ahrq safety program for long-term care: hais/cauti data office hours getting to know the...
TRANSCRIPT
AHRQ Safety Program for Long-term Care: HAIs/CAUTI
Data Office HoursGetting to Know the Comprehensive Data System (CDS)
September 29, 2015
2
Presenters
Sue Collier, RN, MSN, FABCClinical Content Development Lead
HRET/AHA
AJ Rolle, MPHProgram ManagerHRET/AHA
3
The goals of today’s Data Office Hours are to:
• Review the Outcome Data collected for the LTC Program
• Introduce the HRET’s Comprehensive Data System (CDS)
• Highlight the features and tools available in CDS
• Answer any questions you have about the LTC Program surveys, data collection or reporting
Goals
4
Outcome data measures
Outcome Data Measures
5
Number of Residents in the Facility Each Day
Necessary to calculate the CAUTI infection rate
6
Number of Residents With AnIndwelling Urinary Catheter Each Day
Necessary to calculate the catheter use rate at your facility
7
Number of CAUTIs Each Month
Necessary to calculate the CAUTI infection rate
8
Number of Urine CulturesCollected Each Month
Too many urine cultures can lead to false-positive CAUTI identification.
Fewer urine cultures lead to reporting fewer CAUTIs and reducing antibiotic overuse.
Reporting Case Study
Resident SituationTotal
number of resident
days
Total number of urinary
catheter days
Total Number
of CAUTIs
Total Urine
Cultures Collected
Paige Turner
Hospitalized for 7 days with pneumonia. After returning from the hospital she had in and out catheterization every 6 hours for 4 days.
9
?
23 0 0 0
Assume a 30 day month and that you only have the information provided
Reporting Case Study
Resident SituationTotal number
of resident days
Total number of urinary
catheter days
Total Number of
CAUTIs
Total Urine Cultures Collected
Rose Bush
Has a indwelling urinary catheter to help with urinary retention. She developed a fever around the 2nd of the month. She was in the ER for 2 hours. The ER called the next day with her urine culture results, they confirmed a CAUTI. She was prescribed antibiotics. Her fever went down, but did not go away. On the 8th her fever spiked and she developed costovertebral pain. A CAUTI was again confirmed.
10
?
30 30 1 1
Assume a 30 day month and that you only have the information provided
Reporting Case Study
Resident SituationTotal
number of resident
days
Total number of urinary
catheter days
Total Number
of CAUTIs
Total Urine
Cultures Collected
Bill Board
Had hip replacement surgery on the 15th of the month and was in the hospital for 3 days. He came back with a urinary catheter. On the 22nd the urologist removed the catheter. The following day Bill developed a fever of 101°F and his voided urine culture had 10,000 colonies of E. coli. Bill was prescribed antibiotics
11
?
27 4 0 1
Assume a 30 day month and that you only have the information provided
Reporting Case Study Resident Situation Total number
of resident days
Total number of urinary
catheter days
Total Number of
CAUTIs
Total Urine Cultures Collected
Paige Turner Hospitalized for 7 days with pneumonia. After returning from the hospital she had in and out catheterization every 6 hours for 4 days.
Rose Bush Has a indwelling urinary catheter to help with urinary retention. She developed a fever around the 2nd of the month. She was in the ER for 2 hours. The ER called the next day with her urine culture results, they confirmed a CAUTI. She was prescribed antibiotics. Her fever went down, but did not go away. On the 8th her fever spiked and she developed costovertebral pain. A CAUTI was again confirmed.
Bill Board Had hip replacement surgery on the 15th of the month and was in the hospital for 3 days. He came back with a urinary catheter. On the 22nd the urologist removed the catheter. The following day Bill developed a fever of 101°F and his voided urine culture had 10,000 colonies of E. coli. Bill was prescribed antibiotics
12
?
If this facility only had these three residents what totals would be reported into CDS
80 Resident Days
34 Catheter Days 1 CAUTI 2 Urine
Cultures
23
30
27
0
30
4
0 0
1 1
0 1
13
Data Collection Tool
Have you used the Data Collection Tool helpful?
14
CDS
HRET Comprehensive Data System (CDS)
Data Collected via CDS
Data Collected Frequency ReportsOutcome Measures* Monthly
(by the 15th of the following month of which data is collected)
• Weekly on Fridays (CDS run charts/reports)
• 1st week of each month for month prior (cohort and org lead aggregate reports)
Team Communication Guide(OPTIONAL for Cohort 4)
Quarterly(by the 15th of the following quarter of which data is collected)
Learning Sessions 2 & 3 if requested
*If you are submitting CAUTI events to NHSN, your data can be transferred to CDS directly by conferring rights to an HRET group
15
WHO: Facility
WHEN: Monthly / quarterly as per above schedule
WHERE: CDS – login credentials will be provided via Organizational Lead
HOW: Data coordinator collects data at facility and submits to CDS
16
CDS Loginhttps://www.hretcds.org/Login.aspx
Enter your Login ID and Password, then click “Login”
If you have forgotten your password, click “forgot your password” to have your password emailed to you.
Important messages about the system appear in red at the bottom of the page.
17
Initial User Set-up
18
Outcome Measures Data Entry
The facility and project always appears on the top left
Data entry status for each measure
Additional details about each measure
19
Outcome Measures Data Entry
20
Outcome Measures Data Entry
Top of pop-up window always displays the measure and timeframe
Data becomes available for reporting once you click submit
21
Outcome Measures Data Entry
22
CDS – Reports/Run Charts
25
CDS User’s Guide
If you have technical
questions please contact
HRET Data Support at
26
Time for Questions
? ??
? ?????
? ?
????
Stay Updated with Useful Resources
27
1. AHRQ Safety Program for Long-term Care: HAIs/CAUTI Project WebsiteLogin information
Username: ltcsafetyPassword: ltcsafety
2. TeamSTEPPS® for Long-term Care
Stay Updated with Useful Resources
3. Long-term Care Safety Toolkit
4. Outcome Data Definitions Flyer
5. Team Communication Guide
6. LTC Program Data Collection Tool
7. AHRQ Nursing Home Survey on Patient Safety Culture and Administration Materials
8. AHRQ's Nursing Home Survey on Patient Safety Culture Comparative Database
Your Feedback is Important
Please take a moment to complete the evaluation for today’s event.
Evaluate Event Now
Your Feedback is Important
28