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UTI Evaluation in Elderly - Measurement Coaching and Learning Call

A presentation on appropriate evaluation of urinary tract infections (UTIs) in the elderly, including measurement coaching and learning. The presentation covers the measurement of rates of new UTI cases, laboratory orders for urine culture, healthcare acquired C. difficile, and the percentage of treated UTIs that meet ABCs criteria. The presentation also includes information on selecting residents for data collection, chart review data collection form, calculating resident-days, and contact information for assistance.

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UTI Evaluation in Elderly - Measurement Coaching and Learning Call

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  1. Appropriate evaluation of UTI in the Elderly – Measurement Coaching and Learning Call December 11, 2013 Susanne Salem-Schatz, Sc.D. Laurie Herndon, GNP Sharon Benjamin, Ph.D.

  2. Monthly Measurement & ReportingHow it works Abstracted from Presentation Slides at Kickoff Workshop October 30, 2013

  3. What we are going to measure • Rates* over time of: • new UTI cases • laboratory orders for urine culture • healthcare acquired C. difficile (HA-CDI) • Percent of treated UTIs that meet the ABCs criteria * All rates calculated per 10,000 resident days

  4. Overview of Measures • 2 types of measures: • Summary statistics to track rates • Chart review for evaluating whether UTI Protocol criteria (ABCs) are met

  5. Selecting Residents for Data Collection • Include residents 70 years of age or older • A UTI case is any new, not recurrent, diagnosis and treatment. • Include patients that are treated, not just those that meet the ABCs • For Cdifficile cases, include patients with symptoms beginning on the fourth day after admission to your facility or later

  6. Chart review data collection form

  7. Chart review spreadsheet

  8. Summary data spreadsheet

  9. Calculating Resident-days • What are Resident-days? • The denominator used to calculate infection rates • Calculate resident days by adding up the daily census for an entire month • Day 1 census + Day 2 census + ……..… + Day 31 census • If a facility has 100 beds and 90 were in use every day in October the resident days for October would be 2,790 (90*31) • Include only residents aged 70+ in this calculated

  10. Need help? • Nora: nora.mcelroy@state.ma.us • Susanne: sss@hcqi.com • Laurie Herndon, GNP: lherndon@maseniorcare.org • Emily Biocchi • ebiocchi@macoalition.org

  11. Up Next – save the dates! • Evaluating altered mental status • Conference call: January 8, 2014 noon-1pm • Regional Workshops • Sturbridge MA: February 26th 8am-noon • Dedham MA: February 27th 8am - noon

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