Spring Updates Hepatitis B and PPV Vaccination Quality Improvement - - PowerPoint PPT Presentation
Spring Updates Hepatitis B and PPV Vaccination Quality Improvement Activity May 17, 2017 Meeting Facilitators / Hosts Anna Bennett Education Coordinator ESRD Networks of New York & the South Atlantic abennett@nw2.esrd.net 516-209-5474
May 17, 2017
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Anna Bennett
Education Coordinator ESRD Networks of New York & the South Atlantic abennett@nw2.esrd.net 516-209-5474 919-463-4528
Carol Lyden, RN, BSN, MS, CNN
Quality Improvement Director, NW2 clyden@nw2.esrd.net 516-209-5302
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–To Graduate: > 60% vaccination rate for both HPV and PPV –Improve Patient and Provider Health –Improve Tracking and documentation of HPV and PPV vaccinations in CROWNWeb
11 Your ur Data a say ays WHAT??? ??? EHR to CROWNWeb Why Data Reconciliation is IMPORTANT CROWNWeb data is used for:
Management
Report to Congress
Information
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0% 20% 40% 60% 80% 100% Does your facility offer HBV and PPV? Does your EMR Match CROWNWeb? Standing Orders? 0% 20% 40% 60% 80% 100% Initial Dialysis Monthly Quarterly Semi-Annual Annual As Needed
When do you offer Vaccinations? Key Questions:
0% 20% 40% 60% 80% 100% Education on importance of vaccination Offer vaccine again at a later time Discuss with the patient why they are refusing Document in the reason patient refused in Medical Record Ask the patient why they do not want the vaccine and trend… Physician talks speaks with patient
If a patient refuses?
0% 20% 40% 60% 80% 100% Yes No Unknown
Automatic reminders?
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Do you Request Documentation? Tracking Staff Barriers?
Vaccinations Received at the Dialysis Unit, 100% At other locations 74% 0% 20% 40% 60% 80% 100%
in CROWN Web
84% 16%
0% 20% 40% 60% 80% 100% Yes No 0% 20% 40% 60% 80% 100% Staff education protocol prior to vaccination offering Staff education protocol when patient refuses a vaccination Facility systematic process to manage reminders for patient vaccinations Lack of documentation when vaccine is received outside of facility Lack of a process to document vaccinations in CROWNWeb
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Standing orders Provider reminder systems Provider assessment and feedback Patient reminders Patient education Others
Safe & Timely Immunizations Coalitions (STIC)
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Informs the provider that individual patient is due for vaccine
Examples:
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– Have you tried it? – Edits? – Questions? – Need Additional Information?
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CROWNWeb data.
– Barriers will be identified – Potential solutions and interventions will be discussed – Corrective action plans will be updated. 25 26
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