1. South Carolina CAUTI Midcourse Meeting August 22, 2012
On the CUSP: Stop CAUTI
South Carolina Data Review
South Carolina CAUTI Midcourse Meeting
August 22, 2012

2. Context: South Carolina and the National Collaborative
South Carolina’s units enrolled in Cohort 3:
Intervention date: April 2012
Other states enrolled in Cohort 3:
Arkansas, California, Connecticut,
Kansas, Maryland, New Jersey

3. South Carolina Enrollment (as of 8/2/2012):
# HOSP
# UNITS
# ICU’s
% ICU’s
Cohort 3 18 26 8
31%

4. South Carolina: DATA LEARNING OBJECTIVES
To understand your progress toward:
Reducing the rate of catheter associated urinary tract infections (CAUTI’s) AND
Implementing the Comprehensive Unit-based Safety Program (CUSP)

5. SC CAUTI Outcome Data Submission: (Note: May uptick due to 6 units dropping out of denominator)

6. SC CAUTI Process Data Submission: Baseline Period (15 days, March 2012)

7. SC CAUTI Process Data Submission: Implementation Period (16 days Apr-May) (note: uptick due to 6 units dropping out of denominator)

8. SC CAUTI RATES By Catheter Days: Increasing over Time (Unfavorable)

9. SC CAUTI RATES By Patient Days: Increasing over Time (Unfavorable)

10. SC Catheter Prevalence (from outcome data) Steady at 29%; comparable to peers

11. SC Catheter Appropriateness Decreasing slightly; comparable to peers

12. South Carolina: Lessons from the TCT
CAUTI Technical Work
Adoption of CUSP Strategies
Caveat: Findings are based on very few TCT’s due to low data submission

13. SC TCT Submission: Very Low

14. CAUTI Reduction Work: Qtr 1 2012 SC vs. Cohort 3

15. CAUTI Reduction Work: Qtr 1 2012 SC vs. Cohort 3

16. CUSP Activities Qtr 1 2012 SC vs. Cohort 3

17. CUSP Activities Qtr 1 2012 SC vs. Cohort 3

18. Top Initial Barriers Qtr 1 2012 for South Carolina

19. South Carolina Take Home Points
Data Submission
-- Outcome and Process data: very good
--- TCT: minimal submission

20. South Carolina: Take Home Points
CAUTI Rates
-- Increasing over time (unfavorable)
Prevalence (from outcome data)
-- No change in utilization of catheters
Catheter appropriateness
-- Decreasing slightly over time (unfavorable)

21. South Carolina: Take Home Points CAUTI Reduction Steps
Bright spots:
--- adherence to sterile catheter insertion
technique
Areas needing attention:
--- review of catheter need BEFORE insertion
--- proper catheter maintenance
--- prompt catheter removal

22. South Carolina: Take Home Points
CUSP Activities
Science of Safety Video: not shared yet
Senior Executive rounds, Identifying Defects, and Learning from Defects:
only half of teams are using
Note: based on low TCT data submission

23. South Carolina: Take Home Points
Barriers, Qtr1 2012
Top initial issues
--- Insufficient Team Member Participation
--- Staff Distraction due to other events/priorities
--- Time
--- Staff Turnover
Note: based on low TCT data submission

24. South Carolina Take Home Points
The work continues to follow the catheter recommendations for EVERY patient, EVERY time, to help reduce the risk of CAUTI’s. Thank you for all that you do to make care safer for our patients.