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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
Since 2003, MHA Keystone: ICU has brought together Michigan hospitals to reduce central-line-associated bloodstream infections (CLABSIs) and ventilator-associated pneumonia (VAP). These efforts have saved numerous lives and healthcare dollars.

MHA Keystone: ICU teams continue to implement sedation, delirium and early mobility interventions in the ICU, with nearly 30 hospitals collecting and submitting data on their efforts. In March, a joint meeting was held with the MHA Keystone Center and the Michigan Physical Therapy Association to develop resources and education for all disciplines to implement these programs.

MHA Keystone: ICU is partnering with Michigan participants in the Vermont Oxford Network Comprehensive Unit-based Safety Program to implement CLABSI reduction interventions in neonatal and pediatric ICUs. MHA Keystone: ICU teams also continue to work with MHA Keystone: ER teams to reduce the incidence of sepsis in hospitals statewide.

Results
Michigan hospitals reduced the incidence of CLABSI by more than 50 percent and reduced the incidence of VAP by 60 percent from 2004 to 2012. These efforts saved nearly $1.2 million in healthcare costs in 2011.


 

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
Lucy Koivisto

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Oct. 21, 2014
MHA Keystone: Surgery Workshop
Registration is now open for the annual MHA Keystone: Surgery workshop, being held Oct. 21 at the JW Marriott Grand Rapids. Presentation topics include handoff communication, health literacy and glycemic control. Hospital teams will also hear from experts on physician and executive engagement, culture and reducing surgical-site infections in colon patients. Speaker information and the draft agenda can be viewed here.

To register, visit the MHA Event Registration page or complete the registration form and return via email to Tammy Nault or fax to (517) 703-0605. For questions about the event, please contact Michelle Norcross. Registration will close Oct. 13 and all registrations received after this deadline will be taken on a first-come, first-served basis.
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