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MHA Keystone: Intensive Care Unit (ICU)

According to the Centers for Disease Control and Prevention, roughly 41,000 central-line-associated bloodstream infections (CLABSIs) occur in U.S. hospitals each year. These infections, many of which are preventable, result in thousands of deaths and billions of dollars in added healthcare costs each year.

What We Are Doing
Michigan hospitals continue to improve CLABSI and ventilator-associated event rates and recently began reporting infection-related ventilator-associated complications. Participating hospitals are also implementing prevention, detection and treatment strategies to reduce sedation and delirium in the ICU. This year, 13 Michigan hospitals joined the first cohort of the CUSP for Mechanically Ventilated Patients — Ventilator Associated Pneumonia (CUSP 4 MVP-VAP) initiative, a national program to improve outcomes for ventilated patients.



MHA Keystone: ICU CLABSI Data
By reviewing patient safety and quality information, consumers can make better educated choices about their healthcare. It is crucial to the overall well-being of patients that they concentrate on their health and recovery and trust that their care providers are committed to safety and transparency. The release of data is one way to illustrate that commitment to patients and to facilitate trusting hospital-patient relationships.

This data is categorized by ICU type - burn, coronary, medical, medical/surgical major teaching, medical/surgical, neurosurgical, surgical, surgical cardiothoracic and trauma. The rate is reported as the number of CLABSIs per 1,000 central-line days and is calculated by dividing the number of CLABSIs by the number of central-line days and multiplying the result by 1,000. Lower rates signify better outcomes. Pediatric rates are not included because the MHA Keystone Center has not captured data for these units.

View the results

Opportunity Estimator Tool
The Opportunity Estimator is a tool designed to engage clinicians and hospital leadership, educate staff about preventable harm and avoidable costs, and evaluate the impact of performance on financial and clinical outcomes, such as infection rates in the ICU. Published estimates of mortality and costs associated with CLABSIs are used to translate a hospital's individual CLABSI rate into the number of potentially preventable deaths, excess dollars and excess ICU days. In addition, the tool estimates the potential savings in deaths, dollars and ICU days based on graduated reductions in CLABSI rates from participating in a CLABSI intervention.

Staff Contact
Phyllis McLellan
Cristal Ballard

April 8, 2015
MHA Keystone: Culture – “Spirituality, Meaning and the Pursuit of Well-Being” Webinar
This webinar will be held from 4 to 5 p.m. April 8 and will be facilitated by Bryan Sexton, PhD, Duke Medicine. Register online or contact Janice Jones for assistance.
April 13 and 14, 2015
MHA Keystone: OB Workshop and Preconference Simulation
The MHA Keystone: Obstetrics (OB) Workshop will be held from 8 a.m. to 4 p.m. April 14 at the Dearborn Inn. Participants will experience didactic and interactive sessions with topics including preeclampsia, postpartum hemorrhage, multidisciplinary plans of care, and patient and family engagement.

Additionally, in collaboration with Kaiser Permanente and the National Patient Safety Foundation, a small-group simulation session will be held from noon to 4 p.m. April 13 at the Henry Ford Simulation Center. More information can be found in the workshop brochure. Register online or contact Tammy Nault for assistance.
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    Michigan hospitals and the MHA Keystone Center are committed to including patients and families in improving care and focusing improvement efforts with a patient-centric approach. To that end, the MHA Keystone Center is a proud Pinwheel Sponsor of the Institute for Patient- and Family-Centered Care.

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