Acumentra Health, as the Medicare Quality Improvement Organization (QIO) for Oregon, worked with hospitals and other stakeholders in an initiative to reduce healthcare-associated infections (HAIs).
The 2011–2014 HAI Reduction Project was a learning and action network (LAN)—a community of practice designed to maximize the spread of improvement methods and successful interventions.
The coalition included 8 hospitals working to reduce catheter-associated urinary tract infections (CAUTI), 6 hospitals focusing on avoiding Clostridium difficile infection (CDI or C. diff), and 11 hospitals focusing on reducing/eliminating surgical site infections (SSI).
Acumentra Health convened Oregon hospitals and stakeholders through face-to-face and virtual learning sessions and teleconferences, creating a safe table for discussing HAIs and provide an “all teach, all learn” environment for sharing knowledge. Between sessions, hospitals tested approaches for avoiding infections and documented the impact of their activities on specific performance rates, then shared results within the LAN to develop a sustainable community of improvement.
Partnership for Patients
Acumentra Health collaborated with four Hospital Engagement Networks (HENs) that assisted Oregon hospitals through the Partnership for Patients safety and quality initiative. Our collaboration was designed to help hospitals benefit from both initiatives without undue burden.
Antimicrobial Stewardship Collaborative
The Oregon Patient Safety Commission and Acumentra Health joined forces to address Clostridium difficile infections (CDI) in Oregon hospitals by concurrently offering the Antimicrobial Stewardship Initiative and the Oregon HAI Prevention Coalition, so that hospitals in either initiative could benefit from educational offerings of both projects.
As part of our work to reduce Surgical Site Infections (SSI), we asked hospitals to participate in Project JOINTS, an initiative funded by the federal government to spread evidence-based practices to prevent SSIs after hip and knee replacement surgery. The Institute for Healthcare Improvement (IHI) provides Project JOINTS participants with free tools, resources, and special support to help implement these practices.
Project JOINTS aims to prevent SSI in patients undergoing hip and knee arthroplasty procedures by implementing the Enhanced Surgical Site Infection Prevention Bundle (“Enhanced Surgical Bundle”). The bundle includes three new evidence-based practices as well as the two applicable Surgical Care Improvement Project (SCIP) practices:
- Use of an alcohol-containing antiseptic agent for preoperative skin preparation
- Preoperative bathing or showering with chlorhexidine gluconate (CHG) soap for 3 days prior to surgery
- Staph aureus screening and use of 5 days intranasal mupirocin and 3 days CHG bathing or showering to decolonize Staph aureus carriers