CUSP 4 MVP – VAP Improving Care for Mechanically Ventilated Patients Implementation Assessment Kisha Ali, MS May 13, 2015 ARMSTRONG INSTITUTE FOR PATIENT.

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Presentation transcript:

CUSP 4 MVP – VAP Improving Care for Mechanically Ventilated Patients Implementation Assessment Kisha Ali, MS May 13, 2015 ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY Johns Hopkins University

2 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Implementation Assessment 1 (IA) ICU collaborative developed the Team Checkup Tool (TCT) in 2005 during the MHA Keystone Designed to close the gap between hospital executives, hospital leaders, unit leaders and frontline teams by providing dynamic feedback during the implementation phase Identify and work with teams to provide needed training, resources, or other aids Evolved for CUSP4MVP-VAP – now electronic, questions reflect most updated evidence for VAE prevention

3 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Implementation Assessment 2 Measures components and contextual factors that affect quality improvement initiatives Quantifies the implementation components of CUSP and MVP– VAP Consists of quantitative and qualitative sections Complete quantitative section online via the CECity platform Random subset of participants complete the open-ended qualitative section via telephone

4 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients How It Works Data provided directly by project unit lead Utilized in congruence with complimentary tools  Exposure Receipt Assessment  Structural Assessment Implementation Assessment Tool  Completed by project unit lead semi-annually  Quantitative: ~15 minutes online  Qualitative: ~30 minutes via telephone

5 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Implementation Assessment 1 Tool Aggregated Quantitative IA Results focuses on 8 measures: 1. Training on patient safety 2. Staff Safety Assessment 3. Implementation of the CUSP4MVP-VAP bundle 4. Implementation of CUSP 5. Leadership commitment and support 6. Data review and sharing 7. Barriers to progress 8. Team engagement

6 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Cohort 1 - Data Summary 6 IA Administration  Cycle 1: 05/01/ /31/2014  Cycle 2: 11/03/ /28/2015  Cycle 3: 05/01/2015 – 07/31/2015 IA Cycle 3 for Cohort 1 is now open for completion by CUSP4MVP-VAP unit lead The following data illustrates the results of cycles 1 & 2 to show what’s available on the CECity Platform to teams regarding:  Unit-level Data  Peer-comparators at the CE level  Peer-comparators at the Cohort level

7 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 1 7

8 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 2

9 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 3

10 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 4

11 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 5

12 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 6

13 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example - Section 7 Barriers to Progress In the past 3 months, how often did each of the following factors slow your team's progress in implementing CUSP and VAE prevention interventions? 5 major overarching barriers to progress are identified and can be addressed 18 unit-specific barriers to progress are identified and can be addressed BARRIER GROUP NUMBER OF POSSIBLE BARRIERS Insufficient knowledge of evidence 1 Leadership support issues4 Team skills and cohesion issues5 Stakeholder push ‐ back issues 3 Workload and time issues5

14 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 7

15 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 7

16 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Example of Results – Section 8

17 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Accessing the Quantitative IA on CECity Log-in to the CECity platform 2. Select “Portal Home” 3. Select the “CUSP4MVP-VAP” app

18 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Accessing the Quantitative IA on CECity Go to “My Tools” 2. Search for your unit by name 3. Select “CUSP4MVP-VAP”

19 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Accessing the Quantitative IA on CECity On the Implementation Assessment app, select “Manage”

20 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Accessing the Quantitative IA on CECity 20 1.Select the “Cycle” you would like to complete 2. Select the “Assessment” tab to complete the IA 3. Select the “Reports” tab to view your IA results

21 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Ways the Implementation Assessment Can Assist You This assessment identifies  Additional education and training needs, both on your unit and within cohort  Barriers to progress  Opportunities for improvement  Areas of success Using the IA results, units can track their implementation and contextual successes and barriers, as well as compare progress with peers A sample of units that complete the quantitative portion will be contacted to complete the qualitative portion Cycle 3 of the Quantitative Implementation Assessment should be completed by July 31, 2015

22 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients References 1.Lubomski LH, Marsteller JA, Hsu YJ, Goeschel CA, Holzmueller CG, Pronovost PJ. Team checkup tool: evaluating qi team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008; 34(10): PMID: Ali KJ, Farley DO, Speck K, Catanzaro M, Wicker K, Berenholtz SM. Measurement of implementation components and contextual factors in a two-state healthcare quality initiative to reduce ventilator-associated pneumonia. Infect Control Hosp Epidemiol. 2014; 35: S PMID:

23 CUSP 4 MVP – VAP: Improving Care for Mechanically Ventilated Patients Thank you!