Purpose

1. Quality Improvement Plan to Increase HCAHPS Scores for Patient Education on Medications Johan Diaz Purpose Results Measures • Increase HCAHPS scores in medication education by increasing the use of the Get Well Network (GetWell Net Work, 2011). • Target goal of a ten percent increase in HCAHP scores six months after implementation of the Get Well Network during medication education. • Measuring percentage of patients that used the Get Well Network for medication education via documentation. Background • One of the lowest scores on the HCAHPS for St. Joseph’s Hospital was “the percentage (59%) of patients who reported that staff Always explained about medications before giving it to them” (Bay Care,2013). • Medication education is a strategy that can be used to improve patient satisfaction as well as improve patient outcomes (Grant, 2012). • Patient-centered interventions, including verbal teaching, handouts, and educational technology , promote confidence and the importance of medication adherence (Hyrkas et al., 2014). • According to Katz et al (2006), pictorial aids enhance the understanding of how patients should take their medications, particularly when pictures are used in combination with written or oral instructions. Process Improvement • The initial test of change will be to implement that nurses will be responsible for providing medication education before giving medications. • Communication between staff members including technicians and nurses involved in care will help patients use the Get Well Network and emphasize medication education. Limitations / Lessons Learned • Patient condition in the unit can be a limitation. • Lack of participation from management and staff towards process improvement is a limitation. • Educational videos are available only in English but not in other languages (i.e. Spanish) Improvement Tools/Methods References • Process flow charting • Cause and effect analysis (fishbone diagram) Placeholder • BayCare Health System. (2014). Quality Report Card. (2014). Retreived from • www.baycare.org/ • Get Well Network. (2011). Christiana hospital makes medication teaching more consistent, efficient, and measureable. Retrieved from http://www.getwellnetwork.com/sites/default/files/pdf/GetWellNetwork_Christiana_Case_Study.pdf • Grant, B. (2012). INSPIRING CHANGE. Improving patient satisfaction through medication education. Nursing, 42(3), 12-14. • Hyrkas, K., & Wiggins, M. (2014). A comparison of usual care, a patient-centred education intervention and motivational interviewing to improve medication adherence and readmissions of adults in an acute-care setting. Journal Of Nursing Management, 22(3), 350-361. doi:10.1111/jonm.12221 • Katz MG, Kripalani S, Weiss BD. ( Use of pictorial aids in medication instructions: a review of the literature. Am J Health Syst Pharm. 2006;63(23): 2391–2397. • Macdonald, M. T., Heilemann, M. V., MacKinnon, N. J., Lang, A., Gregory, D., Gurnham, M., & Fillatre, T. (2014). Confirming Delivery: Understanding the Role of the Hospitalized Patient in Medication Administration Safety. Qualitative Health Research, 24(4), 536. doi:10.1177/1049732314524487 • Nurit, P., Bella, B., Gila, E., & Revital, Z. (2009). Evaluation of a nursing intervention project to promote patient medication education. Journal Of Clinical Nursing, 18(17), 2530-2536. doi:10.1111/j.1365-2702.2009.02844.x • Results will be added after the completion of the QI Project. Team Members • Management • Unit Coordinator • Registered Nurses • Patient Care Technicians Coronary Care Unit (CCU)