team and the participating staff as to how things went after the tools are used for the first time
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Homework from Session 7
During the team meeting: • The team will discuss any issues with the data entry into
the readmission tracking tool that the facility is using to track readmissions
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Group Discussion Do you have any lessons learned, successes, or challenges that you want to share as you: • developed the process for educating your staff on the
INTERACT tools used for Advanced Care Planning? • talked with your leadership and Medical Director about
tool implementation? • used the tools for the first time in your facility?
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Homework for Session #8 • Review the Acute Change in Condition File
Cards with the Implementation Team • Decide on placement at the nurse’s station for
both the File Cards and Care Pathways • Develop an implementation plan for staff
education
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Homework for Session #8 • Review the INTERACT Implementation
Checklist to assist your team in identifying the degree to which the INTERACT QI Program has been implemented into your facility
• Implementation requires all of these key components, not just using selected INTERACT tools
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Homework for Session #8 • If you find a gap in any of the areas on the
Implementation Checklist, conduct a root cause analysis as to why the implementation of the tool or process has not taken place
• Be ready to share your finding during the next webinar on November 30th
• Discuss the teams’ completion of the INTERACT Implementation Checklist with your administrator
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Questions?
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Contact Information Regional INTERACT team contacts: Florence Johnson, RN, MSN, MHA Certified INTERACT ® Educator [email protected] (860) 613-4187 Sheila Eckenrode, BSN, MA, CPHQ [email protected] (860) 613-4197 Carol Dietz, RN, MBA, CPHQ [email protected] (860) 632-3737
31 This material was prepared by the New England Quality Innovation Network-Quality Improvement Organization (QIN-QIO), the Medicare Quality Improvement Organization for New England, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOWQIN_CT-6133-102016_0785
