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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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Dec. 4, 2014
MHA Keystone HEN Honored for Efforts to Improve Patient Safety
On December 4, 2014, the Centers for Medicare and Medicaid Services (CMS) acknowledged the participation of the MHA Keystone Hospital Engagement Network, or “HEN” for their participation in the national Partnership for Patients (PfP) initiative. The HEN consisted of nearly 100 hospitals across the state. Nationwide, more than 3,700 hospitals participated in this important three year national initiative to improve patient safety. The PfP had the ambitious goals of reducing hospital-acquired conditions by 40% and readmissions by 20% by the end of the 2014.

This acknowledgement was received as part of CMS’ “QualityNet: The CMS Healthcare Quality Conference”. The MHA Keystone HEN and its member hospitals remain committed to improving patient care and outcomes into the future.
Dec. 3, 2014
MHA Keystone Center Intro Video
Since 2003, Michigan hospitals have voluntarily implemented evidence-based best practices that save lives, reduce costs and improve the quality of care delivered to patients throughout the state. This brief video provides an introduction to these efforts, which are coordinated through the MHA Keystone Center and MHA PSO. We encourage you to share this video with your colleagues and new hospital employees.

Jan. 28, 2015
MHA Keystone: ICU Registration Open
Registration is now open for the MHA Keystone: ICU Workshop, scheduled Jan. 28 at the JW Marriott Grand Rapids. Presentation topics include patient and family engagement, ICU survivorship, early mobility, data review and application of the ABCDE bundle at the bedside.

Hospitals participating in MHA Keystone: ICU are strongly encouraged to attend. Each ICU may register up to three individuals at no charge. All members of the ICU interdisciplinary team are invited, including nurses, nurse and physician leaders, respiratory therapists, physical therapists, infection preventionists and quality improvement specialists.

Registration is available online or by completing the registration form and returning to Janice Jones. Please contact Janice at (517) 886-8433 if you have questions about registration. Registration will close Jan. 21 and all registrations received after this deadline will be taken on a first-come, first-served basis. Questions about the workshop can be directed to Phyllis McLellan.
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.

  • MHA Keystone HEN

    The MHA Keystone Center HEN works with hospitals to identify, share and implement best practices aimed at reducing the number of adverse drug events, catheter-associated urinary tract infections, central-line-associated bloodstream infections, injuries from falls and immobility, obstetrical adverse events, pressure ulcers, surgical-site infections, venous thromboembolisms, ventilator-associated pneumonia and preventable readmissions.