Template for Change Package on an Inpatient Target

Other change package pages: Put Key Foundations in Place for [Target]; Manage [Target] Better Hospital-wide; Help Care Teams Manage [Target] Better with Individual Patients; Case Studies

[Improvement Target]- Overview and Change Package Contents

The purpose of this change package is to help hospital clinical/quality teams improve patient care by managing [Improvement Target] more efficiently and effectively. It outlines activities (see heading A below) and includes materials and examples (see pages linked to headings 1, 2, and 3 under A) that hospitals can adapt to achieve three requirements for this goal:

• Putting in place foundations for improving [Target]
• Managing [Target] better hospital-wide
• Helping the care team manage [Target] better in interactions with individual patients

Under each of these headings below are change concepts that hospital teams can consider within their strategies to drive targeted improvement. On pages linked to from the headings, there are additional change ideas that provide further detail about implementing each change concept. Underneath change ideas on those linked changes - in blue font - are specific tools that can be used to translate the change idea into action.

For example, this [CAUTI Reduction] change package includes tools to help implement evidence-based approaches including:

• [not placing or leaving in place, urinary catheters for incontinence or convenience or monitoring of output for non–critically ill patients
• ensuring catheters are placed only for acceptable indications: critical illness, obstruction, hospice, perioperatively for <2 days for urologic procedures; use weights instead to monitor diuresis]

This change package also highlights case studies (see heading B below) that illustrate how hospitals have successfully used systematic approaches and tools to achieve exemplary performance on [Target].

A. Steps for Hospitals to Improve [Target] (Click links for more details and tools)

1. Put Key Foundations in Place for [Target]

• Make [Target] a Hospital Priority
• Systematically Use Evidence-based Guidelines, Protocols, and Policies for [Target]
• Train and Evaluate Care Team on Key Skills for [Target]

2. Manage [Target] Better Hospital-wide

• Use Analytic Tools to Identify, Track, and Manage Patients with [Targeted condition]
• Use Clinician-managed Protocols for [Target-management activities, as appropriate]
• Use Hospital [Target] Performance Data and National Benchmarks to Drive Improvement

3. Help Care Teams Manage [Target] Better with Individual Patients

• Consider Pre-hospital and Community-based Opportunities
• Support Pertinent Activities Early in Hospital Encounter (e.g., Emergency Department and Registration)
• Use Opportunities During Main Hospital Stay (e.g., daily rounds, nursing/ancillary interactions, care planning/ordering/execution)
• Enhance Discharge-related Activities and Follow-up After Discharge (as appropriate)

B. [Target] Case Studies

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(c) TMIT Consulting, LLC 2014