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Financial Disclosures

Engaging our Most Valuable Resource in Infection Prevention: Our Patients J. Hudson Garrett Jr., PhD, MSN, MPH, FNP, CSRN, VA-BC, DON-CLTC, C-NAC Senior Director, Clinical Affairs PDI Healthcare. Financial Disclosures. PDI Healthcare-Employee 2012 Conference Planning Committee

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Financial Disclosures

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  1. Engaging our Most Valuable Resource in Infection Prevention: Our PatientsJ. Hudson Garrett Jr., PhD, MSN, MPH, FNP, CSRN, VA-BC, DON-CLTC, C-NACSenior Director, Clinical AffairsPDI Healthcare

  2. Financial Disclosures PDI Healthcare-Employee 2012 Conference Planning Committee Association for the Healthcare Environment Recommended Practices Advisory Board Association for Perioperative Registered Nurses Vice President, Board of Directors Vascular Access Certification Corporation President, Board of Directors SE Chapter of the Infusion Nurses Society Board of Directors, Education Chairperson Greater Atlanta Chapter Association for Professionals In Infection Control and Epidemiology

  3. Program Objectives Discuss the role of the patient and family in the prevention of Healthcare Associated Infection Discuss strategies to include patient accountability for Joint Commission NPSG 7 Review patient and family involvement and empowerment strategies to reduce the incidence of HAIs

  4. Healthcare-Associated Infections (HAIs) • 1 out of 20 hospitalized patients affected • Associated with increased mortality • Attributed costs: $26-33 billion annually • HAIs occur in all types of facilities, including: • Long-term care facilities • Dialysis facilities • Ambulatory surgical centers • Hospitals

  5. HHS Action Plan 5-year Goals NHSN – CDC’s National Healthcare Safety Network EIP – CDC’s Emerging Infections Program NHDS – CDC’s National Hospital Discharge Survey SCIP – CMS’s Surgical Care Improvement Project HCUP – AHRQ’s Healthcare Cost and Utilization Project

  6. Fundamental Question

  7. Could this be You Family Member?

  8. What do these have in common?

  9. Transmission of Infection

  10. How Does Transmission Occur?

  11. How do you view mortality?

  12. The Story Begins

  13. Hand Hygiene Technique

  14. Hand Hygiene Significant numbers of HAIs could be prevented if we practiced HH when indicated

  15. Adherence to infection control guidelines is incomplete • Many HAIs are preventable with current recommendations • Failure to use proven interventions is unacceptable • Only 30%-38% of U.S. hospitals are in full compliance • Just 40% of healthcare personnel adhere to hand hygiene • Insufficient infection control infrastructure in non-acute care settings has allowed major lapses in safe care

  16. Where do you even begin?

  17. The Story Continues

  18. External Pressures

  19. Patient Education-Long Lost Art • Patient Print-Outs at Time of Discharge • What about an interactive approach to patient and family education • Signs and Symptoms of Infection • Actions to Take if Suspected • How to communicate concerns with your healthcare provider • Activating RRT

  20. Family Support

  21. Patient’s versus Nurse’s responses to...

  22. NPSG 7 • Hand Hygiene • MDROs • MRSA • CDI • VRE • MDR Gram Neg • CLASBI • SSI • CAUTI

  23. Speak Up Campaign

  24. Antimicrobial Stewardship

  25. Ten Steps for Safer Care-Part I

  26. Ten Steps for Safer Care-Part II

  27. National CDC knowledge and data fuels local to national CLABSI prevention • Nationalexpansion of CLABSI prevention • 60% Reduction in CLABSI between 1999-2009 • State-based public reporting using NHSN • State/regional prevention collaboratives (CUSP, Recovery Act projects) • CMS/IPPS – hospitals report CLABSIs for full Medicare payment Regional • Subsequent projects based upon CDC prevention: • Michigan Keystone • Institute for Healthcare Improvement • Others Facility Unit Outbreak Investigations Pittsburgh Regional Healthcare Initiative First successful, large-scale CLABSI prevention demonstration project NHSN Data CDC Guidelines Prevention Research (e.g. chlorhexidine bathing) Inputs Outputs

  28. The need for HAI prevention research Prevented • Need for complete implementation of practices known to prevent HAIs Preventable Healthcare-associated Infection • Need for ongoing research to identify new strategies to prevent the remaining HAIs Prevention Approach Unknown

  29. Summary Patients and families are the last line of defense HCP should fully engage all of the care team and family to serve as advocates When it doesn’t seem right-it most likely isn’t Infection Preventionists are SMEs, but unit-based expertise is needed

  30. Consumers Medical Professionals Public Health Safe Healthcare is Everyone’s Responsibility Patients Payors Government Healthcare Facilities

  31. Hypothetical ? If you knew………………………. That you could do something simple, easy, cost effective, and that was Evidence-Based, but took a little extra time….. Would you do it????? What if it was your loved one?

  32. References US Centers for Disease Control and Prevention, www.cdc.gov/hai National Patient Safety Goals, The Joint Commission,, 2012. Speak Up Campaign, The Joint Commission, 2012. HAI Action Plan, US Department of Health and Human Services, 2012.

  33. Questions • Whose Infection will you prevent when you return to your institution? • Contact Information: • Email: hgarrett@pdipdi.com • Phone: 800-444-6725, ext. 8576

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