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MHA Keystone: Intensive Care Unit (ICU)

Problem
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.

Results

 

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

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May 13, 2015
CAUTI Regional Learning Session and Safe Table
This learning session and Safe Table will be held from 8:30 a.m. to 3:00 p.m. at the Radisson Hotel, Kalamazoo. Topics will include nurse-driven protocols and patient and family engagement, teamwork and antimicrobial stewardship. Register online or contact Michelle Norcross for assistance.
May 14, 2015
CUSP Implementation Workshop
This one-day workshop will be held from 8:00 a.m. to 4:00 p.m. at Shanty Creek Resort, Bellaire. Led by Johns Hopkins CUSP experts, learners will work in groups to devise solutions to common barriers, develop an understanding of the roles of different CUSP team members and learn from others’ experiences. Before attending the workshop, participants must complete nine online Foundations of CUSP modules. Register online or contact Tammy Nault for assistance.
May 28, 2015
MHA Keystone: Pain Management Workshop
This workshop will be held from 8:00 a.m. to 4:00 p.m. May 28 at the Dearborn Inn. Hospital teams will hear from experts on the implementation and spread of quality improvement work, common challenges in treating chronic pain patients, patient and family engagement, patient-controlled analgesia, emergency department opioid prescribing practices and opioid safety in the inpatient setting. Register online or contact Tammy Nault for assistance.
Noteworthy
  • Annual Symposium

    Annual Symposium

    The MHA Patient Safety & Quality Symposium offers an opportunity to explore innovative patient safety techniques and dialogue with others about how to enhance patient safety across the continuum. Learn new strategies and ideas from faculty who are game-changes in the healthcare and business world.

  • Patient and Family Engagement

    Patient and Family Engagement

    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.

  • Pain Management

    In May, the MHA Keystone Center is launching MHA Keystone: Pain Management to implement evidence-based best practices around pain control and to help patients better manage their pain in the hospital. Contact Michelle Norcross to learn more.