Reduce Acute Care Hospitalization

1
Reduce Acute Care Hospitalization

• VNA of Bostons
• Competency

2
VNABs APPROACH

• Started with 1 Team in March
• Reduced ACH from 40 to 32
• Taught All Managers in September
• Implemented in all Teams starting October 1
• Each Team had a Mentor from VNABs ReACH Core
  Team as resource

3
ReACH Competency

• Developed an E-Learning Module
• Had a very computer savvy graduate student
  working part-time
• Added bells and whistles to make it interesting
• On web site

4
Reasons for E-Learning

• Cost effective
• Consistent message
• Learn at individual pace
• Do not need to take everyone out of the field at
  once
• Staff can take competency at individual time

5
Module Contents

• Message from CEO/President (video)
• Definition of rehospitalization
• Why CMS is concerned
• VNAB ACH rate
• Briggs/Fazzi Report
• Profile of VNAB patient

6
Module Content (cont)

• Risk Assessment Tool
• What it is
• When to use
• What to do with results
• Actual form
• Early Response Tool
• What it is
• When and How to use
• Actual form

7
Module Content (cont)

• Frontloading
• Case Management
• Video of Staff Nurse discussing her involvement
• Medication Reconciliation
• SBAR
• Case Study
• Test

8
Bells Whistles
9
QA