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Accelerating Best Care (ABC)
Vol. XXVIII No. 3
JOURNAL OF VASCULAR NURSING www.jvascnurs.net
standard of patient care, which is evident in patient outcomes and nursing and patient satisfaction scores.
Program: Poster 2 Accelerating Best Care (ABC) Mini Iype, BSN Baylor Heart & Vascular Hospital, Dallas, Texas Accelerating Best Care (ABC) is an innovative educational program focused on healthcare quality improvement process. This is a course that teaches leaders and committee chairs the theory and techniques of rapid cycle improvement process, quality outcomes management, and staff development. It facilitates the enhancement of skills required to lead quality improvement efforts. The process trains participants in rapid cycle improvement based on the simple Plan-Do-Check-Act (PDCA) model. It enables the participant to: Plan a change aimed at quality improvement, Do the task required to implement change Check the results of the change Act to adopt or abandon change and redo the cycle as needed to maintain progress. The focus of rapid cycle improvement process is to: Develop a strong customer focus Continually improve all processes Involve employees Mobilize both data and team knowledge to improve decision making. The Model for Improvement consists of:
1. The AIM Statement which is developed based on the SMART process. Specific Measurable Agreed upon, Actionable, worthwhile Realistic Time Bound. 2. TEAM 3. Process Modeling and the PDCA cycle. Program: Poster 3 The Two O’Clock Walk Jennifer Eickhoff, RN, BSN, Amy Schafer, RN, BSN, PCCN, Travis Nickel, RN, ADN, Tanya Ferguson, RN, ADN, Nick Marosek, RN, BSN, PCCN, Tina Wangen, RN, CNS Mayo Clinic, Rochester, Minnesota A patient education workgroup was developed on a progressive care medical/vascular surgical unit. The workgroup identified patient education needs regarding discharge education for post surgical patients and those discharging with anticoagulants. Staff surveys aided the workgroup in identifying a need for additional discharge education for patients and families. After various methods of patient education were explored, it was determined the workgroup could best meet the needs of the patient population through a class format providing group discussion and interaction. Logistical details and class formatting were configured to meet both the needs of the patients and the nursing staff. Current institutional patient education pamphlets were utilized in developing
PAGE 109
the content for the class. Physician review and input were obtained during the development of the content. A patient education specialist was also consulted to ensure proper literacy levels were utilized. To meet the Joint Commission National Patient Safety Goal regarding anticoagulant safety, the content focused on home management which included the following: knowledge of INR goal range, dietary factors, when to call the provider, and safety precautions. Other topics to promote self efficacy in anticoagulation therapy were also included in the content. Post surgical content topics emphasized self care after surgery such as skin care, pain management, activity, constipation prevention, and signs of infection. Post class evaluations completed by patients and families provided useful feedback for continuous improvement and patient satisfaction. Preliminary survey results indicate an increase in patient confidence and knowledge relating to home care.
Program: Poster 4 Project Ankle-Brachial Index Jackie Alexander, APRN, DNP-c, FNP-BC GVA, Verdi, Nevada Project Ankle-Brachial Index (ABI) is an evidence-based knowledge transformation health system change project. The project purpose is to pilot a workshop program providing primary care team education to enable peripheral arterial disease (PAD) clinical practice guideline (CPG) implementation and thus, improve chronic disease management. The project has three objectives:
1. Innovation: Primary care practice innovation through provision of ABI Tool Kits, along with ABI and PAD education in a practice team workshop format. 2. Collaboration: Bridging dialog between primary care team members and health care consumers with enhanced collaboration with specialty clinicians to activate primary care chronic disease assessment and management to reduce morbidity and mortality. 3. Resource Efficiency: ABI measurement inclusion in primary care health maintenance assessments to provide at risk populations affordable PAD and co-morbidity screening. The project is designed to foster knowledge transformation through promotion of health care consumer self-care agency to decrease PAD risk factors, while improving chronic disease prevention and management in the primary care practice setting serving a low-income population by providing PAD and ABI workshops. Project ABI seeks to answer whether provision of primary care practice team PAD and ABI workshops will enable implementation of the PAD CPG to improve chronic disease care evidenced by comparison of pre-post workshop PAD assessment and management via post workshop chart review of participating practices. Program: Poster 5 Smoking Cessation in the Vascular Patient Cynthia Arnold, RN, BSN Bassett Healthcare, Cooperstown, New York Smoking cessation is the most important modifiable factor for patients with P.A.D. Studies show that vascular risk decreases immediately after smoking cessation and within 5-10 years reaches
JOURNAL OF VASCULAR NURSING www.jvascnurs.net
standard of patient care, which is evident in patient outcomes and nursing and patient satisfaction scores.
Program: Poster 2 Accelerating Best Care (ABC) Mini Iype, BSN Baylor Heart & Vascular Hospital, Dallas, Texas Accelerating Best Care (ABC) is an innovative educational program focused on healthcare quality improvement process. This is a course that teaches leaders and committee chairs the theory and techniques of rapid cycle improvement process, quality outcomes management, and staff development. It facilitates the enhancement of skills required to lead quality improvement efforts. The process trains participants in rapid cycle improvement based on the simple Plan-Do-Check-Act (PDCA) model. It enables the participant to: Plan a change aimed at quality improvement, Do the task required to implement change Check the results of the change Act to adopt or abandon change and redo the cycle as needed to maintain progress. The focus of rapid cycle improvement process is to: Develop a strong customer focus Continually improve all processes Involve employees Mobilize both data and team knowledge to improve decision making. The Model for Improvement consists of:
1. The AIM Statement which is developed based on the SMART process. Specific Measurable Agreed upon, Actionable, worthwhile Realistic Time Bound. 2. TEAM 3. Process Modeling and the PDCA cycle. Program: Poster 3 The Two O’Clock Walk Jennifer Eickhoff, RN, BSN, Amy Schafer, RN, BSN, PCCN, Travis Nickel, RN, ADN, Tanya Ferguson, RN, ADN, Nick Marosek, RN, BSN, PCCN, Tina Wangen, RN, CNS Mayo Clinic, Rochester, Minnesota A patient education workgroup was developed on a progressive care medical/vascular surgical unit. The workgroup identified patient education needs regarding discharge education for post surgical patients and those discharging with anticoagulants. Staff surveys aided the workgroup in identifying a need for additional discharge education for patients and families. After various methods of patient education were explored, it was determined the workgroup could best meet the needs of the patient population through a class format providing group discussion and interaction. Logistical details and class formatting were configured to meet both the needs of the patients and the nursing staff. Current institutional patient education pamphlets were utilized in developing
PAGE 109
the content for the class. Physician review and input were obtained during the development of the content. A patient education specialist was also consulted to ensure proper literacy levels were utilized. To meet the Joint Commission National Patient Safety Goal regarding anticoagulant safety, the content focused on home management which included the following: knowledge of INR goal range, dietary factors, when to call the provider, and safety precautions. Other topics to promote self efficacy in anticoagulation therapy were also included in the content. Post surgical content topics emphasized self care after surgery such as skin care, pain management, activity, constipation prevention, and signs of infection. Post class evaluations completed by patients and families provided useful feedback for continuous improvement and patient satisfaction. Preliminary survey results indicate an increase in patient confidence and knowledge relating to home care.
Program: Poster 4 Project Ankle-Brachial Index Jackie Alexander, APRN, DNP-c, FNP-BC GVA, Verdi, Nevada Project Ankle-Brachial Index (ABI) is an evidence-based knowledge transformation health system change project. The project purpose is to pilot a workshop program providing primary care team education to enable peripheral arterial disease (PAD) clinical practice guideline (CPG) implementation and thus, improve chronic disease management. The project has three objectives:
1. Innovation: Primary care practice innovation through provision of ABI Tool Kits, along with ABI and PAD education in a practice team workshop format. 2. Collaboration: Bridging dialog between primary care team members and health care consumers with enhanced collaboration with specialty clinicians to activate primary care chronic disease assessment and management to reduce morbidity and mortality. 3. Resource Efficiency: ABI measurement inclusion in primary care health maintenance assessments to provide at risk populations affordable PAD and co-morbidity screening. The project is designed to foster knowledge transformation through promotion of health care consumer self-care agency to decrease PAD risk factors, while improving chronic disease prevention and management in the primary care practice setting serving a low-income population by providing PAD and ABI workshops. Project ABI seeks to answer whether provision of primary care practice team PAD and ABI workshops will enable implementation of the PAD CPG to improve chronic disease care evidenced by comparison of pre-post workshop PAD assessment and management via post workshop chart review of participating practices. Program: Poster 5 Smoking Cessation in the Vascular Patient Cynthia Arnold, RN, BSN Bassett Healthcare, Cooperstown, New York Smoking cessation is the most important modifiable factor for patients with P.A.D. Studies show that vascular risk decreases immediately after smoking cessation and within 5-10 years reaches