[add your organisations logo here] Standardisation of Products and Services Clinicians and Procurement working together. A celebration of those ‘light bulb moments’ that are transforming patient experience and care across the North West
Overview Definition of Standardisation Setting up a Working Group Group Core Objectives Corporate Product and Service Evaluations Case Study – Pressure Area Care Mattresses
Standardisation Definition • The condition in which a standard has been successfully established • The agreement of a systematic mechanism or measure to enhance performance • Change Management Tool • Variety Reduction
Setting Up a Working Group • Canvass Clinical Procurement Champion • Consult Widely with Trust Governance leads • Send out Invites to Interested and necessary Stakeholders • Agree Terms of Reference • Agree Roles and & Responsibilities • Determine Project Scope and Deliverables
Groups Core Objectives • Enhance Patient Safety • Ensure a standard approach to Product entry is established • Ensure all Trust products & Services are “Fit for Purpose” • QIPP Compliance
Corporate Product & Service Evaluations
NON POWERED PRESSURE REDISTRIBUTION - DELIVERING QIPP Title: Installation of Mattress Replacement Systems Overview: East Lancashire Hospitals NHS Trust traditionally used a conventional model of static foam mattresses and powered air mattresses to deliver its pressure area care provision. With escalating powered mattress usage costs, the challenge to achieve better pressure ulcer incidence rates and a complex product selection and availability process. The Trust sought an innovative solution. The Challenge: Quality – Proven clinical efficacy delivering positive outcomes for ALL patients. • Reduce pressure ulcer incidence through earlier prevention strategies • Streamline the existing processes to remove waste and become more Innovation – Embracing new technology and a new operational model to improve and simplify product availability for ALL patients. efficient • Contribute to Cost Improvement Programme objectives Productivity – Releasing Time to Care by making mattress “upgrades” the exception rather than the rule. Eliminating unnecessary patient and equipment handling . Prevention – Providing high - risk mattresses for ALL patients regardless of risk The Solution: The paradigm solution™ from KCI Medical using the AtmosAir™ mattress replacement system. assessment status. True prevention without selection or intervention. AtmosAir™ is a non-powered pressure redistribution surface with Self Adjusting Technology™ to maximise envelopment, immersion and minimise tissue interface pressures. Changing the product availability model and installing The Future and Next Steps: AtmosAir™ throughout the Trust immediately improves the standard of pressure area care for patients by providing an “active” surface for all . To continue to raise the level of education and awareness amongst staff This initiative significantly reduces the number of mattress “upgrades” required regarding the role of the paradigm solution™ in pressure ulcer prevention. and consequently eliminates the respective costs and unnecessary patient and equipment handling tasks associated with the conventional model. The provision of specialist high end equipment becomes the exception not the Benchmarking and vigilance in the reduction of pressure ulcer prevalence and incidence rates. Continuous monitoring of powered mattress system usage. norm. Comparison of key performance indicator status’ prior and post Implementing the paradigm solution™ brings a streamlined method of working, paradigm solution™ implementation. a better quality of mattresses for all patients, and a robust package of education and nursing staff support to achieve each of the objectives of the QIPP Patient and nursing staff satisfaction monitoring. agenda. For more information please contact: Linda Longton MCIPS Head of Procurement , East Lancashire Hospitals NHS Trust Version 1.0 June 2012 Tel No 01254 732519 (internal ex 82519) Mobile No 07921373394
The Task/Challenge • Zero Tolerance Pressure Ulcers • Reduction of pressure sores is a priority safety issue, within the harm free national agenda • Undertake a critical review of current practice within the present contract
Approach • Procurement and TVN structured the Project team & Key stakeholders to include: • Infection Control • Director of Nursing • Divisional leads/Finance • Moving and handling • EBME • Estates and Facilities • Resuscitation
Methodolgy • Utilise existing NHSSC Framework Agreement – products and Lease • Development of Specifications • Undertake in use Trials and Evaluation Day • Business Award
Innovation - Atmos Air 4000 • New Concept • NHS Reference Site – Maidstone • Benefit /Risk Assessment • Stakeholder Buy In • Business Case Development • Executive Sign Off
Post Evaluation Notes & Comments Clinicians Patients • Physiotherapists commented • No waiting times for patient that they found it easier to placement. mobilize and hoist patients out of bed due to the stable • Patients rated the product as surface. being very comfortable. • Decreased manual handling of mattresses was also noted as being beneficial as Dynamic Mattress rental system requirements reduced.
Cost Avoidance Total Number of Dynamic Mattress rental days saved during the four week evaluation estimated as being 112 days. Assuming a daily rental price per day of £5 per product per day, the saving over the 4 week period would equate to £560 + VAT. Should this trend be replicated throughout the year then the saving for this one ward would equate to £7,280 + VAT
Step Change
Contract Benefits • Reduction in patient risk of • Enhanced patient comfort developing pressure ulcers • Halving nurses time spent on • Dynamic systems remain in mattress changing releasing CCU & existing PU patients almost 2000 hours a year of Only time to care • reduced usage of dynamic • £10,000 per year actual budget mattresses by 80 per cent savings plus cost avoidance methodology to monitor • Ecological benefits of introduction of non-powered • Innovative contract solution solution
Then and Now July 2011 August July 2012 August 2011 2012 Avoidable Hospital 11 13 3 2 acquired pressure ulcers taken from incident reports Minimum number of 128 131 37 26 dynamic mattresses in use Maximum number of 143 139 42 35 dynamic mattresses in use
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