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CHOBIC Project and Reports

February, 2009

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Outline

• C-HOBIC project• Reports• Utilization of Reports

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C-HOBIC

• Canadian Health Outcomes for Better Information and Care

• Manitoba, Ontario and Saskatchewan participating

• Funded by Canada Health Infoway and supported by CNA

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CHOBIC goals

• To provide nurses and the team with clinical outcome information related to certain “nurse-sensitive” indicators

• To explore how outcome information is integrated into the work flow

• To describe how managers use the information

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C-HOBIC “Nurse-sensitive” Indicators

“Outcomes that can be achieved or influenced by nursing interventions”

• Included in Manitoba project:– Activities of daily living– Bladder continence– Pain– Falls– Pressure ulcersNot included in Manitoba project:

Fatigue, Nausea, Dyspnea

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C-HOBIC Project Deliverables

• Development of two reports for use by clinician and manager

• Provide education on access to reports• Provide education on integration of reports

into the care planning process• Provide follow-up support• Facilitate evaluation Fall 2009

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Reports: Why do we need them?

• For making evidence based decisions– Helps with prioritization– Effectiveness of interventions

• To advocate for appropriate care• Demonstrates accountability and transparency • Increases Team visibility and significance of

their decisions• Maximizes the usefulness of the RAI tool

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Getting the team involved

• Schedule meetings to correspond with MDS assessment

• Annual Care Planning Conference• Impromptu discussions….call everyone

together• Communication tools

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Care Planning Team meeting: what do you need?

• Copy of current care plan• Reports

– MDS– C-HOBIC– Lab – Family feedback

• Clinical practice guidelines, protocols, literature• Knowledge and experience

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C-HOBIC Reports

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Click here

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CHOBIC Report

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CHOBIC Report

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CHOBIC Report

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CHOBIC Report

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C-HOBIC Individual Report

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CHOBIC Management Detail Report

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Management Detailed Report

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Management Summary Report

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Printing a Report

Choose PDF

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CHOBIC Evaluation

• Preliminary evaluation end of March• Final evaluation end of September

– Online survey• http://knowledge.infoway-inforoute.ca/

Surveys/chobic_sys_and_use_survey.htm

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Evidence Informed Decisions

• Evidence informed decision making is vital to ensure high quality care and positive health care outcomes

• When completing MDS assessments remember ‘Garbage in Garbage out’.

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Questions?