dh hqi conf cdiff poster18x24 v2 - hospital quality institute · hospital acquired clostridium...

Hospital Acquired Clostridium Dif�cile (HIIN)Standard Infection Ratio (SIR)

0.60

0.80

0.70

2016 Q3 2016 Q4 2017 Q1 2017 Q2

1.00

0.90

1.20

1.10

HIINTarget

Target

Resources:https://www.cdc.gov/hai/organisms/cdiff/cdiff_infect.html http://www.shea-online.org/priority-topics/compendium-of-strategies-to-prevent-hais http://apic.org/Resource_/EliminationGuideForm/59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf

Contact: Roy Boukidjian MSN, CIC, PHN, NE-BC at Roy.Boukidjian@DignityHealth.orgEmail Barbara.Pelletreau@DignityHealth.org for Prevent Cdif Checklist.

Why? • One in nine patients over 65

with C-diff dies within 30 days of diagnosis

• C-diff increases hospital length of stay by 2.8 to 5.5 days

• The attributable mortality of C-diff is estimated to be 5%–10%

What? Strategies• System ASP Taskforce• System hand hygiene campaign• Early C-diff detection by utilizing EHR• System gap analysis• Standardize EVS chemicals, processes, and

quality assurance monitoring

How? Leadership!• Metric: National Healthcare Safety Network• Co-leads: Infection Preventionist and

Infectious Disease Physician• Task Force: Nursing, Environmental Services,

Pharmacy, Physician Leadership, Quality, Informaticists, and Microbiologists

Where?• 37 Dignity Health hospitals in California,

Nevada and Arizona

When? Yesterday! • System initiative began on July 1st, 2016

Clostridium Dif�cileA System Approach to Improving Outcomes

Outcome to date?