Cohort 8 Getting Started April 25 2014 2330 pm ET 1 Agenda Why Work on CUSPCAUTI On the CUSPStop CAUTI Overview Cohort 8 CUSP CAUTI Prevention Data Reporting Getting Started Next Steps ID: 615522
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ON THE CUSP: STOP CAUTI Cohort 8 - Getting StartedApril 25, 20142-3:30 pm ET
1Slide2
AgendaWhy Work on CUSP/CAUTIOn the CUSP/Stop CAUTI Overview
Cohort 8CUSP CAUTI Prevention Data Reporting
Getting Started- Next StepsResources FHA CAUTI Cohort 8 Work Plan - Monthly Key ActivitiesCalls, Webinars, Website, etc.
2Slide3
IntroductionsIntroduce yourself (name, hospital, unit)Describe your unit (e.g. specialty, size, etc.)
Why do you want to participateWhat
do you hope to gain from participationBoca Raton Regional Medical CenterCVICU, MICU, SICUTampa General Hospital2D 1 & 2University of Miami Hospital
Penthouse North
3Slide4
ON THE CUSP: STOP CAUTIWHY PARTICIPATE
Healthcare Associated InfectionsAffect 2 Million hospitalized patients each year in the U.S.
32% develop UTIs each year15% develop pneumonia14% develop bloodstream infectionsAnnual cost of catheter-associated UTI (CAUTI) is $450 MillionUp to 380,000 infections and 9000 deaths related to CAUTI per year could be prevented
4Slide5
ON THE CUSP: STOP CAUTIWHY PARTICIPATE
Opportunity to implement a proven, effective culture change modelHospitals can use the CUSP framework for other process improvement projectsOpportunity to network and learn from other hospitals
Access to expert facultyData collection and monitoring supportMany free resources to support improvement effortswww.onthecuspstophai.org
www.catheterout.org
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ON THE CUSP: STOP CAUTIGOALS & EXPECTED OUTCOMES
GOALS:
Reduce mean CAUTI rates in participating clinical units by 25 percent, and Improve safety culture by disseminating CUSP methodology as evidenced by improved teamwork and communication
EXPECTED OUTCOMES
Increased awareness of appropriate urinary catheter (UC) use
Reduced use of indwelling UCs
Empower staff to
discontinue UC when appropriate
Reduced patient discomfort
Reduced incidence of
bacteriuria
Reduced rates of symptomatic UTIs
Shortened LOS and decreased cost per stay
Share lessons with
others
Specialized support is available for emergency departments
6Slide7
ON THE CUSP: STOP CAUTIProgram Overview
Program Requirements:
Work with your hospital team to reduce CAUTI using the evidence based practiceCollect & Submit Data as scheduled
Outcome data: CAUTI rates
Process Data: Catheter Prevalence
Implement the CUSP Program Using the CUSP tools:
Unit Readiness tool
Staff Safety Assessment
Hospital Safety Culture Survey (HSOPS)
Learning from Defects
Team Check Up Tool
Improve CAUTI rates in your hospital
Develop & implement a Sustainability Plan
7Slide8
ON THE CUSP: STOP CAUTIREQUIREMENTS
Program Requirements:Hospital inpatient units
need to participate in the program for 18 monthsLearn and implement CUSP and CAUTI prevention interventions
Meet regularly as
a team to review data and monitor performance improvement
Have at least one
or more team members
participate in
national content
and
monthly coaching
calls
Share
lessons with
others
Collaboration is one of the keys to rapid improvement
8Slide9
ON THE CUSP: STOP CAUTI
RESOURCES
9Slide10
CUSPCUSP is an intervention to reduce mistakes and improve teamwork and communicationCUSP is a good approach to use whenever there is a gap between evidence based practice and current practice on your unit.
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Why Is CUSP Important?Culture has been linked to clinical and operational outcomes in healthcare*:Wrong site surgeriesDecubitus
ulcersBloodstream infectionsPost-op infectionsRN Turnover
VAP *data provided by Bryan Sexton
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Pre CUSP WorkCreate an CUSP CAUTI team
Nurse, physician, administrator, infection control, othersAssign a team leader
Measure culture in your clinical unit (HSOPS or other valid process ~discuss with hospital association leader)
Work with hospital quality leader to have a senior executive assigned to your unit based team
12Slide13
Comprehensive Unit-based Safety Program (CUSP) An Intervention to Learn from Mistakes and Improve Safety Culture
Educate staff on science of safety
Staff Safety Assessment ~Identify defects
Assign executive to adopt unit
Learn from one defect per quarter
Implement teamwork tools
Timmel J, et al. Jt Comm J Qual Patient Saf 2010;36:252-260.
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Science of SafetyUnderstand the system determines performance
Use strategies to improve system performance
StandardizeCreate independent checks for key processLearn from mistakes
Apply strategies to both technical work and team work
Recognize teams make wise decisions with diverse and independent input
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Identify DefectsAsk staff how will the next patient be harmed (Does not need to be related to CUSP/CAUTI
)Ask how they think that harm could be mitigated
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Prioritize Defects
List all defects
Discuss with staff what are the three greatest risks
Work with executive and CUSP CAUTI team to eliminate risks and learn from mistakes
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Executive PartnershipExecutives should become a member of the CUSP CAUTI teamExecutives should meet monthly with the CUSP CAUTI team
Executives should review defects, ensure the CUSP CAUTI team has resources to reduce risks, and hold team accountable for improving risks and catheter associated urinary tract infections
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Learning from MistakesWhat happened?
Why did it happen (system lenses)?
What could you do to reduce risk?How do you know risk was reduced?Create policy / process / procedure
Ensure staff know policy
Evaluate if policy is used correctly
Pronovost 2005 JCJQI
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To Evaluate Whether Risks were ReducedDid you create a policy or procedure?
Do staff know about the policy?Are staff using it as intended?
Do staff believe risks have been reduced?
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Teamwork ToolsDaily Goals Checklist
Morning briefingShadowing
Culture debriefingTeamSTEPPS
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Shadowing
Follow another type of clinician doing their job for between 2 to 4 hours
Have that person discuss with staff what they will do differently now that they walked in another person’s shoes
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CUSP Lessons LearnedCulture is localImplement in a few units, adapt and spread
Include frontline staff on improvement team
Not linear processIterative cycles
Takes time to improve culture
Couple with clinical focus (eg CUSP CAUTI)
No success improving culture alone
CUSP alone viewed as ‘soft’
Lubricant for clinical change
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CUSP is a Continuous Journey
Add science of safety education to orientation
Learn from one defect per month, share or post lessons (answers to the 4 questions) with others
Implement teamwork tools that best meet
your teams needs
Details are in the CUSP CAUTI manual
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24Slide25
CUSP & CAUTI Interventions
1. Educate on the science of safety
2. Staff Safety Assessment ~Identify defects
3. Executive adopts the unit
4. Learn from Defects
5. Implement teamwork & communication tools
CUSP
CAUTI
Care and Removal Intervention
Removal of unnecessary catheters
Proper care for appropriate catheters
2. Placement Intervention
Determination of appropriateness
Sterile placement of catheter
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Core Prevention Strategies
Catheter Use
Insertion
Maintenance
Insert catheters only for appropriate indications
Leave catheters in place only as long as needed
Ensure that only properly trained persons insert and maintain catheters
Insert catheters using aseptic technique and sterile equipment (acute care setting)
Maintain a closed drainage system
Maintain unobstructed urine flow
Hand Hygiene
http://www.cdc.gov/hicpac/cauti/001_cauti.html
Quality Improvement Programs
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CAUTI Prevention #1: Make Sure the Patient Really Needs the Catheter
Appropriate indicationsBladder outlet obstruction
Incontinence and sacral wound
Urine output monitored
Patient’s request (end-of-life)
During or just after surgery
(Wong and Hooton - CDC 1983)
Jain. Arch Int Med 95
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http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf
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Indications2009 Prevention of CAUTI HICPAC Guidelines
(Gould et al, Infect Control Hosp
Epidemiol 2010; 31: 319-326)
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Appropriate Indications forCatheter Use
Appropriate
Indications
Patient has acute urinary retention or obstruction
Need for accurate measurements of urinary output in
critically ill
patients.
Perioperative
use for selected procedures:
urologic surgery or other surgery on contiguous structures of genitourinary tract,
anticipated prolonged surgery duration (removed in post-anesthesia unit),
anticipated to receive large-volume infusions or diuretics in surgery,
operative patients with urinary incontinence,
need to
intraoperative
monitoring of urinary output.
To assist in healing of open sacral or
perineal wounds in incontinent patients.
Requires prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine)
To improve comfort for end of life care if needed.
Gould C, et al. Infect Control Hosp
Epidemiol
2010;31:319-26.Slide31
Inappropriate Indications for Indwelling Urinary Catheter Use
Inappropriate
IndicationsAs a substitute for nursing care of the patient or resident with incontinence
As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily void
For prolonged postoperative duration without appropriate indications (e.g., structural repair of urethra or contiguous structures, prolonged effect of epidural
anaesthesia
, etc.)
Routinely for patients receiving epidural anesthesia/analgesia.
Gould C, et al. Infect Control Hosp
Epidemiol
2010;31:319-26.Slide32
Other Reasons and Risk of Urinary Catheters
Other Reasons
Urine output monitoring outside the ICUIncontinence without skin breakdown/decubitusProlonged post-operative use beyond 24 hoursTransfer from ICU to floor
Morbid obesity or immobility
Confusion or dementia
Patient request
Other Risks
Secondary
bacteremia
, sepsis, metastatic infection
“One-point restraint” = decreased mobility
DVT/PE, pressure ulcers
Fall risk by tripping over catheter
Deconditioning
Patient discomfort, need to retrain bladder
Perceived Short term benefits
Real cumulative risks:
LOS
Cost
Mortality
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Use smallest catheter size effective for patient (14 or 16F)Ensure that only properly trained persons insert catheters
Insert using aseptic technique
Goal is to avoid contamination of the sterile catheter during the insertion process
CAUTI Prevention #2: Proper Placement and Use of Aseptic Insertion Technique
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CAUTI Prevention #3: MaintenanceMaintain a closed drainage system
Maintain unobstructed urine flowFree of kinks
Collecting bag below the bladderEmpty the bag regularlyUse routine hygiene, i.e., do not clean the periurethral area with antiseptics
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CAUTI Prevention #3: Maintenance
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Alternatives to the indwelling catheterBladder ultrasound
Intermittent catheterization
Condom catheterAntimicrobial urinary catheters (?)
CAUTI Prevention #4: Consider Other Methods for Preventing CAUTI
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Program Goals
Reduce placement of unnecessary indwelling urinary cathetersIncrease prompt removal of indwelling urinary catheters that are no longer needed
Ensure the use of proper insertion technique for indwelling urinary catheters that are appropriately indicatedDecrease the risk of hospital-acquired
catheter-associated urinary tract infections
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How Do We Achieve These Goals?
Engagement
Education about the appropriate use and insertion of urinary cathetersExecution and EvaluationMonitoring and Feedback (aka Data collection)
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Consistently Using Evidence-Based Practices Remains a Challenge…
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Prevailing Themes
1) Prioritization
2) Champions
3) Tailoring
4) Workload and Workflow
5) Leadership
(Saint et al. Infect Cont Hosp
Epid
2008)
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Catheter-associated urinary-tract infection is a low priority
“I would say there’s a general perception in the field that urinary tract infections don’t cause a lot of morbidity and mortality compared to the quote, sexy topic such as blood stream infection or surgical site infection or VAP.”
(Saint et al. Infect Cont Hosp Epid 2008)From an Infection Preventionist:
The main urologist “who everybody knows and loves thinks the whole Bladder Bundle is just
stupid.
There is no one who is passionate about getting Foley catheters out of our patients.”
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A physician administrator from a large private hospital explained, “the nurses on the geriatrics unit wanted to have their patients regain mobility or maintain their mobility at all costs and having a catheter . . . was one other reason why they never had to get out of bed . . .the catheters are always removed on the geriatrics unit but it’s a fight on the other units to have those catheters taken out because there’s always an excuse. Like, ‘well, they’re really big or it’s hard for them to get out of bed or it’s a two person assist’...”
But . . .timely removal of catheters considered important by some
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Identifying a committed “champion” can facilitate prevention activitiessuccessful champions tend to be intrinsically motivated and enthusiastic about the practices they promote “I have a certain stature in this hospital…People know that I’m very passionate about patient care so…I get positive reinforcement from them…they’re happy to see me…because …they know that I’m thinking about what’s best for the patient…”
(Damschroder et al.,
Qual and Safety in Healthcare 2009)
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The Importance of Tailoring
May need to tailor
(i.e. modify or adapt) your approach to CAUTI given your specific context and circumstances
We saw different solutions at different hospitals; different solutions within different units at the same hospital
Examples:
Educating nurses about urinary catheters
Who
assesses for catheter appropriateness
Focus on insertion or timely removal or both?
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Attention to Urinary Catheters:
Workflow and Workload
The intervention(s) should become part of the workflow: both removal (floor) and insertion (ED)
For insertion, ED is paramount
Foleys put in for specimen collection and left in
ED nurses may think they’re doing floor nurses a favor
Nursing workload was a big issue - since Foleys can be easier for the nurses, this may be a disincentive to removeSlide46
Leadership at various levels appears to be important, especially at the nurse manager level
Project leader to help ‘manage’ the process can be very useful
Physician leadershipBehind-the-scenes (getting buy-in from medical executive committees and other physicians)
Front-line (
eg
, hospitalists, hospital epidemiologists)
The Importance of Leadership
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Teamwork: Key Roles and Responsibilities
Role or responsibility
Example of personnel to consider
Project
coordinator
Infection Preventionist,
Quality manager, Nurse manager
Nurse
champion (engage nursing personnel)
Nurse manager, charge nurse, staff nurse
Medical/physician
liaison
Urologist, ID physician, hospital epidemiologist
Data collection, monitoring, reporting
Infection Preventionist, Quality manager,
Utilization managerSlide48
ConclusionsMany reasons to prevent CAUTI
Implementing change is not easyPreventing CAUTI requires understanding both the “technical” components
and the “socio-adaptive” aspects Preventing CAUTI is a Team SportThe ultimate objective is to ensure we provide the safest and most effective care for patients
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Data Reporting
Understand Why Data is Crucial to the Project
Understand the Project’s Data Elements: ---What Data Do We Collect?
---When Is It Due?
---What Infrastructure Do Teams Need to
Accomplish This?
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Why is Data Crucial to the Project?
Project’s data elements will help you:Track adoption of technical work and CUSP interventionsMeasure progress of CAUTI reductionIdentify barriers to teams’ progress
Keep you on course to achieve BOTH project goals
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CAUTI PROJECT DATA ELEMENTS: Background/Cultural Data:
---Readiness Assessment ---HSOPS: Baseline and Follow-up
Ongoing Data Submission: ---Outcome data ---Process Data
---Team Checkup Tool
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BACKGROUND/CULTURAL DATA: Readiness AssessmentTells us about your unit:
--- size, type, patient demographics
--- prior involvement in any CAUTI prevention and/or CUSP activities --- prior patient safety/performance
improvement activities
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BACKGROUND/CULTURAL DATA: Readiness AssessmentCompleted ONCE at the start of the project (May 12-26)
Done via Survey Monkey ---MHA will email the survey link to each
designated unit lead ---Completed by only ONE person per unit
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BACKGROUND/CULTURAL DATA: HSOPSStandardized measure of safety culture
on the individual patient care unit (NOT hospital-wide)Done twice:
---at the beginning/after the interventionGoal is at least 60% response rate of all staff that affect patient care on the unit
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BACKGROUND/CULTURAL DATA: HSOPSInfrastructure Needed:
Each unit needs a survey coordinator who ---registers their unit/estimates # of unit
staff who will take the survey ---educates staff about the survey process ---ensures adequate survey response rate
(at least 60%)
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BACKGROUND/CULTURAL DATA: HSOPSDates to remember:
HSOPS Training Webinar: May 20 or 22
Baseline HSOPS: ---pre-notification email sent May 20 ---registration starts May 26
---survey runs June 9 – July 4
Follow-up HSOPS:
---15+ months
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CAUTI PROJECT DATA ELEMENTS: Background/Cultural Data: ---Readiness Assessment
---HSOPS: Baseline and Follow-up
Ongoing Data Submission: ---Outcome data ---Process Data ---Team Checkup Tool
57Slide58
ONGOING DATA COLLECTION:Outcome and Process Data
OUTCOME DATA: What impact have we made on our 2 project goals:
1) reducing the CAUTI rate by 25% and 2) improving our unit’s culture of safety
PROCESS DATA:
Are we changing our daily work activities regarding catheters in a way that reduces the risk of infection
(technical work)
and makes care safer
(culture change/CUSP)
?
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CAUTI OUTCOME DATA: What Do We Collect?
For the entire month (not just M-F)
each enrolled unit must collect and submit:Total # of patient days for that unitTotal # of indwelling urinary catheter days for that unitTotal # of CAUTI’s for that month Result:
CAUTI Rates
Catheter Prevalence
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CAUTI OUTCOME DATA: What Infrastructure Do Teams Need?
Someone to collect the data
---should be knowledgeable about the criteria ---should resolve any “questionable CAUTI” issues before entering data
---Good resource: ICP
Someone to enter the data
---Into MHA Care Counts (
www.mhacarecounts.org
)
---Care Counts training (April 30 or May 7)
---Recording will be available at
www.onthecuspstophai.org
>
Stop CAUTI > Educational Sessions >
Onboarding
Calls
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CAUTI OUTCOME DATA: When is it due?Starts in MAY, with Three Phases
BASELINE (Monthly submission)
May, June, July 2014IMPLEMENTATION (Monthly submission) August and September 2014SUSTAINABILITY: (Quarterly for 3 periods)
December 2014; March and June 2015
Note: all data is due by the end of the following month
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OUTCOME DATA: How Do I Enter It? WHERE?
---MHA Care Counts
(www.mhacarecounts.org) HOW? ---Manual Entry
W
HEN?
---Monthly
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PROCESS DATA: What Do We Collect?
DAILY,
following the submission schedule: # of patients on the unit that day# of catheterized patients on the unit that dayMain reason why patient has a catheter TODAY
Where the catheter was inserted (on the floor, off the floor, unknown)
Result:
Catheter Appropriateness Info
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CAUTI PROCESS DATA: What Infrastructure Do Teams Need?
Have their team in place
--- Crucial: physician leader, nurse leader, frontline care provider, infection control practitionerBe conversant with HICPAC guidelines as to appropriate indications for catheters
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CAUTI PROCESS DATA: What Infrastructure Do Teams Need?
Need a rounding process (not record review)
--- IDEAL: piggyback on existing unit rounds --- use the recommended audit toolNeed a designated point person to record data/contact physicians for orders to remove catheters
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CAUTI PROCESS DATA: What Infrastructure Do Teams Need?
EXPECTATION:
The rounding process goes on daily during the project, regardless of whether data is to be submitted on that day!
Remember: This rounding process IS the intervention!!!
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CAUTI PROCESS DATA: What Infrastructure Do Teams Need?
Need someone to enter the data into MHA Care Counts
Data should be entered ASAP ---Ideally enter the same day team rounds ---Teams should be talking about their
findings
67Slide68
Process Data Collection Tool68Slide69
PROCESS DATA: When is it due?Starts in JULY, with Three Phases
BASELINE (Daily, M-F for three weeks)
July 7-11, July 14-18, and July 21-25IMPLEMENTATION (Daily, M-F for two weeks, then
6 single days of data collection)
Aug. 4-8 and Aug. 11-15, then
Aug. 19, 26, and
Sept. 2, 9, 16, 23
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PROCESS DATA: When is it due?SUSTAINABILITY: (M-F, 1 week per quarter)
December 15-19, 2014 March 9-13, 2015
June 15-19, 2015
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PROCESS DATA: How Do I Enter It?
WHERE? MHA Care Counts (not NHSN!)
HOW? ---Use the data collection paper tool as you do catheter rounds ---Enter manually into MHA Care Counts
---Enter in “real time” (daily or ASAP);
consider laptop/mobile workstation
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ONGOING DATA COLLECTION:Quarterly Team Checkup Tool (TCT)What it assesses: Implementation of CUSP and CAUTI reduction activities
Team functioningBarriers to project progress
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TCT DATA: How Do I Enter It?Recommended Way to Complete TCT: Team Leader prints copies of the TCT (available on the national project website)
Team meets to discuss and reach consensus on answers One person enters the team’s consensus answers into MHA Care Counts
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TEAM CHECKUP TOOL: When Is it Due?Starts in August 2014Due Quarterly (note: these are NOT calendar quarters)
Reflects the team’s work for the previous 3 monthsSchedule:
Aug. 2014 (reflects work of May-July); then: Nov. 2014; Feb. and May 2015
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VALUE OF CAUTI DATA:Helping Your Teams Track Progress
STANDARD REPORT SET TO RUN: Review these 3 Categories Monthly:
Data Submission Outcome Data Process Data
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STANDARD REPORTS TO RUN(from Care Counts)
Data Submission: Run 3 ReportsOutcome Data Submission Report
(1 report) ---shows which units have submitted data, by project phaseProcess Data Submission Reports (2 reports) ---shows submission rates by project phase, and for each day of data collection
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STANDARD REPORTS TO RUN(from Care Counts) Outcome Data: Run 3 Reports
CAUTI Rate Reports (2 reports) ---by Catheter Days (# CAUTI’s/1000 catheter days)
---by Patient Days (#CAUTI’s/10,000 patient days) ---shows your unit’s infection ratesCatheter Prevalence Report (1 report)
---
shows the percent of patients on your unit with a catheter for that month
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STANDARD REPORTS TO RUN(from Care Counts)
Process Data: Run 2 ReportsCatheter Appropriateness Reports (2 reports)
---Catheter Appropriateness ---shows what % of catheterized patients had at least one appropriate reason for the catheter ---Catheter Indicator Breakout
---shows what the reasons were
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TAKE HOME MESSAGES:
What Data Do We Collect?
Preliminary Work: Readiness Assessment /HSOPSDuring Project:
Outcome Measures:
(Collect/Submit Monthly)
CAUTI Rates and Prevalence
Process Measures
: (Submit on Scheduled Days)
Catheter Appropriateness
Team Checkup Tool (TCT):
Submit Quarterly
Follow-up: HSOPS
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TAKE HOME MESSAGES:
When is Data Due?
Outcome Measures: By end of the next month
Process Measures:
Enter in real time, ASAP
TCT:
Quarterly
HSOPS:
At start of project &
after intervention
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TAKE HOME MESSAGES:
WHY IS DATA IMPORTANT TO THE PROJECT?
Data submission tracking :
---ensures dataset is robust and findings are reliable
Process and Outcome Measures:
--- provide continuous monitoring of whether CAUTI rates and catheter prevalence are decreasing
--- focus attention on which patients inappropriately have catheters, so education and processes can be implemented to reduce unnecessary catheter use and infection risk
81Slide82
TAKE HOME MESSAGES:
WHY IS DATA IMPORTANT TO THE PROJECT?
Quarterly Team Checkup Tool:
--- monitors teams’ implementation of recommended:
1) CUSP activities
2) CAUTI reduction activities
--- identifies barriers to team progress
HSOPS:
--- assesses units’ culture of safety before and after the project intervention
82Slide83
TAKE HOME MESSAGES:
Anticipatory Guidance
Data Collection Process: --- is front-end loaded, but manageable --- is the primary way to effect change in the use of inappropriate catheters
Remember: Rounding for Catheter Prevalence and Appropriateness IS the intervention!
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ON THE CUSP: STOP CAUTI
Data Collection
84Slide85
ON THE CUSP: STOP CAUTI
DATA REQUIREMENTS
85Slide86
ON THE CUSP: STOP CAUTINext Steps
Hospital units will participate
for 18 months:
Units / team members are registered in MHA Care Counts (logins
have been
emailed to unit contacts from MHA)
Assemble
a team to include a team
leader
Implement
CAUTI prevention tools and strategies
Implement CUSP model/tools to improve care
Submit baseline & monthly CAUTI rate
data (outcome)
Submit urinary catheter (UC) prevalence & appropriateness data
(process)
Submit quarterly Team Checkup Tool (TCT)
Develop & implement a sustainability plan
86Slide87
ON THE CUSP: STOP CAUTINEXT STEPS
Next Steps:
Hold a team meetingListen to the
Onboarding
and Content calls*
Team Lead & Data Entry Contact Person – MHA Care
Counts Data Entry and Report
Training* (April 30 or May 7)
Team Lead & Survey Coordinator attend HSOPS training* (May 20 or 22)
Review Web site resources, CAUTI Implementation Guide and CUSP Toolkit
Collect Outcome data for May
Team Lead complete Readiness Assessment (May 12-26)
*Recordings available on
www.onthecuspstophai.org
87Slide88
ON THE CUSP: STOP CAUTINEXT STEPS
Next Steps (continued):
Implement CAUTI prevention tools and strategies
Implement CUSP model/tools to improve care
Submit baseline & monthly CAUTI rate
data (outcome)
Submit urinary catheter (UC) prevalence & appropriateness data
(process)
Complete HSOPS Survey (May 20 pre-notification email; May 26 registration; June 9 – July 4 survey window)
Teamwork Tools - Staff Safety Assessment, Learning from Defects, Team Check Up Tool
Develop a sustainability plan
88Slide89
ON THE CUSP: STOP CAUTINational Faculty
89
Expert Faculty:Sanjay Saint, MD, MPH, and Sarah Krein, RN, PhDUniversity
of Michigan Health System
Mohamad
Fakih
, MD, MPH
St
. John Hospital and Medical Center
Sam Watson,
MSA, and Lucy Koivisto
Michigan
Health & Hospital Association
Chris Goeschel, RN, ScDJohns Hopkins Armstrong Institute for Patient Safety and QualityLinda R. Greene, RN, MPS, CICHighland Hospital in Rochester, NYSlide90
ON THE CUSP: STOP CAUTIFHA & HRET Key Contacts
90
FHA HEN:
Sally Forsberg
, RNC, BSN, MBA, NEA-BC, CPHQ
Director of Quality & Patient Safety
sally@fha.org
407-841-6230
Luanne MacNeill
Quality Initiatives Coordinator
luannem@fha.org
407-841-6230
HRET:
Barb
Edson
, RN, MBA, MHA
VP of Clinical Quality
bedson@aha.org
919-530-0080
Kim
Strei
t
, FACHE, MBA, MHS
VP/Healthcare Research & Information
kims@fha.org
407-841-6230
Phyllis
Byles
, RN, BSN, MHSM, BC-NEA
Quality Coordinator
phyllis@fha.org
407-841-6230
Tina Adams
, RN
Clinical Content Development Lead
tadams@aha.org
919-304-2569Slide91
Important LinksTools & Resources:
http://www.onthecuspstophai.org/on-the-cuspstop-cauti/toolkits-and-resources/ -
Cohort Timelines –specific data collection schedules - Stop CAUTI Implementation Guide (hospital unit tool) - MHA Care Counts User Manual & Quick Guide CAUTI Reports - Additional Resources
http://www.catheterout.org
- Key prevention strategies
- Engaging Clinicians & Administrators
- Barriers & Potential Solutions
- Protocols, education tools, supporting evidence, etc.
CUSP
Toolkit:
http://www.ahrq.gov/cusptoolkit/
91Slide92
Important LinksCAUTI Calendar:http://www.onthecuspstophai.org/on-the-cuspstop-cauti/calendar/
Onboarding
Call Series:http://www.onthecuspstophai.org/on-the-cuspstop-cauti/educational-sessions/on-boarding-calls/National Content Call Series:
http://www.onthecuspstophai.org/on-the-cuspstop-cauti/educational-sessions/content-calls/
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ON THE CUSP: STOP CAUTI
RESOURCES
93Slide94
Questions???94