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CAUTI: Re-Energizing Healthcare Associated Infection Prevention DeAnn Richards, RN, CIC Dianne L. McCagg APRN, MSN, BC Jill Kieser Andersen, RN, CPHQ

Objectives: 1. Review CAUTI project goals 2. Understand the CAUTI Needs Assessment 3. Relate using a defect analysis case study review for reduction and prevention of CAUTIs 4. Increase the understanding of the timeline of upcoming items 5. Allow participants to ask questions or seek clarifications

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Road to Oz

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CAUTI Plan Our plan is to spread rapid, large-scale improvement in healthcare quality by: • Determining possible gaps or barriers for improvement • Sharing evidence-based clinical interventions • Monitoring success • Providing objective expertise • Bringing the stakeholders together to create communities and learn from one another

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CAUTI Goals • • • • •

Assist in determining facility champion at the local level Monitor results-oriented change even for small steps Facilitate opportunities for learning and action through one-on-one and peer discussions Support through teaching and advising as technical experts Communicate effectively through the entire project

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Monitoring Goals •

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Utilize the Targeted Assessment for Prevention (TAP) report in NHSN Produce a nursing unit Standardized Infection Ratio (SIR) lower than the current national Reduce your Cumulative Attributable Differences (CAD) to a negative number

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Timeline 30-Day Plan Electronic CAUTI Assessment Tool • Determine which units will take the survey • Determine who you will ask to complete the survey • Send the survey out when it arrives − To be filled out by frontline staff on targeted units − Ideally two staff per unit

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Timeline 30-Day Plan • Remind frontline staff to complete in a timely manner − Survey to close on October 17, 2015, for WI

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Determine who will be on your facility CAUTI Team and frequency of meetings Webinar and teleconferences will be shared with the group as topics become available

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Timeline 60-Day Plan • Recommendations will be developed with each Infection Prevention Department − Encourage low hanging fruit first − Complex change second

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Timeline 90-Day Plan • Take recommendations back to your focus group for discussion • Make decisions on what, how, and when to implement • Monthly check either in person, phone, or e-mail • Live Chat option (not required) as a group

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Where Are We Now?

Today Within 60 Days

Within 90 Days

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Facility Sharing Opportunity – Road to OZ

Using a Case Review Practice for Reduction and Prevention of CAUTIs – Dan Greene, RN

FYI • Education offered previously is posted on the LSQIN YouTube channel (link on www.LSQIN.org/hai) • Electronic CDI Assessment tool to be launched in October • CLABSI Assessment tool put on hold until the new recommendations are released

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Save The Date Webinar Events Accelerating Prevention of CDI Basics Carolyn Gould, MD September 24, 2015 12:00 – 1:00 PM CST; 1:00 – 2:00 PM EST Details: https://www.lsqin.org/event/acceleratingprevention-of-cdi/

CDI LSQIN Kick-Off October 22, 2015 12:00 – 1:00 PM CST; 1:00 – 2:00 PM EST

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Save The Date Webinar Events Environmental Cleaning – CDI Focus Becky Smith, MD October 29, 2015 12:00 – 1:00 PM CST; 1:00 – 2:00 PM EST Antimicrobial Stewardship, Combating Antibiotic Resistance Arjun Srinivasan, MD November 5, 2015 12:00 – 1:00 PM CST; 1:00 – 2:00 PM EST

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Questions? DeAnn Richards, RN, CIC, Infection Prevention Project Specialist at [email protected] Dianne L. McCagg APRN, MSN, BC Quality Improvement Coordinator at [email protected] Jill Kieser Andersen, RN, CPHQ, Program ManagerHospital at [email protected]

MetaStar represents Wisconsin in Lake Superior Quality Innovation Network.

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This material was prepared by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MI/MN/WI-C1-15-91 092115