May 30, 2019 Novice Infection Preventionists Infection Prevention - - PDF document

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May 30, 2019 Novice Infection Preventionists Infection Prevention - - PDF document

Infection Prevention Boot Camp for May 30, 2019 Novice Infection Preventionists Infection Prevention Boot Camp May 3031, 2019 Cheryl Love, RN, BSN, BSHCA, MBA, LHRM, CPHRM Director of Quality and Patient Safety; HIIN Improvement Advisor


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SLIDE 1

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 1

Infection Prevention Boot Camp May 30‐31, 2019

Cheryl Love, RN, BSN, BS‐HCA, MBA, LHRM, CPHRM Director of Quality and Patient Safety; HIIN Improvement Advisor Florida Hospital Association

  • Welcome and Hospital Introductions
  • Mission to Care HIIN Update

–UP Campaign –AHRQ ICU Safety Program –NHSN and Infection Prevention Series for 2018‐2019

Agenda

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Getting to Know You!

  • Your name
  • Your hospital
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SLIDE 2

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 2

Mission to Care Update:

Hospital Improvement Innovation Network

  • Under FHA’s leadership, hospitals made a

commitment to improve care, save lives and lower costs through:

– shared successes and failures – the knowledge of experts – the latest evidence‐based best practices – a community of trust, communication and collaboration

Collaborating to Improve Quality

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Leading Quality Collaboratives Since 2008

Readmissions (2008‐2010)

CLABSI/CAUTI ICU Initiatives (2009‐ present)

FHA Surgical Safety (2011‐2015)

HCAHPS (2012)

Hospital Engagement Network (HEN) (2012‐2016)

Hospital Improvement Innovation Network (HIIN) (2016 to present)

We Have Your Back (2016‐2018) Engaged 197 hospitals in FHA Quality Initiatives 46,000 cases of harm prevented $400 million in costs saved

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SLIDE 3

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 3

Hospital Acquired Infections Falls Pressure Ulcers Adverse Drug Events

HIIN Goals

Safety Culture Patient Family Engagement and Patient Centered Care Leadership Engagement Reducing Disparities UP Campaign

 Reduce Harm by 20% and Reduce Readmissions by 12%  Improve culture and board/leadership engagement

Keeping Hospitals Engaged

  • HRET website: www.hret‐hiin.org
  • FHA website www.fha.org
  • Weekly newsletter listing of events,

new resources and tools

  • Hospital specific coaching
  • Site visits with experts
  • Regional educational programs

FHA MTC HIIN Performance Report

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SLIDE 4

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 4

FHA Mission to Care HIIN

14,110 cases of harm prevented 1,396 Lives Saved $181.3 million in costs avoided 10% Reduction in Overall Harm Results through February 2019

UP Campaign

SOAP UP! GET UP! WAKE UP! SCRIPT UP!

Designed to reduce multiple forms of harm with simple, easy-to-accomplish activities that cut across several topics to decrease harm. Focused on four components:

  • SOAP UP: Hardwire Hand Hygiene
  • GET UP: Mobilize Patients
  • WAKE UP: Prevent Over-sedation
  • SCRIPT UP: Optimize Inpatient

Medications

UP Campaign:

Spreading Cross Cutting Strategies

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SLIDE 5

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 5

AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI

AHRQ ICU Safety Program

Florida Cohort 5

  • 12 month cohort beginning January 16, 2019

for eligible hospital Adult ICU’s focused on reducing:

– CLABSI – CAUTI

  • Eligibility to Participate

– + CAD in the TAP Report

  • Informational Webinar

– December 6, 2018, 1:30‐2:30pm

  • Enrollment Deadline

– December 14, 2018

AHRQ Patient Safety Program for ICUs: Objectives and Overview

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  • Support in achieving Department of HHS 2020

CLABSI/CAUTI reduction goals

  • Gain experience with implementation of the

Comprehensive Unit‐based Safety Program (CUSP) to create a “culture of safety”

  • Access to Resources

– Educational materials – Subject Matter Experts – Coaches – Benchmark reports – Peer learning and sharing of “best practice”

AHRQ Patient Safety Program for ICUs: Benefits

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SLIDE 6

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 6 Florida Cohort 5 Participants

AHRQ Safety Program for ICUs: CLABSI/CAUTI 16

23 Hospitals 30 Units

Hospital Name Unit Name AdventHealth Altamonte Springs* ICU AdventHealth Kissimmee 8630-08 AdventHealth Ocala ICU Medical AdventHealth Waterman* 2 North Baptist Medical Center Jacksonville* Weaver 10 Baptist Medical Center South 4A-ICU Bay Medical Center Sacred Heart 4th Floor ICU Bethesda Hospital East Cardiothoracic CVICU Bethesda Hospital East CCU Bethesda Hospital West West CCU Boca Raton Regional Hospital CVICU Boca Raton Regional Hospital SICU Broward Health Coral Springs ICU & CCU Broward Health Medical Center T ICU Delray Medical Center CV Florida Medical Center - A Campus of North Shore CVICU Hialeah Hospital ICU Leesburg Regional Medical Center* ICU 2nd Floor Memorial Hospital West ICU Combined Morton Plant Hospital CCUA Morton Plant Hospital ICU1 Morton Plant Hospital ICU4 North Shore Medical Center CC South Lake Hospital ICU

  • St. Vincent's Medical Center Riverside*

3100 ICU

  • St. Vincent's Medical Center Riverside*

3600 CCU

  • St. Vincent's Medical Center Riverside*

4E ICU

  • St. Vincent's Medical Center Southside*

ICU Tampa General Hospital* Surgical Trauma ICU 5K1 Tampa General Hospital 5K2

Program Goals

Reduce CLABSI, CAUTI and device utilization rates in adult ICUs with elevated CLABSI and/or CAUTI rates Improve safety culture

AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI 17

HHS 2020 HAI Reduction Goals2

  • U.S. Department of Health and Human Services HAI

reduction goals established in October 2016:

  • Reduce CLABSI by 50% by 2020
  • Reduce CAUTI by 25% by 2020
  • This program can assist ICUs in achieving these

national goals

AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI 18

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SLIDE 7

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 7

Infection Prevention and NHSN Virtual Series

*Access Event Archives (Recordings | Slides) on the Mission to Care HIIN Website

Date Topic Register Online

  • Oct. 23, 2018

NHSN: SSI Surveillance Identification and Analysis

Event archive*

  • Nov. 20, 2018

SSI‐Colon: How to Assess Root Cause and Prevention Strategies

Event archive*

  • Dec. 18, 2018

NHSN: VAE Surveillance Identification and Analysis

Event archive*

  • Jan. 22, 2019

VAE: How to Assess Root Cause and Prevention Strategies

Event archive*

  • Feb. 19, 2019

NHSN: MRSA Bacteremia Surveillance Identification and Analysis

Event archive*

  • Mar. 26, 2019

MRSA Bacteremia : How to Assess Root Cause and Prevention Strategies

Event archive*

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Surgical Infection Prevention (SIP) Webinar Series

*Access Event Archives (Recordings | Slides) on the Mission to Care HIIN Website

Date Topic Register Online

  • Apr. 26, 2019

SIP Webinar Series #1: Pre‐operative Strategies for Prevention of SSI

Event archive*

May 22, 2019 SIP Webinar Series #2: Intra‐operative Strategies for Prevention of SSI

Event archive*

June 25, 2019 SIP Webinar Series #3: Post‐operative Strategies for Prevention of SSI

Registration Link:

https://cc.readytalk.com/r/phnc4eb9vhmp&eom 20

Prevention of Post‐Surgical Harm In‐Person Event

*Access Event Archives (Recordings | Slides) on the Mission to Care HIIN Website

Date Topic Register Online June 5, 2019 ‐

FHA HIIN | Preventing Post‐ Surgical Harm Registration Link:

http://www.cvent.com/d/z6qv53/2K 21

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SLIDE 8

Infection Prevention Boot Camp for Novice Infection Preventionists

May 30, 2019

FHA Mission to Care HIIN 8

2019

CELEBRATION OF ACHIEVEMENT

Quality & Service

Recognizing the best in Florida Health Care

Awards

Team and Individual Awards Nominations due June 17, 2019 Submit nominations www.FHA.org/awards Nominations due June 17, 2019 Submit nominations www.FHA.org/awards

Individual Awards

Caregiver of the Year Trustee of the Year Volunteer of the Year

Team Awards *

Best Florida Hospital Workplace Community Benefit Achievement Innovation of the Year in Patient Care Leadership in Quality and Patient Safety

* 2 Recipients in each category – Hospitals Under 150 Beds; Over 150 Beds

FHA Quality Support Team

Contact Us: HIIN@fha.org | Phone: 407‐841‐6230

  • Kim Streit, FACHE, MBA, MHS

Senior Vice President

  • Phyllis Byles, RN, BSN, MHSM, BC‐NEA

Clinical Performance Improvement Advisor

  • Dianne Cosgrove, MS, RN, CPHQ, LHRM

Director of Clinical Quality Improvement

  • Cheryl D. Love, RN, BSN, BS‐HCA, MBA, LHRM, CPHRM

Director of Quality and Patient Safety

  • Debbie Hegarty

Manager of Surveys & Special Projects / Data Support

  • Luanne MacNeill

Quality Initiatives Coordinator

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