The Development and Implementation of an ESRD LAN

The Early Experience

December 12, 2012 2:00 -3:00 PM

Presenter: Beverly Hoek RN, Quality Improvement Director Network 3

QualityNet 2012 | Baltimore Marriott Waterfront HotelDecember 11-13, 2012

HOW IS IT DIFFERENT FROM A COALITION?

What is a LAN?

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NOT BUSINESS AS USUAL!

We Need to Change

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HOW IS IT DIFFERENT FROM A COALITION?

What is a LAN?

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Definition of Coalition

• An alliance or union between groups, factions, or parties, especially for some temporary and specific reasons

• A coalition is a pact or treaty among individuals or groups, during which they cooperate in joint action

• A coalition is a group that forms for a specific purpose or cause. (noun). An example of a coalition is a task force working on….Fistula First

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Coalition

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What is a LAN?

• A Learning and Action Network (LAN) is an improvement initiative that brings together healthcare professionals, patients and other stakeholders around an evidence-based agenda to achieve rapid, wide-scale improvement.

• The LAN model includes collaborative projects, online interactions, and peer-to-peer education to facilitate shared commitment, energy, and knowledge that allows participants to learn from each other as well as from the Network.

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HAI LAN

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Benefits of a LAN

• Connect with organizations and individuals that have similar Quality Improvement (QI) goals and challenges and have the opportunity for in-depth learning and problem solving

• Learn from others in an "all teach, all learn" environment• Be mentored by a high-performing provider• Benefit from others' best practices as quickly as they are

identified• Receive and share free information and tools that support

improvement

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Who will be part of your LAN?

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In the Beginning

Participating in Healthcare Quality Strategies, Inc. Learning and Action Network

HQSI’s HAI Advisory Committee

• Began in August 2011

• Members included– NJDOH

– APIC

– NJ Hospitals

– Pharmacists

– NJHA

• Met approximately every 2 months

• In person or by conference call

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Content/Image Slide

Developed Subcommittees

• Added specialized sub-committees– CLABSI

– CAUTI

– SSI

– MDRO/CDIFF

These groups met individually and then reported back to the Advisory Committee

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HQSI LAN Benefits

Opened the silo doors and began the

“All Teach - All Learn”

• Became the framework for QIRN3’s LAN in PR

• September 13, 2012, Educational Program with the NJ North and South Chapters of APIC purpose was to enhance communication between the dialysis community and the ICP to improve NHSN reporting

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HQSI LAN Benefits

• September 20, 2012, CUSP training for NW staff and several dialysis units in Chicago sponsored by the NJHA and HRET

• December 4, 2012, On the CUSP: Stop BSI- Sustainability for ESRD Patients. 1st Cohort conference call to Roll Out CUSP Training

for NJ dialysis units

• January 15, 2013, 1st Cohorts CUSP training program

• July 2013, 2nd Cohort of dialysis facilities will be trained in CUSP

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DO the WAVE Campaign Included Dialysis Units

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WINNERS

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Puerto Rico Infection Control Initiative

Developing a LAN in Puerto Rico

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Puerto Rico Infection Control Initiative

• July 2011, USRDS data on vascular access infections

• August 2011, joined HQSI’s LAN

• LANs were mentioned in the Network’s next SOW

• It was the right thing to do and the timing was perfect. We were going to Puerto Rico in February 2012.

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Why start a LAN when it is not in the current contract ?

HAI LAN

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PR HAI LAN

• First Face-to-Face Meeting February 2012

• Held monthly conference calls– Agenda

– Same time and day of the month

– Limited to 1 hour

• Developed a logo

• Developed a Mission Statement

• 2nd Face-to-Face Meeting November 2012

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LAN Accomplishments

PR Kidney Foundation/ ANNA Caribbean Chapter

Society of Nephrology

• November 10, 2012 Physician Meeting

• Speakers included – CDC

– NW3

– Vascular/Transplant Surgeon

– Auxilio Mutuo Administrator

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• May 2012, Patient Education Meeting >500 attendees

• November 11, 2012 ANNA Educational Program on Infection Control

LAN Accomplishments

• November 12, 2012, Met with CEO and other leadership staff from HIMA Hospital to discuss collaboration

• Facilities are reporting to QIRN3, patients that have been identified as developing an infection while hospitalized, this will be reported to the hospital ICP.

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Do the WAVE campaign translated into Spanish

• Iza la VELA: ¡Puerto Rico Navega!– V ácunate – protégete de la influenza y la pulmonía.

– E dúcate – pregunta cuando tengas dudas para mejorar la calidad de tu cuidado. Aprende sobre el uso correcto del equipo médico.

– L impia: • lávate las manos antes y después del tratamiento • lava tu fístula o “graft” antes del tratamiento• usa mascarilla durante la limpieza del catéter y también durante la conexión y

desconexión

- recuérdale al personal de enfermería que use su equipo protector si no lo tiene.

– A ctúa – asegúrate de que el material y equipo médico están limpios y se utilizan correctamente.

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Iza la VELA: ¡Puerto Rico Navega!

• Contest initiated November 19, 2012

• Deadline for Submission December 31, 2012

• Winners will be announced at Network Annual Meeting in PR in March 2013

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What Else is the LAN Working On?

• ICP meeting in PR with the Dialysis Administrators

• PRHA developing a CUSP training program for dialysis facilities

• LAN to develop patient education tools to distribute to physician’s office

• Work with QIPRO and PRHA to include additional hospitals

• Identify additional key stakeholders

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Questions?

• Who will you invite to be on your LAN?

• Can you think of other organizations that should be on the Puerto Rico LAN?

• How can this experience be translated into a Beneficiary LAN?

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Thank You

• Questions?

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