1. MA Safe Care Initiative CUSP-CLABSI-CAUTi December 15, 2011 8:00 am – 4:00 pm

2. Meeting Objectives
Build skills among care team members that will improve teamwork, communication, and create a patient safety culture in your unit
Hear from local and national experts the strategies to eliminate CLABSI, and ensure that improvements can be sustained
Learn strategies to prevent Catheter Associated Urinary Tract Infections ( CAUTI)

3. CUSP and CLABSI Interventions
Improving the culture of safety:
1. Educate on the science of safety
2. Identify defects
3. Learn from defects
4. Assign executive to adopt unit
5. Implement teamwork
tools
Primarily technical interventions:
CVC line insertion
CVC line management

4. On The CUSP Stop BSI PRIMARILY Adaptive (CUSP)
PRIMARILY Technical (CLABSI)
CVC Insertion
CVC Line Cart
1. Contents inventory
Evidence based BSI prevention – the bundle
(hands, site, skin prep, barrier, removal)
1. Presentation of evidence
2. CLABSI factsheet
3. Insertion checklist
4. Vascular access quiz
5. Vascular access manual/ policy 6.Annotated bibliography
CVC Management
1. Daily goals
2. Dressing change
3. Vascular access manual/ policy protocol
PRIMARILY Adaptive (CUSP)
Science of Safety Training
1. Science of safety presentation
2. Attendance sheet
Staff Identify Defects
1. Staff safety assessment form
2. Indentifying hazards presentation
Senior Executive Partnership
Briefings
Learning from Defects
LFD toolkit
Implement Tools for Teamwork and Communication
2. Shadowing
3. AM briefing
4. Call list
5. Team check up tool
Assemble a CUSP team,
Partner with a senior executive;
Baseline CLABSI Data
Exposure Survey and Technology Survey 4

5. Framework for MA ICU Safe Care Initiative Improvement Collaborative
MHA and Coalition
State “hub” for managing ongoing participation and improvement
Collaborative – continues one year from 2nd cohort
Clarify how to coordinate with statewide improvement contract with HRET/CMS
Data Collection – CareCounts website
Improvement
Monthly Content Calls
Monthly Coaching Calls
Resources at:

6. CUSP - Preventing CLABSI – Preventing CAUTI
Coordinating related work in Massachusetts
CUSP/CLABSI
CMS/HRET –
Safety culture
Preventing CLABSI
Preventing CAUTI
Masspro Scope of work – CUSP/CAUTI

7. Masspro CUSP/CAUTI: What can your facility expect?
CUSP (Comprehensive Unit-based Safety Program) Training
Support to implement and sustain CUSP process
Support with NHSN (National Healthcare Safety Network) database
Develop and share data collection and reporting tools
Learning sessions, conference calls, listserv, webinars and individual on site support.
Presentations by expert speakers and topic leaders
Innovative learning tools and interventions with proven success

8. Over the next month…
All participating facilities will be receiving a participation packet in the mail.
Individual visits to all facilities, at the convenience of each individual facility.
All facilities will have had CUSP training and support to establish teams.

9. Results
Lives Saved – 1,729*
Patient Days Saved – in excess of 127,000*
Culture of Safety improved 28%
Teamwork improved 15%