1. Telligen Quality Innovation Network – Quality Improvement Organization TAP Report – Targeted Assessment for Prevention May 27, 2015 This material was prepared by Telligen, Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-IL-C1-04/15-099

2. 2 Agenda Overview Targeted Assessment for Prevention (TAP) Strategy Creating a TAP Report TAP Report Overview Understanding the TAP Report –Cumulative attributable difference (CAD) –DUR% –Pathogens Driving Improvements with TAP Data Call to Action

3. 3 Objectives Participants will be able to: Create a TAP Report for their facility Discuss the information contained in the TAP report Utilize the TAP report to drive HAI improvement efforts

4. 4 TAP Strategy Developed by CDC as a tool to drive HAI prevention efforts Piloted in 2014 Generated in NHSN for CLABSI, CAUTI and CDI LabID data

5. 5 Creating a TAP Report

6. 6 TAP Report Overview

7. 7 Interpreting the TAP Report 12345

8. 8 Interpreting the TAP Report - continued

9. 9 Interpreting the Tap Report - Continued

10. 10 Driving Improvement with the TAP Report Focus limited resources where you will get the biggest return on time and investment Create Unit or Department specific improvement teams Utilize HAI specific Survey Monkey Assessment to identify gaps in evidence based practices. Tool coming soon for CAUTI. Ask 3-4 members of the unit/department or team to complete the Survey Monkey Assessment – eye opening results!

11. 11 Driving Improvement with the TAP Report Initiate improvement work utilizing tools and processes that your facility is familiar with Engage multidisciplinary group Consider small test of change Communicate results

12. 12 Next Steps Survey Monkey – for CAUTI evidence based practice assessment in progress. Enter NHSN data monthly Look for Telligen generated graphs

13. 13 Open Discussion How will you use the TAP Report in your organization? Have you already used it? Any concerns?

14. 14 Contacts Karen Boland Sr. Quality Improvement Facilitator Telligen QIN-QIO Email: karen.boland@area-d.hcqis.orgkaren.boland@area-d.hcqis.org Phone: 630-928-5828 Debbie Camacho Senior QI Manager Telligen QIN-QIO Email: debbie.camacho@area-d.hcqis.orgdebbie.camacho@area-d.hcqis.org Phone: 630-928-5815 Meghan Foley Project Assistant II Telligen QIN-QIO Email: meghan.foley@area-d.hcqis.orgmeghan.foley@area-d.hcqis.org Phone: 630-928-5805