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

MA Safe Care Initiative CUSP-CLABSI- CAUTi December 15, 2011 8:00 am – 4:00 pm. Meeting Objectives. Build skills among care team members that will improve teamwork, communication, and create a patient safety culture in your unit

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

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  1. MA Safe Care InitiativeCUSP-CLABSI-CAUTiDecember 15, 20118:00 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 CUSP CLABSI Primarily technical interventions: • CVC line insertion • CVC line management

  4. 5 Communication Among Care Providers:Percent Understanding Patient Care Goals Daily Goals Percent understanding patient care goals

  5. 6 Impact of Daily Goals on ICU Length of Stay Daily Goals 654 New Admissions = $7 Million Additional Revenue

  6. Culture of Safety- Michigan Teamwork Climate Across Michigan ICUs

  7. Culture of Safety- Michigan Safety Climate Across Michigan ICUs % of respondents within an ICU reporting good safety climate

  8. # RNs who left the ICU 1 RN Turnover and Teamwork Climate: 26 Keystone ICUs reporting r=-.650, p<.001

  9. 2 yr CLABSI Results from ICUs in Michigan Pronovost NEJM 2006

  10. 4 yr CLABSI Results from ICUs in Michigan Pronovost BMJ 2010

  11. Results • Lives Saved – 1,729* • Patient Days Saved – in excess of127,000* • Dollars Saved – 0ver $246 Million* • Culture of Safety improved 28% • Teamwork improved 15% * Based on the Johns Hopkins Opportunity Estimator

  12. Massachusetts Teams Current Teams • Baystate Medical Center • Berkshire Medical Center • Fairview Hospital • Jordan Hospital • Melrose Wakefield Hospital • Marlborough Hospital • Morton Hospital & Medical Center • Mount Auburn Hospital • Noble Hospital • Tufts Medical Center • New Teams • Bay state Franklin Medical Center • Baystate Mary Lane • Cambridge Health Alliance • Harrington Hospital • Holyoke Medical Center • New England Baptist Hospital • Southcoast Hospitals Group • Spaulding Rehabilitation Network (CAUTI)

  13. Framework for MA ICU Safe Care Initiative Improvement Collaborative • MHA and Coalition • Work together as state leads • Recruitment of hospital teams and resources to the teams • State “hub” for managing ongoing participation and improvement • Role of National Project Team • Two Year Collaborative for each cohort • Data Collection – CareCounts website • Improvement • Monthly Content Calls • Monthly Coaching Calls • Resources at: www.onthecuspstophai.org/Stop-7611.html

  14. 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

  15. MASSPROA Quality Improvement Organization The QIO Program is the largest federal program dedicated to improving health quality at a community level. Independently contracted QIOs are in every state and territory, united in a network administered by CMS and have the flexibility to respond to local needs.

  16. Improve Individual Patient CareReducing Healthcare Acquired Infections(HAI) • The MASSPRO Learning and Action Network provides hospitals throughout Massachusetts with the opportunity to come together to learn and share the latest evidence-based measures to prevent HAIs. • CAUTI (catheter associated urinary tract infection) is MASSPRO’s initial focus of this initiative.

  17. The Benefits… • Recognition as a facility dedicated to improving patient outcomes • Receive facility specific data and analytical reports • HAI surveillance can be incorporated into existing HAI teams

  18. The Benefits… • Utilize participation with this initiative as part of your implementation strategy to comply with The Joint Commission’s 2012 NPSG 07.06.01. catheter associated urinary tract infections. The Joint Commission plans full implementation of this NPSG as of January 1, 2013

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