Where we have been…..and the place’s we’ll go!Susanne Salem-Schatz, Sc.D.
Program Director
11/1212/12Kickoff
Workshop
12/11 Coaching
Call
2/13 Sharing and
learning call
1/13Clinical topic
Webinars
3/13Sharing and
learning call
12/12
Coaching call
4/13Sharing and
learning call
SURVEY MEASURE / MONITOR SURVEYS
Hospital / Long Term Care Partnerships
UTI in the Elderly 2012-2013
6/13
Closing workshop
July-
12
Augus
t-12
Septem
ber-1
2
Octobe
r-12
Novem
ber-1
2
Decem
ber-1
2
Janu
ary-1
3
Febru
ary-1
3
March-1
3
April-1
3
Baseli
ne P
eriod
**0.0
10.0
20.0
30.0
40.0
Rate of Infection and Urine Testing in Participating Long Term Care Facilities N=15
Facility CDI Rate /10,000 PDs* Facility UTI Rate /10,000 PDs Urine Culture Rate/10,000 PDs
Rate
/10,
000
patie
nt d
ays
Encouraging Preliminary Results
Nov 2012 Dec 2012 Jan 2013 Feb 2013 Mar 20130%
10%
20%
30%
40%
50%
60%
70%
% UTIs with Specific Signs and Symptoms
Moving in the right direction!
Rate of urine testing among ED visitors ≥ 70 years of age
Rate of urine testing among ED visitors ≥ 70 years of age in reporting Emergency Departments (n=3)
0.00
0.20
0.40
0.60
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Hospital A Hospital B Hospital C
Rates of ED visitors ≥ 70 years of age with diagnosis of UTI and signs and symptoms
57%
40%
50%56%
50%
100%
14%20%
50%56%
50%
0%0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
30%
50%45%
20% 20%
50%45%
20%
50%
40%
0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
30% 30%
55%
35%
45%
30%
20%
40%
20%
40%
0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
60%
40%
0%
67%60%
0% 0%
50%
0%
20%
0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
45%40%
45%
25% 25%
15%
25%30%
75%
45%
0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
100%
83%
100% 100% 100%
50%
100% 100%
20%
33%
0% 0%
14%
0% 0% 0%0%
25%
50%
75%
100%
Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Perc
enta
ge o
f Cha
rt R
evie
ws
--- % patients with specific signs and symptoms --- % patients with ≥1 non-specific signs or symptoms in the absence of specific symptoms
n=100 n=23
n=35n=41
n=100n=100
Learning from our Experience Team Presentations Conversation Listen
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Congratulations! You have brains in your head Today is your day. You have feet in your shoesYou're off to Great Places! You can steer yourselfYou're off and away! Any direction you choose.