golfnurse

I'm looking for information regarding how QM departments are structured. We've had a change in personnel and have an opportunity to restructure our department. Currently there are 2 of us who are responsible for infection control, Core Measure abstraction and data entry, mortality review, return to surgery review, blood utilization review, MD peer review, MHA data collection. Regulatory body and insurance carrier data collection are part of the department responsibilities too. Then there are the other day to day occurrences to follow up on, etc. We are looking to hire the right type of personnel. We are a 250 bed hospital. I know some places use more nurses, others use some clerical and data entry personnel along with nurses. If you have a good system, please share your ideas. I'm also interested in hearing what doesn't work. Thanks.

Thank you for your replies. We have the order sheets, etc., We just seem to miss giving the dose. We used to give it on admission, then changed it to the day of discharge, and it was still missed. The process was changed to give the vacc on the 2nd day of the patient's stay. Since it is a one time dose, it falls off the MAR the next day whether the vacc is given or not. Sounds like the problem is widespread.

Hi, I'm interested in hearing from anyone regarding a successful and consistent pneumococcal vaccination program at your hospital. We are having difficulty meeting goals on a consistent year-around basis. The nurses either do not fill out the screening sheet, or they forget to offer the vaccine prior to patient discharge. What works at your institution? Thanks, golfnurse

I need help from the group. We are having difficulty at our hospital with meeting quality indicator goals for administration of pneumococcal vaccinations. Can anyone share successful processes you have in place to assure that the patients are assessed, educated, and receive the vaccination prior to discharge? Thanks for your help. golfnurse