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On the CUSP: Stop CAUTI - Cohort 6

On the CUSP: Stop CAUTI - Cohort 6. Mapping the Journey: State Lead Orientation Webinar February, 2013. Today’s Presenters. Barb Edson, RN, MBA, MHA, Vice President of Clinical Quality, HRET Chris George, RN MS, Director National Projects, MHA Keystone. Your Feedback is Important!.

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On the CUSP: Stop CAUTI - Cohort 6

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  1. On the CUSP: Stop CAUTI - Cohort 6 Mapping the Journey: State Lead Orientation Webinar February, 2013

  2. Today’s Presenters Barb Edson, RN, MBA, MHA, Vice President of Clinical Quality, HRET Chris George, RN MS, Director National Projects, MHA Keystone

  3. Your Feedback is Important! https://www.surveymonkey.com/s/CAUTI_Orientation

  4. Agenda

  5. Project Goals The Project Goals for CAUTI are to: reduce mean CAUTI rates in participating clinical units by 25 percent; and improve safety culture as evidenced by improved teamwork and communication by employing CUSP methodology.

  6. Project Vitals • Original Contract - • Cohorts 1-5 = 35 States/Sponsors participating • Duration – 18 months • Components – Technicaland Adaptive • All units • Expansion Awarded - Aug 15, 2011 • Base year + 3 option years

  7. Cohort 6 - Vitals • Start date May 2013 • End date October 2014 (18 months) • Duration 18 months • New model • New for Cohort 6: Supplemental ED Component resources

  8. CAUTI National Project Team HRET MHA UM/St. Johns JHU State Hospital Associations, Partners & Coalitions Extended Faculty Network State Leads, QIO, HEN- Coaching/CUSP/ Recruitment/Project Liaison National & Regional CAUTI Faculty APIC, SHEA, SHM, ENA Coaching/Recruitment/ Endorsement Partnerships & Dissemination Hospitals/Units

  9. State Lead Feedback • Opportunities • Early on-boarding state leads • Avoid repetition • Limit number of calls per month • Data terms differentiation of process v. outcome data • Provide more opportunities for networking • Understanding your needs – Complete Readiness Assessment

  10. The CAUTI Emergency Department Component What is the On the CUSP: STOP CAUTI ED Component? • Expanding the reach of the On the CUSP: STOP CAUTI national collaborative • Instilling a culture of partnership between emergency departments and in-patient units • Broadening exposure to national experts • American College of Emergency Physicians (ACEP) • Emergency Nurses Association (ENA)

  11. CAUTI ED Component Goals Learning best practice techniques for CAUTI Prevention: Technical change (Process): • Determine catheter appropriateness • Preventing unnecessary placement • Promoting compliance with institutional guidelines • Promoting proper insertion techniques Culture change (CUSP): • Teamwork and communication amongst frontline staff • Identify nurse and physician champions for leadership and buy-in • Collaboration with in-patient units

  12. CAUTI ED Component Resources National project support includes: Comprehensive ED Tool Kit with customizable resources Educational events: • National expert presentations • Coaching support by the National Project Team • In-person training opportunities Data collection and analysis

  13. Deliverables Teleconferences and webinars In-person meeting (with video conferencing) Materials for all stakeholders (Hospital toolkits, State Lead project operations manual) Coaching support – frequency/facilitation Data collection and reporting Involving multiple organizational levels Site visits Financial support

  14. Cohort 6 Timeline

  15. Next Steps – Cohort 6 • Hospital Unit Informational Webinars – March 13th and 26th, 2013; same content, offered twice • State Lead Training Meeting – April 4, 2013; Chicago, Illinois • Recruitment of hospitals: February – May, 2013 • Teams, registration, Data Use Explanations (DUEs): February – May, 2013 • Learning Session (LS) #1 – Held between May 13 – May 24, 2013 at the state/sponsor level • LS #1 NPT Office Hours – Wednesday, May 29th 1pm ET • Onboarding Webinar Series – Begin in June, 2013

  16. CUSP - CAUTI Goals: Data GOAL #1 Improving the Culture of Safety: CUSP Data Component • Quarterly Team Checkup Tool (TCT) • HSOPS at baseline and post-intervention STEPS: 1. Educate on the science of safety 2. Senior Executive Adopts Unit 3. Identify Safety Defects 4. Learn from Defects 5. Use teamwork/ communication tools

  17. CUSP - CAUTI Goals:Data GOAL #2 Reduce CAUTI’s by 25% DATA Component • Process Measures (Prevalence and appropriateness) • Outcome Measures (CAUTI Rates – using NHSN definition) STEPS: 1. Educate staff about impact of CAUTI’s 2. Educate staff about appropriate indications for a catheter 3. Daily Catheter Rounds 4. Proper Insertion Technique 5. Proper Maintenance Technique

  18. Data collection Processes Each Cohort has a specific data collection schedule (timing differs by Cohort) Process data is defined by CDC HICPAC Guidelines Outcome data is defined by CDC NHSN Definitions All inpatient data is collected through MHA Care Counts, NHSN and online surveys All ED data is collected through HRET CDS (New)

  19. Data Collection Prevalence & Appropriateness (Process)- How often do we do what we should? • Assess each patient on the unit for the presence of a urinary catheter • Record the reason for the catheter CAUTI Rates (Outcome)-Did we make a difference? • Number of Symptomatic CAUTI’s attributable to your unit for that month • Number of urinary catheter days per month (number of patients with urinary catheter device is collected daily at the same time each day and the total is summed for the month) • Number of patient days per month Team Checkup Tool (Culture) Quarterly Hospital Survey on Patient Safety (Culture) Baseline and Follow-up Readiness Assessment (Once) ED Measurements (New) • Number of patients admitted to the hospital from the ED with a urinary catheter.

  20. CAUTI Cohort 6: Data Collection Schedule

  21. CAUTI Cohort 6: Data Collection Schedule

  22. CAUTI Cohort 6: Data Collection Schedule

  23. Cohort 6: Data Submission Schedule

  24. State Leadership Role Goal – Develop and expand regional capacity at the state level (State Lead/SHA) to support hospital improvement by: • CUSP content expertise • CAUTI prevention expertise • Coaching and facilitation skills Reduce CAUTI and Improve Safety

  25. State Leadership Tasks • Project Communication • General knowledge of project (goals, expectations, interventions, timelines, schedules, etc.) • Liaison between NPT and hospital units • Data • Monitoring & follow-up on submission • Review of data components to identify high and low performers • Follow-up with high outliers - action plan report to NPT

  26. State Leadership Tasks • Coaching • Work with teams to assist with culture improvements and overcoming project barriers • Facilitate coaching calls / establish agenda • Individual coaching with identified high outlier teams • Build a relationship with your assigned Extended Faculty members 4. Networking/Learning • Promote and facilitate learning from each other • Coordinate face-to-face meetings (Learning Sessions) • Cultivate relationships with the Extended Faculty Network

  27. Questions? For future questions, contact:

  28. Your Feedback is Important! https://www.surveymonkey.com/s/CAUTI_Orientation

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