PowerPoint Presentation

CUSP4MVP - VAP

Comprehensive Unit-based Safety Program

for

Mechanically Ventilated Patients – Ventilator Associated Pneumonia

Daily Rounding Registry

•Overview of the Daily Rounding Data Entry and Data Upload

•Review of Daily Rounding Performance Monitor

•Review of Network Performance and Reports Page

Daily Rounding Registry – Training Overview

Home Page

Site can be accesseddirectly at:https://armstrongresearch.hopkinsmedicine.org

Option to login or browse.Some pages onlyavailable once logged-in.

The “Return to ArmstrongInstitute – Home” will takeyou back to the ArmstrongInstitute’s homepage

Clicking on the Project willtake you to that particularProject Home Page

Tools that Focus onEliminating Ventilator-Associated Pneumonia

CUSP4MVP-VAPHome Page

Networks

Admins vs Members

•Member’s Permissions

•Enter data into the CUSP4MVP-VAP tools

•View reports from the CUSP4MVP-VAP Daily Rounding Tool

•Administrator’s Permissions

Administrators have all of the functionality of members and can also:

•Invite users to participate in the Network

•View the Network Performance Monitor

•Send out HSOPS invitations

•View HSOPS reports

•Members or Administrators can be part of many Networks

•There can be multiple administrators within a Network

Networks and their hierarchy are configured by Armstrong Institute

My Projects

•Shows all the availableprojects and will highlightthe one(s) you areparticipating in

•You will be prompted tologin before accessing thispage

•Clicking on the project willtake you to theCUSP4MVP-VAP Projectpage

Mary Schmidt

CUSP4MVP-VAP

My Tools Page

Ability to search by Tool

Allows you to quickly accessvarious tools your network(s)are registered for.

Coordinating Entities willhave the ability to view Toolsregistered to their Childrennetworks.

Mary Schmidt

CUSP4MVP-VAP Test Network

ToolNameToolName

Network which Datawill be Entered forNetwork which Datawill be Entered for

Search by ToolName or byNetwork NameSearch by ToolName or byNetwork Name

Viewing for CUSP4MVP-VAP as Mary Schmidt

Mary Schmidt

Manage/View

CUSP4MVP-VAP National Tools

CUSP4MVP-VAPProject Page

•Displays your Data Entry Tools

•Your access to a Tool isdetermined by your role -whether you are a member oran administrator. Forexample, only administratorswill see the “Manage” button forHSOPS.

Network Admins seethe Manage ButtonNetwork Admins seethe Manage Button

Displays theNetwork enteringdata. Ability to clickon network name tonavigate to networkDisplays theNetwork enteringdata. Ability to clickon network name tonavigate to network

My Networks

View Networks

•Shows all the Networksthat you are associatedwith

•Ability to search by nameof Network

CUSP4MVP-VAP

Project Page

•The first time entering thepage, you’ll see the“Register” button

•Please note, apps thataren’t yet launched willdisplay with “ComingSoon”

•Once registration iscomplete, the button willchange to display“Manage”

Viewing for Community Memorial WICU as Mary Schmidt

CUSP4MVP-VAP

Registration

•The first time accessingthe Daily Rounding app,the following registrationinformation will berequired.

Community Memorial WICU

•Enter data byaccessing theEvents Tab

•Sort previousentries by ColumnTitles

•Sort by FilterCriteria as well

•Ability to Edit orDelete entries

Daily Rounding

Add New Event

VAP Daily Rounding – Data Entry

Data entry grid opens in modal overlay. Date validation enabled on form.

VAP Daily Rounding – Data Entry

Help ? icons available for each data entry field.

VAP Daily Rounding – Data Entry

Sub-G ETT: Does patient have a subglottic suctioning endotracheal tube (ETT)?Sub-G ETT: Does patient have a subglottic suctioning endotracheal tube (ETT)?

Sub-G ETT Con: Why is the use of a Sub-G ETT contraindicated? Sub-G ETT Con: Why is the use of a Sub-G ETT contraindicated?

Enter ‘Sub-G ETT’ criteria.

Enter ‘HOB’ criteria. All fields are enabled with validation

VAP Daily Rounding – Data Entry

Is ‘HOB’ at or over thirty degrees from the horizontal?Is ‘HOB’ at or over thirty degrees from the horizontal?

If not, why?If not, why?

VAP Daily Rounding – Data Entry

Enter ‘RASS’ if unit uses Richmond Agitation Sedation Scale.

Enter ‘SAS’ if unit uses Riker Sedation-Agitation Scale.

Enter ‘NU’ if no sedation scale is in use, or uses a scale other than RASS or SAS.

If ‘NU’ is entered, skip to the ‘Delirium Assessment’ column.If ‘NU’ is entered, skip to the ‘Delirium Assessment’ column.

Don’t enter info into ‘Target’ or ‘Actual’Don’t enter info into ‘Target’ or ‘Actual’

VAP Daily Rounding – Data Entry

For RASS or SAS, please enter the score closest to 10:00 am. If two scoreswere collected equidistant from 10:00 am, choose the earlier score.For RASS or SAS, please enter the score closest to 10:00 am. If two scoreswere collected equidistant from 10:00 am, choose the earlier score.

Target Scores vs. Actual Scores

VAP Daily Rounding – Data Entry

Target Scores vs. Actual Scores

VAP Daily Rounding – Data Entry

Enter ‘CAM-ICU’ if unit uses Confusion Assessment Method

Enter ‘ASE’ if unit uses Attention Screening Exam

Enter ‘NU’ if neither method in use to assess patient confusion

VAP Daily Rounding – Data Entry

Please record the most recent CAM-ICU or ASEassessment closest to 10:00 am.Please record the most recent CAM-ICU or ASEassessment closest to 10:00 am.

CAM-ICU – Is the patient positive or negative for delirium?

ASE – What is the patient’s ability to pay attention?

VAP Daily Rounding – Data Entry

SAT – Has the patient had a Spontaneous Awakening Trial today?

SAT Con – If no, what is the reason a SAT is not appropriate for this patient today?

VAP Daily Rounding – Data Entry

SBT – Has the patient had a Spontaneous Breathing Trial today?

SBT Con – If no, what is the reason a SBT is not appropriate for this patient today?

VAP Daily Rounding – Data Entry

SBT with Seds off? – Was the SBT performed with the sedatives off?

Enter ‘N’ if the patient is not currently intubated/trached and mechanically ventilated.

VAP Daily Rounding – Data Entry

Enter ‘E’ if there is no patient in the bed.

VAP Daily Rounding – Data Entry

Tip - Click ‘Done’ after 10 – 12 records have been entered.

VAP Daily Rounding – Data Entry

Daily Rounding

Add New Event

•Enter data byuploading aspreadsheet –very convenient!

Daily Rounding

Add New Event via Upload

Daily Rounding

Add New Event via Upload

Daily Rounding

Add New Event via Upload Template & Definition File

Daily Rounding

Add New Event via Upload

VAP Daily Rounding Reports

Sedation Scale

Now available within the VAP Daily Rounding toolor from the My Networks – My Reports orMy Networks – My Performance Monitor

Trending - quick snap shot of rate changes

VAP Daily Rounding Reports

Delirium Assessment

My Rate will show your performance rate as well asan indicator of whether “Higher is Better” or “Loweris Better”

VAP Daily Rounding Reports

View Chart

Interactive chart that allows selection of yourcomparators and time periods

Hover over datapoint to displayyour rate and thecomparatorsHover over datapoint to displayyour rate and thecomparators

Ability todownload PDFAbility todownload PDF

Ability to turncomparators ONand OFFAbility to turncomparators ONand OFF

VAP Daily Rounding Reports

Compliance

Improvement Opportunities display the numberof events, which if eliminated improve yourmeasure value

VAP Daily Rounding Reports

Contraindication

Average Performance displays the mean for all theother participants in VAP.

My Percentile shows what percentile your rate isversus all other participants in VAP

VAP Daily Rounding Reports

Distribution

Distribution tab displays frequency chartsof various data collection points

VAP Daily Rounding Reports

Distribution

VAP Daily Rounding Reports

Distribution

VAP Daily Rounding Reports

Distribution

VAP Daily Rounding Reports

Distribution

VAP Daily Rounding Reports

Distribution

My Networks

My Network Performance

•Network Admins will seethe measures from theDaily Rounding Tool foreach of the networks theyare associated with

Reportsavailable fordownload

Yukon Hospital Association

Smallton Hospital Association

Lugars Hospital Association

Yukon Hospital Association

Smallton Hospital Association

Lugars Hospital Association

If Networks arein a hierarchy,you will have theability to expandto see eachNetwork’s rateIf Networks arein a hierarchy,you will have theability to expandto see eachNetwork’s rate

Reports availablefor downloadReports availablefor download

Search forMeasures by NameSearch forMeasures by Name

My Networks

My Network Performance

•Ability to search forMeasures by Name

•Ability to sort by TimePeriod

•Download Excel orPDF Reports