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On the CUSP

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On the CUSP
On the CUSP: Stop CAUTI
Data…Data…Data
April 19, 2011
Sam Watson
VP for Patient Safety and Quality
MHA Keystone Center
1
CAUTI Content Call Schedule
CUSP/CAUTI Content Call #1 – CUSP
Moderator – Sam Watson; Speaker – Sean Berenholtz
03/07/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
CUSP/CAUTI Content Call #2 - The Science of Safety
Moderator – Sam Watson; Speaker – Sean Berenholtz
03/22/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
CUSP/CAUTI Content Call #3 - Care and Removal Intervention
Moderator – Sam Watson; Speaker – Mohamad Fakih
04/05/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
CUSP/CAUTI Content Call #4 - Data Collection
Moderator – Sam Watson; Speaker – Sam Watson
04/19/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
CUSP/CAUTI Content Call #5 - The View from the Bedside
Moderator – Sam Watson; Speaker – Russ Olmsted
05/03/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
CUSP/CAUTI Content Call #6 - Implementation in a Community Hospital
Moderator – Sam Watson; Speaker – Mary Jo Skiba
05/17/11
2 ET/1 CT/12 MT/11 PT
Attendee: (866) 256-9295
2
60 Min.
60 Min.
60 Min.
60 Min.
60 Min.
60 Min.
What Participation Requires
Data Submission
Intervention
CUSP
Care and
Removal
Insertion
Measure
Frequency
HSOPS
Baseline and post
intervention
Team Check-up Tool
Quarterly
Process Prevalence & Appropriateness
Daily then Weekly within
Protocol
Outcome
- UTI Rate / Device Days
Monthly within Protocol
- UTI Rate / Patient Days
Monthly within Protocol
TBD
TBD
3
IMPLEMENTATION
SUSTAINABILITY PERIOD 1
AUG 2011
JUL 2011
JUN 2011
S
SEPT 2011
BASELINE PERIOD
Prevalence and Appropriateness (PROCESS)
S
M
T
W
T
F
S
No Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
No Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Baseline Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Intervention Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Intervention Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
OCT 2011
Cohort 2
5
12
19
26
3
10
17
24
31
7
14
21
28
4
11
18
25
2
9
16
23
30
Cohort 2 CAUTI Rates (OUTCOME)
M
T
W
T
F
Baseline Data Collected
1
2
3
6
7
8
9
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
Baseline Data Collected
1
4
5
6
7
8
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
Baseline Data Collected
1
2
3
4
5
8
9
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
31
Intervention Data Collected
1
2
5
6
7
8
9
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
Intervention Data Collected
3
10
17
24
31
4
11
18
25
5
12
19
26
6
13
20
27
7
14
21
28
S
4
11
18
25
2
9
16
23
30
BASELINE PERIOD
6
13
20
27
3
10
17
24
IMPLEMENTATION
1
8
15
22
29
SUSTAINABILITY PERIOD 1
No Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
NOV 2011
No Data Collected
6
7
3
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
8
9
10
No Data Collected
1
2
3
8
9
10
SUSTAINABILITY PERIOD 2
11
12
13
14
15
16
17
18
19
20
21
22
23
25
26
27
28
29
30
DEC 2011
5
2
6
No Data Collected
4
1
4
5
6
7
SUSTAINABILITY PERIOD 2
11
12
13
14
15
16
17
24
18
19
20
21
22
23
24
31
25
26
27
28
29
30
31
Post-Intervention Data Collected
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JAN 2012
Post-Intervention Data Collected
5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Data Collection Schedule
MEASURE
CAUTI Rates (Outcome)

Number of Symptomatic CAUTI’s
attributable to your unit for that
month

Number of urinary catheter days
per month (number of patients
with urinary catheter device is
collected daily at the same time
each day and the total is summed
for the month)

Number of patient days per month
Prevalence & Appropriateness
(Process)

Assess each patient on the unit for
the presence of a urinary catheter

Record the reason for the catheter
DATA COLLECTION
SCHEDULE
Collect monthly for 5 months
beginning in June and quarterly
thereafter (June-August will be
considered baseline)
Baseline: Mon-Fri for 3 weeks
Prospective: Mon-Fri for 2 weeks, 1
day per week for 6 weeks then one
week per quarter thereafter
6
DATES
2011:
June 1-30
July 1-31
August 1-31
September 1-30
October 1-31
2012:
January 1-31
April 1-30
July 1-31
October 1-31
Baseline: August 1-5, 8-12, 1519, 2011
Prospective: September 5-9,
12-16, 20 & 27
October 4, 11, 18, 25
2012:
January 9-13
April 9-13
July 9-13
October 15-19
Data Collection
• Prevalence and appropriateness data (Process
Measure)
– Collected in Care Counts
• Team Check Up Tool
– Collected in Care Counts
• CAUTI data (Outcome Measure)
– NHSN Import
– Direct entry into Care Counts
7
Prevalence and Appropriateness Data
8
Prevalence and Appropriateness Data
9
Prevalence and Appropriateness Data
10
CAUTI Outcomes Data
11
CAUTI Outcome Data
12
Feedback
• Data collection timeline correlates closely with
project interventions
• Feedback to teams/unit staff must be given in
real-time to evaluate progress and modify
processes as necessary
• Reports will be available in Care Counts
– Can be generated at the unit level and at a higher
aggregate level
13
Important Dates
• Cohort 2 Data Entry Training Webinar:
• May 2, 5, 9, & 12 at 2pm Eastern Time
• Cohort 2 Hospital Survey on Patient Safety
(HSOPS) Training Webinar:
• May 16, 19, 23, 26 at 2pm Eastern Time
14
Ongoing Resources for Data
• MHA Resources for data questions:
---Nicole Smith (nsmith@mha.org)
(for Care Counts issues)
15
Your Feedback is Important
http://www.surveymonkey.com/s/FN9BJKB
Questions
17
Fly UP