David Abraham Executive Vice-President Beth Sholom Village Virginia Beach, Virginia November 10,

 Why is Beth Sholom participating in UTI Collaborative ?  Benefits of participation  Effect of participation on UTI Prevention practices 2

 Twelve participating nursing homes in the Eastern region  June – December 2011 ◦ Conference calls and local work groups ◦ Developed and tested surveillance tool August – October ◦ Partnership with Eastern Virginia Medical School (EVMS) - The Glennan Center for Geriatrics and Gerontology 3

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 Improved UTI tracking/surveillance  Participated in development of tracking form  Monitor inappropriate antibiotic use  Awareness of appropriate use of cultures  Hosted educational opportunity by EVMS experts for collaborative facilities  Emphasis on transfer/discharge information 5

 Reduction of UTIs, urine cultures, Clostridium difficile (C. difficile), antibiotic use = improved patient safety = improved resident care = reduction in health care cost 6

 Expand learned surveillance to other HAIs  In-house collaboration of medical and nursing staff to appropriately define and treat UTIs  Collaborate with referring hospitals in reduction of unnecessary indwelling catheters  Work closely with discharge planners in obtaining indwelling catheter history 7

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QUESTIONS ? 9