Susanne Salem-Schatz, Sc.D. Appropriate evaluation of UTI in the Elderly – Measurement Coaching and Learning Call December 11, 2013 Susanne Salem-Schatz, Sc.D. Laurie Herndon, GNP Sharon Benjamin, Ph.D.

Monthly Measurement & Reporting How it works Abstracted from Presentation Slides at Kickoff Workshop October 30, 2013

What we are going to measure Rates* over time of: new UTI cases laboratory orders for urine culture healthcare acquired C. difficile (HA-CDI) Percent of treated UTIs that meet the ABCs criteria * All rates calculated per 10,000 resident days Reference Paula described these too NORA, doing rates first, so that the cases can be done right after they walk through the first one.

Overview of Measures 2 types of measures: Summary statistics to track rates Chart review for evaluating whether UTI Protocol criteria (ABCs) are met We will start with the summary measures.

Selecting Residents for Data Collection Include residents 70 years of age or older A UTI case is any new, not recurrent, diagnosis and treatment. Include patients that are treated, not just those that meet the ABCs For C difficile cases, include patients with symptoms beginning on the fourth day after admission to your facility or later

Chart review data collection form This is what it looks like grab this. Laurie goes through the case #1

Chart review spreadsheet NEEDS TO BE REDONE WITH DIRECTIONS TO SEND TO EMILY

Summary data spreadsheet I redid this so the tab say Summary Data

Calculating Resident-days What are Resident-days? The denominator used to calculate infection rates Calculate resident days by adding up the daily census for an entire month Day 1 census + Day 2 census + ……..… + Day 31 census If a facility has 100 beds and 90 were in use every day in October the resident days for October would be 2,790 (90*31) Include only residents aged 70+ in this calculated NORA nice description. I added the bullet about the age cut off.

Need help? Nora: nora.mcelroy@state.ma.us Susanne: sss@hcqi.com Laurie Herndon, GNP: lherndon@maseniorcare.org Emily Biocchi ebiocchi@macoalition.org

Up Next – save the dates! Evaluating altered mental status Conference call: January 8, 2014 noon-1pm Regional Workshops Sturbridge MA: February 26th 8am-noon Dedham MA: February 27th 8am - noon