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Hospital Acquired Infections & Quality Improvement Texas Rural Health Forum Conference, Austin, Texas November 10, 2010 Terri Conner, Vice President, TCQPS.

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Presentation on theme: "Hospital Acquired Infections & Quality Improvement Texas Rural Health Forum Conference, Austin, Texas November 10, 2010 Terri Conner, Vice President, TCQPS."— Presentation transcript:

1 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 Patti R Bull, Infection Prevention Coordinator Hendrick Medical Center, Abilene, TX Cheryl Herbert, Executive Director Good Shepherd Medical Center, Longview, Tx Katherine McDuffie, Education Coordinator Fort Duncan Regional Medical Center, Eagle Pass, Texas

2 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 2

3 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 3

4 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 4

5 CUSP & CLABSI Interventions Project Goals: Two Objectives Objective #1:Create a Culture of Safety: CUSP Steps 1.Educate on the science of safety 2.Identify defects 3.Assign executive to adopt unit 4.Learn from defects 5.Implement teamwork & communication tools Objective #2:Eliminate CLABSI Steps 1.Educate staff 2.Create a central line cart 3.Remove unnecessary lines 4.Implement a central line checklist 5.Empower staff to stop procedure

6 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

7 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

8 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 8

9 Discussion Continued  Implementation –Resources  Don’t reinvent the wheel – public domain  Non traditional roles –Commitment –Barriers  Conversations  Data 9

10 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 or Maria Rascati at or 10


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