Improving Care & Communication in ESRD Facilities
Reduce bloodstream infections in ESRD facilities by 20% in 2020 through CDC interventions, enhanced communication, and information exchange to enhance patient care and safety. Regular monitoring and feedback will ensure progress.
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Presentation Transcript
Reducing Bloodstream Infections in the ESRD Community Midwest Kidney Network December 2019
Project Overview For 2020, CMS has directed ESRD Networks to work with the 20% of facilities with the highest excess infections in NHSN. Infections are the second leading cause of death in ESRD patients. One of the sources for bloodstream infections (BSIs) in the ESRD population is catheter related infections. ESRD patients are also at a higher risk in developing BSI from other comorbid conditions, wounds. Communication between dialysis units and other healthcare settings is needed to provide the best care for our patients. 2
Project Overview Why has your facility been chosen for this project? Your facility has been selected based on a current analysis of facilities with the most excess bloodstream infections (BSIs) in the Excess Infection Report in the National Healthcare Safety Network (NHSN) from 1st and 2nd quarter 2019 data. Your unit is among the units with the highest bloodstream infection rate using that report. 3
Project Objectives 1. Improve the quality of care for patients by reducing BSIs by 20% in 2020. Use of CDC Core Interventions. Participation in NCC BSI LAN calls. Support NHSN 2. Improve communication and increase awareness of the need for infection control precautions and treatment across the continuum of care for chronic kidney disease (CKD) patients on dialysis. 3. Increase facility participation in an established health information exchange or another effective transfer of information relative to positive blood culture result drawn outside of the facility. 4
Measuring Improvement Facility s monthly reported BSI rate from NHSN will be monitored and trended. Feedback will be provided to each facility in a variety of ways including comparative data report for individual progress compared to all project facilities. Periodic review of BSI root cause analysis and interventions in your specific unit will occur by webinar or phone calls as needed. 5
Sustaining Improvement During this project, we will be discussing best demonstrated practices for sustaining improvement You will be provided a link to a short questionnaire following this presentation. Please complete survey monkey link by January 10th to identify your facility s current methods for sustaining successful practices and who is accountable for NHSN and BSI reduction at your facility. 6
National NCC Call Schedule Bloodstream Infection (BSI) QIA LAN Date (1st Tuesdays) Time January 7, 2020 March 3, 2020 May 5, 2020 July 7, 2020 Sept 1, 2020 Nov. 3, 2020 Information will be sent out before the calls to register. 3 pm ET, 2pm CT (Info sent out already) 3 pm ET, 2 pm CT 3 pm ET, 2pm CT 3pm ET, 2 pm CT 3pm ET, 2 pm CT 3pm ET, 2 pm CT
Midwest Kidney Network Schedule Bloodstream Infection Project Practice Improvement Calls Date (Usually 1st Tuesdays) Opposite months from NCC calls December 19, 2019 Today January 28, 2020 April 7, 2020 June 9, 2020 October 6, 2020 Time PowerPoint 2 pm ET, 1 pm CT 2 pm ET, 1 pm CT 2pm ET, 1 pm CT 2 pm ET, 1 pm CT Information will be sent out before the calls to register.
What do you need to do? 1. ASAP: confirm your facility s access to NHSN. 2. December 17th: Review this email with links and basic info 3. By January 11th: Take the SurveyMonkey attached to this email. 4. January 28th: attend a project kick-off call. Invites will be sent to each unit. In January, we will provide each facility with a final project calendar showing data due dates, project calls and presentations 5. Attend NCC BSI bi-monthly calls (One attendee may attend for multiple units and share the information with their listed units). 9
Survey Monkey Link https://www.surveymonkey.com/r/Y8TZLX9 Please go to attached link for short survey monkey regarding your unit practices. 10
Questions? Debbie Bowe RN: Deborah.bowe@midwestkidneynetwork.org Kristen Ward, MPH: Kristen.ward@midwestkidneynetwork.org Candy Kohls, RN: Candace.kohls@midwestkidneynetwork.org 651-644-9877 Thank you!! 11
