Using Collaboratives to Reduce Central LineAssociated Bloodstream Infections CLABSI: A National Impl

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Using Collaboratives to Reduce Central
Line-Associated Bloodstream Infections (CLABSI)
A National Implementation Program

• Peter Pronovost, MD
• John R. Combes, MD

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National Contextand Leadership
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HHS Steering Committee for the Prevention of HAI

• Charge Develop an Action Plan to reduce,
  prevent, and ultimately eliminate HAIs
• Plan will
• Establish national goals for reducing HAIs
• Include short- and long-term benchmarks
• Outline opportunities for collaboration with
  external stakeholders
• Coordinate and leverage HHS resources to
  accelerate and maximize impact

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AHAs Hospitals in Pursuit of Excellence

• Reduce Surgical Infections and Complications
• Reduce Central Line-associated Blood Stream
  Infections (CLABSI)
• Reduce methicillin-resistant Staphylococcus
  aureus (MRSA)
• Reduce clostridium difficile infections (c diff)

• Reduce ventilator-associated pneumonia (VAP)
• Reduce catheter-associated urinary tract
  infections
• Reduce adverse drug events from high-hazard
  medications (e.g., anticoagulants, narcotics,
  opiates, insulin, sedatives)
• Reduce pressure ulcers

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State Consortia
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State Consortia Members

• State hospital associations
• QIOs
• State health departments
• May include
• Payers
• PSOs
• Government officials
• Business

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State Consortia Sustainability

• State consortia key to sustainability
• Train-the-trainer education to build capacity for
  future patient safety innovations, e.g., On the
  CUSP Decubiti
• Evaluation component to identify lessons,
  including critical success factors and barriers

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HAI Elimination Collaboration
Policy Leadership
AHRQ CDC CMS AHA
Field Leadership
JHU MHA HRET NW
Implementation Leadership
SHA DOH QIO
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Summary

• National Commitment
• Strong Collaboration
• Federal Agencies
• Provider Organizations
• State Stakeholders
• Local Consortia Sustainability
• Unit Based Culturally Driven Improvements