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ICSISIAMHA Collaboration on VAP

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ICSI - 54 member quality improvement organization that focuses help to their ... 10 health care systems in the Twin Cities and Mayo that have joined together to ... – PowerPoint PPT presentation

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Title: ICSISIAMHA Collaboration on VAP


1
ICSI/SIA/MHACollaboration on VAP
  • Nancy Jaeckels, ICSI
  • Pam Pietruszewski, ICSI
  • March 16, 2005

2
Who are the organizations collaborating?
  • ICSI - 54 member quality improvement organization
    that focuses help to their members on the fusion
    of evidence based medicine and quality
    improvement
  • SIA - group of 10 health care systems in the Twin
    Cities and Mayo that have joined together to work
    on inpatient safety improvement

3
Hospital collaboratives on safety
  • For the past three years the work has been
    focused on
  • Safe site surgery
  • Medication safety
  • Appropriate use of abbreviations
  • Insulin management
  • VAP and central line infections
  • Rapid response teams - future topic

4
VAP and central line collaborative
  • SIA/ICSI collaborative action group
  • Started in June 2004 and will continue through
    2005
  • Use of vent bundle - distributed by MHA
  • ICSI VAP order set developed
  • Outcome measures collected monthly

5
ICSI Prevention of VAP Order Set Module
  • October - December 2004 document drafted
  • January - March 2005 Review Comment by ICSI
    member groups and SIA participants
  • April 2005 Work group reconvenes
  • May 2005 Review and approval by ICSI Respiratory
    Steering Committee
  • Summer 2005 Available to ICSI members, SIA
    participants, MHA members

6
Work Group Members
Work Group Leader Robert Moravec, MD Emergency
Medicine, HealthEast Care System
  • Work Group Members
  • JoAnn Arny, RCP, BS
  • Respiratory Therapy
  • Allina Hospitals Clinics
  • United Hospital
  • Cindy Bryant, RN, CIC
  • Infectious Disease
  • HealthEast Care System
  • Jerry Leis, RCP, RRT
  • Respiratory Therapy
  • HealthEast Care System
  • Pam Madrid, RN, MS, CCRN, CCNS
  • Nursing
  • Allina Hospitals Clinic
  • Mercy Unity Hospitals
  • Cindy Schuveiller, MS, RN, CCNS, CCRN
  • Nursing
  • North Memorial Medical Center
  • Sue Wiersgalla, RCP, RRT
  • Respiratory Therapy
  • North Memorial Medical Center

7
Main Components VAP Order Set Module
  • Head of Bed
  • Cuff Pressure
  • Circuit Changes
  • Heat Moisture Exchangers
  • Subglottic Suctioning
  • Kinetic Bed Therapy
  • Stress Ulcer Prophylaxis
  • VTE Prophylaxis
  • Closed, inline suctioning
  • Handwashing

8
Tools to aid in VAP project
  • VAP bundle (which is the exact same as the IHI
    bundle from the 100K lives campaign)
  • ICSI order set - to be released to the public
    shortly
  • Ongoing measurement and sharing of data
  • Other tools and strategies shared or developed
    within the action group
  • Ongoing collaboration between ICSI/SIA/MHA and
    Stratis
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