Resources

ASNS

 

 

5 Questions to Ask Your Baby's Doctor Before Your Baby is Given Antibiotics

ASNS Bedside Antibiotic Countdown Full Page

ASNS Bedside Antibiotic Countdown Half Page

 

GENERAL

Being a Staff Liaison to Family Partners

 

A Checklist for Attitudes about Patients and Families as Advisors

A tool for exploring attitudes about patient and family involvement in their own health care and as advisors and/or members of improvement and design teams.

A Curriculum for Patient-Family Centered Care

A curriculum tool shared by Memorial Health System that includes pathways for developing skills and competencies related to patient- and family-centered care (e.g., hiring interviews, new employee orientation, training modules). 

Become a Patient and Family Advisor: Working Together to Help Improve Our Hospital

A brochure that provides information on who patient and family advisors are, how they help the hospital, and who can become an advisor. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Building the Business Case for Patient-Centered Care

An article from Healthcare Financial Management that examines financial and business benefits found to be associated with patient- and family-centered care. Potential benefits described in the article include reduced length of stay, lower cost per case, decreased adverse events, higher employee retention rates, reduced operating costs, decreased malpractice claims and increased market share.

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit

A 26-page toolkit for health care leaders, clinicians, and staff that demonstrates ways to partner with patients and families to enhance quality and safety. It provides ideas and resources that support efforts to ensure patient care is safe and responsive to the needs, priorities, goals, and values of patients and their families. Materials include: application form for patient and family advisors, description of patient safety champions, tips for group leaders and facilitators, support for rapid response teams, and other selected resources. 

Patient and Family Advisor Application Form

A form that advisors complete that includes basic demographic information, questions on why the applicant wants to be an advisor, and questions on prior relevant experiences as an advisor or volunteer. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Patient and Family Advisor Information Session

A PowerPoint presentation that gives information on who patient and family advisors are, what they do, and how they help the hospital and provides tips from other advisors. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Patient and Family Advisor Orientation Manual 

A manual that provides information on hospital safety and quality, on what patient and family advisors do and how they help the hospital, and tips for being a patient and family advisor. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Patient and Family Advisory Councils: A Checklist for Getting Started

A brief checklist of things to consider when starting a patient/family advisory council. 

Patient and Family Centered Care Competency Summary

A tool for tracking observations of employee behaviors associated with patient- and family-centered care. 

Powerful Partnerships: A Handbook for Families and Providers Working Together to Improve Care

A publication intended to help both family members and healthcare professionals who are working together as equal partners to improve care through multi-disciplinary teams. This 26-page handbook includes an introduction to quality improvement and collaborative processes, answers to frequently asked questions, a glossary, and resources throughout. The guide for families describes potential roles for family members, provides examples of advisors in action, and includes tips for being an effective partner. The companion piece for providers discusses benefits of partnering with families, the importance of learning from the family experience, and includes guidance for recruiting and supporting family advisors. 

Presentations by Patients and Families: Staff Liaison Coordination and Preparation Roles

A tool that is meant to assist individuals fulfilling requests for patients and families as presenters. Guidance is provided regarding the following: clarification of content and logistical issues, selecting and preparing patients and families who are able to address programmatic goals, as well as steps to take for follow-up after the presentation has concluded. 

QSEN (Quality and Safety Education for Nurses) Patient-Centered Care Competency

Teaching strategies from the American Association of Colleges of Nursing related to patient- and family-centered care. This resource includes curriculum, assignments, questions and other guidance that may be used for educating staff.

Sample Confidentiality Statement

Sample statement that hospitals can ask patient and family advisors or council members to sign before participating in advisory activities. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Sample Invitation and Regret Letters for Advisory Council Applicants 

Sample invitation and regret letters for patients and family members who have applied to be advisory council members. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Staff Liaison to Patient and Family Advisory Councils and Other Collaborative Endeavors

A 4-page guidance publication that describes essential qualities to look for in a liaison to patient and family advisory councils, how the individual should prepare for the role, and the responsibilities of the position.

Strategies for Leadership – Advancing the Practice of Patient- and Family-Centered Care

A 20-page resource guide written for hospital executives that provides information about the concepts of patient- and family-centered care as well as guidance on how to advance such care within organizations. Case studies and a listing of additional resources and references also are featured. This resource guide is part of a toolkit developed by the American Hospital Association and the Institute for Patient-and Family-Centered Care, which was distributed to every U.S. Hospital CEO in 2004.

Strategies for Leadership – Patient- and Family-Centered Care: A Hospital Self-Assessment Inventory

An inventory that may be used by either a hospitals’ leadership team or an organizational cross-functional team (which includes patients) to evaluate the progress hospitals have made towards patient- and family-centered care and identify opportunities for improvement. This inventory is part of a toolkit developed by the American Hospital Association and the Institute for Patient-and Family-Centered Care, which was distributed to every U.S. Hospital CEO in 2004.

Tips for Group Leaders and Facilitators on Involving Patients and Families on Committees and Task Forces

A list of items to consider when selecting and preparing patients and families for committees and task forces. This 3-page resource also includes guidance for facilitating meetings and anticipating competing demands experienced by patient and family advisors. 

Tips for Recruiting Patients and Families to Serve in Advisory Roles

A tip sheet that provides guidance and suggestions for how to identify and recruit patients and families to serve as advisors. 

Working with Patient and Family Advisors

A PowerPoint presentation of a two-part training for clinicians and staff. Part 1, Introduction and Overview, discusses who patient and family advisors are, the benefits of working with them, and opportunities for doing so. Part 2, Building Effective Partnerships, helps clinicians and hospital staff develop partnership skills. Users may personalize this tool using their own hospital’s logo and information. This resource is part of AHRQ’s Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

PQCNC Prerequisites Follow-Up Plan

Flowchart detailing required follow-up for teams missing one or more prerequisites...

Patient- and Family-Centered Care: Partnerships for Quality and Safety 

A video which describes the core concepts of patient- and family-centered care and features compelling stories from patients, families, caregivers and hospital leaders. This video is part of a toolkit developed by the American Hospital Association and the Institute for Patient-and Family-Centered Care, which was distributed to every U.S. Hospital CEO in 2004.

Sharing Personal and Professional Stories

An exercise designed to help participants develop an understanding of patient- and family-centered care by relating personally to the core philosophical concepts.

Engaging Health Care Users: A Framework for Healthy Individuals and Communities

A report from the American Hospital Association that includes a summary of the research supporting patient engagement and a description of proven methods and tools for successfully engaging patients and families. This resource is meant to give hospital and health system leaders concrete, practical steps grounded on evidence-based research to improve patient and family engagement in their organizations. 

PQCNC is pleased to announce that we will be offering educational opportunities for patients and family members serving as advisors or in other partnership roles within your organization.

These courses are designed to provide patients and family members with the education, tools and strategies necessary to be effective partners in improving the quality, safety and experience of healthcare. While you can choose to bring any single course to your facility, completion of the full set of four courses provides the most comprehensive knowledge base possible and allows participants to complete a Capstone Project, resulting in a Certificate in Patient Family Leadership. The Capstone Project requires participation in a 1-hour webinar, development and implementation of a Small Test of Change to be carried out in your organization as part of a PQCNC project, and presentation of results at a PQCNC learning session.

To bring the course or courses to your facility or for questions regarding the courses or certificate, please contact Tara Bristol Rouse .

 

CPFL Courses…

Being a Patient/Family Partner -
Patient and family partners will learn about the national landscape of patient- and family-centered care, with a focus on opportunities and roles for patient and family advisors in the design and improvement of healthcare.  

Using Your Perspective to Identify Opportunities in Care -
Patient and family partners will have the opportunity to share their healthcare experiences for the purpose of identifying best practices and opportunities for improvement. 

Participating in Improvement Committees -
Patient and family partners will become familiar with the language of quality improvement and learn strategies for becoming a meaningful partner on improvement teams. 

Developing and Reviewing Educational Materials -
Patient and family partners will gain understanding of the steps involved in developing educational materials and things to look for to promote optimal usability. 

Capstone Project (webinar)
During this webinar, patient and family partners who have completed all four Patient and Family Leadership Courses will receive an introduction to and instructions for completing the Capstone Project, a requirement for receiving the Certificate in Patient Family Leadership. 

Intend to Register? Click here

Ready to get started and submit your team roster? Click here.

PQCNC is proud to announce that registration is now open for well newborn, Special Care Nurseries and NICUs for the statewide Antibiotic Stewardship/Newborn Sepsis (ASNS) initiative. The goal of this critical project, a project selected by the PQCNC membership, is to reduce antibiotic exposure in newborns by 20%, to be achieved via standardization of newborn sepsis evaluations in Newborn and Special Care Nurseries and the NICU and timely discontinuation of antibiotics with culture negative evaluations.

Standardization of sepsis evaluations and reductions in antibiotic exposure should lead to reduced length of stay and reductions in antimicrobial resistance. Additional potential benefits include less separation of mothers and babies, improved breastfeeding rates, and reduced NEC in NICUs.

The ASNS Expert Team, composed of 54 members including physicians, nurses, infection control experts, pharmacists and hospital executive leadership, have created a concise action plan which will guide hospital ASNS teams in this work as well as measures which will guide teams and the collaborative in this work.

The ASNS collaborative will be facilitated by the PQCNC core team working with your hospital teams and, as with all PQCNC initiatives, will include monthly webinars and quarterly face to face learning sessions as well as weekly email updates to keep all apprised of new reports on the topic, opportunities to excel developed by teams, and critical developments in the collaborative.

The PQCNC ASNS initiative offers your facility a unique, structured opportunity to address the challenges of antibiotic stewardship and the morbidity and mortality resulting from antibiotic resistance. This project will be approved for Maintenance of Certification for your physician providers. Our face to face learning sessions will offer CEU and CME credit. 

This all is at NO cost to your hospital.

Want to join us on this incredible journey? - use the links above.

Need more information? - click here

Questions? - click here

Registration is now open for the ASNS Expert Team Face to Face Meeting to be held at the McKimmon Center in Raleigh on Thursday August 4, 2016 from 9:00 AM to 4:00 PM

Please register here

General Information on Antibiotic Stewardship Programs

Core Elements of Hospital Antibiotic Stewardship Programs - Provides a thorough summary of core elements of a hospital based antibiotic stewardship program.  Also outlines key support staff, policies and interventions to improve antibiotic use,  suggestions for tracking and reporting antibiotic use, and includes a checklist for the core elements of a stewardship program.

 

Antibiotic Use in NICUs and Newborn Nurseries

Neonatal Intensive Care Unit Antibiotic Use - A review of antibiotic practice variation in 132 NICUs in California to include an examination of relationships with proven infection and other factors unambiguously connected with antibiotic exposure.

Antibiotic Stewardship:  Reassessment of Guidelines for Management of Neonatal Sepsis - A thorough review and comparison of the CDC and COFN guidelines to evaluate and manage neonatal sepsis.

Reappraisal of Guidelines of Management of Neonates with Suspected Early Onset Sepsis - A commentary on the case for moving beyond current recommendations for evaluation and treatment of term and late preterm infants for EOS.  The merits of the CDC and AAP guidelines for infants showing clinical signs of sepsis and for infants born under the maternal diagnosis of chorioamnionitis are debated.  The commentary concludes with eight suggested principles to guide innovation in managing suspected EOS.

 

Estimating the Probability of EOS

Estimating the Probability of Neonatal Early Onset Infection on the Basis of Maternal Risk Factors - Introducing of a predictive model for sepsis based on information available in the immediate perinatal period.  The model establishes a prior probability for newborn sepsis, which could be combined with neonatal physical examination and laboratory values to establish a posterior probability to guide treatment decisions.

The Conundrum of Early Onset Sepsis - A brief commentary on COFN recommendations and the introduction of the Kaiser sepsis calculator.  The commentary ends with six conclusions and three practice suggestions for managing infants with early onset sepsis.

Stratification of Risk of Early Onset Sepsis in Newborns Greater than or Equal to 34 Weeks Gestation - This article presents the risk stratification strategy that belies the Kaiser sepsis calculator.

 

Adverse Consequences of Antibiotic Use in Newborns

Adverse Consequences of Neonatal Antibiotic Exposure - A review and opinion paper covering current data regarding the rationale for empirical use of antibiotics, variations in prescribing practices, emerging resistance, and how antibiotics affect the microbiome of the neonate.  The review ends with a discussion of practice modifications and current stewardship efforts.

WHAT HAVE WE AGREED TO DO?

We need to collectively:

  • determine the scope of this project
  • create a charter for all teams to utilize
  • decide on goals for the project
  • discuss what data we will be collecting
  • discuss what reports we will be using
  • draft an action plan for all teams to use to forge ahead across the state
  • meet each other face to face to and talk about the amazing work we are doing!


WANT TO GET INVOLVED?

Join the Expert Team and lend your voice to the process- register here

THINGS TO KNOW

There are conference calls scheduled to assist us all in achieving the bullet points above. Be sure to add them to your calendars!

Tuesday, April 12 at 1200 - COMPLETED


Tuesday, May 3 at 1200 - COMPLETED

  • Discuss scope, goals and outcomes of project. Begin creation of the charter


Tuesday, May 24 at 1200

  • Approve the charter and discuss what reports will be generated


Tuesday, June 14 at 1200

  • Approve reports to be utilized and discuss data to be collected

PQCNC ASNS Expert Team Webinar 20160614


Tuesday, July 12 at 1200

  • Approve data collection and discuss pre-work


Thursday, August 4 - 9:30 - 3:30

  • Face to face meeting at the McKimmon Center - details TBA!