Using the CLABSI Opportunity Estimator to Educate, Engage, and Evaluate

Driving Your CLABSI Rate to Zero

Presented by: Jordan Duval-Arnould, MPH

July 20, 2010

Overview

• The Opportunity Estimator (O/E)• Integrating O/E into CUSP activities

– Science of safety• Educate your staff

– Senior executive partnership• Engage senior leaders

– Tools to improve• Evaluate performance

• O/E in action• Discussion/questions

The Opportunity Estimator

• What is it?• How does it work?• Where is it?

The Opportunity Estimator

• What is it?

The Opportunity Estimator

• What is it?

The Opportunity Estimator

• How does it work?

The Opportunity Estimator

• How does it work?

The Opportunity Estimator

• Where is it?

http://www.hopkinsmedicine.org/quality_safety_research_group/our_projects/stop_bsi/toolkits_resources/clabsi_estimator.html

Integrating Into CUSP Activities

• Science of safety & O/E to educate staff – Building CUSP teams or new hire/staff transfer– O/E before watching video– O/E after watching video

Integrating Into CUSP Activities

• Senior executive partnership & O/E to engage leadership – Conversation starter

Integrating Into CUSP Activities• Senior executive partnership & O/E to engage

leadership – Building a business case– Infections = Lives= Money = Beds = Missed

Opportunities = …

Integrating Into CUSP Activities

• Tools to improve & O/E to evaluate performance– Incorporated into monthly CUSP meetings– Discuss past performance – Discuss goals for current performance– Discuss goals for future performance

Integrating Into CUSP Activities

– Past performance– Did performance improve? Why?– Did performance worsen? Why?

Integrating Into CUSP Activities

– When discussing current performance, ask• What can we shoot for next month?• What does this mean in tangible terms -- “I think we can

save 10 lives in the next months.”

O/E in Action

• These data are the infections and central-line days for the baseline period for the collaborative of those that have submitted

• 220 preventable deaths• 95 million dollars needlessly spent • 14,312 additional days in the hospital

Discussion/Questions