CUSP: STOP BSI

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CUSP STOP BSI

• A National-State-Hospital Initiative to Eliminate
  Central Line-associated Blood Stream Infections

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The Problem

• 48 of ICU patients have central venous catheters
• 250,000 cases of central line-associated
  bloodstream infections (CLABSI) in hospitals per
  year
• 18 of patients with CLABSI die 28,000 deaths
  per year
• 3 billion in excess health care costs per year
• Approx. 45,254 per case
• CLABSI on payer non-payment lists

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The Opportunity

• CLABSI are largely preventable
• MHA Keystone Center
• Working with Dr. Peter Provovost and the Johns
  Hopkins University (JHU) nearly eliminated CLABSI
  in 103 ICUs
• Sustained for 4 years

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CUSP Stop Bloodstream Infections Initiative

• 2 major initiatives rolled into 1
• 20 states including WI
• Funded by the Sandler Foundation of the Jewish
  Community Endowment Fund
• WHA support funded by the WHA Foundation
• 10 states
• Funded by Agency for Healthcare Research and
  Quality

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Goals

• To ELIMINATE CLABSI
• State mean lt 1/10000 catheter days
• State median 0
• Use evidence based practices
• To improve safety culture by 50 using the
  Comprehensive Unit-based Safety Program (CUSP)
  model
• Educate staff on the science of safety
• Learn from one defect per month
• Include an executive representative on the team

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Responsibilities

• JHU MHA
• Technical support
• Collect data and provide reports
• Facilitate face to face workshops conference
  calls
• Share learning from other states/hospitals
• WHA
• Recruit and enroll hospitals
• Coordinate between national initiative
  hospitals
• Host 1 face to face workshop per year
• Coordinate conference calls
• Ensure timely and accurate data submission

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Responsibilities

• Participating hospitals
• Obtain support to participate and complete
  enrollment
• Create and support a project team
• Submit data monthly
• Submit a monthly team checklist
• Complete baseline survey
• Participate in annual fact to face workshops
• Participate in conference calls
• Implement improvements
• Share experiences

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Costs to Participating Hospital

• No fee to join the initiative
• Face to face meeting
• Small fee to cover meal, etc.
• Travel and room depending on location
• Internal
• Team time
• Education
• Data collection
• Improvements

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Timeline

• July August
• 8 conference calls
• Sept October
• Face to face meeting
• October
• Data submission training and collection begins
• November on
• Conference calls

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Value

• State level
• Political cover
• Affinity group to work on other HAI
• Reduction in unnecessary health care costs
• Hospital
• Access to expertise and tools based on clinical
  and safety sciences
• Benchmarking
• Improve the culture of safety
• Networking and learning from others
• Reduction in costs that may not be reimbursed
• Better patient outcomes

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Next Steps

• All Wisconsin hospitals are eligible to
  participate
• Enrollment form available on www.wha.org
• Deadline is June 26, 2009
• Questions
• Dana Richardson at drichardson_at_wha.org or
  608-274-1820

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• ??? Questions ???