nacs ls3 wave2
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New Approach to Controlling SuperbugsVirtual Learning Session 3
Data – Measuring Progress
Michael GardamLeah Gitterman
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Interacting in WebEx
Apr 10, 2023 3
Be prepared to use:
•Pointer
•Raise your hand
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Agenda:
1. Welcome and Introductions
2. Quick poll
3. Why Measure
4. Types of Measures
5. The NACS Measurement Buffet
6. Getting started with the SHN! measures
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Quick Poll
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Why Measure?
• To establish benchmarks• To monitor compliance with policies and
procedures• To understand the impact/efficacy of your
interventions• Motivation
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Types of Measures
Process:• Measure how people do things• Most done by auditing or observation• Purpose is to verify that health care providers
are following procedures• E.g. donning and doffing PPE, environmental
cleaning
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Types of Measures
Outcome:
• Measure the impact of what people do
• For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism
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Measure what the front line thinks is important
What to Measure
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• Measure the things that provide value for your setting
Ask yourself?• Is the information relevant? Will gathering data add
value?• Can this process or outcome be measured?• Can the data be fed back to frontline staff in a way
that makes sense to them?
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Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues
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The Measurement Buffet
Process Measures
• Volume of ABHR used• Volume of soap used• Number of gowns, boxes of gloves used
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Process Measures
• % of eligible admissions screened for MRSA• % of eligible admissions screened for VRE• Hand hygiene compliance
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Process Measures Continued…
• % of bed spaces where ABHR is readily available, full, easy to activate
• % high touch areas in patient environment where there was appropriate cleaning as demonstrated by using a fluorescent marker
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Process Measures Continued…
• Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)
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Outcome Measures
• Surveillance for new healthcare associated MRSA clinical isolates
• Surveillance for new healthcare associated VRE clinical isolates
• Surveillance for new cases of healthcare associated C. difficile infection
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Getting Started
• Take a critical look at your setting
• Identify the data you need to collect
• Get help
• Choose a time period
• Review data/analyze information
• Share data with the frontline
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Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
Jan-Mar05
Apr-Jun05
Jul-Sep05
Oct-Dec05
Jan-Mar06
Apr-Jun06
Jul-Sep06
Oct-Dec06
Jan-Mar07
Apr-Jun07
Jul-Sep07
Oct-Dec07
Jan-Mar08
Apr-Jun08
Jul-Sep08
Oct-Dec08
Jan-Mar09
Apr-Jun09
Jul-Sep09
Oct-Dec09
Jan-Mar10
Apr-Jun10
Jul-Sep10
Quarter
Ra
te p
er
1,0
00
pt
da
ys
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8A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11
Pu
rch
ased
un
its
per
100
pt
day
s
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% H
and
hyg
ien
e co
mp
lian
ce
8A Glove use 8A Sanitizer use 8A HH Compliance
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Combined nosocomial MRSA, C.diff and VRE rate, 9A, 2005-2010
0.0
1.0
2.0
3.0
Jan-Mar05
Apr-Jun05
Jul-Sep05
Oct-Dec05
Jan-Mar06
Apr-Jun06
Jul-Sep06
Oct-Dec06
Jan-Mar07
Apr-Jun07
Jul-Sep07
Oct-Dec07
Jan-Mar08
Apr-Jun08
Jul-Sep08
Oct-Dec08
Jan-Mar09
Apr-Jun09
Jul-Sep09
Oct-Dec09
Jan-Mar10
Apr-Jun10
Jul-Sep10
Quarter
Ra
te p
er
1,0
00
pt
da
ys
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9A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11
Pu
rch
ased
un
its
per
100
pt
day
s
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% H
and
hyg
ien
e co
mp
lian
ce
9A Glove use 9A Sanitizer use 9A HH Compliance
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Safety Cross
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Safety Calendar: AKA Bug Tracker
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Hand Hygiene Compliance
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Quinte Health Care
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Social Network Mapping
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28
Legend
RN
External
Clinical Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer ResourcesWard Clerk
Patient Education
Manager Today, who do you talk to about the prevention of superbugs?
Who do you talk to about the prevention of superbugs?
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29
Legend
RN
External
Clinical Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer ResourcesWard Clerk
Patient Education
Manager With whom would you like to work with in the future that you haven’t in past superbug prevention work
Who do you want to work with in the future?
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• Keep a log of all PD activities
• Access the worksheets here:http://www.saferhealthcarenow.ca/en/interventions/aro_mrsa/pages/measurement.aspx
Home » Interventions » NACS » Measurement Worksheets
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www.stopsuperbugs.com
Next Learning Session:
December 6, 2010
Wave 3 starts:
January 10, 2011