7/13/2016 iCM Mobile Toolkit Improves Frontline Care Delivery for #ZeroPatientHarm | Dr. Kate ONeill, DNP, RN | Pulse | LinkedIn

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iCM Mobile Toolkit Improves FrontlineCare Delivery for #ZeroPatientHarmPublished on July 6, 2016

Best Practice for Best Outcomes

WHO: iCareQuality is a best practice firm with healthcare innovation labs inPhiladelphia and Toronto. The iCQ team partnered with a community hospital in NewJersey to use the AHRQ CAUTI Toolkit to reduce catheter associated urinary tractinfections in the clinical setting. The QI project was implemented using the iCM Mobileplatform as part of the hospital yearly improvement plan and conducted over 10 weeksduring the Spring of 2016. The purpose of this pilot project was to increase nursingknowledge of AHRQ CAUTI best practices; (2) enhance frontline providerengagement; and (3) measure mobile technology uptake at the point of care in the acutecare setting.

CHALLENGE: Although healthcare is embracing mobile information technology witha global reach; yet adoption is slow and challenges remain with implementation andconnectivity issues. The NJ hospital was previously part of the CUSP project in 2013,but noted patient complexity, sparse clinical resources, and low provider engagementthat inhibited ongoing improvement and sustainability efforts. As with other similarinstitutions, outcomes were less than ideal and resulted in decreased organizationperformance and adverse patient outcomes. In recent months, Leapfrog reportedmedical errors to be the 3rd leading cause of death in the US. Failure to implement bestpractices, such as the AHRQ Toolkit, in a sustainable, cost effective manner, may

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Dr. Kate ONeill, DNP, RNCNO, VP Quality & Patient Safety, iCareQuality, Inc

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contribute to medical errors, clinical inefficiencies, and hospital waste.

RESULTS: CAUTI is one of the most common hospital acquired condition and was thefocus of this project in order to positively impact preventable deaths, and improvepatient and provider outcomes. The project plan included a multi­modal, time­serieseducational intervention design, incorporating the iCM Mobile Toolkit with onlinegamification, machine learning, and targeted staff educational activities. The mobiletechnology platform by iCareQuality included AHRQ CAUTI modules for shift­to­shiftreport, best practice CAUTI guide book, case studies, videos, quizzes, discussion board,and gamification reward points. The project setting included ICU and Medical/Surgicalnurses. Fifty frontline providers participated in Phase I that was mandatory, and 26 staffcontinued to participate in Phase II which was voluntary. Data showed a 20% increasein CAUTI staff knowledge pre and posttest p<.02; with a 300% reduction in Foley Freedevice days compared to 2015. Staff accrued 3800 gamification points for learningactivities and were awarded gift cards for participation. Staff rated “User TechnologyAcceptance” as very favorable in order to access frontline clinical learning tools.

LEARNING: Key findings from this socio­technical clinical project were threefold.The project demonstrated that a “just­in­time” education platform, using mobiletechnology at the point of care, not only improved staff learning but sustained ongoingprovider knowledge with respect to CAUTI best practices. Mobile tools helped toenhance clinical workflow efficiency and effectiveness by accessing AHRQ Tools at thepoint of care. Finally, incentivized learning and gamification principles, when appliedtactically in the clinical learning environment, helped to drive “active” workforceengagement. Leveraging mobile technology with targeted staff learning opportunitiesallowed providers to accrue rewards points, acquire best practice information to supporta learning organization culture, and improved patient outcomes.

NOTE: Special thanks to Jason Uppal, our CEO and Founder of the MillionInnovatorsAcademy for his technical assistance with this project. We are looking for innovativehospitals to collaborate on an upcoming project with sepsis and other hospital acquiredconditions using a similar model. If you are interested, please contact me atkate.oneill@icarequality.org for #ZeroPatientHarm.

Tagged in: patient safety, innovation research, healthcare information technology

Dr. Kate ONeill, DNP, RNCNO, VP Quality & Patient Safety, iCareQuality, Inc8 posts

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7/13/2016 iCM Mobile Toolkit Improves Frontline Care Delivery for #ZeroPatientHarm | Dr. Kate ONeill, DNP, RN | Pulse | LinkedIn

https://www.linkedin.com/pulse/mobile­toolkit­improves­frontline­care­delivery­oneill­dnp­rn?trk=mp­author­card 3/3

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Barbara Duffy, DHSc, MPH, CPHQ, LHRM, RNBarb Duffy Consulting LLC. Risk, Patient Safety, Quality, Online Instruction, SME

This is awesome - and I can see potential for application in so many other directions and areas. Iimagine this likewise makes for a wonderful PI/Quality project for the hospital and a greatgraduate/doctorate school project. How does this also impact documentation showing compliancewith policy & procedure, best practice, quality metrics, etc?

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Dr. Kate ONeill, DNP, RNCNO, VP Quality & Patient Safety, iCareQuality, Inc

Barb the iCMobile Toolkit is Plug and Play and can be used for almost any QI or educationapplication/project.

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