Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program
-
Upload
kaiser-permanente -
Category
Health & Medicine
-
view
53 -
download
0
description
Transcript of Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program
![Page 1: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/1.jpg)
Kaiser Permanente, Northern California
Caritas in ActionHow Caring Science informs and inspires KP caregivers and affirms our commitment to provide our
patients and their families exceptional care
Caritas Consortium 2013
Caring Science as a Lens to Reframe & Revitalize HAPU Prevention
![Page 2: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/2.jpg)
Intent to Contribute Statement:KP Santa Clara was identified as having the highest hospital acquired pressure ulcer rate in the entire company in 2012.
The Data: Metrics prior to development of caring infrastructure: CalNoc, HAPU Data by volume, and 1K/patient days. In the development of the HAPU Prevention Program, the caring science was used as the theoretical framework. Three Caritas Processes were selected to build a strong infrastructure:
First caritas: Teaching and Learning focused on several areas: Failure Modes Effect Analysis, Onsite Visit to KP Sacramento's best practices; understanding the etiology of pressure versus non pressure; bringing a variety of educational offerings to the multidisciplinary team including frontline staff.
Second caritas process: Holistic Care with early identification of pressure ulcers on admission; total head to toe assessment including the skin; performing root cause investigations on all HAPUs to uncover both psychosocial and physiological activities.
The third caritas process is creating a Healing Environment which focuses on the environment to promote sustainability with gains with this HAPU Prevention Program, such as moving from a reactionary to a proactive mode of care delivery and auditing 2 RN Verification for all patients on admission and transfer and those patients with a Braden Score of 16 or less during shift.
This Caring Approach has improved the quality of patient care in the area of HAPU Prevention by having improved CalNoc Prevalence and Incidence Study in Quarter 3 and 4 of 2012 and Quarter 1 in 2013 with dramatic reduction of HAPUs in Quarter 4 2012 and Quarter 1 2013.
Caring Science as a Lens to Reframe & Revitalize HAPU Prevention
Page 2
![Page 3: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/3.jpg)
Keyword TAGs: Identifier
Consortium2013-July, Santa Clara, Podium, Poster, Patient Care Services
Education & Staff Dev, Hospital Initiatives, Healing Environments, Patients/Families
Descriptor HEROES, Research and Metrics
Inspired Contributor(s) 1 : Kathy Ricossa
------
Service Area: Santa Clara
Medical Center: SCL
Affiliation: PCS
------
Year Shared: 2013
Venue: Caritas Consortium
Format: Art, PowerPoint
ID #: 15
Caring Science as a Lens to Reframe & Revitalize HAPU Prevention
Page 3
![Page 4: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/4.jpg)
Story: Respecting Patient/ Family Choice Through Authentic Presence
Caring Science as a Lens to Reframe & Revitalize HAPU Prevention
Page 4
![Page 5: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/5.jpg)
Welcome to Kaiser Permanente in Santa Clara!Our Story…
Page 5
![Page 6: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/6.jpg)
Cal Noc Prevalence and Incidence Studies
Page 6
![Page 7: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/7.jpg)
HAPU Rates by Year
2009 2010 2011 20120
20
40
60
80
100
120
140
160
180
200
Page 7
![Page 8: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/8.jpg)
2012 HAPU Monthly Volume Report
8Page 8
![Page 9: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/9.jpg)
HAPU Prevention Examining the Caritas Processes
• Building a Strong Infrastructure Teaching and Learning Holistic Care Healing Environment
Reference DiNapoli, P., Turkel, M., Nelson, J., & Watson, J. (2010).
Measuring the Caritas Processes: Caring Factor Survey. International Journal for Human Caring, 14(3), 15-20.
Page 9
![Page 10: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/10.jpg)
Teaching and Learning
• 2011-2013 Failures Mode Effects Analysis
• Learning from others Learning from KP Sacramento Best Practices
• Bringing these best practices back to our facility
• Understanding the difference between pressure and non pressure
• Bringing Wound Care educational offerings to the facility Distinguished Speakers; Vendor Days; Webinars
Page 10
![Page 11: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/11.jpg)
Holistic Care
• Identification of pressure ulcers on admission
• Examining the entire patient from “hair to toe” assessment
• Involving all health care workers in a multidisciplinary approach
• Performing Root Cause Investigations for all pressure related skin alterations Uncover all aspects of the patient
Page 11
![Page 12: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/12.jpg)
Healing Environment
• Moving from reactionary mode to proactive approach to identify patients who are high risk
• Focus on the environment which promotes keen assessments and prompt interventions 2 RN Verification
— Admission, Transfer, During Shift
Turning Every 2 Hours
Page 12
![Page 13: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/13.jpg)
Is the Caring Science Model affecting our patient care outcomes?
Page 13
![Page 14: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/14.jpg)
HAPU Rates by Year
2009 2010 2011 2012 20130
20
40
60
80
100
120
140
160
180
200
184
145
97
132
12
Page 14
![Page 15: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/15.jpg)
Cal Noc P&I Study Update
Page 15
![Page 16: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/16.jpg)
Most Recent HAPU Data by Volume
Page 16
![Page 17: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/17.jpg)
2 RN Verification Admission
Page 17
![Page 18: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/18.jpg)
2 RN Verification on Transfer
Page 18
![Page 19: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/19.jpg)
2 RN Verification During Shift with Braden Score 16<
Page 19
![Page 20: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/20.jpg)
Page 20
![Page 21: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/21.jpg)
Page 21
![Page 22: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/22.jpg)
Page 22
![Page 23: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/23.jpg)
Page 23
![Page 24: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/24.jpg)
Page 24
![Page 25: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/25.jpg)
Page 25
![Page 26: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/26.jpg)
Page 26
![Page 27: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/27.jpg)
Page 27
![Page 28: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/28.jpg)
Page 28
![Page 29: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/29.jpg)
Page 29
![Page 30: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/30.jpg)
Page 30
![Page 31: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/31.jpg)
Page 31
![Page 32: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/32.jpg)
Page 32
![Page 33: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/33.jpg)
Page 33
![Page 34: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/34.jpg)
Page 34
![Page 35: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/35.jpg)
Page 35
![Page 36: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/36.jpg)
Page 36
![Page 37: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/37.jpg)
Page 37
![Page 38: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/38.jpg)
Page 38
![Page 39: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/39.jpg)
Page 39
![Page 40: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/40.jpg)
Page 40
![Page 41: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/41.jpg)
Page 41
![Page 42: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/42.jpg)
Page 42
![Page 43: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/43.jpg)
Page 43
![Page 44: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/44.jpg)
Page 44
![Page 45: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/45.jpg)
Page 45
![Page 46: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/46.jpg)
Page 46
![Page 47: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/47.jpg)
Page 47
![Page 48: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/48.jpg)
Page 48
![Page 49: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/49.jpg)
Page 49
![Page 50: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/50.jpg)
Page 50
![Page 51: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/51.jpg)
Page 51
![Page 52: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/52.jpg)
Page 52
![Page 53: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/53.jpg)
Page 53
![Page 54: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/54.jpg)
Page 54
![Page 55: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/55.jpg)
Page 55
![Page 56: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/56.jpg)
Page 56
![Page 57: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/57.jpg)
Kaiser Santa Clara CaresAbout HAPU Prevention
Page 57
![Page 58: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/58.jpg)
The Magic of KP Santa Clara Continues…
Page 58
![Page 59: Caring Science as a Lens to Reframe and Revitalize HAPU Prevention Program](https://reader036.fdocuments.in/reader036/viewer/2022062308/559093de1a28abab538b46c0/html5/thumbnails/59.jpg)
Thank you for allowing me to share our story
• Contact Information
• [email protected] 408.851.7804
Page 59