TAP: A Strategy to Prioritize and Implement HAI Prevention Efforts in Your Hospital

Prepared by Centers for Disease Control and Prevention (CDC) and IPRO HQIC

Date: Tuesday, April 18, 2023 Start Time: 3:00 – 4:00 PM ET

Join us for a webinar featuring subject matter experts from the Centers for Disease Control and Prevention (CDC) to learn about a comprehensive strategy to reduce hospital acquired infections (HAI). The Targeted Assessment for Prevention (TAP) Strategy is a CDC-developed framework for quality improvement that uses data to drive interventions that will prevent healthcare-associated infections.

The TAP strategy targets healthcare facilities and specific units within facilities that have a disproportionate burden of HAIs so that prevention efforts can be prioritized and implemented where they will have the greatest impact. Our speakers will discuss the latest updates in the strategy and tools, including adaptation for smaller facilities.

Your participation in this webinar will provide you with updated information on:

  • How to use NHSN collected data to identify opportunities for improvement by facility and unit.
  • How to calculate a cumulative attributable difference (CAD)* to identify a concrete infection reduction goal
  • How to use CDC assessments to target the focus of improvement work and identify high value interventions.

*The number of infections that must be prevented to achieve an HAI reduction goal. 

March 21, 2023 Joint HQIC LAN – Acute Pain Alternatives: The Impact of Avoiding Opioids on Hospital Delirium

Prepared by IPRO

Join us for this special presentation featuring real-world strategies for preventing hospital delirium! Delirium affects as many as 50% of hospitalized patients over the age of 65. Furthermore, delirium accounts for increased length of stay, hospital readmissions, emergency department visits and institutionalization of older adults. Delirium is often precipitated by opioid use for pain management. Don’t miss this discussion on alternatives, using an example of a successful hospital project. These initiatives will inspire you to take on delirium prevention at your facility!

Slides

Recording

February 28, 2023 Joint HQIC LAN – I Want to, I Just Don’t Know How: A Practical Guide for Advancing Health Equity

Prepared by IPRO HQIC

This session will highlight best practices and examples for
successfully implementing health equity strategies within hospital
settings. Rosa Abraha, MPH, Alliant HQIC’s health equity lead, will
address frequently asked questions from hospitals and engage in a
discussion with participants.

Slides

Recording

Connecting PFE Best Practices to All-Cause Harm Reduction

Prepared by AIR for IPRO

This tool provides a crosswalk of the five Person and Family Engagement Best Practices being implemented by HQIC hospitals with the eight all-cause harms that HQIC hospitals are working to reduce. This tool provides a table of examples demonstrating how each PFE Best Practice can be used to engage patients in actions that contribute to the reduction or prevention of each of the eight all-cause harm areas. Not every hospital may need to apply all five PFE Best Practices to every all-cause harm. Hospitals can identify patients at greatest risk of any harm to prioritize partnership at the point of care (PFE Best Practices 1, 2, & 3). Additionally, harm measurements of concern for the hospital may be the focus of partnership in hospital operations (PFE Best Practices 4 & 5). For user convenience, each Row of the table (showing how a single PFE Best Practice can be applied to all eight all-cause harms) has been separated in Appendices A – H, and each Column of the table (showing how each all-cause harm can be applied to the five PFE Best Practices) has been separated in Appendices I – M.

Connecting PFE Best Practices to All-Cause Harm Reduction

APPENDIX A: SEPSIS

APPENDIX B: CAUTI

APPENDIX C: CLABSI

APPENDIX D: C DIFFICILE AND ANTIBIOTIC STEWARDSHIP

APPENDIX E: ADVERSE DRUG EVENTS

APPENDIX F: UNPLANNED READMISSION

APPENDIX G: PRESSURE INJURY

APPENDIX H: OPIOID STEWARDSHIP/BEHAVIORAL HEALTH

APPENDIX I: PFE 1

APPENDIX J: PFE 2

APPENDIX K: PFE 3

APPENDIX L: PFE 4

APPENDIX M: PFE 5

IPRO HQIC PFE LAN: Reducing Harms Through the Five PFE Best Practices – March 16 @ 12:00 pm – 1:00 pm

Prepared by AIR for IPRO HQIC

This learning event focuses on how the PFE Best Practices can be used to partner with patients and designated family caregivers to avoid harms during their hospital stay. Guest speakers share their personal experiences using PFE Best Practices to avoid harms. The event also introduces a new tool to help hospitals apply the five PFE best practices to reducing all-cause harms.

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Pre-recorded Learning Modules on Person and Family Engagement

Prepared by AIR for IPRO HQIC

What is Person and Family Engagement and Why Does it Matter?

This presentation outlines the benefits of PFE to improve care and shows how hospital staff can invite patients and families to become partners with them in direct care or in general hospital improvement. A list of resources is shared at the end of the presentation. A transcript is available to accompany the recorded presentation in the IPRO HQIC Resource Library.

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How Can Person and Family Engagement Practices Help Reduce All-Cause Harms in Hospitals?

This 14-minute presentation expands on engaging patients and families to be partners and focuses on using PFE as a quality improvement strategy that can assist in reducing all-cause harms (e.g., falls, pressure injuries, infections) in the hospital. The presentation introduces the
five PFE Best Practices required by the Centers for Medicare & Medicaid Services for hospitals enrolled in the Hospital Quality Improvement Contract (HQIC). It explains how these best practices can be implemented and applied to improve patient safety at the hospital. A list of
resources is shared at the end of the presentation. A transcript is available to accompany the recorded presentation in the IPRO HQIC Resource
Library.

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Vaccine Storage and Handling Toolkit (Updated Addendum added April 12, 2022 )

Centers for Disease Control (CDC)

This toolkit addresses proper storage, handling, transport,
and emergency handling of COVID-19 vaccines.

The addendum has been updated to clarify COVID-19 vaccination provider requirements, include language related to FDA
authorization and approval of COVID-19 vaccine products, and storage and handling information on Pfzer-BioNTech Vaccine.

Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)

National Association of Community Health Centers

This resource contains the set of national core measures as well as a set of optional measures for community priorities. It was informed by research, the experience of existing social risk assessments, and stakeholder engagement. It aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS).

2023 National Healthcare Safety Network (NHSN); Patient Safety Component Manual

CDC, National Healthcare Safety Network (NHSN)

The Patient Safety Component includes five modules that focus on events associated with medical devices, surgical procedures, antimicrobial agents used during healthcare, multidrug resistant organisms, and Coronavirus Infectious Disease 2019 (COVID-19).

Patient Safety & Behavioral Health: Antipsychotic Medication Adverse Drug Events (ADE’s)

This material was prepared by Alliant Quality, and adapted by the IPRO QIN-QIO, a collaboration of Healthcentric Advisors, Qlarant and IPRO, serving as the Medicare Quality Innovation Network-Quality Improvement Organization.

This resource discusses the common effects of antipsychotic ADE’s, and provides links to other resources and interventions that support the prevention of adverse events. Adverse drug events cause approximately 1.3 million emergency department visits each year. About 350,000 patients each year need to be hospitalized for further treatment after emergency visits for adverse drug events. People typically take more medicines as they age, and the risk of adverse events may increase as more people take more medicines.

COVID-19 Vaccine Training Modules

Centers for Disease Control (CDC)

module 1 iconCOVID-19 Vaccine Training: General Overview of Immunization Best Practices for Healthcare Providers (Updated October 27. 2021)
Janssen Module IconJanssen COVID-19 Vaccine (Johnson & Johnson):What Healthcare Professionals Need to Know (Updated March 8. 2022)
module 3 iconModerna COVID-19 Vaccine: What Healthcare Professionals Need to Know (Updated November 3. 2022)
module 1 iconPfizer-BioNTech COVID-19 Vaccine: What Healthcare Professionals Need to Know (Updated November 3. 2022)
module 3 iconNovavax COVID-19 Vaccine: What Healthcare Professionals Need to Know (Updated December 5. 2022)

Personal Protective Equipment (PPE) Burn Rate Calculator (Updated 12/16/22)

National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases

The Personal Protective Equipment (PPE)Burn Rate Calculator is a spreadsheet-based model that will help healthcare facilities plan and optimize the use of PPE.

Use this Excel spreadsheet to calculate your PPE burn rate. The PPE Burn Rate Calculator (Version 1) may be preferrable for smaller companies.

The Personal Protective Equipment (PPE) Burn Rate Calculator (Version 2) [XLS – 2 MB] has more options for users to enter and view PPE data. Version 2 has more capability to meet the needs of large companies and facilities with complex inventory needs.