1. 10 th SOW Wrap-Up Karline Roberts & William Gardiner July 24, 2014

2. Overview Project began August 1, 2011 58 hospitals participated 4 face to face LAN meetings 24 webinars CUSP Training CAUTI workgroup call series Handwashing for Life visits ATP monitoring Countless site visits 2

3. Tools HAI Resource Guide RCA Tool Kit CLABSI Video CLABSI Maintenance Bundle Excel Audit tool for CLABSI & CAUTI CLIP monitoring form Hand washing pins PowerPoint templates for CLABSI, CAUTI, CDI 3

4. More Tools CAUTI Posters – 3 CAUTI Screen Savers Foley Insertion Checklist CAUTI Patient Brochure CAUTI Pocket Card Patient Hand washing Brochure CDI Bundle CDI Tool Kit SSI Pocket card Antibiotic Selection Pocket cards 4

5. IPRO website http://qio.ipro.org/hospitals-hai/about-this- project/prevention-tools-and-resources-for-healthcare- professionals 5

6. Advisory Committee Members Brian Koll, MD – Mt. Sinai Beth Israel Medical Center Zeynep Sumer - GNYHA Ghinwa Dumyati, MD - University of Rochester Mary Ann Magerl - Vassar Brothers Kathi Mullaney - Metropolitan Hospital Christina Ostwald - Mount St. Mary's Mary Jane Milano - Regional Hospital Association Hillary Jalon - United Hospital Fund Mary Manfredo – Oneida Hospital Mary Therriault - HANYS Carol VanAntwerpen David Calfee, MD - New York Presbyterian/Weil Cornell Center Peggy A. Hazamy –DOH Donna Armellino - North Shore Hospital System 6

7. CLABSI Relative Improvement 7

8. CLABSI SIR 8

9. CLIP Adherence was consistently well over 90% No CLIP for 11 th SOW!!! 9

10. CAUTI Relative Improvement 10

11. CAUTI SIR 11

12. Standardized Urinary Catheter Utilization Rate (SDUR) 12

13. CDI Relative Improvement 13

14. CDI SIR 14

15. 10 th SOW Overview - Barriers and Successful Interventions 15

16. What’s Next? 11 th SOW begins August 1 st Introductory webinar will be held on August 6 th Conditions are: CLABSI, CAUTI, CDI, VAE 5 Year Project Work to be done in ICU and non-ICU units QIOs required to report to CMS the hospitals that continue work from 10 th to 11 th SOW New MOA will need to be signed Work will be done in a community collaborative setting 16

17. 17 Questions

18. 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_AIM7.1-14-08

19. For more information Karline Roberts Director (518) 320-3508 Karline.roberts@hcqis.org IPRO CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY 11042-1002 IPRO REGIONAL OFFICE 20 Corporate Woods Boulevard Albany, NY 12211-2370 www.ipro.org Template 1/13/2012 William Gardiner Senior QI Specialist (518) 320-3505 William.gardiner@hcqis.org