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On the CUSP: Stop CAUTI

On the CUSP: Stop CAUTI. MHA Care Counts CAUTI Data Entry Training Onboarding Call #3 – Cohort 6. July 2, 2013 and July 9, 2013. Agenda. CAUTI Data Collection Collected data CAUTI Rates (Outcome) Prevalence & Appropriateness (Process) Team Checkup Tool (TCT) Calendar

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On the CUSP: Stop CAUTI

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  1. On the CUSP: Stop CAUTI MHA Care Counts CAUTI Data Entry Training Onboarding Call #3 – Cohort 6 July 2, 2013 and July 9, 2013

  2. Agenda • CAUTI Data Collection • Collected data • CAUTI Rates (Outcome) • Prevalence & Appropriateness (Process) • Team Checkup Tool (TCT) • Calendar • MHA Care Counts Demo • Logging in • Entering data • HRET Hospital Engagement Network (HEN) hospitals ONLY • Overview of data transfer • Next steps Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  3. CAUTI Rates (Outcome) • Collected and submitted for the entire month • Use NHSN CAUTI definitions (see Resources slides) • CAUTIs ascribed to the unit – total number of symptomatic CAUTIs ascribed to the unit during the month • Urinary Catheter Days – total number of patients in the unit with an indwelling urinary catheter device during the month • Collected at the same time each day, then daily counts are summed and the total is entered into Care Counts • Patient Days – total number of patients in the unit during the month • Collected at the same time each day, then daily counts are summed and the total is entered into Care Counts • Resulting data • CAUTI Rates • Catheter Prevalence Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  4. CAUTI Rates (Outcome) • Three phases of data collection • Baseline is collected for three consecutive months • July, August, and September 2013 • Implementation is collected for two consecutive months • October, and November 2013 • Sustainability is collected one month of each quarter • February 2013, May 2013, August 2014, and November 2014 • Entering data into MHA Care Counts • Cannot be entered until the data collection month ends • Example: January 2013 data can be entered on February 1, 2013 • Due by the end of the following month • Example: January 2013 data is due on February 28, 2013 Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  5. CAUTI Rates (Outcome) • Importing from National Healthcare Safety Network (NHSN) • Same unit in this project also submitting CAUTI Rates data to NHSN? • State Lead may offer to import this data on your behalf • Eliminates the need to manually enter data • Requires conferral of rights in NHSN to your State Lead’s organization • Contact your State Lead for more information • Only available for CAUTI Rates (Outcome) data • Prevalence & Appropriateness (Process) and Team Checkup Tool data not collected in NHSN Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  6. Prevalence & Appropriateness (Process) • Collected and submitted for each day • Number of patients on the unit that day • Number of catheterized patients on the unit that day • Main reason why patient has a catheter that day • Use HICPAC Guidelines for Appropriate Indications (see Resources slides) • Where the catheter was inserted • On floor / Off floor / Unknown • Printable form that may assist your unit in collecting Prevalence & Appropriateness (Process) data available (see Resources slides) • Resulting data • Catheter appropriateness Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  7. Prevalence & Appropriateness (Process) • Three phases of data collection • Baseline is collected each Monday through Friday for three weeks • September 2013 • Implementation is collected each Monday through Friday for two weeks and then the next six Tuesdays • October and November 2013 • Sustainability is collected each Monday through Friday for one week of each quarter • February, May, August, and November2014 • Entering data into MHA Care Counts • Cannot be entered until the data collection day ends • Example: September 2, 2013 data can be entered on September 3, 2013 • Due by the end of the following month • Example: September 2, 2013 data will be due on October 31, 2013 Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  8. Data Collection Calendar Process Outcome Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  9. Data Collection Calendar Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  10. Data Collection Calendar Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  11. Team Checkup Tool (TCT) • Completed once at the end of each quarter to assess unit’s progress that quarter • Unit’s implementation of recommended CUSP activities and CAUTI activities • Team interactions and functioning • Barriers to progress • Recommended way of completing • Unit team leader prints a copy of the TCT • Printable Team Checkup Tool available (see Resources slides) • Team meets, discusses and agrees to all answers • One person enters the team’s answers into Care Counts Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  12. Team Checkup Tool (TCT) • Entering data into MHA Care Counts • Cannot be entered until the data collection quarter ends • Example: 3rd Quarter 2013 TCT can be completed on October 1, 2013 • 3rd Quarter is considered July, August, and September 2013 • Due by the end of the first month after the quarter ends • Example: 3rd Quarter 2013 TCT is due on October 31, 2013 • Important to complete as timely as possible • “Snapshot” in time of unit’s progress Important: Dates in this presentation apply only to units in Cohort 6, beginning data collection in July 2013

  13. Resources • MHA Care Counts • http://www.mhacarecounts.org • IMPORTANT NOTE: MHA Care Counts will automatically log users out after 20 minutes of inactivity • MHA Care Counts Support and User Manuals • Log into MHA Care Counts, then click on “Support” and then click on “User Manuals” or “Contact Us” • Log into MHA Care Counts, then click on “CAUTI”, then click on “Support” and then click on “NHSN Guidelines” or “User Manuals” • MHA Care Counts Reports Training • http://www.onthecuspstophai.org/on-the-cuspstop-cauti/educational-sessions/content-calls/ • Click on “Webinar Presentation” under MHA Care Counts Reports Training Webinar (June 1, 2012)

  14. Resources • On the CUSP: Stop CAUTI • http://www.onthecuspstophai.org/on-the-cuspstop-cauti/ • CAUTI Cohort 6 Data Collection Calendar • http://www.onthecuspstophai.org/on-the-cuspstop-cauti/toolkits-and-resources/cohort-timelines/ • Click on “Cohort 6 Data Collection Calendar (.pdf)” • CAUTI Cohort 6 Onboarding Calls • Slides and recordings for this and other Onboarding Calls • http://www.onthecuspstophai.org/on-the-cuspstop-cauti/educational-sessions/on-boarding-calls/ • Refer to calls under “Onboarding Call Series” header

  15. Resources • CDC NHSN CAUTI Definitions • Standardized definitions for CAUTI Rates (Outcome) data • http://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf • HICPAC Guidelines for Appropriate Indications (2009) • Guidelines used for determining appropriate indications for Prevalence & Appropriateness (Process) data • http://www.cdc.gov/hicpac/cauti/001_cauti.html • Printable CAUTI Team Checkup Tool • https://s3.amazonaws.com/CAUTI_Manuals_and_Toolkits/CAUTI+Implementation+Guide/Appendix+CC-CAUTI+Team+Checkup+Tool.pdf • CAUTI Process Data Collection Tool • Printable form to assist units in collecting their daily CAUTI Process Data • http://www.onthecuspstophai.org/on-the-cuspstop-cauti/toolkits-and-resources/on-the-cusp-stop-cauti-implementation-guide/ • Click on “Appendix Z – CAUTI Process Data Collection Tool (.xls)”

  16. Demo • CareCounts Data Entry Demo • User Login • Username and Passwords will be sent out by July 26th • If you haven’t received your login information by then, please email lkoivisto@mha.org

  17. Onboarding Call #4 Reminder Hospital Survey on Patient Safety (HSOPS) Training *Same session, offered twice* Option 1 Tuesday, July 16, 2013 12:00p – 1:00p ET https://mhakeystonecenterevents.webex.com/mhakeystonecenterevents/onstage/g.php?t=a&d=666236506 Option 2 Tuesday, July 23, 2013 12:00p – 1:00p ET https://mhakeystonecenterevents.webex.com/mhakeystonecenterevents/onstage/g.php?t=a&d=662901475

  18. MHA Care Counts Questions All other questions should be directed to your State Lead. State Lead Contact List: http://www.onthecuspstophai.org/about-us/state-coordi-nators-contact-list/

  19. If you are in the HRET HEN • HRET can transfer the data from Care Counts into the Comprehensive Data System (CDS) • Contact your state hospital association representative to request the data be transferred • SHA representative should send an email request to hendatasupport@aha.org • Request must include the hospital name and the HRET CDS identifier

  20. HRET / CDS/ Data Transfer Questions Project questions not related to CDS or data transfer should be directed to your State Lead. Mariana Lesher Senior Data Analyst HRET mlesher@aha.org 484.533.7152 HRET HEN Data Support hendatasupport@aha.org 312.373.0137

  21. Evaluation https://www.surveymonkey.com/s/CAUTI_Onboarding

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