Transcript A Sharing and Networking Session - Massachusetts Coalition for the

MRSA: A Learning and
Networking Session
Program Overview
July 30, 2007
Paula Griswold, Executive Director
[email protected]
www.macoalition.org
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Context for today’s MRSA program
Goals and agenda for the day
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Survey results
Program materials
Context for Today’s MRSA Program
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Prevention of hospital-acquired infections
identified as top priority of Coalition
members
MA DPH & Betsy Lehman Center Expert
Panel on Healthcare Associated Infections
APIC MRSA Survey
MA Coalition Members
 State and federal licensure/oversight agencies
 Professional associations for hospitals, physicians, nurses,
nurse-executives and long-term care organizations
 Accreditation organizations
 Individual health care providers
 Professional liability insurance organizations
 Clinical researchers
 Consumer organizations
 State legislator
 Purchasers/health plans
Mission
Vision
To improve patient safety and eliminate medical errors in Massachusetts
To leverage the capabilities of its members through specific change
initiatives with measurable outcomes to make healthcare safe in
Massachusetts.
Information
Source
Educate & foster information
sharing, including learning
from innovation
State-wide Agenda Setting
Agreeing on key patient safety priorities for improvement
Forum for Aligning Efforts
Align member activities to achieve goals
Change Agent - Improvement Initiatives
Achieve measurable results on specific topics
Identified as Priority: Preventing
Hospital-Acquired Infections
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$1 million in 2007 MA State Budget for DPH to develop MA infection
reporting project, including public reporting.
MA DPH and Betsy Lehman Center – Infection Expert Panel
MHA Patients First recommended hospitals report infection measures
JCAHO National Patient Safety Goals: hand hygiene and manage
serious outcomes from infections as sentinel events
IHI 5 Million Lives Campaign: MRSA, CLABSI, VAP, SSI
CMS plan to eliminate higher payments for DRGs when infections
occur – staph aureus septicemia & CAUTI - and SCIP
PA Study: Cases with infections cost six times more than cases without
Michigan Keystone Project saved 1,578 lives, $165.5 million in
healthcare costs and 81,020 hospital days from March 2004 to June
2005
Previous Hospital
Learning Collaboratives
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With MHA and MA DPH and AHRQ funding
Reconciling Medications:
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Communicating Critical Test Results:
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Systematic approach to reduce medication errors at
admission, transfers within the hospital, and discharge
Ensuring timely and reliable communication of critical
test results to clinician responsible to take action
Support for hospital teams working to improve
performance on these aims
APIC MRSA Survey
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Prevalence survey – one day fall 2006 from 1200
facilities in 50 states
46 out of 1,000 patient either infected or colonized
(infections - 34 per 1,000 patients)
8-11 times higher than previous (incidence) data
Massachusetts results: 59.9 out of 1,000 patients
from 24 facilities responding
APIC MRSA Survey
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Results suggest majority of isolates were
HA-MRSA
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63% at sites other than skin/soft tissue
<30% clindamycin susceptible, <20%
levofloxacin susceptible
Goal for Today
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Facilitate sharing among hospitals of
lessons learned and strategies for successful
implementation of MRSA infection control
Beginning of ongoing learning: upcoming
invitation to participate in Collaborative
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Listserve, sharing sessions, conference calls
MA Survey Results:
Current Practice ( 35 Responses)
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Active Culture Surveillance Screening
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42.9% not activated
28.6% unit-specific
25.7% population-specific
2.9% (1) housewide
Technology used
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6.3% (2) Rapid molecular testing
56.3% Culture
37.5% Does not apply
MA Survey Results:
Current Practice ( 35 Responses)
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Isolate Patients
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29.4% while awaiting results
35.3% only after results received
35.3% doesn’t apply
Issues with isolating patients
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20.6% Yes
38.2% No
41.2 % Does not apply
MA Survey Results:
Interested in/have lessons to share
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Most interested in learning (34):
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73.5% Active Surveillance Culture
70.6% Hand Hygiene
All others 41-58% - Patient Engagement
Have interesting lesson/important progress
to share (11)
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(7) Hand Hygiene
Nothing else above 3!!
Today
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Agenda
Materials
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Presentations
Resources
Evaluation – listserve
Thanks