Collaboration is working together to achieve a common goal. In health care, this usually is a team of professionals or organizations with different backgrounds and expertise all working together to improve care. Kentucky currently has several collaboratives established with goals to reduce healthcare-associated infections.
The Kentucky Department for Public Health HAI Program implemented a long-term care (LTC) facility collaborative aimed at reducing catheter-associated urinary tract infections (CAUTIs) and Clostridium difficile infections (CDIs).
The collaborative ran from November 2011 through July 2012. The following are outputs of the project:
- Preparing LTC facilities for CAUTI reporting in NHSN
- Improving surveillance of CAUTIs and CDIs
- Implementing evidence-based practices for CAUTIs and CDIs
- Determining appropriate antimicrobial stewardship measures
- Reducing CAUTI and CDI infections
As a result of this work, the HAI Program drafted a host of resources to use in part, in whole, or as a comparison to existing policies and procedures. Use the Resources links at left under the LTC Collaborative section for more information.
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria resistant to certain antibiotics including methicillin and other more common antibiotics. Staph infections, including MRSA, occur most frequently in hospitals and health care facilities (such as nursing homes and dialysis centers) and among people with weakened immune systems.
In January 2009, the Kentucky Hospital Association, in partnership with the University Of Louisville School Of Public Health and Information Sciences, the Kentucky Department for Public Health and the University of Kentucky, launched a statewide collaborative aimed at increasing knowledge of identification, treatment and containment of MRSA through evidenced-based and systematic data reporting and education.
The collaborative uses best practices, infection prevention experts and easily accessible Web-based tools to educate health care providers and members of other disciplines. More information is available and can be found at the Kentucky MRSA Collaborative website or by contacting Elizabeth Cobb.
In 2010, Kentucky joined a national initiative, On The CUSP: Stop BSI, to address the prevention of central line-associated bloodstream infections (CLABSI). Through the use of the Comprehensive Unit Based Safety Program (CUSP) developed by Peter Pronovost, MD, PhD and others at Johns Hopkins University and through the use of CLASBI-reduction protocols, hospitals in Kentucky and around the nation have significantly reduced the rate of CLABSI, saved lives and reduced costs associated with treating these infections.
This initiative is supported and managed by the Kentucky Hospital Association and funded by the Agency for Healthcare Research Quality to improve teamwork and patient safety culture. Faculty from Johns Hopkins serve as clinical and program coaches on the initiative and staff from the Michigan Hospital Association collects and analyzes data for our state. KHA staff serves as facilitators for the program, data collection and coaching calls.
The CUSP program is a two-year commitment for participating hospitals. Currently, 55 Kentucky units, representing 33 hospitals, participate in On The CUSP: Stop BSI.
More information about On the CUSP; Stop BSI, visit the program website or contact Elizabeth Cobb at the Kentucky Hospital Association.
Catheter-associated urinary tract infections (CAUTIs) are the most common type of hospital-acquired infection in U.S. hospitals; yet, the vast majority of CAUTIs are preventable.
While we know that many Kentucky hospitals have adopted measures to reduce CAUTI, the CUSP initiative will provide additional resources and make a significant improvement in CAUTI rates hospitals across Kentucky.
Twenty-nine Kentucky hospitals are participating in On The CUSP: Stop CAUTI, a two-year project beginning in 2011 involving data collection, implementation of best practice guidelines and efforts to improve patient safety culture within the facility.
For more information about the On The CUSP: Stop CAUTI, visit the program website or please contact Elizabeth Cobb at the Kentucky Hospital Association