The Pressure Ulcer Collaborative Series Model

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The Pressure Ulcer Collaborative Series Model

• Jackie Buttaccio, BS, CPHQ
• Project Coordinator
• September 23, 2008 Las Vegas, NV
• October 7, 2008 Tri-City UT
• October 8, 2008 Reno, NV

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Why a Collaborative Model?

• Stubborn rate of pressure ulcer (PrU) prevalence
  persists in Nevada Utah
• Tighter regulations (F314, POA)
• We can no longer work in silos a community
  issue
• No more blame!
• Annually, costs associated with care of PrUs
  exceed 1.3 billion (355 million LTC alone)

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Collaborative Focus

• Prevention!
• Standardization
• Treatment
• Staging
• Shared learning
• Create a culture of safety
• Resident patient-centered care
• The right care. Every time

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Collaborative Aim Statement

• Reduce the prevalence of pressure ulcers in each
  participating facility by at least 15 by Q1 10
• Actively engage all participating providers 100
• Demonstrate an improvement in safety culture

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Nursing Home and Hospital Pressure Ulcer (PrU)
Reduction Initiative
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Key Elements

• Will to do what it takes to change to a new
  system
• Ideas on which to base the design of the new
  system
• Execution of the ideas

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Key Attributes

• Action-oriented
• A sense of family and support
• All teach, all learn mentality
• Multi-disciplinary

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Expectations

• Partner with a nursing home/hospital
• Remain in close contact
• Meet once a month
• Share experiences (successes failures)
• Identify a Team Lead Setting Lead
• Report monthly to HealthInsight via the Team
  Progress Assessment (TPA)
• Stay engaged!

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Reporting to HealthInsight

• Team Progress Assessment (TPA)
• Restate aim
• Summarize monthly activity
• Lessons learned
• Successes
• Challenges
• Plan for the next 30 days
• Share any applicable aggregate data
• HealthInsight will also share your progress with
  your executive leadership

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Action Periods

• Action periods between each HealthInsight
  collaborative session
• Facility team community team meetings
• Technical assistance
• On site or virtually

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A Community of Practice

• Builds partnerships
• Cross-pollinates learning knowledge transfer
• Is an exchange of
• Lessons learned
• Best practices

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• All Teach, All Learn, No Blame, All Gain!!

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Questions?
9SOW-NV-2008-6.2-001