ST. FRANCIS MEMORIAL HOSPITAL PREVENTING FUNCTIONAL DECLINE MOVE - - PowerPoint PPT Presentation

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ST. FRANCIS MEMORIAL HOSPITAL PREVENTING FUNCTIONAL DECLINE MOVE - - PowerPoint PPT Presentation

Oct 04, 2022 216 likes •371 views

INSERT HOSPITAL LOGO ST. FRANCIS MEMORIAL HOSPITAL PREVENTING FUNCTIONAL DECLINE MOVE ON TEAM MEMBER NAMES: Janet Lynch RN Linda Murack RPN Janice Holmes RPT Leanne Robison Recreation Therapy _______ March 2017 AIM STATEMENT By

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SLIDE 1
  • ST. FRANCIS MEMORIAL HOSPITAL

PREVENTING FUNCTIONAL DECLINE MOVE ON

TEAM MEMBER NAMES: Janet Lynch RN Linda Murack RPN Janice Holmes RPT Leanne Robison Recreation Therapy _______ March 2017

INSERT HOSPITAL LOGO

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SLIDE 2

AIM STATEMENT

  • By December 31, 2016, 80% of patients age 65

and older, in both active medical and complex/restorative continuing care units, will have the Barthel Index completed within 24 hours of admission and discharge.

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MEASURES

Outcome: *% of patients with equal or improved function in ADL’s and mobility on the Barthel Index admission vs discharge scores monthly. Process: *% of patients receiving Barthel Index assessment on admission and at discharge. Balancing: fall rates Staff satisfaction Please indicate with * the ones that sites will measure and report progress on

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SLIDE 4

CHANGES

  • Aim Statement was too broad, simplified to

use only one tool for data collection

  • Adopted the “ABC” mobility tool
  • Continuing to promote use of the bedside

Whiteboards, to increase patient mobility and goals

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RESULTS

  • Observing an increase in patient mobility
  • More patients up for meals and walking in hallways
  • Increased use of bathroom vs commode for

ambulatory patients

  • Have maintained goal of over 80% completion rate

for the Barthel Index for last 9 months

  • High rate of increased function
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SLIDE 6

Barthel Index Scores

Goal 20 40 60 80 100 120 Dec Jan Feb Mar Apr May Jun July Aug. Sept Oct Nov Dec Jan

Barthel Index Scores-SFMH 2016

Percentage percentage

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SLIDE 7

Barthel Index Scores

Median Goal 20 40 60 80 100 120 April May June July Aug Sept Oct

Completion Rate of Barthel Index Tool 2017

percentage

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SLIDE 8

Change in Function

60% 0% 40% 0%

Change in Function

Improved Declined Unchanged Not Evaluated

December 01-31, 2016

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SLIDE 9

Change in Function

67% 11% 22% 0%

Change in Function

Improved Declined Unchanged Not Completed

October 01 - 31, 2017

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NEXT STEPS

  • Continued tracking Barthel Index scores
  • Sustaining ABC tool and Whiteboard use
  • Nutrition optimization as “fuel” for mobility
  • Sleep optimization “rest to support

endurance”

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SLIDE 11

LESSONS LEARNED

  • Narrowed scope of project to a more

manageable task

  • Smaller focus groups for PDSA cycles were

helpful and easier to complete

  • Frequent reminders and leadership presence

to mentor and sustain change

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SLIDE 12

KEY CHALLENGES

  • Getting the whole team together at one time

was an ongoing challenge

  • Used smaller work groups and committees

already in place to bring ideas forward

  • Scheduling specific work days to focus on

project was more productive than shorter meetings

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SLIDE 13

TIPS FOR OTHER TEAMS

  • Keep it simple
  • Use one tool for data collection
  • Champion staff to keep project and coworkers
  • n track and engaged
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SLIDE 14

2017 Update

  • Increased goal for Barthel Index completion

rate to 85% to continue striving for improvement

  • Developed Restorative Bed category on our

Complex Continuing Care Unit to give a 30 day focus on improving function

  • Continue with SFH initiatives- PFAC, N.O.D.D.,

Bedside Whiteboards, Safety Bullet Rounds