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STOP Infections Now!Interacting in WebEx

Apr 19, 2023 3

Be prepared to use:

•Pointer

•Raise your hand


STOP Infections Now!



Our Planning Team

Theresa FillatreCanadian Patient Safety Institute

Michael GardamUniversity Health NetworkLeah Gitterman

University Health NetworkAnne Maclaurin

Canadian Patient Safety InstitutePaige Reason

University Health NetworkKatie Procter

BC Patient Safety & Quality CouncilLiz RykertMeta Strategies

Bruce HarriesImprovement Associates

Virginia FlintoftSHN Central Measurement Team

Carrie HainesCanadian Patient Safety Institute

Dannie CurrieSIA, Safer Healthcare Now!

Denise SorelCanadian Patient Safety Institute

Jason ThompsonCanadian Patient Safety Institute

Paule BernierSIA SHN, Quebec

Tanis RollefstadSIA, Safer Healthcare Now!



Our FacultyErika Bailey

Erika Lee Bailey and AssociatesPetra Welsh

Fraser Health AuthorityLiz Van HornePublic Health Ontario

Susan McDonaldSiemens Healthcare Diagnostics

Keith McCandlessSocial Invention Group

Kathy DunnPublic Health Agency of Canada

Laurie O’NeilPublic Health Agency of Canada

Jennifer PlantTimmins and District Hospital

Betty FradgleySeniors Health Alberta

Anne-Marie LoweInstitut National de Sante Publique du

Quebec Angela Thomas

University Health Network

Gwen BrownSt. Francis Memorial HospitalColleen Snelgrove

Thunder Bay Regional Health Sciences Center

Mohammad SalhiaUniversity Health Network

Melissa CrumpVancouver General HospitalChantal Backman

The Ottawa HospitalJane Kirk

GOJO IndustriesChris Hayes

Canadian Patient Safety InstituteGreg Kennedy

Petra WalshFraser Health AuthorityKathy McGhie

3M, Infection Prevention SolutionsMatthew MullerSaint Michaels Hospital

Steve Black



The ProblemThe Problem

• Each year 8,000 Canadians die from healthcare associated infections

• 220,000 others get infected

• Treatment is more costly than prevention ($129 million for 2010)



Agreement

Cer

tain

ty

Low

Low High

HighSimple

Complicated

Complex

Adapted from Brenda Zimmerman, 2010



Approaching different Approaching different problemsproblems

9

• Simple/complicated problems– Search for solutions, “problem

solve”– Checklists, algorithms, best

practices• Complex problems

– No one size fits all– Local solutions, multiple actions– Allows for paradoxes– Importance of relationships– “minimum specifications”



……We know what to doWe know what to do

• Hand hygiene• Environmental cleaning• Surveillance• Precautions• Practice bundles

But for whatever reason we don’t always do them well…



Previous Initiatives: NACSPrevious Initiatives: NACS

• May 2010 – May 2011

• 3 “waves”

• Positive Deviance and Liberating Structures

• ~ 60 teams from across Canada joined over the 12 month period


STOP Infections Now!STOP Infections Now STOP Infections Now

CollaborativeCollaborative

• Help participating institutions improve compliance with evidence based strategies to reduce HAI’s

• Use Liberating structures and the Model for Improvement to engage people in changing behaviours and promoting culture change



• 12+6 Month Virtual Collaborative

• Supported by hand hygiene and NACS faculty

• 7 learning sessions + monthly team calls

• One-to-one coaching

• Liberating structures + Model for Improvement

STOP Infections Now STOP Infections Now CollaborativeCollaborative


STOP Infections Now!Improvement tools and Improvement tools and

strategiesstrategies• Liberating structures + Model for Improvement SINC GSK

• Implementation of change ideas using PDSA cycles (change package with ideas will be provided)

• Measurement: did the change make a difference

• One-to-one coaching

• Networking through learning sessions, team calls and the Community of Practice



Model for Improvement

• Powerful tool for accelerating improvement

• Model used by many healthcare organizations to improve healthcare processes and outcomes

t25297uhn

I think this slide should go before the slides on how the collaborative works - right after we talk about the liberating structures piece.



New Option for New Option for TransformationTransformation

Culture eats strategy for breakfast

• Same People

• Same Incentives

• Same organizational Structure

• Change Patterns of Relating

• Include and Unleash Everyone

Liberating Structures



What Teams Can ExpectWhat Teams Can Expect• Understand issues

related to improvement work and culture change

• Coaching support• Resources: GSK and

change package• Community of

practice• Learning with teams

from across Canada



LS1LS2 LS3 LS4/5 LS6

Pre-work

Call to action

October 5thInformation

Call 1

February 29th /March 7th November 10th

P

DS

AP

DS

A

Sept 16th2011

Stop Infections Now Collaborative

Oct 12thInformation

Call 2

One week One week

Nov. 16th Nov.23rd June 6th

P

DS

A

LS7Closing

Oct/Nov

• All collaborative calls between LS

• Regular use of CoP

Monthly calls until end of 18 months

P

DS

A



AIMAIM

• Support teams in the Virtual Learning Collaborative (VLC) to achieve a 30% reduction in healthcare associated infections

• Support teams to achieve hand hygiene compliance rates of at least 80%



Principles of this Principles of this CollaborativeCollaborative

• Everyone teaches, everyone learns

• Active participation• Measurement is

fundamental to targeted improvement work



Principles of this Principles of this CollaborativeCollaborative

• Nothing about me without me

• Practice deep respect for people and local solutions

• Practice self discovery within a group



Why Measure?

• To establish benchmarks• To monitor compliance with policies and

procedures• To understand the impact/efficacy of

your interventions



Whatever is being measured, it is important to use the information

gathered. Continually review the data and develop action plans to address

any issues



What to Measure?

• Measure the things that provide value for your setting

Ask yourself?• Is the information relevant? Will gathering

data add value?• Can this process or outcome be measured?• Can the data be fed back to frontline staff in

a way that makes sense to them?



MeasuresMeasures

Mandatory Optional**WHO assessment (pre and post)

Other local or selected measures that teams want to use such as:

•ABHR use•Soap use•Placement of ABHR (before and after)

Hand hygiene audit

At least one of: CDAD, MRSA* VRE* outcome measures

Environmental Cleaning

Culture Survey



Virtual Sessions: Using Virtual Sessions: Using WebexWebex

• Connect people through internet &/or telephone to create a virtual interactive learning environment

Requirements:– Meeting room with computer internet access– MS word, PowerPoint and Excel on computer– Discussion with IT re: firewall – Ability to play videos on the desktop– Telephone with speaker capabilities & hands free capacity


STOP Infections Now!Webex Training Sessions (for enrolled teams, choose

one):

October 12th

Time: 9:00 PDT; 10:00 MDT/CST; 11:00 CDT; 12:00 EDT; 1:00 ADT; 1:30 NDT

October 18th Time: 12:00 PDT; 1:00 MDT/CST; 2:00 CDT; 3:00 EDT;

4:00 ADT; 4:30 NDT



Requirements for Requirements for RegistrationRegistration

• Interdisciplinary team committed to building sustainable strategies to reduce HAI’s and improve hand hygiene

• Commitment to submit data• Active participation and sharing• Support by Executive leader• Enrolment in SHN and in SINC



Costs & RegistrationCosts & Registration• $1,000 per team (up to 7 team members)• 7 virtual learning sessions• Monthly team calls• Multiple action periods

t25297uhn

I think we should remove "3 action periods" because there will be a lot more action that that!


STOP Infections Now!QuestionsQuestions

Paige Reason

Project Manager

[email protected] x 8365

Anne MacLaurinProject Manager – [email protected]

French SIA SupportPaule Bernier

Safety and Improvement Advisor – SHN! Quebec

[email protected] x 5044

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