Quality Improvement in Arizona CAHs—System and Practice

Past Events | Resources | Links

Health Services Advisory Group, Inc. (HSAG), in collaboration with The Rural Hospital Flexibility (Flex) Program, Rural Health Office, The University of Arizona Mel and Enid Zuckerman College of Public Health, is conducting a one-year multi-method quality improvement project for Critical Access Hospitals (CAHs) in Arizona. The project is based on needs identified by hospital staff and leadership of participating hospitals. The primary objective of the project is to build the CAHs' quality improvement capabilities by providing participants with knowledge, skills, and tools they can use for designing, implementing, and "hardwiring"/maintaining system-level improvements.

The project design includes a series of interactive learning sessions that are enhanced with pre-session assignments and homework. Other complementary project methods include engaging CEOs through targeted communications, conducting individual follow-up phone consultations to provide technical assistance, and holding interactive group WebEx sessions to share barriers and lessons learned.

Past Events

• Year 2—August 29, 2011: WebEx 1—Transforming to Becoming a Learning Organization
  • Agenda
  • Dr. Silvey Presentation—Transition to Becoming a Learning Organization

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• Year 2—July 22, 2011: Learning Session 2—Analyzing Information for Decision Support
  • Agenda
  • Dr. Silvey Presentation—Analyzing Information for Decision Support
  • White Paper: Using Simple Questions to Ensure Your Data Are Providing Meaningful Answers for Your Board, Your Leadership, and You
  • Technical Assistance
    • Sample Infection Control Report
    • Infection Control Report Template
    • Example QI Report Format Including Key Information
  • Fast Facts

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• Year 2—May 6, 2011: Learning Session 1—Hardwiring Your System's Changes
  • Agenda
  • Dr. Silvey Presentation—Hardwiring Your System's Changes
  • Cobre Valley Regional Medical Center Presentation—Ongoing Journey to an Effective Infection Control Team
  • Southeast Arizona Medical Center Presentation—Getting Them There and Keeping Them There
  • Lessons Learned Worksheet
  • Update: CMS' Focus On Infection—APIC FAQs for Healthcare-Acquired Infections (HAIs) and other resources
    • Surgical Site Infections (SSI)
    • Central Line-Associated Bloodstream Infection (CLABSI)
    • Catheter-Associated Urinary Tract Infection (CAUTI)
    • Ventilator-Associated Pneumonia (VAP)
    • Clostridium difficile (C. diff)
    • Methicillin-Resistant Staphylococcus aureus (MRSA)
    • Vancomycin-Resistant Enterococcus (VRE)
    • Remove that Foley!
    • Hand Hygiene Music Video
    • Maryland Hospital Hand Hygiene Collaborative
  • APIC Resources and Outcomes Measures Worksheet

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• Year 1—August 10, 2010: WebEx #4
  • Agenda
  • Dr. Silvey—PowerPoint Handouts: Identifying and Overcoming Barriers
  • WebEx Recording
  • Checklist and Worksheet

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• Year 1—June 17, 2010: Learning Session 3—Launching Your Process
  • Agenda
  • Sage Memorial Hospital—Presentation
    • Data Monitoring Plan
    • Implementation Plan
    • Isolation Precautions Audit Tool
  • Cobre Valley Regional Medical Center—Presentation
    • Data Monitoring Plan
    • Implementation Plan
  • Hopi Healthcare Center
    • Data Monitoring Plan
    • Implementation Plan
    • Survey Tracking Form
  • IHS Colorado River Service Unit—Presentation
  • Southeast Arizona Medical Center—Presentation
    • Implementation Plan
    • Data Collection Tool
  • Copper Queen Community Hospital
    • Data Monitoring Plan
    • Implementation Plan
    • Data Collection Tool
  • Fast Facts

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• Year 1—April 29, 2010: WebEx #3
  • Agenda
  • Dr. Silvey—Implementing and Monitoring Your Process: Tools and Techniques
  • WebEx Recording
  • Sample Process Flow Chart (Cobre Valley Regional Medical Center)
  • Implementation Plan Template
  • Example CEO Message
  • Example Data Monitoring Plan
  • Data Monitoring Plan Template
  • Example Data Collection Tool

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• Year 1—February 23, 2010: WebEx #2
  • Agenda
  • Dr. Silvey—Refining and Measuring Your Process (Part 2)

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• Year 1—January 21, 2010: Learning Session 2—Refining and Measuring Your Process
  • Agenda
  • Dr. Silvey—Refining and Measuring your Process (MS PowerPoint)
  • Colorado River Service Unit Infection Monitoring Process
  • Colorado River Service Unit Aim Statement
  • Sage Memorial Hospital Isolation Precautions Process
  • Sage Memorial Hospital Aim Statement
  • Wickenburg Community Hospital Infection Monitoring Process
  • Wickenberg Community Hospital Aim Statement
  • Team Charter Template (MS Word)
  • Meeting Fast Facts

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• Year 1—November 19, 2009: Learning Session 1
  • Agenda
  • Dr. Silvey—Project Overview Presentation
  • Dr. Silvey—The Value of Guiding Principles and Leadership Engagement in Setting System-Level Aims
  • Model for Improvement Worksheet
  • Dr. Silvey—Introduction to Root Cause Analysis: Understanding the Causes of Events
  • Dr. Silvey—Plan, Do, Study, Act (PDSA) Improvement Model and Process Mapping
  • Meeting Fast Facts

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• Year 1—November 2, 2009: Kick-off WebEx
  • Agenda
  • Dr. Silvey—Infection Monitoring in Rural Hospitals: System and Practice
  • WebEx Recording

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Resources

CDC Guideline for Infection Control in Healthcare Personnel
CDC Guideline for Isolation Precautions: Preventing Transmissions of Infectious Agents in Healthcare Settings
APIC (Association for Professionals in Infection Control and Epidemiology) Materials
Maryland Hospital Hand Hygiene Collaborative Materials
Remove that Foley!
APIC Hand Hygiene Music Video

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Links

Arizona Critical Access Hospital Program
Arizona Department of Health Services
Institute for Healthcare Improvement: How to Improve
Rural Hospital Flexibility Grant Program

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