WI Re-energizing CAUTI Phase II Webinar April 21, 2016 Presented by DeAnn Richards, MetaStar and Jill Hanson, WHA
Objectives for Today • Review Phase One • Share results from the 2015 TAP Assessment • Peer‐to‐peer sharing on the success of the organization's PDSA implementation • Share new tools for next efforts
CAUTI Phase One December 1, 2015 – CAUTI Workshop • 25 hospital teams and 63 individuals attended • Reviewed and completed Targeted Assessment for Prevention (TAP) tool • Brainstormed how to address barriers and gaps; electronic resources were provided • Reviewed how to run TAP report in NHSN and how to interpret • Time given for 2016 CAUTI plan development
CAUTI Phase One https://www.lsqin.org/initiatives/hai/wi‐cauti‐workshop/
CAUTI Phase One www.whaqualitycenter.org
TAP Results • Our objective was to determine if hospitals that were more successful in preventing infections had shared practices as self‐reported on the TAP tool. • If we could determine which practices had the greatest likelihood of preventing infections, these could be encouraged for implementation.
TAP Results • 40 surveys were collected from individuals or teams • Answers converted to a percentage between zero and one • Each facility’s CAUTI CAD was determined for combined 1st‐3rd quarter of 2015 • The Pearson Correlation Coefficient was used to determine linear correlation
Results Strong Correlation Values • Nurses who are comfortable to remove catheter without physician order • Providers given feedback on device utilization rate • Prescriber documents during order entry a dose, duration, and indication for all antibiotics • Documentation of insertion
Potential Correlation Values • Emergency Department using indwelling per appropriate indications • Two person catheter insertion • Daily review for patient need
Poll Question 1 For those organizations that attended the workshop, have you been able to implement your plan? 1. Yes, and we have seen a reduction in CAUTI events. 2. Yes, but we have not re‐assessed the impact on CAUTI events. 3. We are in the process of implementing. 4. No, as other items have taken greater priority. 5. Not applicable.
Poll Question 2 Knowing the CDC wants all organizations to use the TAP approach, has your organization taken the first step of running a CAUTI TAP report in NHSN? 1. Yes, we have! 2. Have this on my to‐do list. 3. No, as I don’t think it will be valuable. 4. No, as I have no idea what you are talking about.
Where Do We Go From Here? • New The Joint Commission (TJC) requirements in 2017 • Tier 1 and 2 approach • Benchmarking with your peers
http://www.jointcommission.org/assets/1/6/HAP_CAUTI_Prepub.pdf
Tier 1
Tier 2
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Overall Results
Poll Question 3 For those organizations who attended the workshop, would you want a copy of this report with your organization’s result also listed for comparison? 1. Yes, please. 2. No, thanks. 3. Not applicable.
CAUTI Resources
https://www.lsqin.org/initiatives/hai/
CAUTI Resources
http://www.cdc.gov/nhsn/acute‐care‐hospital/cauti/index.html
CAUTI Resources
http://nhsn.cdc.gov/nhsntraining/calculator/workgen.html
Any Questions?
DeAnn Richards (
[email protected]) Jill Hanson (
[email protected])
