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Quality improvement guide: prevention and control of healthcare-associated infections

Quality improvement guide: prevention and control of healthcare-associated infections. Learning and development resource for board members. 2012. What this session covers. Tackling HCAIs: why it is important Infection prevention and control: an escalated priority HCAIs emerging priorities

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Quality improvement guide: prevention and control of healthcare-associated infections

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  1. Quality improvement guide: prevention and control of healthcare-associated infections Learning and development resource for board members 2012

  2. What this session covers • Tackling HCAIs: why it is important • Infection prevention and control: an escalated priority • HCAIs emerging priorities • Surgical site infections • Infection prevention and control: key improvement areas • Governance • Delivering harm free care • Costs and savings • Find out more

  3. Tackling HCAIs: why it is important Alison and Sue’s storyis one family’s experienceof healthcare associated infection, arising froma routine hospital admission (running time: 5 minutes) • This film is licensed for educational use within the NHS and is reproduced with permission from PATIENTSTORIES www.patientstories.org.uk • How do we incorporate the experiences of people who are cared for and treated within our trust into our infection prevention and control work? Learning bite: what

  4. Infection prevention and control: an escalated priority Infection prevention and control (IPC) has escalatedin priority because: • IPC quality improvement measures will help trusts deliver against domains 4 and 5 of the ‘NHS outcomes framework’ • Mid-Staffordshire Inquiry findings • National Audit Office (2009) recommendations: - encourage a culture of continuous improvement - foster a whole-system approach - ensure staff compliance with good IC practice- monitor/record hospital use of antibiotics

  5. HCAIs: emerging priorities MRSAClostridiumdifficile 34 trusts reported zero MRSA bacteraemias between 11.2010 – 11.2011 Surgical site infections Urinary catheter UTIs Ventilator-associated pneumonia Line associated sepsis Enteral feeding tube infections Dialysis related infections MRSA bacteraemias and C.difficile are the tip of the iceberg for HCAIs. What steps are we taking to reduce all other HCAIs? What should we monitor to help drive this improvement?

  6. Surgical site infections Organisms reported as causing SSI (all surgical categories) NHS hospitals, England 2010/11 How are we monitoring surgical site and device related infections to drive improvement in our trust?

  7. Infection prevention and control: key improvement areas The NICE/HPA quality improvement guiderecommends: • Strong board leadership • A culture of continuous improvement • Surveillance and effective use of information • Workforce development • Effective environmental control • Effective communication – staff, patients and carers • Effective partnership working with other agencies • Robust assessment and use of (new) technology What does a gap analysis of the NICE and HPA quality statements and our current performance show? When do we plan to achieve these standards?

  8. Governance • Many models, such as ‘Governance as Leadership’ require active discussion between board members, staff and service usersImproving service user and staff contributions to governance can significantly enhance effectiveness What scrutiny mechanisms can we use to lever a reduction in HCAI’s, and to also demonstrate our public accountability? How can we be satisfied that our moral and professional duties as a board are being met?

  9. Delivering harm free care How can we demonstrate improvements toward achieving the NICE and HPA quality standards to our stakeholders? What further indicators could we add to this list?

  10. Costs and savings • Significant national resources have been invested in tackling HCAIs such as MRSA and C.difficile so the NICE/HPA guide is not expected to result in significant costs to the NHS at a national level The NICE and HPA guide could generate national savings ofat least £4.9 million Examples of local savings that could be generated include:Surgical site infections £4000 per case Dialysis related peritonitis £1,746 per caseHaemodialysis related infection £3,118 per case Which statements in the NICE/HPA guide are likely to generate savings for our trust and benefit the reputation of our organisation? [The NICE costing template may be useful for this]

  11. Find out more • Visit the NICE website for: • the quality improvement guide • information for people visiting, or receiving treatment in an NHS hospital • the costing report and template • the learning from practice podcast Endorsing partners for the NICE and HPA guide include:

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