1. 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.

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

3. 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.

4. 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.

5. 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

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

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

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

9. 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.

10. Need help? Nora: nora.mcelroy@state.ma.us Susanne: sss@hcqi.com
Laurie Herndon, GNP:
Emily Biocchi

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