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The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu of potential implementation strategies is a component of each On-Time module. Each module focuses on the possible uses of the reports with, in this case, initial focus on pressure ulcer prevention. In addition, the menu considers other possible uses of the reports. The menu allows the facility team to consider which implementation strategies best fit within their workflow and meet the unique needs of their facility, avoiding the "one size fits all" approach to using the module.

Implementation strategies are developed to include multiple disciplines, not only nursing, to promote the most effective use of reports among disciplines and improve communication across disciplines. Teams are encouraged to identify implementation strategies that may not be included on the list but are suited to integrate seamlessly into workflow at their facility.

Once particular meetings/huddles are identified, the expectation is that the change team and the facilitator will continue to work together to reengineer existing meetings or structure new meetings to incorporate the reports. Then they will pilot the use of the reports in these meetings, identifying staff responsibilities and roles during the meetings, designing ways to keep the discussion of the reports focused and efficient, and encouraging appropriate input to determine changes in care plans when needed. The team may pilot report use in one unit initially and then implement in all units or implement more broadly right away.

The Pressure Ulcer Prevention Menu of Implementation Strategies table below summarizes potential uses for each report, as described in each report section. Refer to Tables 4, 6, 8, 10, 12, 14, and 16 in Electronic Reports.
 

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