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Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health’s subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers, Baylor Health Care System, Scott & White Healthcare or Baylor Scott & White Health. ©2015 Baylor Scott & White Health. BID THHBP_954 9.15
PurposeThe goal of the skin champion program was to reduce the number of hospital acquired pressure ulcers. The sustainment goal of the program is the prevention of hospital acquired pressure ulcers. The ultimate purpose is to “save our skin.”
Significance • Patient Safety• Aligning care practices• Safe, quality care• Data use to drive change• Defining areas of opportunity• Addressing areas of opportunity• HAPU impact on:
– Patients – Caregivers – Associated costs
Strategies
Skin Champion Team• Interprofessional team who educates, consults,
advocates, and drives prevention… our skin savers• Physician• Wound Care Nurse• Dietician• Physical Therapy• Nurses• Director of Professional Practice• OR staff• Education • Occupational Therapy
Evaluation
Implications for practice• Skin Savers:
– Proactive evaluation – Proactive assessment – Proactive intervention – Education
Skin Champions: Save Our Skin SOSAlaina Tellson, RN-BC, BSN, PhD (c), NEA-BC • Maria Hoffman, RN, BSN, WCC The Heart Hospital Baylor Plano
14%
12%
10%
8%
6%
4%
2%
0%
3.97%
Jun-
12
Jul-1
2
Aug-
12
Sep-
12
Oct-
12
Nov-
12
Dec-
12
Jan-
13
Feb-
13
Mar
-13
Apr-
13
May
-13
Jun-
13
Jul-1
3
Aug-
13
Sep-
13
Oct-
13
Nov-
13
Dec-
13
Jan-
14
Feb-
14
Mar
-14
Apr-
14
May
-14
Jun-
14
Jul-1
4
Aug-
14
Sep-
14
Oct-
14
Nov-
14
Dec-
14
Jan-
15
Feb-
15
Mar
-15
Apr-
15
May
-15
Jun-
15
Prev
alen
ce (%
)
6.99% 4.74% 8.79% 4.57% 1.84% 0.69% 1.05% 2.22% 0.89% 1.13% 0.70%
---- Prevalence --- 2013 NDQNI 1st Quarter Mean 8.33%--- 2013 BHCS Benchmark 1.59%---- 2013 THHBP Goal 1.33%
� 01 HAPU Avg� 02 HAPU Avg� 03 HAPU Avg� 04 HAPU Avg
Interventions:• Search for causes to our HAPU problem• Increase prevalence rounding to weekly
Interventions:• Add part-time wound care RN• OR-increase prevention measures
Interventions:• Multidisciplinary team efforts• 4PUP hotline and email
Interventions:• Expand multidisciplinary collaboration- NPs• More education- Stage Fair roadshow
Interventions:• MAP Trial & Repositioning• Progressive Mobility Protocol
Interventions:• TED hose problem-Give TED a Break Campaign• Ask the Expert Event
Interventions:• Refocus on Prevention- Back to the Basics• We’ve Got Your Backside Covered
Interventions:• PrU Documentation in EHR• Positioning wedges trial
Interventions:• PCT Workshop & Education• Role of support surfaces in HAPU development
Interventions:• Staff Survey- impediments to repositioning• Supplement Tasting Roadshow
Supplies:Bed evaluationsHAPU prevention
supplies
Identified problems: why patient at risk?
Established resources: hotline,
email address, experts
Education:Ask the expertMonthly road
shows
Collaboration: added
interprofessional teams and
departments