HAI Affinity Group Full Court Press on CAUTI September 11, 2013

HAI Affinity GroupFull Court Press on CAUTI

September 11, 2013

Denise Flook, RN, MPH, CIC

HAI Collaborative Lead

Vice President,

Infection Prevention/Staff Engagement

Learn. Act. Improve. Spread. Keep the Drum Beat Going.2

Objectives

• Describe the full court press related to catheter-associated urinary tract infections (CAUTI).

• Outline the lessons learned from the national CUSP: Stop CAUTI program.

• List one thing you will do in the next week to decrease the incidence of CAUTI in your hospital.

2


Questions to Run On

• What areas can I target quickly to reduce CAUTI?• How can I use the CUSP model to provide a framework for

CAUTI reduction?• What are the barriers I see in my hospital that keeps us from

reaching our CAUTI reduction goals?• What other resources will I use to reach our goal?

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The CMS Challenge – Full Court Press on CAUTI

By November significantly

reduce CAUTI nationwide

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Where We Are

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How are we going to meet our goal?

• All hospitals committed to reducing CAUTI in all units. – Focus efforts in ED and OR

• Targeted Affinity Group Calls• Identify hospitals with highest incidence and

provide one on one coaching


Cs CAUTI

• Culture Change • Criteria • Care and competency• Communication• Concentrate on the Patient:

Patient and family engagement

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C Catheters Differently

• Culture Change– CUSP and other culture change tools – Staff and physician engagement, ownership

• Criteria – Necessity for insertion– Continuous need assessment

• Communication– The Why– Presence of catheter, criteria met– Verbal reminders

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All C the Catheter

• Care and competency– Aseptic technique during insertion– Catheter care, maintenance– Bag off floor and below bladder– Closed system, specimen collection– Securement

• Concentrate on the Patient: Patient and family engagement– Bedside report and rounding– Reminders and redundancy

9


All C the Catheter

• Care and competency– Aseptic technique during insertion– Catheter care, maintenance– Bag off floor and below bladder– Closed system, specimen collection– Securement

• Concentrate on the Patient: Patient and family engagement– Bedside report and rounding– Reminders and redundancy

10

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CUSP – An Organized Front Line Approach


Starts with a Vision and Goal

• Focus on patient harm – the why• Decrease CAUTI rate by 40%, Target zero• Decrease catheter utilization

– Begins with insertion necessity including ED and OR – Daily assessment

• Share current state and future state• Tell a story

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Learn. Act. Improve. Spread. Keep the Drum Beat Going.13 13

• Made reducing CAUTI a hospital goal communicated and supported by Leadership

• Involved front line staff and physicians • Established appropriate criteria assessment• Developed removal process• Assessed insertion and maintenance competency • Identified and addressed current barriers to getting to zero • Targeted the emergency department, OR and intensive care

units for appropriate use

Have You Addressed these Critical Areas?


Remember…

It can be a long journey to zero but…

Decreasing the use and length of time of catheter placement will decrease patient harm

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Offers

• Interest in joining national On the CUSP CAUTI collaborative ?• Interest in joining the CUSP ED Collaborative? • Site visit to meet with CAUTI team.• Offers from group

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Requests

• How can we help you in meeting your goals?

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Committments

• What is one thing you will do in the next week to reduce CAUTI in your hospital?

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Learn. Act. Improve. Spread. Keep the Drum Beat Going.

CONTACT INFORMATION

Denise Flook

[email protected].

770-249-4518

mailto:[email protected]

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HAI Affinity Group Full Court Press on CAUTI September 11, 2013

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