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HAI Affinity Group Full Court Press on CAUTI September 11, 2013

HAI Affinity Group Full Court Press on CAUTI September 11, 2013. Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement. Objectives. Describe the full court press related to catheter-associated urinary tract infections (CAUTI).

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HAI Affinity Group Full Court Press on CAUTI September 11, 2013

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  1. HAI Affinity GroupFull Court Press on CAUTISeptember 11, 2013 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement

  2. Objectives • Describe the full court press related to catheter-associated urinary tract infections (CAUTI). • Outline the lessons learned from the national CUSP: Stop CAUTI program. • List one thing you will do in the next week to decrease the incidence of CAUTI in your hospital.

  3. Questions to Run On • What areas can I target quickly to reduce CAUTI? • How can I use the CUSP model to provide a framework for CAUTI reduction? • What are the barriers I see in my hospital that keeps us from reaching our CAUTI reduction goals? • What other resources will I use to reach our goal?

  4. The CMS Challenge – Full Court Press on CAUTI By November significantly reduce CAUTI nationwide

  5. Where We Are

  6. How are we going to meet our goal? • All hospitals committed to reducing CAUTI in all units. • Focus efforts in ED and OR • Targeted Affinity Group Calls • Identify hospitals with highest incidence and provide one on one coaching

  7. Cs CAUTI • Culture Change • Criteria • Care and competency • Communication • Concentrate on the Patient: Patient and family engagement

  8. C Catheters Differently • Culture Change • CUSP and other culture change tools • Staff and physician engagement, ownership • Criteria • Necessity for insertion • Continuous need assessment • Communication • The Why • Presence of catheter, criteria met • Verbal reminders

  9. All C the Catheter • Care and competency • Aseptic technique during insertion • Catheter care, maintenance • Bag off floor and below bladder • Closed system, specimen collection • Securement • Concentrate on the Patient: Patient and family engagement • Bedside report and rounding • Reminders and redundancy

  10. All C the Catheter • Care and competency • Aseptic technique during insertion • Catheter care, maintenance • Bag off floor and below bladder • Closed system, specimen collection • Securement • Concentrate on the Patient: Patient and family engagement • Bedside report and rounding • Reminders and redundancy

  11. CUSP – An Organized Front Line Approach

  12. Starts with a Vision and Goal • Focus on patient harm – the why • Decrease CAUTI rate by 40%, Target zero • Decrease catheter utilization • Begins with insertion necessity including ED and OR • Daily assessment • Share current state and future state • Tell a story

  13. Have You Addressed these Critical Areas? • Made reducing CAUTI a hospital goal communicated and supported by Leadership • Involved front line staff and physicians • Established appropriate criteria assessment • Developed removal process • Assessed insertion and maintenance competency • Identified and addressed current barriers to getting to zero • Targeted the emergency department, OR and intensive care units for appropriate use

  14. Remember… It can be a long journey to zero but… Decreasing the use and length of time of catheter placement will decrease patient harm

  15. Offers • Interest in joining national On the CUSP CAUTI collaborative ? • Interest in joining the CUSP ED Collaborative? • Site visit to meet with CAUTI team. • Offers from group

  16. Requests • How can we help you in meeting your goals?

  17. Committments • What is one thing you will do in the next week to reduce CAUTI in your hospital?

  18. Denise Flook dflook@gha.org. 770-249-4518 Contact Information

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