CrystalCMSRN

I have accepted the fact that core measures are here to stay, and that they are best practice for our patients. Besides if 5 of my relatives were admitted to the hospital... and lets say one didn't get aspirin and the other didn't get VTE prophylaxsis then developed complications as a result... I would be highly upset. I would like to know what your hospitals are doing to help with compliance. We currently: Place a core measure checklist on the chart which is to be addressed each shift and prior to discharge. We are suppose to check to make sure vaccines have been given or at least refusal documented, VTE assessment complete with intervention, and then the common AMI,CHF,PN,STROKE core measures. We also have core measure quality nurses that audit charts to help us fill in the gaps or note errors for example a patient may have previously refused a vacc on an admission months ago... the documentation stays in the system so when the nurse checks THIS admission it may appear as if the vaccine has been addressed (i love when they catch those!) If there is a fallout then the data abstract is sent to the manager and the manager attends a montly core-measure meeting to address the issue and the staff nures are talked to. Core measure data is communicated via e-mail to all employees. Ive taken an interest in core measures as a staff and charge nurse... NOT as a quality coordinator. It is the expectation that core measures are ultimately the staff nurses responsibility so I'm looking for help as to how to help us OWN it. It's funny, there are hospitals with 0 fallouts... they are tiny 25 bed hospitals.... well, my unit only has 25beds so I know we can do it too. SUGGESTIONS?

I have accepted the fact that core measures are here to stay, and that they are best practice for our patients. Besides if 5 of my relatives were admitted to the hospital... and lets say one didn't get aspirin and the other didn't get VTE prophylaxsis then developed complications as a result... I would be highly upset. I would like to know what your hospitals are doing to help with compliance. We currently: Place a core measure checklist on the chart which is to be addressed each shift and prior to discharge. We are suppose to check to make sure vaccines have been given or at least refusal documented, VTE assessment complete with intervention, and then the common AMI,CHF,PN,STROKE core measures. We also have core measure quality nurses that audit charts to help us fill in the gaps or note errors for example a patient may have previously refused a vacc on an admission months ago... the documentation stays in the system so when the nurse checks THIS admission it may appear as if the vaccine has been addressed (i love when they catch those!) If there is a fallout then the data abstract is sent to the manager and the manager attends a montly core-measure meeting to address the issue and the staff nures are talked to. Core measure data is communicated via e-mail to all employees. Ive taken an interest in core measures as a staff and charge nurse... NOT as a quality coordinator. It is the expectation that core measures are ultimately the staff nurses responsibility so I'm looking for help as to how to help us OWN it. It's funny, there are hospitals with 0 fallouts... they are tiny 25 bed hospitals.... well, my unit only has 25beds so I know we can do it too. SUGGESTIONS?