Is It Really a UTI? Do You Know It When You See It?
|
|
- Clementine Rodgers
- 5 years ago
- Views:
Transcription
1 Is It Really a UTI? Do You Know It When You See It?
2 Today s Objectives 1. Define Symptomatic UTI versus Asymptomatic Bacteriuria 2. Review RAI MDS Coding Manual Definition of UTI 3. Analyze UTI as a Quality Measure 4. Discuss UTI Assessment, Criteria and Communication with Prescribers 5. Consider UTI Reduction in the Nursing Home from a QAPI Perspective
3 HQI Nursing Home Improvement Network Health Quality Innovators HQI (formerly VHQC) is your Quality Innovation Network Quality Improvement Organization (QIN-QIO) for MD & VA QIN-QIO s bring Nursing Homes, Hospitals, Communities and Patients together in data-driven initiatives that: Increase resident safety Make communities healthier Better coordinate post-hospital care Improve clinical quality
4 Why Focus on UTIs in the Nursing Home? UTIs are the most frequently reported infections in long term care 1 UTIs are a significant cause for hospital readmissions and Sepsis 1 Monitoring of symptomatic UTIs helps identify trends in these infections and provide data to improve antibiotic use in your facility: 30-60% of antibiotics in SNFs are for suspected UTIs % of those antibiotics used may be unnecessary or inappropriate 3 1 Agency for Healthcare Research and Quality (AHRQ) Safety Program for Long-Term Care 2 Benoit SR et al. J Am Geriatric Soc 2008; 56: PMID CDC. The Core Elements of Antibiotic Stewardship in Nursing Homes
5 Risk Factors Risk Factors for Developing a UTI 1 : Age (especially over 85) Female Neurogenic bladder Reduced Mobility Urinary Incontinence Previous UTI Prostate enlargement Kidney stones Catheters: Foley and condom caths 1
6 Diagnosing UTIs in the Nursing Home Is it a UTI?
7 But There s a Change in Mental Status
8 Remember when A Nursing Home UTI used to be characterized by foul smelling, cloudy urine or a change in mental status
9 Comparing today s UTI definitions: McGeer Loeb CDC/SHEA (aka Modified McGeer or Stone ) For residents without a urinary catheter: At least 3 of the following signs (a) Fever (~38 o C) or chills, (a) New or increased burning pain on urination, frequency or urgency, (b) New flank or suprapubic pain or tenderness, (d) Change in character of urine, (e) Worsening of mental or functional status (may be new or increased incontinence). McGeer et al. AJIC 1991; 19: 1-6, Loeb et al. ICHE 2001; 22: , Stone et al. ICHE. 2012; 33:
10 Important Definitions 1 Bacteriuria: Bacteria in the urine Urinary pathogen 100,000 colony-forming units (CFU) Asymptomatic Bacteriuria (ASB): Bacteriuria in the absence of genitourinary signs or symptoms Symptomatic UTI: Bacteriuria in the presence of genitourinary symptoms Symptoms may include fever, dysuria, suprapubic pain or tenderness, frequency, or urgency 1 Infect Disease Clinics North Am Mar; 28(1):
11 When should a U/A C&S be sent? Urine testing should be performed when a resident has localized urinary tract signs and/or symptoms Odorous or cloudy urine are NOT indications for urine culture or analysis. These changes alone do not represent a UTI. Hooten et al. IDSA Guidelines, Clinical Infectious Diseases 2010; 50: Funded by the Agency for Healthcare Research and Quality (AHRQ) Midthun et al. Journal of Gerontological Nursing 2004 In one study, using urine odor to identify bacteriuria resulted in error in 1/3 of cases Even if urine odor is caused by bacteriuria, this does not indicate that infection needs to be treated unless other symptoms are present.
12 Why Not Treat It Just in Case? Multiple randomized clinical trials treating Asymptomatic Bacteriuria in LTC residents have shown NO benefit No difference in the # of symptomatic UTIs No improvement in chronic urinary incontinence No improvement in survival Asymptomatic Bacteriuria Treatment is known to cause: Increased Adverse Drug events Clostridium difficile (C. diff ) infection Increased antibiotic-resistant organisms IDSA Guidelines for the Diagnosis & Treatment of Asymptomatic Bacteriuria in Adults. Journal of Clinical Infectious Disease 2005; 4-: Asymptomatic bacteriuria in adults: AAFP 2006; 74:
13 When calling the Prescriber SBAR Tools for UTI Situation Background Assessment Recommendation Go to Search for Suspected UTI & see excellent tools & resources ality-patient-safety/patient-safety-resources/resources/nhaspguide/module1/toolkit1/utisbar-form.pdf
14 Which Criteria do you Follow? Meet with your Medical Director to determine Criteria/UTI definition that works best for your prescribers and your team. AHRQ s toolkit for Suspected UTIs is easy to use (ahrq.gov) INTERACT has a UTI CARE PATH available for download:
15 UTIs as a Quality Measure CMS UTI Quality Measure Description : The percentage of long-stay residents who have a urinary tract infection Definition of Long-Stay: Cumulative days in facility is 101 days A resident must be in your building for at least 101 days to be included in this measure 15
16 If they have a UTI, Not so fast I count them on the MDS The MDS 3.0 RAI Manual has very specific coding instructions and conditions that must be met to be considered a Urinary Tract Infection: 1. Diagnosis of UTI in the last 30 days 2. Sign or symptom attributed to UTI 3. Significant laboratory findings 4. Current medication or treatment for UTI in the last 30 days 16
17 Counting Residents with UTI in past 30 Days 17 Tip Sheet available from HQI
18 List Action Items, then apply select interventions on a smaller scale Education After Conducting a PIP, Develop an Action Plan Educate all staff on their responsibility to prevent UTI Re-educate staff on UTI assessment & SBAR communication Educate environmental services staff on proper cleaning techniques Conduct competency testing for nurses and CNA s on proper urinary catheter care and perineal care Conduct competency testing for nurses and CNA s on proper hand-washing techniques Provide/send MDS nurse to an MDS training course Provide education to residents, family members, and/or significant others about ways to prevent UTI Access resources, tip sheets and tools from HQI HSAG QIO for California Infection Control Quality Assurance & Performance Improvement Case Study 18
19 HQI Quality Improvement Focus Nursing Home Improvement Network Team from HQI Sheila McLean MBA, LNHA, CPHQ Vice President Theresa Mandela RN, BSN Improvement Consultant Lisa Mark RN, BSN Improvement Consultant Allison Spangler RN, BSN Improvement Consultant
20 Contact Us! Theresa Mandela Improvement Consultant Lisa Mark Improvement Consultant Allison Spangler Improvement Consultant 20 This material was prepared by Health Quality Innovators (HQI), the Medicare Quality Innovation Network- Quality Improvement Organization for Maryland and Virginia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. HQI 11SOW
Evidence Based Practices to Prevent HAIs/CAUTI and Improve Resident Safety
AHRQ Safety Program for Long term Care: HAIs/CAUTI Evidence Based Practices to Prevent HAIs/CAUTI and Improve Resident Safety Objectives Upon completion of this module, participants will be able to: Describe
More informationThe Culture of Culturing: The Importance of Knowing When to Order Urine Cultures. Today s Presenters
AHRQ Safety Program for Long-term Care: HAIs/CAUTI The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures National Content Webinar Series October 15, 2015 Today s Presenters Barbara
More informationWhen is it really a UTI?
When is it really a UTI? Adrienne Mims, MD, MPH, FAAFP, AGSF VP, Chief Medical Officer Adrienne.Mims@AlliantQuality.org 2/19/2016 1 Disclosure This educational activity does not have commercial support
More informationThe Urine Dipstick: A Quick Way To Over-Treat! Ann McFeeters, RN Infection Control Practitioner September 26, 2012
The Urine Dipstick: A Quick Way To Over-Treat! Ann McFeeters, RN Infection Control Practitioner September 26, 2012 Objectives Discuss what is a Urinary Tract Infection (UTI) Reflect on current practices
More informationAntimicrobial Stewardship Program in the Nursing Home
Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing
More informationInfection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA)
Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA) The Facility Starview Convalescent Center is a 60-bed long-term care facility.
More informationWelcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one
Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one in a series of videos explaining the 13 quality measures
More informationCore Elements of Antibiotic Stewardship for Nursing Homes
Core Elements of Antibiotic Stewardship for Nursing Homes Welcome! Holly Harmon, RN, MBA, LNHA Senior Director Clinical Services 1 Leonard Russ Immediate Past Chair AHCA Board of Governors Antibiotic Stewardship
More informationNursing Home Pearls or
Nursing Home Pearls or How to Enjoy Practicing in Skilled Nursing Facilities Lowell C. Dale, MD November 11, 2016 2016 MFMER slide-1 DISCLOSURE Relevant Financial Relationship Medical Director Golden Living
More informationFHCA 2014 Annual Conference & Trade Show
FHCA 2014 Annual Conference & Trade Show CE Session #48 Inspiring the CULTURE of How and When We CULTURE Thursday, July 10 4:00 to 6:00 p.m. Canary 4 Clinical/Care Practice Upon completion of this presentation,
More informationInfection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study
Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Happy Acres Nursing Center is a 99-bed skilled nursing facility (SNF). The facility is divided into
More informationAntibiotics - Are they OVERUSED? 4/6/2018. Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes. Pathway Health 1.
Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes Louann Lawson, BA, RN, RAC-CT, CIMT Nurse Consultant Clinical Reimbursement Team Leader/Clinical Education Manager Pathway Health
More informationReducing CAUTI by Decreasing Inappropriate Catheter Utilization
Reducing CAUTI by Decreasing Inappropriate Catheter Utilization Reducing HAIs in Hospitals E. Eve Esslinger Jane Ehrhardt Heather Banker Debby Fosson Roddy Summers QIN-QIO Map HAIs Central Line-Associated
More informationCAUTI reduction at Mayo Clinic
CAUTI reduction at Mayo Clinic Priya Sampathkumar, MD, FIDSA, FSHEA Associate Professor of Medicine, Division of Infectious Diseases, Mayo Clinic, Rochester Jean (Wentink) Barth, MPH, RN, CIC Director,
More informationTo Dip or Not To Dip a patient centred approach to improve the management of UTIs in the Care Home environment
To Dip or Not To Dip a patient centred approach to improve the management of UTIs in the Care Home environment Sharing success AMS Workshop Leeds & London 2016 Elizabeth Beech Pharmacist - NHS Bath and
More informationNursing Home Online Training Sessions Session 4: Antibiotic Stewardship
National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 4: Antibiotic Stewardship Health Services Advisory Group (HSAG) Objectives 1 Welcome and overview. 2 Define
More informationHeidi Wald, MD, MSPH 12/15/2015. Heidi Wald, MD, MSPH Geriatrics Grand Rounds December 17, 2015
Heidi Wald, MD, MSPH Geriatrics Grand Rounds December 17, 2015 Understand burden of UTI and ASB in nursing facilities (NFs) Identify and describe how the culture of culturing in NFs leads to overdiagnosis
More informationStopping the Chain of Infection: Strategies for Preventing Sepsis in Long Term Care September 20, 2016
Stopping the Chain of Infection: Strategies for Preventing Sepsis in Long Term Care September 20, 2016 VHQC 1. Private, nonprofit healthcare consulting firm 2. Virginia s QIO since 1984; now the Quality
More informationClinical Intervention Overview: Objectives
AHRQ Safety Program for Long-term Care: HAIs/CAUTI Clinical Intervention Overview: Preventing Infections to Enhance Resident Safety Cohort 5 Learning Session #1 Steven J. Schweon RN, CIC APIC Infection
More informationSEPSIS RISK ASSESSMENT EVALUATION TOOL HEALTH QUALITY INNOVATORS
Sepsis during hospital stay preceding this admission History of sepsis Renal concerns Respiratory Gastrointestinal Chronic renal failure History of stones Recent UTI Foley catheter during preceding hospital
More informationASBU Management in LTC Project. Paula Stagg RN MN CIC Regional Infection Prevention & Control Specialist
ASBU Management in LTC Project Paula Stagg RN MN CIC Regional Infection Prevention & Control Specialist 1 Objectives Introduce the problem Review Best Practice Recommendations WH Implementation Explain
More informationUsing Electronic Health Records for Antibiotic Stewardship
Using Electronic Health Records for Antibiotic Stewardship STRENGTHEN YOUR LONG-TERM CARE STEWARDSHIP PROGRAM BY TRACKING AND REPORTING ELECTRONIC DATA Introduction Why Use Electronic Systems for Stewardship?
More informationNursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview
National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview Health Services Advisory Group (HSAG) Objectives 1 Welcome
More informationAntibiotic Stewardship in Skilled Nursing Facilities: Getting into Compliance with the Mega Rule
Antibiotic Stewardship in Long-Term Care Webinar Series Lake Superior Quality Innovation Network / Minnesota Department of Health October 25, 2017 Antibiotic Stewardship in Skilled Nursing Facilities:
More informationMinimum Criteria for Common Infections Toolkit. [Name] [Organization]
Minimum Criteria for Common Infections Toolkit [Name] [Organization] Agenda Background and Purpose Suspected Infection SBAR Forms Using the Suspected Infection SBAR Forms Next Steps 2 Objectives Identify
More informationEngaging Residents and Families in HAIs/CAUTI Prevention. Presenters
AHRQ Safety Program for Long term Care: Engaging Residents and Families in Prevention National Content Webinar Series for Core Team January 21, 2016 Presenters Kathy Bradley, Family Member CEO and Executive
More informationAgenda: Noon Overview of the regulatory sections affected by the Reform of RoP in Phase 2
Webinar: Driving Five Star & RoP Implementation Through a QAPI Approach: Final Rule: Integrating Phase 2 New Requirements of Participation into Practice (Part 1) Presentation Date: 02/15/17 Live Webinar
More informationFrom Defeating CAUTI to Preventing Urinary Catheter Harm
From Defeating CAUTI to Preventing Urinary Catheter Harm Mohamad Fakih, MD, MPH Professor of Medicine, Wayne State University Senior Medical Director, Center of Excellence for Antimicrobial Stewardship
More informationHSAG the QIN-QIO NHQCC II and CDI Initiative Kick-off
(HSAG) the Quality Innovation Network-Quality Improvement Organization Ohio National Nursing Home Quality Care Collaborative II (NHQCC II) Introduction James H. Barnhart III, BSH, LNHA Quality Improvement
More informationINTRODUCTION. Criteria and definition of infection Data submission template Example of a quarterly report Program guidelines & enrollment form
INTRODUCTION For more than fifteen years the Missouri Alliance for Home Care (MAHC) Infection Surveillance Project (ISP) has been helping home care providers across the country determine the rate of infection
More informationIntroduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance
Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Diane Dohm MT, IP, CIC, CPHQ MetaStar February 6, 2018 IPC Open calls: Bi-weekly Series Surveillance What data should
More informationThe Core Elements of Antibiotic Stewardship with CMS and QAPI Updates
The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections New York State Department of Health February 8, 2017
More informationAPIC Questions with Answers. NHSN FAQ Webinar. Wednesday, September 9, :00-3:00 PM EST
APIC Questions with Answers NHSN FAQ Webinar Wednesday, September 9, 2015 2:00-3:00 PM EST General Questions We are an acute general hospital - psych, do we need to be reporting anything to NSHN? Yes,
More informationNursing Home Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview
National Nursing Home Quality Care Collaborative (NNHQCC) II and the Clostridium difficile Infection (CDI) Initiative Nursing Home Training Sessions Session 5: Clostridium difficile Part One: Clinical
More informationClostridium difficile Infection (CDI) Intervention Kick-Off Webinar
Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar Wednesday, January 17, 2018 National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Introduction
More informationInfection Control in Long-Term Care (LTC): An Overview
Infection Control in Long-Term Care (LTC): An Overview Joseph M. Mylotte, MD, FIDSA, FSHEA, FACP Professor Emeritus of Medicine University at Buffalo Health Services Advisory Group (HSAG) May 4, 2017 Webinar
More informationCLINICAL AUDIT. The laboratory investigation of. UTI in females. in primary care
CLINICAL AUDIT The laboratory investigation of UTI in females in primary care Valid to December 2018 bpac nz better medicin e Background Approximately 50% of all females will have a urinary tract infection
More informationClostridium difficile Infections (CDI): Opportunities for Prevention. Linda Savage, RN, BSN, CDONA/LTC QI Specialist, Telligen March 23, 2016
Clostridium difficile Infections (CDI): Opportunities for Prevention Christine LaRocca, MD Medical Director, Telligen Linda Savage, RN, BSN, CDONA/LTC QI Specialist, Telligen March 23, 2016 Deanna Curry,
More informationOverview of Revised LTC Surveillance Definitions
Surveillance in Long-Term Care Facilities: Urinary Tract Infections (UTI) and Multidrug-Resistant Organisms (MDRO) Wisconsin Division of Public Health May-June 2014 Overview of Revised LTC Surveillance
More informationTelligen Update. Colorado s Medicare Quality Innovation Network- Quality Improvement Organization Christine LaRocca, MD.
Telligen Update Colorado s Medicare Quality Innovation Network- Quality Improvement Organization Christine LaRocca, MD April 27, 2018 Objectives (in 10 minutes or less) Who is Telligen? What do we do?
More information8/22/2017. Outline of Presentation. What is Antibiotic Stewardship? and Why Is It Important for Nursing Homes? ANTIBIOTIC STEWARDSHIP IN NURSING HOMES
ANTIBIOTIC STEWARDSHIP IN NURSING HOMES Philip Sloane, MD, MPH Cecil G. Sheps Center for Health Services Research and University of North Carolina at Chapel Hill Outline of Presentation 1. What is Antibiotic
More informationCNA SEPSIS EDUCATION 2017
CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the
More informationImproving Antibiotic Prescribing in Nursing Homes through Nudges and Mental Judo. Disclosures. Objectives 4/28/2017
WI HAI in LTC 2017 Spring Conference Kalahari Convention Center, Wisconsin Dells, WI May 17 th, 2017 Improving Antibiotic Prescribing in Nursing Homes through Nudges and Mental Judo Christopher J. Crnich,
More informationCore Elements for Antibiotic Stewardship in Nursing Homes
Core Elements for Antibiotic Stewardship in Nursing Homes 1 http://www.cdc.gov/longtermcare/pdfs/coreelements-antibiotic-stewardship.pdf 2 Antibiotic Stewardship A set of commitments and activities designed
More informationClostridium difficile Prevention Strategies A Review of Our Experience
Clostridium difficile Prevention Strategies A Review of Our Experience Suzanne R. Anders, MHI, RN Director, Hospital Patient Safety Health Services Advisory Group (HSAG) February 26, 2015 What is a Quality
More informationBenefits of Reporting in NHSN. April 24, 2018
Benefits of Reporting in NHSN April 24, 2018 HealthInsight Team Donna Thorson Project Manager Nevada Leah Brandis Project Manager Oregon Shannon Cupka Project Manager New Mexico Shylettera Davis Project
More informationCDI Preventing and Managing Clostridium Difficile - A Provider's Perspective
Thank You for Joining! CDI Preventing and Managing Clostridium Difficile - A Provider's Perspective New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In Number: (888)
More informationUrinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition. Reducing Antibiotic Harms in Long-term Care
Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition Reducing Antibiotic Harms in Long-term Care April 2018 Public Health Ontario Public Health Ontario is a Crown corporation dedicated
More informationRehospitalizations: How Do You Measure Up?
Rehospitalizations: How Do You Measure Up? National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Today s Objectives Recognize the role skilled nursing facilities
More informationQAA/QAPI Meeting Agenda Guide
QAA/QAPI Meeting Agenda Guide Date of Meeting The facility is required to have a QAA committee (do not need to use this name) that meets at least quarterly and as needed to coordinate and evaluate activities
More informationCollaborative Approach to Improving Care and Reducing Readmissions
Collaborative Approach to Improving Care and Reducing Readmissions Edna Clifton, MBA, BSN, RN Associate Director, Care Coordination Health Services Advisory Group (HSAG) March 14, 2017 Presentation Objectives
More informationCollaborative Approach to Improving Care and Reducing Readmissions
Collaborative Approach to Improving Care and Reducing Readmissions Edna Clifton, MBA, BSN, RN Associate Director, Care Coordination Health Services Advisory Group (HSAG) March 14, 2017 Presentation Objectives
More informationGet Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care
Get Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care Today s Objectives Analyze progress on major Arizona Nursing Home Quality Care Collaborative (NHQCC) goals. Describe
More informationNursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 5. Draft Policies and Procedures for the Antimicrobial Stewardship
More informationInfection Control, Still the Most Commonly Cited Tag in Texas
July 2016 Commitment to Care Quality Topic Infection Control, Still the Most Commonly Cited Tag in Texas F -441 continues to show up on the list of top 10 deficiencies every quarter here in Texas. During
More informationINFECTION CONTROL AND ANTIBIOTIC STEWARDSHIP
Speaker Disclosure INFECTION CONTROL AND ANTIBIOTIC STEWARDSHIP Philip Sloane, MD, MPH Dr. Sloane has received antibiotic stewardship related research funding from grant #R18 HS022846 01 and from task
More informationFinancial Conflicts of Interest. Learning Objectives. Outline. Facts. LTC ASP Core Elements
THE LONG AND THE SHORT OF IT: DEVELOPMENT OF ANTIMICROBIAL STEWARDSHIP PROGRAMS IN LONG-TERM CARE FACILITIES Michael Tiberg, PharmD, BCPS (AQ ID) Nicholas Torney, PharmD, BCPS Derek Vander Horst, PharmD,
More informationTo view an archived recording of this presentation please click the following link: Please scroll down this
To view an archived recording of this presentation please click the following link: http://pho.adobeconnect.com/p93jqjnqykhz/ Please scroll down this file to view a copy of the slides from the session.
More informationTo Dip or Not To Dip
To Dip or Not To Dip a patient centred approach to improve the management of UTI in the Care Home environment FIS 30 th November 2017 #ToDipOrNotToDip #FIS17 Elizabeth Beech on behalf of colleagues National
More informationLearning Session 3: CDI Tracer and Assessment Tool
National Nursing Home Quality Care Collaborative (NNHQCC) II and the Clostridium difficile Infection (CDI) Initiative Learning Session 3: CDI Tracer and Assessment Tool Health Services Advisory Group (HSAG)
More informationasymptomatic bacteriuria in the Nursing Home REVIEW DEFINITION OF ASYMPTOMATIC BACTERIURIA
REVIEW Asymptomatic Bacteriuria in the Nursing Home Timothy J. Benton, MD, Rodney B. Young, MD, and Stephanie C. Leeper, MD, FACP Although urinary tract infection is considered the most common infection
More informationAntibiotic Use and Resistance in Nursing Homes
Antibiotic Use and Resistance in Nursing Homes GHINWA DUMYATI, MD PROFESSOR OF MEDICINE CENTER FOR COMMUNITY HEALTH UNIVERSITY OF ROCHESTER MEDICAL CENTER FEBRUARY 8, 2017 Nicolle LE, et al. Antimicrobial
More informationThe Core Elements of Antibiotic Stewardship for Nursing Homes
The Core Elements of Antibiotic Stewardship for Nursing Homes National Center for Emerging and Zoonotic Infectious Diseases Division of Healthcare Quality Promotion 1 CS273578-A The Core Elements of Antibiotic
More informationOutpatient Antibiotic Stewardship Initiative Open Office Hours
Outpatient Antibiotic Stewardship Initiative Open Office Hours Matt Lincoln, MBA, Director, Administrative Operations, Health Services Advisory Group (HSAG) Mary Fermazin, MD, MPA, Chief Medical Officer,
More informationCommunity Data Update Knoxville Community Readmissions Coalition January 25 th, 2018
Community Data Update Knoxville Community Readmissions Coalition January 25 th, 2018 Corley Roberts, MHA, CPHQ, ACSM EP-C, EIM Quality Improvement Advisor, Qsource/atom Alliance croberts@qsource.org Readmissions
More informationQAPI & Infection Prevention: Putting the Pieces Together
QAPI & Infection Prevention: Putting the Pieces Together Tammy Baumann, RN, LSSGB Quality Improvement Advisor Great Plains Quality Innovation Network Objectives Identify how QAPI intersects with infection
More informationWEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control
WEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In
More informationLearning Objectives. QAPI at a Glance: 8/22/16. Achieving Success with QAPI. Participants will be able to describe:
Achieving Success with QAPI John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ Learning Objectives Participants will be able to describe: QAPI Process Review Data/ Identify Priorities Set Improvement
More informationHow we Got Here: Implementing Stewardship in Rochester Nursing Homes
How we Got Here: Implementing Stewardship in Rochester Nursing Homes Ghinwa Dumyati, MD Professor of Medicine Center for Community Health University of Rochester Medical Center Ghinwa_dumyati@urmc.rochester.edu
More informationInitiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents. Payment Model
Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Payment Model Payment Model Six Enhanced Care and Coordination Providers (ECCPs) entered into cooperative agreements with
More informationWelcome to the HSAG HIIN Initiative
Welcome to the HSAG HIIN Initiative Let s get started! We are excited that you have agreed to participate in the HSAG HIIN initiative. Together, we will continue to expand national progress toward better
More informationNOTICES. PATIENT SAFETY AUTHORITY and DEPARTMENT OF HEALTH
NOTICES PATIENT SAFETY AUTHORITY and DEPARTMENT OF HEALTH Reporting Requirements for Nursing Homes under Chapter 4 of the Medical Care Availability and Reduction of Error (MCARE) Act Purpose [XX Pa.B.
More informationContinence & Catheter Training For Nursing Homes For Jan-June 2016
Continence & Catheter Training For Nursing Homes For Jan-June 2016 To secure your place Please fax or email the booking form on the back to susan.eley1@nhs.net Or fax to Fax: 01782 652724 The Continence
More informationAugust 15, Dear Mr. Slavitt:
Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services P.O. Box 8010 Baltimore, MD 21244 Re: CMS 3295-P, Medicare and Medicaid Programs;
More informationINTERACT 4 Patty Abele, FNP BC
INTERACT 4 Patty Abele, FNP BC (No relevant financial relationships to disclose) TODAY WE WILL Identify the risks and disadvantages associated with avoidable hospitalizations Identify the goals of the
More informationAntibiotic Stewardship Program (ASP)
Introduction: Antibiotics are among the most frequently prescribed medications in nursing centers, with up to 70% of nursing home patients receiving one or more courses of systemic antibiotics in a year.
More informationJennifer A. Meddings, MD, MSc
CAUTI progress reports: How was this data collected? Jennifer A. Meddings, MD, MSc University of Michigan Medical School Disclosures: Research Grant Funding: AHRQ, BCBSFM Honorariums: SHEA, RAND, CSCR
More informationThe CAUTI Can-Can. Hennepin County Medical Center August Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion
Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion Laura Miller, RN MICU Manager The CAUTI Can-Can Hennepin County Medical Center August 2017 Lynelle Scullard, RN SICU Manager Kathleen
More informationImproving Antibiotic Prescribing in Nursing Homes through Work System Redesign
March 17-20, 2016 Gaylord Palms Resort & Convention Center Orlando, FL Improving Antibiotic Prescribing in Nursing Homes through Work System Redesign Christopher J. Crnich, MD PhD 1, 2 1 University of
More informationLearning Session 2 for the Ohio Nursing Home Quality Care Collaborative II (NHQCC II) and the Clostridium difficile Infection (CDI) Initiative
Learning Session 2 for the Ohio Nursing Home Quality Care Collaborative II (NHQCC II) and the Clostridium difficile Infection (CDI) Initiative National Nursing Home Quality Care Collaborative (NNHQCC)
More informationQuality Assessment and Performance Improvement in the Ophthalmic ASC
Quality Assessment and Performance Improvement in the Ophthalmic ASC ELETHIA DEAN RN,BSN, MBA, PHD Regulatory Requirements QAPI Program required by: Medicare Most states ASC licensing regulations Accrediting
More informationHome Health Infection Prevention Toolkit
Home Health Infection Prevention Toolkit Paula Sitzman, RN, BSN Great Plains Quality Innovation Network Judy Riggert, RN, MS Visiting Nurse Association of the Midlands Map Great Plains Quality Innovation
More informationHealth Care Associated Infections in 2015 Acute Care Hospitals
Health Care Associated Infections in 2015 Acute Care Hospitals Alfred DeMaria, M.D. State Epidemiologist Bureau of Infectious Disease and Laboratory Sciences Katherine T. Fillo, Ph.D, RN-BC Quality Improvement
More informationAdvanced Measurement for Improvement Prework
Advanced Measurement for Improvement Prework IHI Training Seminar Boston, MA March 20-21, 2017 Faculty: Richard Scoville PhD; Gareth Parry PhD Thank you for enrolling in IHI s upcoming seminar on designing
More informationQuality Measures and the Five-Star Rating
Quality Measures and the Five-Star Rating Pennsylvania Health Care Association Presented by Reinsel Kuntz Lesher LLP Senior Living Services Consulting October 23, 2014 Disclaimer The information contained
More informationWhat are the Barriers and Facilitators to Nurses Utilization of a Nurse Driven Protocol for Indwelling Urinary Catheter Removal?
What are the Barriers and Facilitators to Nurses Utilization of a Nurse Driven Protocol for Indwelling Urinary Catheter Removal? Brenda Clark, BSN, RN, CMSRN Clinical Nurse II Co-chair Interprofessional
More information4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017
New Jersey Antimicrobial Stewardship Learning Action Collaborative Update May 10, 2017 Antimicrobial Stewardship Efforts in New Jersey Acute Care Hospitals Outpatient Settings (ED, physician practices)
More informationTelligen. Making BIG Changes Attainable with Affinity Group Outreach June 3, 2016
Telligen Making BIG Changes Attainable with Affinity Group Outreach June 3, 2016 1 Telligen QIN-QIO 2 For today Assess the landscape Evaluate how your projects align with affinity group interests Tell
More informationHOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program
HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during
More information3/12/2015. Session Objectives. RAI User s Manual. Polling Question
Session Objectives MDS 3.0 Coding Challenges: Questions, Answers, and Explanations Jen Pettis, BS, RN, WCC Associate March 19, 2015 Upon completion of the program, the participate will: Describe the four
More informationEarly Recognition of Sepsis in Long-Term Care
Early Recognition of Sepsis in Long-Term Care September 19, 2018 HealthInsight Team Donna Thorson Senior Project Manager Nevada Shannon Cupka Project Manager New Mexico Leah Brandis Project Manager Oregon
More informationPresentation Objectives
Transforming to Value-Based Purchasing (VBP) QI tools can drive your value proposition Paul Mulhausen, MD, AGSF, FACP Medical Director Telligen Quality Improvement Network Quality Improvement Organization
More informationEffective Tools to Prevent and Manage Adverse Events
Effective Tools to Prevent and Manage Adverse Events Based on Office of Inspector General Adverse Events Report Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com Objectives Upon completion
More informationEffective Tools to Prevent and Manage Adverse Events: Lesson 2
Effective Tools to Prevent and Manage Adverse Events: Lesson 2 Based on the Office of Inspector General Adverse Events Report February 2014 Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com
More information2/23/2017. Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities. Objectives
Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities Aimee Ford, Qualis Health Patricia Montgomery, WA State Department of Health Washington Health Care Association Winter
More informationThe Price is Right and the Choice is Wise: Antibiotic Stewardship
The Price is Right and the Choice is Wise: Antibiotic Stewardship Amanda Gagnon, RN, BSN New England QIN-QIO Kellie Slate Vitcavage, MS Maine Quality Counts September 29, 2017 Your Presenters Amanda Gagnon,
More informationObjectives. Industry Landscape. Infection Prevention and Control Changes, Updates and Quality Results!
Infection Prevention and Control Changes, Updates and Quality Results! Sue LaGrange, RN, BSN, NHA, CDONA, FACDONA, CIMT Director of Education Pathway Health 1 Objectives 1.Describe the recent industry
More informationNurse Driven Foley Removal Protocol. Cathy Moore, MSN, ACNS-BC, CCRN 2009
Nurse Driven Foley Removal Protocol Cathy Moore, MSN, ACNS-BC, CCRN 2009 Abstract Text Nosocomial urinary tract infections (UTI) are common and costly occurrences for hospitalized patients. Patients may
More informationInformRx. Transition from Hospital to the LTC Facility: Preventing Medication Errors to Reduce Risk of Hospital Readmission
CLINICAL & REGULATORY NEWS BY PHARMERICA NOV/DEC 2016 Transition from Hospital to the LTC Facility: Preventing Medication Errors to Reduce Risk of Hospital Readmission Transition from the hospital to the
More informationCMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model
CMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model The Revolving Door One fourth of all nursing home resident go the hospital each year - Some many
More information