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“Continuing Success in Pressure Ulcer Reduction”
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Indiana Pressure Ulcer Initiative
Welcome
Indiana Pressure Ulcer Initiative Phase 2 Participants
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Indiana Pressure Ulcer Initiative
Thanks to Our Initiative Contributors
Sponsoring Companies for the Congress
Consumer Advisory Panel
Collaboration Team and Presenters
University of Indianapolis
Indiana State Department of Health
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Indiana Pressure Ulcer Initiative
“If we could reduce the number by 100, we could save over $2 million. Not to mention the more important aspect of quality of life for the patient.”
“Statistics don’t matter unless they are put to work. It is encouraging to see that happening with the patient safety reporting.”
Indianapolis Star Editorial August 24, 2009
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Indiana Pressure Ulcer Initiative
The Goal is Zero
Duncan, K. D., Preventing Pressure Ulcers: The Goal is Zero, The Joint Commission Journal on Quality and Patient Safety, vol. 33, no. 10. (October 2007).
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Indiana Pressure Ulcer Initiative
Essentials of Pressure Ulcer Prevention
• Assessment upon Admission• Reassess Risk Daily• Inspect Skin Daily• Manage Moisture• Optimize Nutrition and Hydration• Minimize Pressure
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Indiana Pressure Ulcer Initiative
Initiative Goal of a 16-20% reduction in pressure ulcers.
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Indiana Pressure Ulcer Initiative
Understanding Knowledge is the power of prevention.
Six online education modules
Two learning sessions
Consumer brochure
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Indiana Pressure Ulcer Initiative
ResponsibilityMake it personal.
Prevention begins with one.
Success stories of individuals taking ownership for preventing pressure ulcers.
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Indiana Pressure Ulcer Initiative
CompassionThe heart of prevention is caring.
We heard Sherrie’s story and were inspired.
We heard the stories of residents and families and were touched.
We saw a brochure developed by residents and families and were humbled by their passion.
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Indiana Pressure Ulcer Initiative
Care CoordinationAssuring hand-offs.
We experienced neighbors meeting for the first time.
We learned of regional coalitions formed to improve care coordination.
We learned of physicians setting up a system to ensure direct verbal communication between providers.
We developed a tool for ensuring communication between providers.
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Indiana Pressure Ulcer Initiative
AssessmentConsistent and timely.
We saw an increase in identification of pressure ulcers of over 30%.
We saw an increase of assessments completed within 24 hours of admission of 64% for home health and over 10% for hospitals and nursing homes.
We saw a 20% increase in interventions based on assessments and a 25% increase in daily skin inspections.
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Indiana Pressure Ulcer Initiative
System-basedTransparency of care
Facilities formed skin teams to increase awareness of pressure ulcers.
Facilities incorporated new tools into their system.
Facilities added pressure ulcer training to new employee orientation.
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Indiana Pressure Ulcer Initiative
Continuity Beyond InitiativeDeveloping resources for
consistency and continuity.
For phase one participants, the challenge continues.
For phase two participants, the challenge begins.
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Indiana Pressure Ulcer Initiative
Coming Soon!The Indiana Healthcare
Associated Infection Initiative
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Indiana Pressure Ulcer Initiative
Collaborate on Quality
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Care Givers
Nursing Homes
Residents
Patients
Families
Hospitals
Home Health
Hospice
Patient Care Organizations
CMS / ISDH
ProviderAssociations
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Falls
Pressure Ulcers
Alzheimer’s
Dementia
Staffing
Restraints
Incontinence
Behaviors
Emergency Preparedness
Abuse
Patient Safety
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Indiana Pressure Ulcer Initiative
Indiana Leading the way
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Indiana Pressure Ulcer Initiative
Health Care A Tradition of Excellence
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QualityOur ultimate goal
Indiana Pressure Ulcer Initiative
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Indiana Pressure Ulcer Initiative
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Indiana Pressure Ulcer Initiative
XX
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Indiana Pressure Ulcer Initiative
Pressure Ulcers Reduced by 32% in Participating Facilities and Agencies.
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Indiana Pressure Ulcer Initiative