VAE Definition Changes and Data EntryKathleen Speck, MPHAugust 22, 2013

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Objectives

• To understand the clarification in the VAE surveillance definition

• To review how to enter data and retrieve reports for VAE.

CHANGES IN VAE SURVEILLANCE

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Basic VAC

MV Day Min PEEP Min FiO21 5 80

2 5 80

3 5 80

4 5 80

5 8 80

6 8 80

7 7 80

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Basic VAC Rule

1. Baseline Period of Stability: ≥ 2 calendar days of stable or decreasing min PEEP or FiO2 immediately preceding the first day of increased daily minimum PEEP or FiO2.

2. Worsening oxygenation – Changes sustained for ≥ calendar days:1. Increase in daily min PEEP of ≥ 3 cm H2O over PEEP

baseline period2. Increase in daily min FiO2 of ≥ 0.20 (20%) over the

daily minimum FiO2.

3. Definition of VAE Window Period

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Basic VAC

MV Day Min PEEP Min FiO21 5 80

2 5 80

3 5 80

4 5 80

5 8 80

6 8 80

7 7 80

8 6 80

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What do you do here?

MV Day Min PEEP Min FiO21 0 80

2 0 80

3 0 80

4 0 80

5 5 80

6 5 80

7 5 80

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New VAE Surveillance Clarification

• As of July 1, 2013, for the purposes of VAE surveillance, daily minimum PEEP values of 0 to 5 cm H2O will be considered equivalent when making VAC determinations.1

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This Is NOT a VAC0-5 PEEP values are equivalent

MV Day Min PEEP Min FiO21 0 80

2 0 80

3 0 80

4 0 80

5 5 80

6 5 80

7 5 80

VAE DATA ENTRY INTO CECITY PORTAL

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VAE Data Entry – Access

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Adding VAE Information

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VAE Data Entry Page

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Choose a month

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Enter Ventilator Days

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Enter Events

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Accessing Reports

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Your Trending and Performance Comparison

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Accessing Reports

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Choose “My Reports”

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Choosing Your Report

Should say CSTS

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VAE Report

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Printing Your VAE Report

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Questions?

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References

1. http://www.cdc.gov/nhsn/pdf/pscmanual/protocol-clarification.pdf, accessed 08/21/2013.