CDI Prevention in Long Term Care Collaborative

Welcome and Project Overview

Deborah Quetti RN, MBA, BSN, CPHQ

April 9, 2014

Qualidigm at a Glance

Mission-driven, health

care consulting company

Experts in quality

improvement and patient

safety across the continuum

of care

Neutral convener/facilitator

Local and national

contract and grant work

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Vision and Mission…

Our Vision: Quality health care for all.

Our Mission: Improving the quality, safety, and cost-effectiveness of healthcare through transformational change.

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Background

• CT-based, brand recognized, healthcare consulting company with 30+ years of experience

• Medicare Quality Improvement Organization (QIO) for CT

• Patient Safety Organization designated by the CT Department of Public Health

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Our Services

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Healthcare Quality

Consulting

Change Management

Patient-Centered

Medical Home

Patient Safety Care Transitions

Data Evaluation &

Analysis

Consumer & Provider

Education

Quality of Care Reviews

Our Customers

• Diverse group of healthcare stakeholders in government, industry and clinical practice

• Other clients include:– Agency for Healthcare Research and Quality– Rhode Island Department of Human Services– eHealthConnecticut (Regional Extension Center)– Academic institutions– National and international healthcare consulting firms– Local and national foundations– Healthcare providers in all settings– Payers and purchasers

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Objectives for today’s session

1. Provide an update on CT HAI program initiatives and emerging infection program data.

2. Describe the consequences to nursing home residents of CDI and MDRO infections. 3. Describe the pathophysiology and treatment options for CDI. 4. Identify key elements of an infection prevention program that can prevent the spread of CDI and MDROs.

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Objectives for today’s session

5. Describe the role of the CDC in infection

prevention efforts, the resources available to the public, and the purpose of the NHSN data reporting system.

6. Describe the goals of the Qualidigm CDI long term care collaborative, work plans, outcome measures, and role of NHSN. 7. Utilize the results of the CDI self-assessment

tool to identify opportunities for improvement within the organization, and to plan interventions for improvement in resident safety.

Project Goal

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To assist long term care facilities to work together through July, 2014 to reduce Clostridium difficile and multi-drug resistant infections, using rapid cycle quality improvement techniques.

Project Timeline

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Kick-off

April, 2014

• Knowledge transfer: scope of the problem and evidence-based practices• Perform “environmental scan” • Develop AIM statement

Activities

• Site visit #1 to use QI tools to target and complete a quality improvement plan• Site visit #2 to review data collection and analysis process, PDCA application• Submission of monthly C. difficile data to Qualidigm and/or NHSN• Monthly conference calls with all facilities hosted by Qualidigm and DPH for peer

to-peer learning • Application of publicly available resources from CDC and others• Technical assistance by Qualidigm as needed

Wrap-up July, 2014

• Re-do “environmental scan “• Review successes, barriers, and outcomes• Celebrate !

Participant Expectations• Complete “environmental scans”• Write an AIM statement• Recruit PI team members at your facility• Schedule two face-to-face, two hour sessions with

Qualidigm facilitator• Work with facilitator to create an action plan• Implement plan and collect data to gauge progress; apply

PDCA as needed• Utilize QI tools throughout the process• Report data to Qualidigm• Participate in monthly conference calls• Attend July 2014 wrap-up session

Target areas

• Early diagnosis and rapid containment• Hand hygiene• Environmental cleaning• Antimicrobial stewardship

Handouts• Long term care CDI assessment tool• AIM statement template• Work plan template• Ask/offer form• Dr. Stone’s presentation• CDCs “12 steps to address antimicrobial

resistance” in LTC• Evaluation form

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ToolsImplementation

Strategies

Support Structure Networking

Peer-to-Peer Learning

(All teach, all learn)

Questions?