Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership...
-
Upload
roderick-collins -
Category
Documents
-
view
215 -
download
1
Transcript of Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership...
![Page 1: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/1.jpg)
Healthcare Associated Infections (HAI Project)
CLABSI’s
(Insert your hospital nameIn Partnership with IPRODate
![Page 2: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/2.jpg)
CMS Leads a national healthcare quality improvement program,
implemented locally by an independent network of QIOs in each state and territory.
IPRO The federally funded Medicare Quality Improvement Organization
(QIO) for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS).
IPRO provides a full spectrum of healthcare assessment and improvement services that foster the efficient use of resources and enhance healthcare quality to achieve better patient outcomes.
2
![Page 3: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/3.jpg)
As the QIO for New York State, IPRO works to achieve the goals of the national QIO program by Convening communities of providers, practitioners and
patients across the state to:
Share knowledge,
Spread best practices,
Achieve rapid, wide-scale improvements in patient care.
3
![Page 4: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/4.jpg)
Improving Individual Patient Care
Reducing Healthcare Associated Infections
![Page 5: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/5.jpg)
HAI Overview
5
APIC Statement on the Cost of
Hospital Associated Infections
• 2 million patients per year
• ~90,000 deaths
• $4.5-$5.7 billion per year in patient care costs
www.apic.org/.../PracticeGuidance/GuidelinesStandards/APICCostCalculator-Lit051011.xls
![Page 6: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/6.jpg)
HAI Overview
6
HAIs rank in the top 10 leading causes of death in the US*
* Klevens RM, Edwards JR, Richards CL, et al. Estimating healthcare-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007; 122:160-167. http://www.cdc.gov/ncidod/dhqp/pdf/hicpac/infections_deaths.pdf
![Page 7: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/7.jpg)
Financial Imact of HAI
7
HAIs harm the bottom line
• Hospital-acquired conditions lead to loss of revenue and as a part of value based purchasing, medical errors will NOT be reimbursed.
Hospital Profits
![Page 8: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/8.jpg)
Reporting HAI’s
8
![Page 9: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/9.jpg)
Improving Individual Patient Care
Central Line Associated Bloodstream Infections
CLABSI’s
![Page 10: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/10.jpg)
Financial Impact
10
Infection Type 2005 Mean Costs
CLABSI $18,432*
*Perenchvich EN, et al.Infect Control Hosp EPID Oct. 2007**APIC Cost of Hospital-Associated Infections Model***TMIT Cost of HAI Calculator
![Page 11: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/11.jpg)
CLABSI Background
11
• Bloodstream infections (BSIs) are a major cause of healthcare-associated morbidity and mortality
• Up to 35% attributable mortality
• BSI leads to excess hospital length of stay of 24 days
• Central Line (CL) use is a major risk factor for BSI
• More than 250,000 central line-associated BSIs (CLABSIs) in US yearly
• Rates of CLABSI appear to vary by type of catheter
![Page 12: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/12.jpg)
CLABSI Overview
12
CLABSIs are Serious but Preventable Infections• Michigan Keystone Project was able to decrease CLABSIs by 66% in 103 ICUs in Michigan by using basic interventions, such as hand hygiene, chlorhexidine, and avoidance of a femoral site• BSI “outbreaks” have been associated with failure to adequately decontaminate catheter hubs or failure to change them at appropriate intervals
• Use of Antimicrobial Catheters - 2 types with most supporting evidence: Minocycline-Rifampin & Chlorhexidine–Silver Sulfadiazine• Ensure utilization of Central Line Insertion (CLIP) bundle:
• Chlorhexidine for skin antisepsis• Maximal sterile barrier precautions (e.g., mask, cap [i.e., similar to those
worn in the O.R.], gown, sterile gloves, and large sterile drape)• Hand hygiene
MMWR - Early Release/vol.60; March 1, 2011 - Central Line Associated Blood Stream Infections, United States, 2001. 2008, 2009
![Page 13: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/13.jpg)
CLABSI Overview
13
![Page 14: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/14.jpg)
CLABSI – Project Goals
14
Measure Project Target
CLABSI relative improvement50%
CLABSI SIR ≤ 1.0
CLABSI incident rate ≤ 1.0/1000 central line days
CLIP Adherence Rate 100%
![Page 15: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/15.jpg)
Central Line Insertion Practices (CLIP)
15
CLIP - Required fields for data entry into NHSN(Double Click on the ICON to open the form)
• For the unit chosen to participate in the HAI project, a CLIP Form must be completed for every line inserted in that unit.
Adobe Acrobat Document
![Page 16: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/16.jpg)
Sources for CLABSI Guidelines
![Page 17: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/17.jpg)
Sources of CLABSI Guidelines
17
Guidelines for the Prevention of Intravascular Catheter-related Infections (O’Grady, et al) as published in the May 2011 edition of the American Journal of Infection Control
Center for Disease Control and Prevention (CDC), Guidelines for the Prevention of Intravascular Catheter Related Infections, 2011
![Page 18: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/18.jpg)
What do we do here at (hospital name) ?
![Page 19: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/19.jpg)
Our current central-line policy is as follows:
19
Outline your central-line policy and clearly state what is expected. • Who can insert a line? Is an assistant required?• Is a check-list required for each insertion attempt? • If there is a beach in technique, are personnel empowered to speak-up?
![Page 20: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/20.jpg)
Our current central-line procedure is as follows
20
Outline your insertion and maintenance procedure (checklists) and highlight areas in and out of compliance• Review the insertion checklist• Show data for compliance with items from the insertion checklist (handwashing, drapes, gowns, gloves, caps)
![Page 21: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/21.jpg)
Our results are as follows
21
Outline your results and provide any graphs and data to demonstrate where you were when you began your CLABSI project and where you are now.
•Include any interventions which have contributed to improving care and/or modifying procedures. • If available, use the IPRO HAI report to show your results• Run NHSN reports for CLABSI’s and CLIP adherence.• Share your findings with the staff.
![Page 22: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/22.jpg)
Our Improvement Plan is as follows
22
Outline the next steps for your organization to improve or “hold the gains”. • Has this project been spread to the entire organization? If not, do you have a target data to move the project house-wide? If no, consider setting a date.• Consider implementing a PDSA to spread your success to another unit. We recommend spreading change slowly.
![Page 23: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/23.jpg)
Template 1/13/2012
This material was prepared by IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 10SOW-NY-AIM7.1-12-08
![Page 24: Healthcare Associated Infections (HAI Project) CLABSI’s (Insert your hospital name In Partnership with IPRO Date.](https://reader038.fdocuments.net/reader038/viewer/2022110404/56649eb35503460f94bb9cbf/html5/thumbnails/24.jpg)
For more information
Template 1/13/2012
IPRO Contacts
Karline Roberts(518) [email protected]
Bill Gardiner (518) [email protected]
Crystal Isaacs (516) [email protected]
Chad Wagoner(518) [email protected]
Teré Dickson, [email protected](516) 209-5324
Hospital Contacts
Fill in the names of your hospital contacts