Quality Improvement Work Group Session #2
description
Transcript of Quality Improvement Work Group Session #2
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A BBC document developed by Orange County RPPC with Title V funding through CDPH/MCAH, 2010
Quality Improvement Work GroupSession #2
DateFacilitator/Chair person
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Hospital Report Possibilities
1. Data collection – current practice 2. Forming QI teams
3. Reviewing policies/procedures
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Resources for Sample Tools/Policies
Academy of Breastfeeding Medicine web site (www.bfmed.org) Click on Resources
California Department of Public Health’s Model Hospital Policy Recommendations and Toolkit (http://cdph.ca.gov/CAHospitalBFToolkit )
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Essentials of Successful QI Meetings
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Essentials Summary:Develop a Plan
Facilitator (keeps meeting on track)
Engaged and invited participants
Objectives
Agenda
Meeting assignments/preparation/data
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Facilitator
Keeps meeting focused on agenda Requests agenda items w/deadline for reply Circulates agenda w/meeting notice (time, place) at
least a week prior to meeting May designate Parliamentarian/gate keeper to help Follows time frame May create ‘parking lot’ for non-agenda items that
need handling later
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Engaged/Invited Participants
Appeal to special interest of each e.g. Couplet care costs less in staffing e.g. Well babies transition smoother e.g. Stable sick babies maintain temp better e.g. Soothing strategy goes beyond BF decreasing late
night peds calls e.g.Empowers both parents promoting bonding decreasing risk of abuse
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Participant Responsibilities
Be on time!!! Sign – in Accept or decline meeting by email/phone Engage in positive discourse/constructive
criticism Share responsibilities that evolve
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Objectives
Clearly defined Measurable Guides the meeting in what needs to be accomplished
e.g. The group will choose one of the 10 Model Hospital Policies to begin implementing in their facility
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Measurable Objective
Policy #5: Nurses, physicians, etc should encourage new mothers to hold their newborns skin to skin during the first two hours following birth and as much as possible thereafter, unless contraindicated.
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Agenda
Communicates meeting objectivesProvides for information gathering
What’s happening?e.g. Analyze current policies
What needs to happen/how do we get there?e.g. Edit current or create new policies
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Specific Agenda Information Gathering Applicable to Policy #5
Policies Review currente.g. Is there rooming-in 23 of 24 hours?Are babies recovered with mothers?
vaginal birthsc-section births
Data Gather current baseline data e.g. How long are babies skin-to-skin now? e.g. Determined by retro chart audits or prospective forms Determine how much and how long to monitor e.g. Skin-to-skin 30 minutes/baby monitored for 1 month
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Meeting Assignments/Prep
Minutes Time keeper Presenters
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Next Meeting Assignments
Summarize, record action points (minutes) Clearly state assignment, responsible party,
deadline (see minutes template) Determine plan for future meetings
e.g. time, place, length, food or noReport Meeting Summary to next Regional
BBC QI Work Group!
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Thank You!
Together we make a bigger difference!