Oregon’s List of HAI & HAC Initiatives

June 4, 2011

The state of Oregon has an impressive number of Hospital initiatives related to reduction practices of healthcare-associated infections (HAIs) and healthcare-acquired conditions (HACs).   A summary of the various initiatives was recently posted to the Oregon Health Policy and Research Website.

The following list provides a condensed summary:

Association for Professionals in Infection Control and Epidemiology, diagnosis Inc. (APIC), Oregon SW Washington Chapter. Monthly 2.5 hour meeting to train and mentor infection control professionals. Provides website with infection prevention tools. Has active listserv with postings about infection control practices.

APIC and Oregon Hospital and Health System Association (OAHHS) Partnership for NHSN Training. NHSN training. Conferences and webinars. includes most hospitals, however the 2010 training also invited representatives from ambulatory surgical centers.

Hand Hygiene Project. Provides strategies for patients and caregivers to increase hand hygiene compliance. “Product use and secret shopper methods are used to collect and validate hand hygiene rates.” Ongoing since 2007. 15 hospitals currently participate.

Methicillin-resistant Staphylococcus aureus (MRSA) Collaborative. Uses the NHSN to report MRSA rates. Monthly conference calls about MRSA reduction/infection control strategies. Five hospitals currently participate.

Multi-drug resistant organisms (MDRO) Toolkit.  Eight chapter toolkit with various topics, including risk assessment, antibiotic stewardship, and active surveillance.

Oregon National Surgical Improvement Program (NSQIP). Focused on glycemic control to reduce surgical complications. National group is led by the American College of Surgeons (ASC). The Oregon NSQIP group is led by the Oregon Patient Safety Commission. Eight hospitals currently participate.

Oregon Patient Safety Commission (OPSC) Adverse Event Reporting Program. Collects data on “serious” healthcare-acquired infections. If identified, facility is to perform a root cause analysis. Fifty-four hospitals participate.

Oregon Public Health Division CLABSI Validation Study and HAI Research Programs. Public Health conducts CLABSI validation study of data entered into NHSN. Facility feedback is given. Research studies are also conducted; these pertain to HAI and community associated Clostridium difficile. Forty-four hospitals are participating in the CLABSI validation study.

Surgical Care Improvement Project (SCIP) and Heart Failure Project. Program to improve SCIP rates. Monthly calls and webinars. Quality awards are issued to strong performers. Eleven hospitals participate.

Comprehensive Unit-Based Safety Program (CUSP): Stop Bloodstream Infections (BSI). Funded by the Agency for Healthcare Research and Quality (AHRQ). OAHHS leads a national program to reduce catheter-associated bloodstream infections (CLABSI). The Oregon HAI Collaborative uses CUSP: Stop BSI methodology in meeting its CLABSI targets. Eight hospitals participate. Some hospitals are dually enrolled in the Oregon HAI Collaborative and the national Stop BSI collaborative.

World Health Organization (WHO) Safe Surgery Checklist. Implements the WHO Surgical Checklist in all Oregon hospitals. Fifty-four hospitals use the checklists.

Legislative Workgroup on Healthcare Worker Influenza Vaccinations. Promotes and educates providers on the safety and efficacy of healthcare worker influenza vaccinations. Educational outreach.

Health System and Hospital Initiatives. Infection prevention programs at individual hospitals.

Hospital Quality Network. Three collaboratives with “targets to improve language services, increasing throughput, and reducing readmissions.” Fifteen hospitals participating.

Oregon Transitional Care Collaborative. Addresses state care transitions. Six counties participate.

Releasing Time to Care and Care support and System Innovation. Program developed by the National Health System (NHS) in the UK. Goal is to increase patient safety by increasing the time for bedside care. Four hospitals participate.

Acumentra 10th Scope of Work. Oregon QIO plans for its next scope of work. Will address CLABSI, SSIs, CAUTI, and CDI. Medicare contract.

Transforming Care at Bedside (TCAB). Reducing pressure ulcers and falls. Nine hospitals participating.

Oregon Partnership for Patient Safety. Organizations meeting to ascertain how they can best work together to meet national Partnership for Patients Goals of reducing readmissions and reducing adverse events. Five organizations participate.

For more information, view the full Oregon Hospital Initiatives Summary.

Leave a Comment

Previous post:

Next post: