Celebrating a Year of Achievements PICNet Overview 20082009

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Celebrating a Year of AchievementsPICNet
Overview 2008-2009

• April 2, 2009
• Radisson Hotel, Richmond BC
• Presented by Bruce Gamage,
• PICNet Manager

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Moving Forward

• Organizational changes
• Three key areas
• Surveillance
• Best practice guidelines
• Education

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New People in the PMO

• Ellie Sheng PICNet Surveillance Systems
  Coordinator
• Started November 2008
• Responsible for coordinating PICNets
  surveillance program, administrating the data
  repository, generating reports.
• Joanne Archer PICNet Educator/Consultant
• Stared June 2008
• Responsible for coordinating PICNets best
  practice guidelines and other educational
  projects.

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New Organizational Structure
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Surveillance
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Surveillance - CDI

• PICNet is launching our province-wide CDI
  surveillance system
• Objectives
• To determine the incidence of health care
  associated CDI in acute care facilities in BC
• To determine the rates of relapse of CDI in acute
  care facilities in BC
• To determine the key demographics and risk
  factors for CDI in acute care facilities in BC
• To determine the rates of serious illness or
  death in CDI cases in acute care facilities in BC
  
• To follow the trends in the rates of CDI in acute
  care facilities in BC over time

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Surveillance - CDI

• PICNet is finalizing testing of the provincial
  CDI surveillance system
• Performing quality assurance checks with each
  submitting HA before going live
• All HAs and affiliated hospitals have signed a
  participation agreement which outlines the roles
  of PICNet, participants and the case definitions
  and minimal data set
• All reports will be will be reviewed and approved
  by HA/AC reps prior to being made public

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Surveillance - CDI

• Data will not contain any personal identifiers
• Participants submit data through a secure web
  portal housed on a PHSA server
• Submitters retain ownership of their data and
  will be able to view their data through the
  secure web portal
• PICNet will provide analysis and reports on data
  on a regular basis

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Many Thanks to the CDI Surveillance Working
Group Members

• Leslie Forrester (Lead)
• Bonnie Henry
• Bill Bowie
• Felicia Laing
• Sylvie Champagne
• Jayne Bradbury
• Renee Sebastian

• Linda Hoang
• Joanne Archer
• Janice de Heer
• Pam Kibsey
• June Chen Collet
• Bruce Gamage

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Surveillance Next Steps

• Over the next four years PICNet will be adding
  further modules to our surveillance program
  using the same platform
• CDI Spring 2009
• MRSA and VRE - 2010
• BSI - 2011
• SSI - 2012
• VAP - 2013

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Surveillance - SSI

• IHA and VCHA collaborated in the implementation
  of a pilot project for the surveillance of SSI
• The two HAs have developed a minimal data set and
  post discharge survey tool
• Results of this pilot project will be used to
  inform province-wide collaboration on SSI
  surveillance

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Surveillance LTRC Needs Assessment

• Building on the previous PICNet needs assessment,
  establish the current status of infection
  surveillance in long term care and rehabilitative
  care (LTRC) province wide
• Identify resources and needs in infection control
  in LTRC
• Identify priorities for infection control in LTRC
• Working Group Lead Dr. Jennifer Grant

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LTC Needs Assessment (progress)

• Have contracted Valerie Schall to coordinate the
  project
• Have finalized the survey tool (based on
  validated tool developed for Valeries thesis
  project)
• Working with group members to create sample list
  of facilities to receive the survey
• Working with IM/IT contactor to develop an
  on-line data collection tool

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Best Practice Guidelines
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Best Practice Guidelines - ARO

• PICNets provincial guidelines for ARO completed
  November 2008
• Posted to website www.picnetbc.ca

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Many thanks to the ARO Guidelines Working Group
Members

• Linda Hoang
• Fred Roberts
• Deanna Hembroff
• Coleen Reiswig
• Ian Connell
• Jackie Ratzlaff
• Joanne Tench
• Tracy Lanier

• Jim Curtin
• Shelley Franklin
• Linda Kingsbury
• Dave Forrest
• Bruce Gamage
• Sarah Pugh
• Joanne Archer (Lead)
• Phyllis Stoffman (Writer)
• Fern Davey (Consultant)

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Best Practice Guidelines Home Health

• Working group formed January 2008
• Hired consultants to do lit review and writing
• Draft posted to PICNet web site January 2009 for
  review by COP
• Guideline currently being revised by PMO
• Planned completion for Spring 2009

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Home Health Guidelines Working Group

• Lisa Schwartz
• Kathleen McWhinney
• Bruce Gamage
• Sarah Pugh
• Joanne Archer (Lead)
• Jacquie DAuria (Writer)
• Fern Davey (Consultant)

• Nicki Gill
• Marilyn Jack
• Louise Holmes
• Shelley Sing
• Kim Leslie

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Best Practice Guidelines - GI

• New project started Fall 2008
• Ken Cooper (Lead)
• Group met March 24th to finalize guidelines
  scope and draft outline
• Will undergo review of existing guidelines and
  current literature

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New Guidelines Development Process

• Based on SIGN/NICE/WHO/PHAC Models
• New Guideline Steering Committee to oversee the
  process
• Will review other current documents with the aim
  to adopt if meets our needs using AGREE tool
• Will employ an evidence weighting exercise
  using a grading tool similar to PHAC documents
• Will be an iterative process with opportunities
  for review and feedback from both the working
  group and COP

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Guidelines Evaluation Tool

• In the fall of 2009 PICNet will be working with a
  Masters student to develop a guidelines
  evaluation tool
• This tool will be used to evaluate existing
  PICNet guidelines, elicit frontline users
  feedback and update guidelines as needed.

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VPD/OH Collaboration - Mumps

• PICNet facilitated an expert group developing
  recommendations for the Baseline Assessment and
  Management of Health Care Workers (HCW) who are
  Cases or Contacts of Mumps
• Collaboration between OH/PH/IC
• Results of Expert Groups work to be presented
  this morning by a panel of presenters
• Group plans to make further recommendations
  regarding other VPD (e.g. measles, varicella)

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Education
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Education 2008/2009

• PICNet hosting its third Educational Conference
• Ongoing IC educational opportunities (e.g.
  Webber Teleclasses)
• PICNet co-hosted an ICOH Conference Workshop Oct.
  2007 Occupational Health in low resource and
  rural areas
• Published by NIOSH (www.picnetbc.ca)
• PICNet hosting an information booth at the CHICA
  Conference (St. Johns May 2009) and
  facilitating a meeting of provincial infection
  control leaders for a second year Network of
  Networks.

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SSI Prevention E-module

• Joanne Archer has been working with an Expert
  Group to develop an e-module on the prevention of
  SSI
• Have contracted VCH Educational Technologies,
  Learning and Career Development to put content
  into and electronic platform
• Module will incorporate pre-operative,
  peri-operative and post-operative settings (4
  chapters)
• Module will be ready for beta-testing this spring

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PICNet Educational Resource Fund

• Supports infection prevention and control
  education and training
• Provides educational grants to members of
  PICNets COP, consisting of all health care
  professionals in the province involved in
  infection prevention and control
• Members of COP may make application to receive up
  to 2,000 annually to support their attending a
  conference/meeting/course
• Applications accepted until February 28, 2009
• Five grants awarded this coming year

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PICNet Educational Resource Fund

• Recipients of Educational Grants for 2009/2010
• Bonnie Henry
• Linda Adam
• Leslie Forrester
• Terry Dickson
• Jackie Ratzlaff

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Communications Leadership Group

• Annual review of PICNet web site
• Reviewing web site glossary
• Developed PICNet calendar

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www.picnetbc.ca
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Communications Leadership Group

• Deanna Hembroff
• Margaret McLaughlin
• Bruce Gamage

• Sarah Pugh (Lead)
• Terry Dickson
• Cathy Munford
• Deb Connell

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PICNet 2009 Educational Conference Organizing
Committee

• Judy Klein
• Darlene Spence
• Janice de Heer
• Terry Dickson
• Jackie Ratzlaff
• Sylvia Eaton
• Shelley Sing
• Bruce Gamage

• Linda Adam
• Deb Connell
• Cathy Munford
• Cathy Smith
• Joy Pyett
• Kim Zboyovsky
• Joanne Archer
• Sarah Pugh (Lead)

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Summary
PICNets strength lies in its Network Model. It
is the good will, collaboration, and cooperation
of health care professionals involved in
infection prevention and control in BC that
drives PICNets work at every level.


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Its great working with you Thank you for your
ongoing support!
www.picnetbc.ca


Questions?