Washington State Hospital Association
Download
1 / 15

Amber Theel, Director Patient Safety - PowerPoint PPT Presentation


  • 83 Views
  • Uploaded on

Washington State Hospital Association Partnership for Patients Safe Table Reducing Hospital Acquired Infections July 31, 2013. Amber Theel, Director Patient Safety. Presented at Washington State Hospital Association Safe Table, July 31, 2013. Partnership for Patients.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Amber Theel, Director Patient Safety' - yuli-morris


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Washington State Hospital AssociationPartnership for PatientsSafe TableReducing Hospital Acquired InfectionsJuly 31, 2013

Amber Theel, Director Patient Safety

Presented at Washington State Hospital Association Safe Table, July 31, 2013


Partnership for patients
Partnership for Patients

  • 40 – Percent reduction in harm

  • 20 – Percent reduction in readmissions

  • 13 – By December 2013

Saving Lives

2

Presented at Washington State Hospital Association Safe Table, July 31, 2013


10 targeted strategies
10 Targeted Strategies

Infection Reduction:

  • Catheter-associated urinary tract infections (CAUTI)

  • Central line-associated blood stream infections (CLABSI)

  • Surgical site infections (SSI)

  • Ventilator-associated pneumonia (VAP)

    Nursing Care:

  • Injuries from falls and immobility

  • Pressure ulcers

    High Risk:

  • Adverse drug events

  • Obstetrical adverse events

  • Venous thromboembolism or blood clots (VTE)

    Continuity of Care:

    10. Prevention of readmissions

Cultural Transformation

Leadership Engagement

Patient and Family Engagement

3

Presented at Washington State Hospital Association Safe Table, July 31, 2013


Submission rates for most recent quarter:

CLABSI: 84.8%

VAP: 92.4%

CAUTI: 86.4%

SSI: 87.5%

Falls: 69.2%

Pressure Ulcers: 90.5%

EED: 92.1%

VTE: 81.1%

Readmission: 100.0%

ADE: 35.8%

Leadership, Patient and Family: 64.2%

Harm and Readmissions Reduction Results

Below the Line is Better

4%

Readmissions

Pressure Ulcers

CAUTI

CLABSI

Falls

VAP

OB

ADE

SSI

VTE

Achieve by December 2013

Baseline

2010

18%

24%

28%

33%

38%

37%

Goal 20%

40%

Goal 40%

54%

82%

Green – Reached Goal

Yellow – Moving in Right Direction

Red – Work to be Done

Based on submitted data through Q1 2013 for CLABSI and CAUTI

Base on submitted data through Q4 2012 SSI, OB, and Falls

Based on submitted data through Q3 2012 for Readmissions, VTE, and Pressure Ulcers

Based on submitted data through March 2013 for ADE

7/9/2013

Presented at Washington State Hospital Association Safe Table, July 31, 2013


  • Obstetrical Adverse Events - EED plus Safe Deliveries Roadmap

  • Readmissions - Care transitions standardization

  • CAUTI - Monthly support for hospitals with high rates Dr. Sanjay Saint, Dr. TimDellit, and Carol Bradley, RN

  • CLABSI - Action Bundle plus high rate support

  • VAP - Action Bundle plus high rate support

  • SSI - Action Bundle plus glycemiccontrol

  • VTE - Action Bundle

  • Falls - Execution of leading practices

  • Pressure Ulcers - Risk assessment, prevention, early identification and treatment

  • ADE - Action Bundle

  • Global Strategies

  • Monthly reports to hospitals plus transparency

  • Engagement: leadership, patient, and family

  • Culture


Safety net assessment medicaid quality incentive

Safety Net AssessmentMedicaid Quality Incentive

Infection Control Measures

Presented at Washington State Hospital Association Safe Table, July 31, 2013


Selected measures acute rehabilitation and pediatric services
Selected Measures: Acute, Rehabilitation, and Pediatric Services

Infection Prevention

Improvement Measure - Catheter-Associated Urinary Tract Infections Per Patient Day (Hospital-wide)

Sustaining Measure -Health Care Personnel (HCP) Influenza Vaccination

Presented at Washington State Hospital Association Safe Table, July 31, 2013


11

Presented at Washington State Hospital Association Safe Table, January 31, 2013


Flu immunization required reporting
Flu Immunization Required Reporting

Denominator categories:

  • All employee HCP: Includes both full-time and part-time HCP employees

  • Non-employee HCP: Licensed independent practitioners (physicians, advance practice nurses, and physician assistants)

  • Non-employee HCP: Adult students/trainees and volunteers

    Numerator categories:

  • Influenza vaccinations

  • Medical contraindications

  • Vaccinations outside facility

  • Declinations

  • Unknown status

    *Facilities are required to report all numerator categories for the three denominator categories

  • 2012-2013 HCP Influenza Vaccination Rates 87.58%

    9

    Presented at Washington State Hospital Association Safe Table, January 31, 2013


    Visitor restrictions during flu season
    Visitor Restrictions During Flu Season

    • Special restrictions or screening during respiratory/flu season in high risk populations?

      • OB, Women and Newborn, NICU and pediatric facilities. 

      • How often are facilities screening visitors for illnesses?

      • How do you identify when patients have been screened?

      • Criteria for restrictions?

        • Age, relationship to patient?


    State reporting hospital acquired infection
    State Reporting Hospital Acquired Infection

    Presented at Washington State Hospital Association Safe Table, July 31, 2013


    Ventilator associated pneumonia vap
    Ventilator Associated Pneumonia (VAP)

    • 250,000 VAP in 2002 – 36,000 associated with death.

    • 3525 VAP reported in NHSN in 2011

      • Rates varied by type of unit 0.0 to 4.9 per 1000 ventilator days.

    How will your facility measure VAP?

    Presented at Washington State Hospital Association Safe Table, July 31, 2013


    Mdro challenges
    MDRO - Challenges

    • States, Federal, consumer groups, etc., displaying disparate public HAI metrics and formats

    • Inter-facility communication not standardized for multidrug-resistant organisms (MDRO) & HAI history

    • Practices across labs not standardized

    • C. difficile infection (CDI) poorly understood, requiring uniform surveillance

    • MRSA infection high burden, high morbidity

    • Rise in MDROs, lack of standardized surveillance of antimicrobial usage

    9

    Presented at Washington State Hospital Association Safe Table, July 31, 2013


    Questions

    Questions?

    10

    Presented at Washington State Hospital Association Safe Table, July 31, 2013


    ad