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Translating Science. Sustainable Solutions.

Translating Science. Sustainable Solutions. . Updates from National Mel Reppen July 19, 2011. Baltimore’s Inner Harbor. USS Constellation – Inner Harbor. Camden Yards Home of the Baltimore Orioles. Fort McHenry at the entrance to Baltimore’s harbor.

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Translating Science. Sustainable Solutions.

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  1. Translating Science. Sustainable Solutions. Updates from National Mel Reppen July 19, 2011

  2. Baltimore’s Inner Harbor

  3. USS Constellation – Inner Harbor

  4. Camden Yards Home of the Baltimore Orioles

  5. Fort McHenryat the entrance to Baltimore’s harbor “Defence of Fort McHenry”, a poem written by Francis Scott Key, after witnessing the bombardment of Fort McHenry by British naval ships during the War of 1812, became the lyrics to “The Star-Spangled Banner”, our national anthem since 1931.

  6. Environmental Cleaning: Assessing and Sustaining Improvement to Prevent HAIs Enid K. Eck, RN, MPH Regional Director, Infection Prevention and Control, Kaiser Permanente, CA

  7. To move HAI prevention from theory to standard practice in the village… • Clearly define the problem • Identify potential solutions • Develop an implementation plan • Obtain key stakeholder support • Implement the plan – use rapid tests of change • Assess the impact of the intervention • Adjust interventions to drive improvement

  8. Environmental Cleaning & Sanitation • Clearly define the problem • Baseline environmental evaluation • Identify places where harmful bacteria may be found • Identify solutions • Build on process improvement (PI) structure • Target environmental strategies & empower EVS staff to prevent HAIs • Focused terminal & daily disinfection of 14 high touch surfaces • Develop an implementation plan • Policies & procedures to standardize prevention strategies • Provide appropriate staff education • Assure appropriate product availability • Design & develop electronic reporting process to monitor compliance

  9. Environmental Cleaning & Sanitation • Build consensus among key stakeholders • Stay focused on the patient • Respect every person’s contribution • Encourage flexibility & foster creativity • Take time to celebrate success • Implement the plan • Put the pieces together & translate workflows between disciplines • Assess impact of intervention • Historic approach: looked at specific organisms • Adjust interventions to drive improvement • Principle based prevention • Risk identification, risk reduction and evidence-based prevention strategies

  10. Sustaining Improvements:the four legs of a comprehensive HAI prevention program • Early identification & containment/isolation • Role of all HCWs from door to bed & beyond • Clear process for sharing information • Resolving practice differences & building consensus • Effective hand hygiene • The role of unit-based teams • Promote development of common goals, accountability and individual contributions

  11. Sustaining Improvements:the four legs of a comprehensive HAI prevention • Environmental de-cluttering and sanitation • Collaborative evaluation, revision & standardization of P&Ps • EVS collaborated with Nursing to de-clutter patient rooms • Retrain to assure adequate knowledge • Validate competency\verify outcomes • Ongoing evaluation of effectiveness • Feedback to participants • Antibiotic Stewardship • Partner with clinical Infectious Disease • Relationship with lab staff/management • Validate outcomes

  12. Baltimore skyline

  13. Thinking Outside the Box Debbie Hurst, RN, BSN, CIC Rogue Valley Medical Center Medford, Oregon

  14. Infection Prevention & Control Program Evaluation • Rule #1: Make sure you ask for what you need! • Connect with Administration • Need a “program” not a “person” • Resources need to be dedicated to the program • budget, staff, supplies, space • Align with facility strategic plan & initiatives • Rule #2: Anticipate the Unexpected! • Economic down turns and capital budgets

  15. Infection Prevention & Control Program Evaluation • Rule #3: Resource constraints can lead to innovative thinking! • “It doesn’t matter if we get into the house through the front door or through the side door, as long as we get in!” • A resource-driven mindset can lead to the trap of ”throwing money at the problem” in hopes of procuring innovative outcomes. • Network within your organization for resources, including space and finances • Creative ways to extend your IPs • Technology, volunteers, light duty staff, EHS, college interns • Use medical product companies to enhance IP program surveillance activities, trials of new technology, staff education • Innovative ways to deliver education • “On the Run” Infection Control Inservices – brief (15 minutes or less), mobile (cart travels from unit to unit), catchy (colorful & memorable messaging)

  16. Summary • Ask for what you need (…many ways, many times…) • Remember: “No doesn’t mean no forever, it just means no right now.” • Anticipate the unexpected • Resource constraints fuel innovation & can be a good thing • Passion+Persistence+Commitment=Success • Sharing with others…priceless!

  17. Baltimore Aquarium

  18. APIC Business Meeting • APIC ANNOUNCES NEW CEO • Washington, DC, May 4, 2011 -- The Association for Professionals in Infection Control and Epidemiology (APIC) is pleased to announce that Katrina Crist, MBA, has been named Chief Executive Officer, effective June 27. • Crist comes to APIC with more than 15 years of experience in healthcare association management, having most recently served as CEO and Executive Director for the American Society of Transplant Surgeons (ASTS). While at ASTS, she led the organization to increased visibility and credibility and doubled the size of their membership. • Previously, she was Executive Director for the Juvenile Diabetes Research Foundation Center for Islet Transplantation at Harvard Medical School/Brigham & Women’s Hospital in Boston. Prior to that, she directed conferences and auxiliary services for St. Mary’s College in Maryland. • Crist has expertise in all aspects of association management, with a focus on strategic planning, professional education and certification, communications, public policy and branding. She holds an MBA from Boston University and a Bachelor of Arts from Purdue University.

  19. APIC Business Meeting • APIC comments on CLIP data (proposed by CMS) • APIC position papers • Coding (October 2010) • Influenza vaccine (January 2011) • Immediate use steam sterilization (February 2011) • 25th International Infection Control Week • October 16-22, 2011 • Policy summit webcast is being planned • Patient/consumer education • www.apic.org/patientsafety • Preventinfection.org • Stopgerms.org • Public policy • see ppt & table from CLR meeting • Science & Research • #1 priority for learning/research is Behavioral & Management Science • Auditor’s report • strong financial gains/position since economic downturn in 2008 • Proposed bylaws changes • Member needs project executive summary http://www.apic.org/Content/NavigationMenu/AboutAPIC/OrganizationLeadership/Governance/Business_Meeting_Packet_2011.pdf

  20. Chapter Leader Award Celebrationfor Diane Dohm

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