CAUTI ED Improvement Intervention

Collaborative Structure

February 27, 2014

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The CAUTI Emergency Department Improvement Intervention

What is the On the CUSP: STOP CAUTI ED Improvement Intervention?

• Expanding the reach of the On the CUSP: STOP CAUTI national collaborative

• Instilling a culture of partnership between emergency departments and in-patient units

• Broadening exposure to national experts

Emergency Nurses Association (ENA)

American College of Emergency Physicians (ACEP)

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ED Improvement Intervention

Goals: Best practice techniques for CAUTI Prevention

• Technical change (Process): Determine catheter appropriateness

Preventing unnecessary placement

Promoting compliance with institutional guidelines

Promoting proper insertion techniques

• Culture change (CUSP): Teamwork and communication amongst frontline staff

Identify nurse and physician champions for leadership and buy-in

Collaboration with in-patient units

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Program Requirements

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• Submit baseline, implementation and sustainability data from March 2014 – May 2015 according to a pre-determined schedule.

• Assemble a team, including a team leader (“champion”).

• Meet as a team to monitor performance improvement.

• Attend webinars, calls, and in-person meetings.

• Complete ED questionnaire quarterly, prior to office hours call.

• Share lessons with other units.

Data Requirements

Data Requirements: For each day of data collection, record the following numerator and denominator

Numerator: Number of admissions from the ED, including observation patients with an indwelling catheter that was newly placed in the ED

Denominator: Number of admissions from the ED, including observation patients

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Data Period Data Collection Dates Due Date (to OAHHS)

Baseline March 18-31, 2014 April 15, 2014

Implementation May 18-31, 2014 June 15, 2014

Sustainability

August 18-31, 2014 November 17-30, 2014 February 15-28, 2015 May 18-31, 2015

September 15, 2014 December 15, 2014 March 15, 2015 June 15, 2015

Data Entry

• Data entered into excel workbook and emailed to Jodie after each data collection period; baseline, implementation and each sustainability period

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Output/Reports

• Quarterly run charts to track progress sent to each hospital team

• State and National comparison data

• Easy to copy and paste into your own presentations and reports

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Questionnaire

• Survey Monkey format

• Identify a point person to complete prior to each office hours call

• Seek input from entire team

• 12 questions addressing catheter insertion, education, alternatives, and barriers

• Answers to questions addressed broadly on the quarterly office hours call

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Quarterly Office Hours

• Quarterly office hours staffed by National experts open to all participating teams

– 8:00 AM Pacific Time – Phone Information: 866-710-0179, Pass Code: 984715 – Webinar Link: https://www.yourcall.com/webecho/GuestLogin.aspx?ConfRef=27619048&Pin=7313

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Schedule available on On the CUSP Website - http://www.onthecuspstophai.org/on-the-cuspstop-cauti/educational-sessions/ed-improvement-intervention-educational-sessions/

2014 • Wednesday, June 11 • Wednesday, September 10 • Wednesday, December 10

2015 • Wednesday, March 11 • Wednesday, June 10

Oregon CAUTI Calls

• Bimonthly statewide CAUTI coaching calls – Next call: Wednesday, March 26, 10 AM (4th Wednesday of every

other month at 10 AM)

• Opportunity to share best practices and discuss barriers with colleagues across Oregon

• Attendees include CUSP/CAUTI inpatient units and emergency department participants

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ED Improvement Intervention

Project support includes:

• Comprehensive ED Tool Kit with customizable resources

• Educational events: National expert presentations

Coaching and sharing through Oregon calls (bimonthly)

Coaching support by the National Experts (quarterly)

In-person training opportunities

• Data collection and analysis

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Resources Available

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Resources available on the On the CUSP: Stop HAI Website (http://www.onthecuspstophai.org/on-the-cuspstop-cauti/)

ED Algorithms

Nursing

Presentations

Pocket Cards

Posters

Fact Sheets

Webinar

Recordings

Checklists

Tool Kits

Improvement Intervention Registration

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• Sign-up at the registration table by providing your name, title, email address, phone number, and hospital name

OR

• Email Jodie Elsberg (jelsberg@oahhs.org) with the Subject: CAUTI ED Registration and include your name, title, email address, phone number, and hospital name

Registration is Open until March 7, 2014!

Contact Information

Jodie Elsberg

503-479-6028

jelsberg@oahhs.org

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Questions?

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