Pain Champions June 2014 Meeting

We improve lives. In big ways through learning, healing and discovery.

In small, personal ways through human connection. But in all ways, we improve lives.

Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth.
Page 1 of 3

Purpose: Monthly meeting to review QI projects, issues, and policies
and procedures regarding Pain Management
Facilitator: Amanda Max Swedhin, Co-Chair; Aurora Davis,
Co-Chair, Barb Krumbach, Co-Chair
Sponsor:
Date: 6/18/2014 Scribe: Aurora Davis Timekeeper:
Out Today: Location: AOP 2005 Time: 1200-1300

Topic Discussion Recommendations/ Actions Follow-up
GPS
Component
Magnet
Component
Retirement Party for
Barb Krumbach
The Committee formally recognized Barb Krumbachs exceptional
work over her 13 years on the Committee and thanked her for her
service.
None None
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Reassessment Audit
Updates
Janna Petrie presented the June Reassessment Audits and notified the
committee that we are switching to a quarterly audit system and are
also attempting to initiate automated auditing via EPIC reports. The
Champions were instructed in how to retrieve their own audit results
and graphs from OPIT. UCH benchmark is 70% and any units below
that will need to start an action plan. If units need help setting up
action plans for their units, please contact co-chairs or Janna.
Max Swedhin will follow up on
electronic reports, as there are still
some problems to sort out.
Members may have to perform
manual July audits. Max will send
out tips on retrieving audits from
OPIT.
July pain
reassessm
ent audits
1 1, 5
Birth Center Updates
Chuchay Tuason shared information regarding the Birth Centers
efforts to improve their HCAHPS for pain. Charting guidelines for her
unit have been developed and verified with their unit Educator; both
printed sheets and laminated cards have been distributed. The
Womens Care Center is changing their triage board to include a
section for the WILDA scale. White boards have been updated to
include a section on pain management; will be using the patient
water jugs to show patients the pain scale. They are surveying
patients in clinic at 6 weeks postpartum, asking how well their pain
was managed during and after labor.
The patient water jugs will need to
be updated with the WILDA scale
(vs. the old FACES scale).
Max will
report
back on
updating
the jugs.
1, 3, 7 1, 3
Feedback from
Managers Meeting re:
Pain Committee
Initiatives
Angie Hill presented the new Pain Education Tool at this months
managers meeting. Feedback was very positive and there was no
pushback whatsoever. Roll out of the tool will continue. She also
presented the pain champs initiatives at PSAC.
Angie will attend Julys managers
meeting and discuss the white board
initiative. She will present to the
Service Excellence Committee and
ask for resources for the proposed
HCAHPS
at August
meeting.
More
feedback
1 1, 4, 5

Pain Champions June 2014 Meeting
We improve lives. In big ways through learning, healing and discovery.
In small, personal ways through human connection. But in all ways, we improve lives.

Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth.
Page 2 of 3
Topic Discussion Recommendations/ Actions Follow-up
GPS
Component
Magnet
Component
A reminder that work is still needed to improve HCAHPS, UCH wide
goal is 77%. Angie will bring an example of Avatar reports for HCAHPS
to the next meeting. 100% of patients are receiving surveys now with
a 30-60 day delay on data.
pain carts. Angie will also bring
HCAHPS reports to the August
meeting.
from
other
groups.
Pain Tool Follow-Up
The Pain Champions unanimously reported that their units now have
the Pain Education Tool, and it is being given to all patients. No
reports of problems.
None
Continue
Pain Ed
Tool use.
1 3, 4
White Board Plans
Max Swedhin has received some feedback that units are tweaking the
white board plan to make it better for their needs. The med/surg unit
reps reported some pushback regarding the roll out of the white
boards. Max is available to meet with managers if necessary to
discuss their concerns. Max will also start spot auditing units in July to
see how white boards are being used, both new and old, and will
provide data for managers.
Max Swedhin will meet with the ICU
reps separately to discuss a solution
that will work better for their needs
(specifically nonverbal, intubated
patients). Max will start spot
auditing units for white board use.
Audits of
white
board use
at August
meeting.
1 1, 2, 4
Questions/Concerns
It was suggested that Nitrous Oxide will start being used in the Birth
Center for laboring patients, but APS is unaware of this practice. If so,
it will probably only be used for that specific application.
Max Swedhin is spearheading a group to rewrite the Pain
Management Policy into a system-wide policy.
Clark Lyda has a pharmacy studentMichelle Edwardswho is
working on updating order sets if necessary.
No Pain Committee meeting in July.
None
Next
meeting is
August.
2 2

UCHealth Global Path to Success
1. Quality and Patient
Experience
2. Engaged Workforce 3. Growth 4. Clinical & Non-Clinical
Integration
5. Deliver Superior Value 6. Academic Enterprise 7. Mission, Vision and
Brand Awareness
Ensure universal, distinctive
standard of quality and patient
experience.
Attract, retain and excite a
unified and engaged workforce.
Enhance reach and relevance
through growth.
Integrate clinically and non-
clinically across our system.
Deliver superior value to
remain an option for most
payor plans.
Maintain, enhance and
leverage the academic
enterprise.
Enhance messaging around
the mission, vision and
brand


Pain Champions June 2014 Meeting
We improve lives. In big ways through learning, healing and discovery.
In small, personal ways through human connection. But in all ways, we improve lives.

Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth.
Page 3 of 3
Magnet Model Components
1. Transformational Leadership 2. Structural Empowerment 3. Exemplary Professional Practice 4. New Knowledge, Innovations & Improvements 5. Empirical Outcomes
Leadership that results in extraordinary
outcomes by empowering, influencing,
and motivating others.
Strategies used to support shared
leadership decision-making, life-long
learning and professional development.
Interprofessional collaboration to ensure
patient safety resulting in high-quality
outcomes.
Integration of evidence-based practice and research
into practice. New ways of achieving high-quality,
effective and efficient care through innovation.
Measurable outcomes related to the impact
of structure and process on patients, staff,
and the organization.