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October 26, 2011
Human Capital Communications Collaborative
Wednesday Webinar Series
Prepared by McKinney & Associates
PowerPoints with Punch:
From Crutch
to Asset
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Questions:Please submit your questions via the chat feature. We will have
about 15 minutes for Q&A at the end of the webinar presentation.
An archive of the webinar and the slide deck will be posted by
October 31st atwww.rwjfleaders.org/resources
Stay tuned for a live PowerPoint critique and analysis!
HOUSEKEEPING
Webinar / Slide Deck Archive:
Post-Webinar Slide Critique
Todays Moderator:
Mike Madison, Forum One Communications
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Todays Presenters:
Linda Wright Moore, Robert Wood Johnson Foundation
Senior Communications Officer Keys to Success; Visual Appeal; Dont Be a Parrot; When
Less is More.
Fran Macalino, Macalino Marketing
President Great Graphics; Adhering to the RWJF Style Guide
Gwen McKinney, McKinney & Associates
President & Founder
WELCOME
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Post Webinar Slide Critique:
Richard Montgomery, McKinney & Associates
Design and Art Director
Ryan Duncan, McKinney & AssociatesNew Media Coordinator
WELCOME
Michael D. Cohen
Investigator in Health Policy Research (06) Elise Lawson
RWJF Clinical Scholar (09-12)
Vicki Nishioka, Ph.D.Evaluating Innovations in Nursing Education
Submitted Program Slides Provided By:
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Keys to Success
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A Successful Presentation IncorporatesPlanning! Purpose Desired Outcome
Keys to Success
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Planning to PlanSubject Matter
Audience
Research
Keys to Success
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Planning to Plan
Timing
Keys to Success
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Plan Your Message
Tell A StoryBeginning, Middle, and End
Keys to Success
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Engage Your Audience
Open with
something
surprising or
intriguing
Keys to Success
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Build to Conclusion
Dont lose your
audience
Keys to Success
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Ask Questions
Quiz Their Knowledge
Conduct a Q&A
Keys to Success
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PRACTICE!
PRACTICE!
PRACTICE!
Keys to Success
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Use PowerPoint forVisual Appeal
Effective use
ofcolor, type& Design
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Visual Appeal
Using design templates
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Be ConsistentStandardize Positions
Colors/Contrasts
Fonts/Styles
Visual Appeal
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Be Consistent
Visual Appeal
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Visual Appeal
Before:
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Visual Appeal
After:
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Be ConsistentEffects
Transitions
Animations
Visual Appeal
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Larger fonts
indicate
more
important
information.
Fun
with
FONTS
Visual Appeal
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Font size generally
ranges from 18 to
48point.
FunwithFONTS Sans serifs like
Arial, Helvetica, or
Calibri tend to bethe easiest to read
on screens.
Visual Appeal
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Use decorative fonts onlyif theyre easy to read!
Fun
with
FONTS
Visual Appeal
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Be sure text
color(s)
contrastwith
background.
Funwith FONTS
Put dark text
on a light
background.
Align text
left
or right.
WORDS IN
ALL
CAPITAL
LETTERSARE HARD
TO READ.
Visual Appeal
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DONT BE APARROT!
D
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Avoid reading directly off of slide: You dont have to turn your slides into
excerpts of your written presentation.
Thats kind of boring because theres
really no reason to look at the slides if
you, the presenter, are reading them.
Are you falling asleep yet?
Dont Be a Parrot
D B P
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Dont Be a Parrot
The slide is NOT a cue card,
and neither is your hand.
D B P
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The slides should: Reinforce what your saying
Visuals & graphics shouldunderline your point
Dont Be a Parrot
D B P
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29
Dont Be a Parrot
D B P
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30
Dont Be a Parrot
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When Less Is More
Wh M
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When Less Is More
High in visuals
& low in words
Wh M
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Avoid long
sentences..
Text Guidelines
When Less Is More
Wh M
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Generally no more
than 6 words a line
Text Guidelines
Generally no more
than 6 lines a slide
When Less Is More
Wh M
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Avoid abbreviations
and acronyms
Text Guidelines
Limit punctuation
marks!!!!!!!!!!!!!!!!
When Less Is More
Happy Halloween
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NURSING
McKinney
Dont forget to have fun!
Happy Halloween
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Great Graphics
Great Graphics
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HUMAN CAPITAL IS
DEFINED BY THE PEOPLE
IN WHOM THEFOUNDATION INVESTS.
Visual images help make a slide
more interesting.
Great Graphics
Great Graphics
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RWJF supports collaborative,
interdisciplinary approaches
to health care research and
practice to maximize quality,
cost and innovation. People
from all perspectives value
opportunities to work with
and learn from others with
whom they might not
otherwise interact.
collaborative
opportunities
Images should enhance and
complement the text.
Great Graphics
Great Graphics
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Finds and attracts diverse individuals to pursue
careers in health and health care.
Creates pathways for frontline health care
workers to expand their career opportunities.
Supports scholars conducting pioneering
health research.
THE HUMAN CAPITAL
INVESTMENT
Great Graphics
Great Graphics
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Finds and attracts diverse individuals
to pursue careersin health and health care.
Creates pathways for frontline health care
workersto expand their career opportunities.
Supports scholars conducting pioneering
health research.
THE HUMAN CAPITAL
INVESTMENT
Great Graphics
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Adhering To TheRWJF Style Guides
RWJF Style Guide
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The Robert Wood Johnson Foundation
logo is a distinctive graphic element and
must not be altered for any reason. It is
composed of two parts: the symbol and
logotype. These parts are always held in
a fixed relationship with each other.
Horizontal Lockup
Symbol
Logotype
Logo Guidelines
RWJF Style Guide
RWJF Style Guide
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Support Statements
RWJF Style Guide
Grantees other than national programs may
only use the Foundations logo with
permission and should use the following
support statements as appropriate:
is a grantee of a national program of the Robert
Wood Johnson Foundation.
Support for this was provided
by a grant from the Robert Wood Johnson
Foundations
program.
RWJF Style Guide
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Using Templates
RWJF Style Guide
RWJF Style Guide
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Typography
RWJF Style Guide
RWJF Style Guide
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RWJF Style Guide
Contact
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Q&A
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Thank You!Stay tuned for post
webinar sample critique
& recommendations!
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Campaign for Action forNon-Nursing Audiences
November 16, 2011 GYMR
Next Webinar
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Sample Critique &
Recommendations
Welcome!
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Thank You!
Michael D. CohenInvestigator in Health Policy Research (06)
Elise LawsonRWJF Clinical Scholar (09-12)
Vicki Nishioka, Ph.D.Evaluating Innovations in Nursing Education
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Association Between PostoperativeMorbidity and Readmission:
Implications for Quality
Improvement and Cost Savings
Elise H. Lawson
Bruce Lee Hall, Rachel Louie, Susan Ettner,David S. Zingmond, Clifford Y. Ko
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October 26, 2011
Association Between Postoperative
Morbidity and Readmission:Implications for Quality Improvement
and Cost Savings
Elise H. Lawson
Bruce Lee Hall, Rachel Louie, Susan Ettner,
David S. Zingmond, Clifford Y. Ko
I i li f d i i
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30-day readmission rates (2009)12.7% Surgical patients
16.1% Medical patients
Source of excess cost for Medicare(estimated $17 billion)
Planned reduction in payment forreadmissions in 2013
Increasing policy focus on readmission
Increasing Policy Focus on Readmission
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16.1%
Increasing Policy Focus on Readmission
Increasing Policy Focus on Readmission
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Source of excess cost for Medicare(estimated $17 billion)
Increasing Policy Focus on Readmission
Increasing Policy Focus on Readmission
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Planned reduction in payment forreadmissions in 2013.
Increasing Policy Focus on Readmission
Wh are s rgical patients readmitted?
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Planned readmissions Chemotherapy, elective procedures
Unplanned but unrelated to primary admission Trauma, falls
Unplanned and related to initial hospitalization
Exacerbation of preoperative comorbidity
Postoperative morbidity
Why are surgical patients readmitted?
Why Are Surgical Patients Readmitted?
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Planned Readmissionso Chemotherapy, elective procedures
Why Are Surgical Patients Readmitted?
Why Are Surgical Patients Readmitted?
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Unplanned But Unrelated
To Primary Admission
o Trauma, Falls
y g
Why Are Surgical Patients Readmitted?
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Unplanned and relatedtoinitial hospitalization
o Exacerbation of preoperative
comorbidity
o Postoperative morbidity
y g
Data Sources
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Patient-level records linked between:1. ACS National Surgical Quality Improvement
Program (NSQIP) (2005-2008)
Clinical registry
Variables: Risk factors, procedure, postoperativemorbidity
2. Medicare Provider Analysis and Review file(MedPAR) (2005-2008)
Inpatient claims data
Variables: Readmissions and associated costs
Data Sources
Data Sources
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Patient-level records linked between:
1. ACS National Surgical Quality Improvement
Program (NSQIP) (2005-2008)
Clinical registry
Variables: Risk factors, procedure, postoperative
morbidity
2. Medicare Provider Analysis and Review
file (MedPAR) (2005-2008)
Inpatient claims data
Variables: Readmissions and
associated costs
Study Sample
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Inclusion criteria:
Patients aged 65 years who underwent a surgical
procedure in 2005-2008
Exclusion criteria: Patients with non-Medicare primary payer
Patients that could not be readmitted
Not discharged from primary hospitalization
Died before discharge
Final sample: 90,932 patients from 214 hospitals
Study Sample
Study Sample
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y p
Inclusion Criteria: Patients aged 65 years
who underwent a surgicalprocedure in 2005-2008
Study Sample
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y p
Exclusion Criteria: Patients with non-Medicareprimary payer
Patients that could not bereadmitted
o Not discharged from primary
hospitalization
o Died before discharge
Study Sample
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y p
Final Sample: 90,932 patients from
214 hospitals
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Dedicated Education Units
Robert Wood Johnson Foundation
Evaluating Innovations in Nursing
Vicki Nishioka, [email protected]
Susan Moscato, EdD, [email protected]
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October 26, 2011
Dedicated Education Units
Robert Wood Johnson FoundationEvaluating Innovations in Nursing
Vicki Nishioka, PhD
Susan Moscato, EdD, [email protected]
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EVALUATION QUESTION AND PARTICIPANTS
University of South Carolina College of Nursing
University Specialty Clinics
University of Tennessee Health Science Centerat Memphis College of Nursing
Methodist University Hospital
School of Nursing at University of Buffalo Erie County Medial Center
Kaleida Health
Roswell Park Cancer Institute
Hospice at Buffalo
What impact does the introduction of additional faculty members (DEU nurseteachers) and restructuring the role of academic clinical faculty members have onacademic faculty to student ratios, the average number of students placed in eachclinical site, and work-life satisfaction of faculty and nurse teachers?
How do student perceptions of the quality of clinical education received onDedicated Education Units compare to traditional clinical education placements?
DEMONSTRATION SITEUniversity of Portland School of Nursing
Clinical Partners
Providence Portland Medical Center
Providence St. Vincent Medical Center
Portland VA Medical Center
REPLICATION SITES
Evaluation Questions
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Q
Impact
Perceptions
Participants
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p
University of South Carolina College of Nursing
University Specialty Clinics
University of Tennessee Health Science Center at Memphis College of Nursing
Methodist University Hospital
School of Nursing at University of Buffalo
Erie County Medial Center
Kaleida Health
Roswell Park Cancer Institute
Hospice at Buffalo
Demonstration Site University of Portland School
of Nursing
Clinical Partners:
Providence Portland Medical Center
Providence St. Vincent Medical Center
Portland VA Medical Center
Participants
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p
University of South Carolina College of Nursing
University Specialty Clinics
University of Tennessee Health Science Center at Memphis College of Nursing
Methodist University Hospital
School of Nursing at University of Buffalo
Erie County Medial Center
Kaleida Health
Roswell Park Cancer Institute
Hospice at Buffalo
Replication Sites University of South Carolina College of
Nursing
University Specialty Clinics
University of Tennessee Health Science Center
at Memphis College of Nursing
Methodist University Hospital
School of Nursing at University of Buffalo
Erie County Medial Center
Kaleida Health
Roswell Park Cancer Institute
Hospice at Buffalo
Traditional clinical education
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Waiting and missed opportunities
Unclear roles and communication
Quality varies Nurses teaching experience
Faculty familiarity with unit routines
Faculty and unit staff relationships
Stressful learning situation
Hard to get help
All units are not friendly
Traditional Clinical Education
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Waiting & Missed Opportunities
Traditional Clinical Education
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Unclear Roles & Communication
Traditional Clinical Education
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Quality VariesNurses teaching experience
Faculty familiarity with unit routines
Faculty and unit staff relationships
Traditional Clinical Education
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Stressful Learning Situation Hard to get help
All units are not friendly
What is a DEU?
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A dedicated education unit (DEU) is aunit within a hospital or other health care
facility that is dedicated to providing
clinical education for nursing students,while delivering optimal care to patients
on the unit.
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What is a DEU?
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What is a DEU?A dedicated education unit (DEU) is a
unit within a hospital or other health care
facility that is dedicated to providing
clinical education for nursing students,while delivering optimal care to patients
on the unit.
Faculty to Student Ratio
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Traditional1:8
Dedicated Education Unit
1:16
Faculty to Student Ratio
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Traditional
Dedicated Education Unit
1
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Handoffs in Hospitals
A presentation for theRobert Wood Johnson Foundation
Investigator Awards Annual Meeting
Michael D. Cohen
School of Information
University of Michigan
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October 13, 2011
Handoffs in HospitalsRobert Wood Johnson FoundationInvestigator Awards Annual Meeting
Michael D. Cohen
School of InformationUniversity of Michigan
h d ff i t d ti
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handoffs an introduction
handoff the communication that occurs duringa change in who is responsible for or who is incontrol of a patient in a hospital
also known as: signout, [nursing] report,
handover, Doctors, nurses, and many other technical
personnel who perform procedures or transport
not rounds; not discharge
Handoff communications frame each newinterval of patient care, orienting subsequentwork
Introduction
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HandoffsThe communication that occurs
during a change in who is
responsible foror who is incontrol ofa patient in a hospital
Also known as: signout,[nursing] report, handover
h h d ff b h t i
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how handoff became a research topic
obvious danger from omissions and errors
communication failure in 65 percent of root
cause analyses of patient-safety sentinel
events
changes in resident work-hours that increase
handoff frequency
AHRQ hospital surveys identifying handoff asworrisome point of potential failure
How a Handoff Becomes a Research Topic
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Communication failure in 65%
of root cause analyses of patient-
safety sentinel events
AHRQ hospital surveys identifying handoffas worrisome point of potential failure
Changes in resident work-hours
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AHRQ xxHC 2005 & 2007 Results Compared to AHRQ Teachingand NonTeaching Hospitals
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AHRQ xxHC 2005 & 2007 Results Compared to AHRQ Teachingand NonTeaching Hospitals
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The EndFor any further questions you can contact todays presenters at:
Ryan Duncan: [email protected]
Richard Montgomery: [email protected]
Fran Macalino: [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]