abaqis® | Pressure Ulcers

1 Abaqis | Pressure Ulcersabaqis | Pressure Ulcerssnits : Sanitas, Borton, COsnits : Sanitas, Borton, CODefinitionDefinitionPIP NamePIP NamePressure UlcersPressure UlcersDescribe the problem to be solvedDescribe the problem to be solvedTo decrease the occurrence of Pressure ulcerTo decrease the occurrence of Pressure Which care area or category does this PIPW hich care area or category does this PIPpertain to?pertain to? Pressure UlcersPressure UlcersWhat is the target end date for the PIP?What is the target end date for the PIP?

2 3/31/20143/31/2014 TeamTeamHow often will the PIP team meet and measure progress? ( weekly, monthly, quarterly)How often will the PIP team meet and measure progress? ( weekly, monthly, quarterly)WeeklyWeeklyMemberMemberPIP RolePIP RoleTracyTracyRecorderRecorderTamiTami(C NA) - Interventions(CNA) - InterventionsJoyceJoyce(Skin Nurse) - Measures and Interventions(Skin Nurse) - Measures and InterventionsLieselLiesel(Charge Nurse) - Measurements and Interventions(Charge Nurse) - Measurements and InterventionsSebrenaSebrena(Dietician) - Interventions(Dietician)

3 - InterventionsAnalysisAnalysisSummarize the findings of your Root Cause AnalysisSummarize the findings of your Root Cause Analysis1. Initial skin assessments not being completed within 24 hours of admission. 1. Initial skin assessments not being completed within 24 hours of admission. 2. Delay in developing and implementing "Preventative Skin Care" plan of Delay in developing and implementing "Preventative Skin Care" plan of Development of Avoidable Pressure Ulcers (MDS Low Risk)No Development of Avoidable Pressure Ulcers (MDS Low Risk)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to filter the MDS creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to filter the MDS Development of Avoidable Pressure Ulcers (MDS High Risk)

4 No Development of Avoidable Pressure Ulcers (MDS High Risk)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to filter the MDS creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to filter the MDS DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis MDS Report,abaqis MDS Report, Pressure UlcerPressure Ulcersubgroup, "Low Risk".subgroup, "Low Risk".PIP Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20137070 Current abaqis MDS Report, Pressure UlcerCurrent abaqis MDS Report, Pressure Ulcersubgroup, "Low Risk" quality , "Low Risk" quality DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis MDS Report,abaqis MDS Report, Pressure UlcerPressure Ulcersubgroup, "High Risk".

5 Subgroup, "High Risk".PIP Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20136060 Current abaqis MDS Report, Pressure UlcerCurrent abaqis MDS Report, Pressure UlcerNo Development of Avoidable Pressure Ulcers (Census Record Review QP262)No Development of Avoidable Pressure Ulcers (Census Record Review QP262)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct census record reviews andBy creating a group in abaqis for West 100 Hallway (Rooms 100-125)

6 In order to conduct census record reviews andto filter Censu Sample Record Review filter Censu Sample Record Review Development of Avoidable Pressure Ulcers (Census Record Review QP263)No Development of Avoidable Pressure Ulcers (Census Record Review QP263)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct census record reviews andBy creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct census record reviews andto filter Census Sample Record Review filter Census Sample Record Review Development of Avoidable Pressure Ulcers (Staff Interview QP049)No Development of Avoidable Pressure Ulcers (Staff Interview QP049)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct staff interviews and to filterBy creating a group in abaqis for West 100 Hallway (Rooms 100-125)

7 In order to conduct staff interviews and to filterStaff Interview Interview Development of Avoidable Pressure Ulcers (Staff Interview QP050)No Development of Avoidable Pressure Ulcers (Staff Interview QP050)By creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct staff interviews and to filterBy creating a group in abaqis for West 100 Hallway (Rooms 100-125) in order to conduct staff interviews and to filterStaff Interview Interview abaqis MDS Report, Pressure UlcerCurrent abaqis MDS Report, Pressure Ulcersubgroup, "High Risk" quality , "High Risk" quality DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis Census Sampleabaqis Census SampleRecord Review Report,Record Review Report, Pressure UlcerPressure Ulcersubgroup, QP262subgroup.

8 QP262 Presence of PressurePresence of Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20137070 Current abaqis Census Sample Record ReviewCurrent abaqis Census Sample Record ReviewReport, Pressure Ulcer subgroup, QP262 Report, Pressure Ulcer subgroup, QP262 Presense of Pressure Ulcer quality of Pressure Ulcer quality DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis Census Sampleabaqis Census SampleRecord Review Report,Record Review Report, Pressure UlcerPressure Ulcersubgroup, QP263subgroup.

9 QP263 Presence of Stage 3 or 4 Presence of Stage 3 or 4 Pressure Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20139090 Current abaqis Census Record Review Report,Current abaqis Census Record Review Report, Pressure Ulcer subgroup, QP263 Presence ofPressure Ulcer subgroup, QP263 Presence ofStage 3 or 4 Pressure Ulcer quality 3 or 4 Pressure Ulcer quality DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis Staff Interviewabaqis Staff InterviewReport, Pressure UlcerReport, Pressure Ulcersubgroup, QP049subgroup, QP049 Presence of PressurePresence of Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20138080 Current abaqis Staff Interview Report.

10 PressureCurrent abaqis Staff Interview Report, PressureUlcer subgroup, QP049 Presence of PressureUlcer subgroup, QP049 Presence of PressureUlcer quality quality DateTarget DateGoalGoalSourceSourceBenchmarkBenchma rk3/31/20143/31/2014 Equal To 100 %Equal To 100 %abaqis Staff Interviewabaqis Staff Interviewreport, Pressure Ulcerreport, Pressure Ulcersubgroup, QP050subgroup, QP050 Presence of Stage 3 or 4 Presence of Stage 3 or 4 Pressure Team Concensus GoalPIP Team Concensus GoalDateDateMeasurementMeasurementNoteNo te7/19/20137/19/20138080 Current abaqis Staff Interview Report, PressureCurrent abaqis Staff Interview Report, PressureUlcer subgroup, QP050 Presense of Stage 3 orUlcer subgroup.