|Behavior Systems Analysis in Health Care and Human Service Settings
|Tuesday, May 27, 2008
|10:30 AM–11:50 AM
|Area: OBM/CBM; Domain: Applied Research
|Chair: Nicholas L. Weatherly (Western Michigan University)
|CE Instructor: Nicholas L. Weatherly, M.A.
This symposium in designed to show the effects of Behavior Systems Analysis and Organizational Behavior Management on improving staff and client behavior in health care and human service settings. Pinpointing areas that need improvement and using the principles of behavior to design and evaluate interventions to address these areas has been shown to produce substantial improvements in these systems. We wish to outline some current work demonstrating these improvements.
|A Systematic Evaluation of a Preschool Autism Intervention: Maintenance Training and Testing.
|NICHOLAS L. WEATHERLY (Western Michigan University), Richard W. Malott (Western Michigan University)
|Abstract: The current study was designed to evaluate a training system geared towards improving the performance of three preschool-aged children diagnosed with autism. The study took place in the Early Childhood Developmental Delay (ECDD) Preschool Classroom located within a public special education school in southwest Michigan. The system in place to train the preschool children was analyzed for areas of improvement, with the maintenance skills training system being selected as the target area for improvement. The purpose of this study was to analyze the system for areas to improve upon, assess how well skills acquired by these three children maintained over time, and assess methods of improving the maintenance of these skills.
|An Evaluation of the Impact of Computerized Physician Order Entry on Medical Errors.
|SHANNON M. LOEWY (Western Michigan University), John Austin (Western Michigan University)
|Abstract: The purpose of the present study was to examine the effects of a computerized physician order entry (CPOE) system on medication error. The study took place in a 343-bed hospital in the pediatrics inpatient unit. The primary dependent variable was errors made during physician medication ordering, as recorded by pharmacy residents using a detailed check sheet. Secondary dependent variables, including percentage of orders submitted using the CPOE system (compliance), order processing time (physician completion until the order is received in the pharmacy), self-reported errors as collected by the hospital, severity of potential errors found in orders, average length of patient stay, cost associated with errors, and physician satisfaction with ordering process (social validity), were also measured and reported. The implementation of the system was associated with decreased variability and more order sets being completed 100% correctly. During the two phases in which the CPOE system was in place, 77% of orders were completed 100% correctly. Order processing time was drastically reduced with the use of the CPOE system.
|HealthVisor: An OBM Intervention to Reduce Employer Health Care Costs.
|GUY S. BRUCE (Appealing Solutions, LLC), James Keefe (Warren Achievement Center)
|Abstract: Employee health care costs continue to rise rapidly, making it more difficult for businesses that offer health benefits to compete with businesses that do not offer such benefits.
We are developing a website that allows employees to record their daily eating and activity choices, as well as their weekly health measures. The program provides individualized daily progress goals for eating and activity choices (using a shaping procedure), immediate feedback on progress, and incentives for achieving daily eating and activity goals and weekly health goals.
The website allows organizations to assign supervisors to record participant health measures and to perform other tasks that might contribute program success, such as praising participants for achieving weekly health goals and arranging incentives for them. Supervisors are able to record their completion of these tasks, and earn points for completing them, which they may exchange for any of a list of incentives provided by the organization.
We will present pilot data on the effects of the program on employee eating and activity choices, supervisor task completion, employee health, and an organization’s health costs.
|Current Work with a Hand Hygiene Auditor Program.
|KATHERINE C. WILLERICK (Bronson Methodist Hospital), Krista Hinz (Western Michigan University)
|Abstract: The hand hygiene auditor program started in May of 2006. Four students are recruited from Western Michigan University’s Psychology (Behavior Analysis) program each semester. The students work at a hospital in southwest Michigan as volunteers and receive practicum credit towards their degrees for participating in this activity. The auditing process consists of walking through the facility and watching staff as they enter or exit a room. All employees are trained to wash their hands when they enter a room, and when they exit a room. The auditors watch to see what was touched in the room, and whether they use soap and water or the alcohol foam to wash their hands. Compliance is recorded on the auditing tool. The auditors are here from one hour a day to six hours a day depending on their schedules. The auditors get weekly feedback about the audits. All clinical staff receive weekly graphs of hand hygiene compliance.