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Preventing Healthcare-Acquired Infections: Tools and Strategies

Learn about the tools and strategies to prevent healthcare-acquired infections (HAIs) and safeguard patients' well-being. Discover the importance of commitment, leadership, data transparency, improvement capability, skilled workforce, and collaborative learning. HAIs cost millions annually and harm patient trust and reputation. This comprehensive approach is applicable to various care settings, including acute care, ambulatory clinics, and long-term care facilities.

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Preventing Healthcare-Acquired Infections: Tools and Strategies

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Presentation Transcript

  1. Agenda

  2. Know me, care for me, ease my way……keep me safe Healthcare-acquired infections (HAI) are harming patients in our care every day Tools to Prevent HAIs • Commitment to zero preventable harm • Leadership alignment, involvement, and accountability • Accurate, transparent, actionable data • Improvement capability and capacity • Competent, skilled and equipped workforce • A collaborative learning organization More than 2,000 patients harmed each year Loss of trust and harm to reputation $30M in annual costs estimated and $5M in payment penalties

  3. Cost of Infections

  4. X Region – In scope/Out of scope • Acute care • # of tertiary care • # of community hospitals • # of CAHs • Ambulatory Clinics • # on TJC footprint • # not on footprint • Ambulatory Surgery Centers • Long term care facilities • Shared services /new locations?

  5. IP Staffing Standards Current State: 2.8 FTE • Industry standards • Action OI (most recent, contains data from 119 facilities): • Average IP’s per 100 beds = .81 -1.02 • Delphi Study, 2002 – 1.0 FTE per 100 beds • NNIS Study, 2001 – 1.0 FTE per 115 beds • PNICE survey, 2011 – 1.2 FTE per 100 beds • Krein, et al, 2012 - .67-.80 FTE per 100 beds • Guiding principles • Centralized, regional IP program • Regional leader/ cat herder • Communication/collaboration amongst all participants and care settings

  6. IP Staffing Standards – Ideal Work Mix

  7. Hospitals – SURVEYS AND ROUNDS

  8. Hospital Breakdown - # of units

  9. Needs by Care Setting – Hospital Inpatient Rounding and Surveys

  10. Needs by Care Setting – Hospital Ancillary Surveys

  11. Needs by Care Setting – Hospital Ancillary Surveys

  12. Needs by Care Setting – Hospital OR/Other

  13. Needs by Care Setting – Hospital OR /Other Surveys

  14. Ambulatory – SURVEYS AND ROUNDS

  15. Needs by Care Setting – Ambulatory Clinic Surveys

  16. HH/Hospice – SURVEYS AND ROUNDS

  17. Needs by Care Setting –Surveys and Rounds

  18. Long term Care Sites– SURVEYS AND ROUNDS

  19. Needs by Care Setting – Benedictine Survey and Rounds

  20. SURVEILLANCE

  21. Needs by Care Setting –Hospital Surveillance and Reporting

  22. Needs by Care Setting – PSCS and Ambulatory Surveillance

  23. Policies and Procedures

  24. Needs by Care Setting –Policy and Procedures

  25. EDUCATION

  26. Needs by Care Setting –Education

  27. CONSULTATION

  28. Needs by Care Setting – Hospital Consultation

  29. Needs by Care Setting – Ambulatory Consultation

  30. Needs by Care Setting – Home Health / Hospice

  31. Needs by Care Setting – LTC

  32. MEETINGS

  33. Needs by Care Setting – Hospital Meetings

  34. Needs by Care Setting – Ambulatory Meetings

  35. Needs by Care Setting – HH Meetings

  36. Needs by Care Setting – LTC

  37. MATH

  38. Executive, ORQMMSS Staffing Model Regional Medical Directors Regional Director System IP Director • Infection Prevention program manager • Infection Prevention project manager • Infection Preventionists • Surveillance IPs • Data Analysts • Ambulatory IPs • PSCS IPs • Sterile processing/HLD IPs • Admin support • Continuing education; development; paying for certification and training, APIC dues • On call Surveillance Software Existing IP Existing IP Existing IP Existing IP Existing IP Existing IP Existing IP .6 Existing IP Acute IP (WF/ Milk) Existing IP Manager Admin Support Sterile Processing/ HLD Existing IP • 16.76 FTE per Action OI 50th Percentile • 16 FTE per needs assessment • 10.6 FTE current state Ambulatory Long-term/ Sub acute

  39. Prioritization with less resources • Outpatient surveys significantly reduced • SNF surveys replaced significantly reduced • Inpatient rounding reduced • Reduced education

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