Introduction Hand Hygiene Targeted Solutions Tool TST 1

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Introduction: Hand Hygiene Targeted Solutions Tool ® (TST) 1 © Copyright, The Joint Commission

Introduction: Hand Hygiene Targeted Solutions Tool ® (TST) 1 © Copyright, The Joint Commission Center for Transforming Healthcare

30 mins Agenda Check in: • Introduction (Name/Title & Role for this Project/ Organization)

30 mins Agenda Check in: • Introduction (Name/Title & Role for this Project/ Organization) • Ground Rules and Objectives Introduction: Hand Hygiene Targeted Solutions Tool (TST)® Overview of definitions, steps and processes 10 mins Question: • What is the ultimate goal you want to achieve going through this project? 10 mins TST Best Practice With: • Selecting/building your team • Leadership support • Selecting your units • Training data collectors • Collecting data • Implementing solutions 3 mins Closing Remarks 1. Next deliverables 2. Action steps: WWW 4 mins Optional: Individual questions & comments Presenters /Facilitators Jane/Emily Ziad Teams All Phase 1 Project Teams Emily 2 © Copyright, The Joint Commission Time Frame 3 mins

Review of Ground Rules 1. 2. 3. 4. 3 © Copyright, The Joint Commission

Review of Ground Rules 1. 2. 3. 4. 3 © Copyright, The Joint Commission Full participation by project team. Start on time. End on time. All ideas welcome. One conversation at a time. Please announce your name before speaking. 5. Don’t leave the call with unanswered question(s).

MUST ACCOMPLISH: z Primary: To establish clear understanding of the project milestone’s expectations and

MUST ACCOMPLISH: z Primary: To establish clear understanding of the project milestone’s expectations and deliverables. z Secondary: To provide individual’s project progress, updates and learning. z Others: To collaborate with other participating organizations in learning and achieving the same goal of improving Hand Hygiene compliance and reducing healthcare-associated infections. 4 © Copyright, The Joint Commission Objectives

5 © Copyright, The Joint Commission TST- Home Page

5 © Copyright, The Joint Commission TST- Home Page

6 © Copyright, The Joint Commission TST – Setting Up Projects

6 © Copyright, The Joint Commission TST – Setting Up Projects

Viewing your Dashboard View charts which combine data from all of your projects 7

Viewing your Dashboard View charts which combine data from all of your projects 7 © Copyright, The Joint Commission Look at your organization’s progress and compare to national TST users

Getting Started Links to CDC & WHO guidelines 8 © Copyright, The Joint Commission

Getting Started Links to CDC & WHO guidelines 8 © Copyright, The Joint Commission Videos display tips from experts

Defining Hand Hygiene Two Moments In the TST, hand hygiene is limited to the

Defining Hand Hygiene Two Moments In the TST, hand hygiene is limited to the two moments of wash in and wash out so that your organization can better measure, or count, instances of compliance 9 © Copyright, The Joint Commission 1. Hand hygiene at room entry 2. Hand hygiene at room exit

Training Observers 10 © Copyright, The Joint Commission Provides detailed information on selecting data

Training Observers 10 © Copyright, The Joint Commission Provides detailed information on selecting data collectors

Downloadable Training Materials Training tools provided to ensure reliable data collection 11 © Copyright,

Downloadable Training Materials Training tools provided to ensure reliable data collection 11 © Copyright, The Joint Commission Data collection form practice and scenario videos provided for training

Data Collection Method HH data collector (observer) Purpose To be an unbiased observer for

Data Collection Method HH data collector (observer) Purpose To be an unbiased observer for hand hygiene compliance Just-in-time coach To collect data, intervene, and coach staff when hand hygiene non-compliance is observed Hand hygiene compliance data is used for Data collection will begin after the baseline establishing the baseline Hand Hygiene data has been collected and the compliance performance data shared with staff Who JIT coaches capture non-observable cultural barriers by interviewing health care providers after an observed instance of noncompliance Examples include: unit managers, charge Examples include: housekeeping, lab staff, nurses, infection control practitioners, executives/leadership, and quality coaches or chaplains, volunteers unit-based educators 12 © Copyright, The Joint Commission Data Collected “Secret shoppers”: anonymous observers collected data on physical barriers of noncompliance without influencing the observed behaviors

Baseline-Measuring Compliance 13 © Copyright, The Joint Commission Observable Versus Non Observable Contributing Factors

Baseline-Measuring Compliance 13 © Copyright, The Joint Commission Observable Versus Non Observable Contributing Factors

Healthcare-associated infections (HAIs) Select the types of HAIs that your organization wants to monitor

Healthcare-associated infections (HAIs) Select the types of HAIs that your organization wants to monitor 14 © Copyright, The Joint Commission TST tool helps track incidences of these HAIs

Baseline Results Rank your contributing factors from highest to lowest frequency 15 © Copyright,

Baseline Results Rank your contributing factors from highest to lowest frequency 15 © Copyright, The Joint Commission Provides real-time feedback

Filtering capability to analyze by shift and role type Real-time analysis & data feedback

Filtering capability to analyze by shift and role type Real-time analysis & data feedback 16 © Copyright, The Joint Commission Analyze- Baseline Data

Different Chart Options Driving acceptance and accountability 17 © Copyright, The Joint Commission Drills

Different Chart Options Driving acceptance and accountability 17 © Copyright, The Joint Commission Drills down to the contributing factors

Targeted Solutions Downloadable implementation guides and checklists 18 © Copyright, The Joint Commission rgeted

Targeted Solutions Downloadable implementation guides and checklists 18 © Copyright, The Joint Commission rgeted Provides ta each solutions to e us specific ca

19 © Copyright, The Joint Commission Analyze Baseline and Improve Data

19 © Copyright, The Joint Commission Analyze Baseline and Improve Data

HAI Data Chart 20 © Copyright, The Joint Commission Select HAI type you want

HAI Data Chart 20 © Copyright, The Joint Commission Select HAI type you want to observe in correlation to hand hygiene compliance rates

Sustaining the Gain 21 © Copyright, The Joint Commission Provides control plan to sustain

Sustaining the Gain 21 © Copyright, The Joint Commission Provides control plan to sustain the gains of your project

Question: 22 © Copyright, The Joint Commission z What is the ultimate goal you

Question: 22 © Copyright, The Joint Commission z What is the ultimate goal you want to achieve going through this project?

TST Best Practices 23 © Copyright, The Joint Commission z Selecting/building your team z

TST Best Practices 23 © Copyright, The Joint Commission z Selecting/building your team z Leadership support z Selecting your units z Training data collectors z Collecting data z Implementing solutions

Next Call Schedule 24 © Copyright, The Joint Commission Next call: February 5, 2014

Next Call Schedule 24 © Copyright, The Joint Commission Next call: February 5, 2014 2 pm EST

What Who When 25 © Copyright, The Joint Commission Next steps Status

What Who When 25 © Copyright, The Joint Commission Next steps Status