After helping the nursing staff avoid another hospitalization for Hattie last week, I decided to investigate what we can do to avoid unnecessary hospitalizations. I reviewed some of our recent hospitalizations to see if others could have been avoided. That wasn’t easy since we’re not currently tracking hospitalization rates. I remember at INTERACT training hearing about the Advancing Excellence Safely Reduce Hospitalizations Tracking Tool. We’re registered for that campaign, but I must admit I haven’t been to that website in months. I went to the website and looked at the hospitalization tracking tool. It looks like it’ll be a great way for us to track and trend hospitalization data, as well as do some root cause analysis. My plan is to bring this tool to our next interdisciplinary team meeting to see how we can work together to gather the information, enter it into this tracking tool each month, and use the information to help reduce unnecessary hospitalizations.
I also spent some time walking around the neighborhoods to see how many “Stop and Watch” forms were being turned in to the nurses. Very few! This was one of the tools that was introduced in our facility-wide INTERACT training a few months ago. I guess just introducing tools and not doing any follow up doesn’t lead to success. Mary, one of the nurses on the transitional care unit (TCU), seems excited about this tool and has been encouraging her team to use it. So, I asked her to be the “Stop and Watch” champion. She has agreed to use this tool regularly and get others on the TCU to use it. When they figure out what works best for them, she’ll help me spread their work to the other neighborhoods. Glad I have some support with this!
Once changes have been implemented in our systems to support the use of the “Stop and Watch” forms, I think we should tackle the INTERACT Care Paths. What changes in our workflow will we need to make to successfully implement all of the INTERACT tools?