HAI Reduction Project


Acumentra Health, the Medicare Quality Improvement Organization (QIO) for Oregon, works with hospitals and other stakeholders in an initiative to reduce healthcare-associated infections (HAIs).

The HAI Reduction Project is a learning and action network (LAN)—a community of practice designed to maximize the spread of improvement methods and successful interventions.

The coalition includes 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 convenes Oregon hospitals and stakeholders through face-to-face and virtual learning sessions and teleconferences. These communication pathways create a safe table for discussing HAIs and provide an “all teach, all learn” environment for sharing knowledge. Between sessions, hospitals test approaches for avoiding infections and document the impact of their activities on specific performance rates, then share results within the LAN to develop a sustainable community of improvement.

Partnership for Patients

Acumentra Health is collaborating with four Hospital Engagement Networks (HENs) that assist Oregon hospitals through the Partnership for Patients safety and quality initiative. Our collaboration is designed to help hospitals benefit from both initiatives without undue burden. Contact us to learn more.

Antimicrobial Stewardship Collaborative

The Oregon Patient Safety Commission and Acumentra Health have joined together to reduce Clostridium difficile infections (CDI) in Oregon hospitals by concurrently offering the Antimicrobial Stewardship Collaborative and the Oregon HAI Prevention Coalition. Both organizations recognize the importance of aligning similar efforts to streamline the time and resource commitment of participating hospitals. Hospitals participating in either one of the initiatives will benefit from the educational offerings of both projects. By working together, sharing best practices, and pooling resources, this partnership aims to reduce infection rates and improve the health of patients in Oregon hospitals.

Project JOINTS

As part of our work to reduce Surgical Site Infections (SSI) with our hospitals we have asked them all to participate in the Project JOINTS (Joining Organizations IN Tackling SSIs) program. Project JOINTS is 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