terri conner, vice president, tcqps at tha, austin, tx
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Hospital Acquired Infections & Quality Improvement Texas Rural Health Forum Conference, Austin, Texas November 10, 2010. Terri Conner, Vice President, TCQPS at THA, Austin, TX Nicolas Abella, Corporate Dir Med Surg & Critical Care Brownwood Regional Medical Center, Brownwood, TX - PowerPoint PPT PresentationTRANSCRIPT
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Hospital Acquired Infections & Quality Improvement
Texas Rural Health Forum Conference, Austin, TexasNovember 10, 2010
Terri Conner, Vice President, TCQPS at THA, Austin, TX
Nicolas Abella, Corporate Dir Med Surg & Critical CareBrownwood Regional Medical Center, Brownwood, TX
Patti R Bull, Infection Prevention CoordinatorHendrick Medical Center, Abilene, TX
Cheryl Herbert, Executive Director Good Shepherd Medical Center, Longview, Tx
Katherine McDuffie, Education CoordinatorFort Duncan Regional Medical Center, Eagle Pass, Texas
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Agenda
Discuss collaborative initiatives that aim to reduce or eliminate HAIs– central-line associated bloodstream and catheter-
associated urinary tract infections
Discuss the importance of these initiatives Roundtable Discussion about rural hospital
involvement
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Healthcare-associated infections
In American hospitals alone, healthcare-associated infections account for an estimated 1.7 million infections and 99,000 associated deaths each year. Of these infections: – 32 percent of all healthcare-associated infection are urinary tract
infections
– 22 percent are surgical site infections
– 15 percent are pneumonia (lung infections)
– 14 percent are bloodstream infections
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TCQPS/THA HAI Initiatives
On the CUSP: Stop BSI
– Over 30 states are participating in this initiative
– Goal is to reduce CLABSI rates to 1 per 1000 line days
On the CUSP: Stop UTI
– First cohort in Texas begins initiative in January 2011
– Goal is to reduce CAUTI rates by 25% Possible future initiative: On the CUSP: ESRD
– Reduce infection in dialysis units
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CUSP & CLABSI Interventions Project Goals: Two Objectives
Objective #1:Create a Culture of Safety: CUSP
Steps1.Educate on the science of
safety2.Identify defects3.Assign executive to adopt
unit4.Learn from defects5.Implement teamwork &
communication tools
Objective #2:Eliminate CLABSI
Steps1.Educate staff2.Create a central line cart3.Remove unnecessary
lines4.Implement a central line
checklist5.Empower staff to stop
procedure
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Why the Initiatives are Important
External Environment– Driven by the belief that hospital care can and
should be safer, more efficient and cheaper: Key point of HHS Secretary Kathleen Sebelius’
initiative to reduce hospital-acquired infections (HAIs)
CMS not reimbursing for HAIs
Public reporting in 2011
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CLABSI Initiative in Particular
Preventing Harm– The CDC estimates that 250,000 patients die per
year due to CLABSI Medical costs between $5,700 and $23,000 per
infection
– CLABSIs are not inevitable – we can get to ZERO These reductions have been achieved using the
processes at the core of On the CUSP: Stop BSI
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Key Points and Issues – Roundtable Discussion
Culture of Safety– First focus on patient safety
– All initiatives can be implemented easier when the culture enables the effort
Nationally Recognized Standards– Evidence Based Care
– Literature by physicians
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Discussion Continued
Implementation– Resources
Don’t reinvent the wheel – public domain
Non traditional roles
– Commitment
– Barriers Conversations
Data
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Texas Center for Quality & Patient Safety
We encourage your input– What initiatives are you currently working on?
– What initiatives do you think you should be working on? Problem areas – opportunity for improvement
Costly conditions
Terri Conner at [email protected] or 512/465-1021
Maria Rascati at [email protected] or 512/465-1003
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