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Measures
Measuring the impact and outcomes
of the programme in terms of
improved quality of care and the
change in the relationship
April 2012
Yorkshire & the Humber Shared Haemodialysis Care Programme - Measures
What are we measuring?
We are measuring 14 key aspects of care as listed below and
measured through our outcome and process measures:
1
2
3
4
5
Take Weight
Take blood pressure & pulse
Temperature
Wash Hands & Clean Arm
Collect Equipment, Clean Trolley & Open Dressing Pack
6
7
8
Lining Machine
Priming Machine
Programming Machine & Following the Prescription
9
10
11
Insert Needles & Ensure Security
Access Line & Ensure Security
Hook Up, Bleed Out & Commence Dialysis
Signed off as competent in dealing with arterial & venous alarms (problem solving)
12
13
14
Press needle sites / place dressing
Epoeitin injection
Safe disposal of sharps
2
What are we measuring?
We are measuring the number of health care professionals trained through our 3-tiered renal
training programme - as listed below and measured through our outcome and process
measures:
1-1
1 Day
Module Course
Target: Matrons & Senior
Sisters
3 Day Module Course
1 Day Follow up Course
(6 months after completion)
•1-1 with shared care educators or
•Disseminated training by staff who have
completed 3 day course
•1- 2 hour Group sessions
•E learning
3
Outcome measures
Directly related to the aim of the project:
• % of haemodialysis patients undertaking all aspects of
their haemodialysis care
• % of haemodialysis patients undertaking at least five
aspects of their haemodialysis care
• % of patients who have been asked about participating in
shared haemodialysis care
• % of renal unit staff who have completed the purposedesigned training programme
4
Yorkshire & the Humber Shared Haemodialysis Care Programme - Measures
Process Measures
Measuring the activities/processes introduced to achieve aim;
measures of whether an activity has been accomplished:
• % of staff who are enrolled on the training programme
• % of patients able to establish access (putting needles into
their fistula)
5
Yorkshire & the Humber Shared Haemodialysis Care Programme - Measures
Balancing Measures
Measuring any unintended consequences:
• % of patients satisfied or very satisfied with their dialysis
care [score 5 or above]
• % of staff satisfied with providing dialysis care [score 5 or
above]
6
Yorkshire & the Humber Shared Haemodialysis Care Programme - Measures
How the data is being
captured
Generically across the York and Sheffield sites, we are capturing measurements on a
monthly basis. We randomly select 20 patients in total by selecting the 3rd and 6th
patient that arrives for dialysis in a morning shift, afternoon shift or twilight shift or
using a random number generator and audit the bed spaces. For example at York
and it’s two satellite units at Easingwold and Harrogate, we measure across the three
sites (8 patients in York, 6 patients in Easingwold and 6 patients in Harrogate) Of
those shifts that we measure, we capture 100% of staff satisfaction levels. Also, at
unit level they are keeping a log of individual patients and which specific tasks they
are achieving to enable them to identify where improvements can be made.
7
For further information
contact:
Shamila Gill
Yorkshire and the Humber
Shared Haemodialysis Care
Programme Manager
01226 433711 / 07825385661
[email protected]
8
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