Peer Visits Tools for sharing best practices

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    11-Jan-2016

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Peer Visits Tools for sharing best practices. Becky Ames GOH In-House Coordinator, Champaign County. Getting started. What is a best practice? Demonstrate evidence of success Affects something important and contributes to the organizations mission and goals - PowerPoint PPT Presentation

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  • Peer Visits Tools for sharing best practices

    Becky AmesGOH In-House Coordinator, Champaign County

  • Getting startedWhat is a best practice?Demonstrate evidence of successAffects something important and contributes to the organizations mission and goalsHave the ability to be replicated or adapted in other settings Benefits of sharing best practicesRaise quality of practice and donation ratesAvoids duplication of effort re-inventing the wheelSave time and money through increased productivity and efficiency

  • Suggested topics for reviewHospital atmosphere regarding donationGOH Presence & collaboration on referralsOverall environment / buy-inDonor Family support Staff Donation ChampionsHospital CEONursing Directors / Unit ManagersStaff roles in donation process

  • Suggested topics contdCase review / debriefingM&M reviewsAfter action reviews Life Team CommitteesStarting committeeMissionStaff needed to be involvedHospital liason to serve as internal champion

  • Suggested topics contdOrgan Referrals Early referral opportunitiesER referrals prior to transfer to ICUDevelopment of hospital specific triggersCharge RN involvement in identifying referrals PCC (Patient care conferences)Staff involvedDocumentation RequestingCollaboration of hospital / GOHRN, MD, Pastoral care, SW involvementProtocols for approach

  • Suggested topics contdDCD ProcessTimingORStaff involvedAPNs / RNs declaring and initiating comfort care meds EMRTracking referrals /documentationAutomated processes / pop-upsDonor management reports / HIM

  • Suggested topics contdCoroner Involvement / relationshipCollaboration to release on organ referralsUtilizing a forensic pathologist to evaluate organs during recoveryProcess for notification of deathInvolvement in committees / case debriefingsPathologist involved with hospital and GOH to help determine if a patient can be releasedTransporting patients after autopsy for tissue recovery

  • Suggested topics contdTissue donationHospital or GOH requesting processesPDSAs / process improvementsIncreasing donation activity

  • Documenting best practicesWrite a description of the best practice:Title and descriptionContextTools & techniques usedResourcesLessons learnedLinks to resources

  • Next StepsContact your hospital development coordinator to help evaluate what areas you are interested in pursuing for a peer visit. Identify best practices in your hospital and discuss them with your HD Coordinator.

    Go, Do, Learn

  • Becky Ames,In-House Coordinator Gift of HopePhone: (217) 390-7418Email: bames@giftofhope.org

    *A good way to improve performance is to replicate successes from other units / organizations.

    A best practice can be identified by asking 3 questions. It should have an all teach all learn mentalityeveryone brings information to share.*Donor family support: Pastoral care, SW involved to support the familyrecognizing needs

    Hospital CEO communication w/ new staff orientation lettersMedical director buy-in and support for hospital physicians ivolved in declaration / ER careVP NursingStaff roles in donation processAccountability in employment reviewsServing on life teamBeing donation champion on unit

    *After action reviews are conducted as a structured way to discuss what happened during a referral / case. 2 key questions: What went well? What could have gone better?This is a useful way of identifying successes, champions, key players obstacles, mistakes and areas of needed improvement.

    Case review / debriefingM&M reviewsIdentifying opportunities for improvement / referral timingAfter action reviews Developing structure to review all organ cases post recoveryLife Team CommitteesStarting committeeMissionStaff needed to be involvedHospital liason to serve as internal championEMRTracking referrals /documentationHard stops in withdraw process to remind staff to refer to GOH.

    *Early referral opportunitiesER reffering prior to transfer to ICU, development of hospital specific triggers (Intubating without sedating)Charge Rn involvement in identifying referralsPPC (Patient care conferences)Staff involvedDocumentationRequestingCollaboration of hospital / GOHRn, MD, Pastoral care, SW involvementProtocols for approachDo we approach in ER?Giving families time to absorb prognosis

    *DCD ProcessTiming (Giving families enough time to make decision to w/d before presenting option of donation)ORStaff involvedAPNs declaring and initiating comfort care meds

    *Coroner Involvement / relationshipCollaboration with GOH & Hospital to release on organ referralsUtilizing a forensic pathologist to evaluate organs during recovery ( Blessing has one in-house)Coroner notification processInvolvement in committees / case debriefingsPathologist involved with hospital and goh to help determine if a patient can be released.if coroner releases have criminal pathologist go to OR and evaluate organs prior to recovery. (blessing has one in house)Transporting patients after autopsy for tissue recovery

    *Tissue donationHospital or GOH requesting processesPDSAs / process improvementsIncreasing donation activityGOH approaching family prior to leaving hospital

    *Title: What is the practice and who developed it?Context: Where is the practice applicable, and what problems does it address?Tools & techniques used:Resources: What skills or other resources are needed to implement the best practice?Lessons learned: What has proved to be difficult? What suggestions do experienced practitioners have about appying the practice?Links to resources: What people or documents can a potential user consult fo rmore info? Contact info.*Contact your hospital development coordinator to help evaluate what areas you would like to pursue in a peer review and they will find out what hospital processes best match your topic of interest

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