Stacy Norris BSN, RN Midas+ Infection and Risk Product Manager Amanda DeGraeve Midas+ Care Management Product Manager Objectives This lecture session provides an overview of what is happening in the Infection Prevention arena today. Learners will explore key regulatory requirements and the impact of those requirements, as well as how technology can assist with Infection Prevention compliance and success. 2 2016 Midas+ Symposium May 23-25 Tucson, AZ 1
What s Happening in the Industry? Hot Topics 3 Antimicrobial Stewardship PCAST 2017 deadline recommendation for COP 2015 with implementation 2017 $1.2 billion in funds dedicated to this effort CMS: Requirements and Information Gathering for Acute Inpatient Facilities CMS: ASC Surveyor guidance 4 2016 Midas+ Symposium May 23-25 Tucson, AZ 2
Antimicrobial Stewardship: Other Related Reporting Antimicrobial Utilization Antimicrobial Resistance Meaningful Use 3 5 Emerging Pathogens WHO We aren t immune Zika Remember H1N1? How did you track Control measure compliance Illness reports Employee health Lab data 6 2016 Midas+ Symposium May 23-25 Tucson, AZ 3
Endoscope Reprocessing HELP committee report How do you track this at your facility? How do you report to FDA effectively? 7 NPSGs 8 2016 Midas+ Symposium May 23-25 Tucson, AZ 4
Value-Based Purchasing Infection Prevention and Control significance What changed in the measures for 2016? For Fiscal Year (FY) 2016, CMS has added the following measures: IMM-2, Influenza Immunization (Clinical Process of Care domain) CAUTI, Catheter-Associated Urinary Tract Infection (Outcome domain) SSI, Surgical Site Infection Colon Surgery & Abdominal Hysterectomy (Outcome domain) For Fiscal Year (FY) 2016, CMS has removed the following measures: PN-3b, Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital SCIP-Inf-1, Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIP-Inf-4, Cardiac Surgery Patients with Controlled 6AM Postoperative Serum Glucose 9 Value-Based Purchasing 2017 2017 2% reduction. How much will you get back?? Experience of Care/Care Coordination = 25% Cleanliness measure Safety = 20% AHRQ PSI 90 HAIs (CLABSI, CAUTI, SSIs, Cdiff, MRSA) Efficiency and Cost Reduction = 25% Clinical Care = 25% Process = Influenza Immunization Outcome = Pneumonia 10 2016 Midas+ Symposium May 23-25 Tucson, AZ 5
Serious Reportable Events 2A. Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the healthcare setting (updated) 4I. Patient death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results (new) Potential future item: CLABSI-related death or serious injury. It was not added in most recent update but NQF noted it is still on the table for future consideration 11 Patient Safety Organization Currently (v1.2) Hospital Acquired Infections are reportable safety events to PSO v2 (not yet released) eliminates HAI reporting as a safety event to PSO 12 2016 Midas+ Symposium May 23-25 Tucson, AZ 6
What s New and Happening at Midas+? 13 Midas+ Care Management NHSN TOOLKITS 14 2016 Midas+ Symposium May 23-25 Tucson, AZ 7
NHSN Device & MDRO/Cdiff Toolkit Phase 2 released on 3/21/2016 Updated to include new requirements for Labidentified event and population summary reporting New Clinical Document Architecture (CDA) version required to report 2016 events Details on the Midas+ Clients Only website Support > Knowledge Base > Downloads NHSN Device & MDRO/Cdiff Toolkit Summary of Modifications January 2016 15 NHSN Surgical Site Infection (SSI) Toolkit Performance Project Goal Deliverables: To modify the NHSN Mapper Process Focus Study to accommodate Hip/Knee Prosthesis ICD-10 secondary codes To modify the SSI Toolkit to support CPT coding structure To modify the NHSN SSI Extraction file Improving CBGC and CBGB Risk Group reporting The addition of the Surgery Module Surgeon field to the extraction file Create a new automated process to review diagnoses from the last 90 days and auto-answer If total or partial revision, was the revision associated with prior infection and index joint? field Goal Release: End of 2 nd quarter, 2016 16 2016 Midas+ Symposium May 23-25 Tucson, AZ 8
Future Midas+ NHSN Toolkit Releases NHSN moved to one major release per year Interim service packs deployed by NHSN No protocol changes until January 1, 2017 CDA vendor webinar being planned for late May for details 17 Midas+ Juvo Infection Surveillance 18 2016 Midas+ Symposium May 23-25 Tucson, AZ 9
19 20 2016 Midas+ Symposium May 23-25 Tucson, AZ 10
21 22 2016 Midas+ Symposium May 23-25 Tucson, AZ 11
23 24 2016 Midas+ Symposium May 23-25 Tucson, AZ 12
And AUR is coming! 25 Thank you for attending. Any questions? Stacy Norris, BSN, RN Midas+ Infection and Risk Product Manager stacy.norris@xerox.com Amanda DeGraeve Midas+ Care Management Product Manager amanda.degraeve@xerox.com 2016 Midas+ Symposium May 23-25 Tucson, AZ 13