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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 health care costs each year.
What We Are Doing
Since 2003, MHA Keystone: ICU
has brought together Michigan hospitals to reduce
CLABSIs and
ventilator-associated pneumonia (VAP). These efforts have saved numerous
lives and health care dollars.
Participating hospitals have expanded their efforts to focus on early
mobility, delirium and sedation in the ICU. Interventions are being
implemented to wake patients from sedation, wean them aggressively
from the ventilator whenever possible, assess their mental functioning,
and prevent deconditioning by getting patients out of bed and walking,
even while still using a ventilator.
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
The following graphs illustrate the continuous improvements for MHA
Keystone: ICU hospitals from
2004 through 2011.
MHA Keystone: ICU CLABSI Data
By
reviewing patient safety and quality information, consumers can make
better educated choices about their health care. 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.
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