Infection Control CommitteeMay 25, 2011

Confidential QI

UW Medicine Nosocomial MRSAJanuary 2010 -- March 2011

0

5

10

15

20

25

30

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11

Num

ber o

f nos

ocom

ial M

RSA

.

0.0

0.2

0.4

0.6

0.8

1.0

1.2

Rat

e pe

r 100

0 pt

-day

s

NWHMC

UWMC

HMC

Rate per 1000 pt-days

Linear (Rate per 1000 pt-days)

*Infection and colonization acquisition for UWMC and HMC*Infection only for NW (data for March not included) Confidential QI

Goal < 0.58 per 1000 pt-days

UW Medicine CLA-BSIICU and Acute Care

January 2010 -- March 2011

0

2

4

6

8

10

12

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11

Num

ber o

f CLA

-BSI

.

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

Rat

e pe

r 100

0 ca

thet

er-d

ays

NWHMC

UWMC

HMC

Rate per 1000 catheter-days

Linear (Rate per 1000 catheter-days)

*NW reporting ICU CLA-BSI only Confidential QI

Goal < 0.9 per 1000 catheter-days

0

4

8

12

16

20

Ra

te P

er

1,0

00

Ad

mis

sio

ns

..

0

20

40

60

80

100

MR

SA

Ca

se

s

Nosoc MRSA Cases 87 84 88 72 71 62 72 63 46 40 27 41 30 36 39 37 29

Admits 4,4894,8044,8544,5104,5434,6844,8644,6184,8635,0775,1354,8234,7604,8615,2854,9464,668

MRSA Rate 19.4 17.5 18.1 16.0 15.6 13.2 14.8 13.6 9.5 7.9 5.3 8.5 6.3 7.4 7.4 7.5 6.2

QE Mar 2007

QE Jun

2007

QE Sep 2007

QE Dec 2007

QE Mar 2008

QE Jun

2008

QE Sep 2008

QE Dec 2008

QE Mar 2009

QE Jun

2009

QE Sep 2009

QE Dec 2009

QE Mar 2010

QE Jun

2010

QE Sep 2010

QE Dec 2010

QE Mar 2011

Confidential QI

HMC Nosocomial MRSA Rates

Quarterly

Source: Infection Control, for more information, please contact Dr. Tim Dellit, thdellit@u.washington.edu

Number of Cases2007: 331 Cases2008: 268 Cases2009: 154 Cases2010: 142 Cases

0.9 per 1000 pt-days

Confidential QI

Confidential QI

Confidential QI

Confidential QI

HMC MDRO, 2011

0

1

2

3

4

5

6

3E 3W 4E 5EH 6EH BPICU MCICU NICU TSICU 5WA

Num

ber

of n

osoc

omia

l cas

es

.

RACIN

VRE

MRSA

CDIFF

Mo_Yr Apr-11 Service (All)

Count of Organism

Unit2

Organism

Confidential QI

Confidential QI

Confidential QI

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

HMC ICU CLA-BSI and Bundle Documentation

Rate per 1000 catheter days

Bundle Documentation

Linear (Rate per 1000 catheter days)

Linear (Bundle Documentation)

Confidential QI

Rat

e pe

r 10

00 c

athe

ter-

days

Cen

tral

Lin

e B

undl

e C

ompl

ianc

e

0.0

5.0

10.0

15.0

20.0

25.0

0

10

20

30

40

50

60

70

80

VAP Cases 77 48 76 65 53 51 36 43 23 50 31 34 27 24 27 20 22

Vent Days 3,705 3,403 4,012 3,943 3,901 3,865 3,998 3,636 2,844 3,617 3,035 2,881 2,575 2,597 2,721 2,213 2,205

VAP Rate 20.8 14.1 18.9 16.5 13.6 13.2 9.0 11.8 8.1 13.8 10.2 11.8 10.5 9.2 9.9 9.0 10.0

QE Mar 2007

QE Jun

2007

QE Sep 2007

QE Dec 2007

QE Mar 2008

QE Jun

2008

QE Sep 2008

QE Dec 2008

QE Mar 2009

QE Jun

2009

QE Sep 2009

QE Dec 2009

QE Mar 2010

QE Jun

2010

QE Sep 2010

QE Dec 2010

QE Mar 2011

Ventilator-Associated PneumoniaQuarterly

Rat

e pe

r 1,

000

vent

-day

s

Confidential QISource: Infection Control, for more information, please contact Dr. Tim Dellit, thdellit@u.washington.edu

Number of Cases2007: 266 Cases2008: 183 Cases2009: 138 Cases2010: 98 Cases

Confidential QI

Confidential QI

Confidential QI

Confidential QI

Confidential QI

Confidential QISource: Infection Control, for more information, please contact Dr. Tim Dellit, thdellit@u.washington.edu

Efficiency OI Metrics 25 May 2011 45