AHRQ Presentation Highlights Project to Eliminate HACs

June 20, 2011

William B. Munier, MD, Director of the Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ), recently gave a presentation about AHRQ’s projects to eliminate health care-acquired conditions (HACs). The presentation was given at the Academy Health Annual Research Meeting on June 12, 2011.

The following is a summary of the major topics addressed by Dr. Munier during his presentation:

  • Overview of the Agency for Healthcare Research and Quality (AHRQ)
  • Adverse events in healthcare are not rare. On any given day, approximately 5% of inpatients will be affected by a HAC. Harm to Medicare inpatients costs the federal government over $4.4 billion annually.
  • Improvement is possible. Examples of New Jersey facilities reducing pressure ulcers, VA centers cutting MRSA rates and other types of healthcare associated infections (HAIs).
  • Launch of Partnership for Patients. Nationwide public-private partnership to reduce harm to patients.
  • Central line-associated bloodstream infections (CLABSI). Estimates: 41,000 CLABSIs occured in hospitalized patients in 2009. Partnership for Patients goals: reduce preventable CLABSIs by 50% by 2013.
  • Catheter-Associated Urinary Tract Infections (CAUTIs). Estimates: Up to 560,000 CAUTIs occur annually. Partnership for Patients goal: reduce CAUTIs by 50% by 2013.
  • Surgical Site Infections (SSIs). Estimates: 110,000 SSIs occured in patients receiving 17 selected operations in 2009. Partnership for Patients Goals: Reduce SSIs by 20% by 2013.
  • Ventilator Associated Pneumonia (VAP). Estimates: 40,000 cases each year; 6,000 deaths. Partnership for Patients goals: reduce by 50% by 2013.
  • Michigan Keystone ICU Project. First major HAI AHRQ project funded $454,000. Led by Dr. Peter Pronovost in conjunction with the Michigan Hospital Association & Blue Cross/Blue Shield. Successful in reducing CLABSIs.
  • Rise in AHRQ investments.
  • Current AHRQ/HHS Programs to prevent HAIs. CUSP for CLABSI, CUSP for CAUTI, CUSP for VAP, SCIP and Safe Surgery Program for SSIs.
  • Interim report for the Nationwide Implementation of CUSP for CLABSI.
  • AHRQ 2011 HAI Investments. Total of $34 million. 18 contracts and 15 grants.
  • Selected work to prevent other hospital acquired conditions.

Click here to view the slide set for the presentation.

 

 

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