Information Call
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Did Infections
you Join the
STOP
Now!Call Correctly?
You Joined
Correctly! 
You Joined
Incorrectly! 
There IS a
phone icon
beside your
name. You
will be able to
join the
breakout
sessions.
There is NO
phone icon
beside your
name. You
will be Unable
to join the
breakout
sessions.
If there is NO phone icon beside your name:
1. Hang up and
disconnect
from WebEx.
2. Rejoin using
original link.
Enter name &
Email & click on
Join Now
3. A popup will display the phone
information.
Direct
Line
Enter
numbe
r
Line with
Extension
“ I will call in”
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Interacting in WebEx
Be prepared to use:
•Pointer
•Raise your hand
14-Mar-16
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3
STOP Infections Now!
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Our Planning Team
Theresa Fillatre
Virginia Flintoft
Canadian Patient Safety Institute
SHN Central Measurement Team
University Health Network
Canadian Patient Safety Institute
University Health Network
SIA, Safer Healthcare Now!
Canadian Patient Safety Institute
Canadian Patient Safety Institute
University Health Network
Canadian Patient Safety Institute
BC Patient Safety & Quality Council
SIA SHN, Quebec
Michael Gardam
Leah Gitterman
Anne Maclaurin
Paige Reason
Katie Procter
Liz Rykert
Meta Strategies
Bruce Harries
Carrie Haines
Dannie Currie
Denise Sorel
Jason Thompson
Paule Bernier
Tanis Rollefstad
SIA, Safer Healthcare Now!
Improvement Associates
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Our Faculty
Erika Bailey
Gwen Brown
Erika Lee Bailey and Associates
St. Francis Memorial Hospital
Fraser Health Authority
Thunder Bay Regional Health Sciences Center
Public Health Ontario
University Health Network
Petra Welsh
Liz Van Horne
Susan McDonald
Colleen Snelgrove
Mohammad Salhia
Melissa Crump
Siemens Healthcare Diagnostics
Vancouver General Hospital
Social Invention Group
The Ottawa Hospital
Keith McCandless
Kathy Dunn
Public Health Agency of Canada
Laurie O’Neil
Public Health Agency of Canada
Jennifer Plant
Timmins and District Hospital
Chantal Backman
Jane Kirk
GOJO Industries
Chris Hayes
Canadian Patient Safety Institute
Greg Kennedy
Petra Walsh
Betty Fradgley
Fraser Health Authority
Anne-Marie Lowe
3M, Infection Prevention Solutions
Angela Thomas
Saint Michaels Hospital
Seniors Health Alberta
Institut National de Sante Publique du Quebec
University Health Network
Kathy McGhie
Matthew Muller
Steve Black
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STOP Infections Now!
The Problem
• Each year 8,000 Canadians die from
healthcare associated infections
• 220,000 others get infected
• Treatment is more costly than prevention
($129 million for 2010)
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High
STOP
Infections Now!
Simple
Complicated
Complex
Low
Low
Agreement
Adapted from Brenda Zimmerman, 2010
High
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Approaching different problems
• Simple/complicated problems
– Search for solutions, “problem
solve”
– Checklists, algorithms, best
practices
• Complex problems
– No one size fits all
– Local solutions, multiple actions
– Allows for paradoxes
– Importance of relationships
– “minimum specifications”
9
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…We know what to do
•
•
•
•
•
Hand hygiene
Environmental cleaning
Surveillance
Precautions
Practice bundles
But for whatever reason we don’t always do them well…
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Previous Initiatives: NACS
• May 2010 – May 2011
• 3 “waves”
• Positive Deviance and Liberating
Structures
• ~ 60 teams from across Canada joined
over the 12 month period
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STOP Infections Now!
STOP Infections Now Collaborative
• Help participating institutions improve compliance
with evidence based strategies to reduce HAI’s
• Use Liberating structures and the Model for
Improvement to engage people in changing
behaviours and promoting culture change
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STOP Infections Now!
STOP Infections Now Collaborative
• 12+6 Month Virtual Collaborative
• Supported by hand hygiene and NACS faculty
• 7 learning sessions + monthly team calls
• One-to-one coaching
• Liberating structures + Model for Improvement
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Improvement tools and strategies
• Liberating structures + Model for Improvement
SINC GSK
• Implementation of change ideas using PDSA
cycles (change package with ideas will be provided)
• Measurement: did the change make a difference
• One-to-one coaching
• Networking through learning sessions, team calls
and the Community of Practice
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Model for Improvement
• Powerful tool for accelerating
improvement
• Model used by many
healthcare organizations to
improve healthcare processes
and outcomes
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New Option for Transformation
• Same People
Liberating
Structures
• Same Incentives
• Same organizational Structure
• Change Patterns of Relating
• Include and Unleash Everyone
Culture eats strategy for breakfast
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What Teams Can Expect
• Understand issues
related to
improvement work
and culture change
• Coaching support
• Resources: GSK and
change package
• Community of
practice
• Learning with teams
from across Canada
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Stop Infections Now Collaborative
STOP Infections Now!
Sept 16th
2011
Call to
action
Monthly calls until end of 18 months
P
• All collaborative calls
between LS
A
• Regular use of CoP
LS7
Closing
October 5th
Information
Call 1
Oct 12th
Information
Call 2
D
S
Oct/Nov
Pre-work
P
A
P
A
D
S
LS1
One week
November 10th
LS2
Nov. 16th
One week
LS3
Nov.23rd
P
A
LS4/5
D
S
D
S
February 29th /March
7th
LS6
June 6th
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STOP Infections Now!
AIM
• Support teams in the Virtual Learning
Collaborative (VLC) to achieve a 30% reduction
in healthcare associated infections
• Support teams to achieve hand hygiene
compliance rates of at least 80%
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Principles of this Collaborative
• Everyone teaches,
everyone learns
• Active participation
• Measurement is
fundamental to
targeted improvement
work
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STOP Infections Now!
Principles of this Collaborative
• Nothing about me without me
• Practice deep respect for people and local
solutions
• Practice self discovery within a group
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Why Measure?
• To establish benchmarks
• To monitor compliance with policies and
procedures
• To understand the impact/efficacy of your
interventions
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Whatever is being measured, it is
important to use the information gathered.
Continually review the data and develop
action plans to address any issues
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What to Measure?
• Measure the things that provide value for
your setting
Ask yourself?
• Is the information relevant? Will gathering data
add value?
• Can this process or outcome be measured?
• Can the data be fed back to frontline staff in a
way that makes sense to them?
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STOP Infections Now!
Measures
Mandatory
Optional**
WHO assessment (pre and post)
Hand hygiene audit
At least one of: CDAD, MRSA* VRE*
outcome measures
Environmental Cleaning
Culture Survey
Other local or selected
measures that teams
want to use such as:
•ABHR use
•Soap use
•Placement of ABHR
(before and after)
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Virtual Sessions: Using Webex
• Connect people through internet &/or telephone to
create a virtual interactive learning environment
Requirements:
–
–
–
–
–
Meeting room with computer internet access
MS word, PowerPoint and Excel on computer
Discussion with IT re: firewall
Ability to play videos on the desktop
Telephone with speaker capabilities & hands free capacity
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Webex Training Sessions (for enrolled teams, choose one):
October 12th
Time: 9:00 PDT; 10:00 MDT/CST; 11:00 CDT; 12:00 EDT; 1:00
ADT; 1:30 NDT
October 18th
Time: 12:00 PDT; 1:00 MDT/CST; 2:00 CDT; 3:00 EDT; 4:00
ADT; 4:30 NDT
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STOP Infections Now!
Requirements for Registration
• Interdisciplinary team committed to building
sustainable strategies to reduce HAI’s and improve
hand hygiene
• Commitment to submit data
• Active participation and sharing
• Support by Executive leader
• Enrolment in SHN and in SINC
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Costs & Registration
•
•
•
•
$1,000 per team (up to 7 team members)
7 virtual learning sessions
Monthly team calls
Multiple action periods
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Questions
Paige Reason
Project Manager
paige.reason@uhn.ca
416-340-4800 x 8365
Anne MacLaurin
Project Manager – SHN!
amaclaurin@cpsi-icsp.ca
780-498-7254
French SIA Support
Paule Bernier
Safety and Improvement Advisor – SHN! Quebec
pbernier@jgh.mcgill.ca
514-340-8222 x 5044
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