Data…Data…DataApril 19, 2011

Sam Watson VP for Patient Safety and Quality

MHA Keystone Center

On the CUSP: Stop CAUTI

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CUSP/CAUTI Content Call #2 - The Science of SafetyModerator – Sam Watson; Speaker – Sean Berenholtz03/22/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.CUSP/CAUTI Content Call #3 - Care and Removal InterventionModerator – Sam Watson; Speaker – Mohamad Fakih04/05/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.CUSP/CAUTI Content Call #4 - Data CollectionModerator – Sam Watson; Speaker – Sam Watson04/19/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.CUSP/CAUTI Content Call #5 - The View from the BedsideModerator – Sam Watson; Speaker – Russ Olmsted05/03/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.CUSP/CAUTI Content Call #6 - Implementation in a Community HospitalModerator – Sam Watson; Speaker – Mary Jo Skiba05/17/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.

CUSP/CAUTI Content Call #1 – CUSP Moderator – Sam Watson; Speaker – Sean Berenholtz03/07/11 2 ET/1 CT/12 MT/11 PT Attendee: (866) 256-9295 60 Min.

CAUTI Content Call Schedule

What Participation Requires Data Submission

Intervention Measure Frequency

CUSP

HSOPS Baseline and post intervention

Team Check-up Tool Quarterly

Care and Removal

Process Prevalence & Appropriateness Daily then Weekly within Protocol

OutcomeMonthly within Protocol

- UTI Rate / Device Days

- UTI Rate / Patient Days Monthly within Protocol

Insertion TBD TBD

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Data Collection Schedule

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MEASURE DATA COLLECTION SCHEDULE

DATES

CAUTI Rates (Outcome)Number of Symptomatic CAUTI’s attributable to your unit for that monthNumber of urinary catheter days per month (number of patients with urinary catheter device is collected daily at the same time each day and the total is summed for the month)Number of patient days per month

Collect monthly for 5 months beginning in June and quarterly thereafter (June-August will be considered baseline)

2011: June 1-30 July 1-31 August 1-31 September 1-30 October 1-312012: January 1-31April 1-30July 1-31October 1-31

Prevalence & Appropriateness (Process)Assess each patient on the unit for the presence of a urinary catheterRecord the reason for the catheter

Baseline: Mon-Fri for 3 weeks Baseline: August 1-5, 8-12, 15-19, 2011

Prospective: Mon-Fri for 2 weeks, 1 day per week for 6 weeks then one week per quarter thereafter

Prospective: September 5-9, 12-16, 20 & 27October 4, 11, 18, 252012:January 9-13April 9-13July 9-13October 15-19

Data Collection

• Prevalence and appropriateness data (Process Measure)– Collected in Care Counts

• Team Check Up Tool– Collected in Care Counts

• CAUTI data (Outcome Measure)– NHSN Import– Direct entry into Care Counts

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Prevalence and Appropriateness Data

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Prevalence and Appropriateness Data

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Prevalence and Appropriateness Data

CAUTI Outcomes Data

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CAUTI Outcome Data

Feedback

• Data collection timeline correlates closely with project interventions

• Feedback to teams/unit staff must be given in real-time to evaluate progress and modify processes as necessary

• Reports will be available in Care Counts– Can be generated at the unit level and at a higher

aggregate level

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Important Dates

• Cohort 2 Data Entry Training Webinar:• May 2, 5, 9, & 12 at 2pm Eastern Time

• Cohort 2 Hospital Survey on Patient Safety (HSOPS) Training Webinar:• May 16, 19, 23, 26 at 2pm Eastern Time

Ongoing Resources for Data

• MHA Resources for data questions:

---Nicole Smith (nsmith@mha.org) (for Care Counts issues)

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Your Feedback is Important

http://www.surveymonkey.com/s/FN9BJKB

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Questions