Action Plan - Get Now DOC by HC121105123527

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									                                                     Heart Failure Action Plan


Milestones              Barriers/                          Strategy                                  Most           Time
                        Challenges                                                                   Responsible    frame
                                                                                                     Person Other
                                                                                                     resources
Establishing baseline   1. Time and tools to complete            Adopt the audit tool from HI for
                        the review                                data collection and analysis.
Implementation of       1. Physician resistance to               Physician champion role
Heart Failure Pathway   standing orders                          Providing data feedback
and GAP tool

                        2. Staffing issues                       In-service presentations
                                                                 Short presentations using
                          . Shortage/turnover                     templates provided
                          . Change resistance                    Emphasize baseline results
                          . Not available for education          Tools support complete and
                        sessions                                  consistent care
                                                                 Use poster in-services in high
                                                                  profile places
                        3. Confusion about clinical data         Provide information about
                                                                  inclusion and exclusion and how
                                                                  stats are provided
                        4. Documentation                         Replace existing forms where
                           . Perceived additional                 possible –avoid duplication
                        workload
                        5. Lack of staff buy-in                  Promote project buy-in
                                                                 Administration to publicly
                                                                  support
                                                                 Sufficient posters for awareness
                        6. Emergency dept not                    ER buy-in
                        incorporated into projects               Recruit an ER physician
                                                                  champion or develop strategy for
                                                                  their involvement




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                                                  Heart Failure Action Plan

Milestones              Barriers/                      Strategy                                   Most           Time
                        Challenges                                                                Responsible    frame
                                                                                                  Person Other
                                                                                                  resources
                        7. New forms not being used          Promote form use
                          . Incorrect use                    Obtain feedback during planning
                          . Failure to use                    and design phase
                                                             Unit champion to monitor status
                                                              and address unit specific issues
                                                             Evaluate availability of forms
                                                             Provide in-service for clerks
                                                              based on their role for chart
                                                              management.
                                                             Focus on ease of documentation.
                                                             Reenergize with variety of
                                                              strategies ie: posters with
                                                              results, in-services; reward
                                                              program; one to one feedback

                        8. Phased Pathway a new way          Develop a strategy where all
                        of providing care to CHF              Heart Failure patients are placed
                        patients                              on the map.
                                                             Determine need for physician
                                                              and clinical staff education.
Implementation of       1. Time constraints for              Monitoring strategies
CIHI coding for         monitoring tool use                  Implementation of data capture
monitoring of results                                         through CIHI
                                                             Mechanism to ensure that every
                                                              patient has a tool i.e.: manager
                                                              reviews chart at discharge; staff
                                                              review chart at discharge; health
                                                              records alerts unit if patient
                                                              diagnosis is Heart Failureand
                                                              does not have tool.
                                                             Need to develop a process that is
                                                              timely.




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