Case- "Madison Community Hospital Addresses Infection Control Prevention"

Questions-

1. How would your task force use the FOCUS model and the data collection, process mapping, and process analysis tools to plan for a process change?

2. What are some of the issues associated with caregivers sanitizing their hands? Why do you suppose only 40% of caregivers sanitize their hands? What other department personnel, besides nursing, may need to enter a patient's room during their stay?

3. Who should be on this task force to represent what hospital functions and why? To whom should the taskforce report their results and why?

4. What are the possible causes for noncompliance? Are there other factors contributing to the issue?

5. What data are needed to determine the Factors involved in the noncompliance?

6. How would the problem look different if it turned out only a handful of personnel were noncompliant? How would this affect the improvement process?

7. Do you have enough data to complete the analysis? What data are needed to deter-mine the factors involved in the noncompliance?

8. What process should be selected for improvement?

9. What aspects of the FOCUS model would be most useful to target the improvement efforts?

10. How can MCH motivate its staff to be more compliant? Do you think posters and recognition awards for units with the best results would help move the numbers in the right direction? Why or why not?

11. What do you think about the idea of installing a poka-yoke, that is, an engineering approach to prevent an error before it occurs, such as the one seen in this video, Poka Yoke: Lean Hand Washing Error Proofing at MetroWest Medical Center http:// www.youtube.corn/watch?v4sK--VfyR7E and discussed on this video podcast, LeanBlog Video Podcast #2 - Kevin Frieswick, MetroWest Medical Center http:// www.youtube.com/watch?v=njiUpmWDTsA.