1. June 6, 2013 PREVENTION OF HOSPITAL ACQUIRED CONDITION Ventilator Associated Pneumonia

2. 40 VAPs in the baseline year 240 excess hospital days $398,760 in excess cost Why Reduce Ventilator Associated Pneumonia? QUALITY + FINANCE

3. Critical Care Process Improvement Team  Physician Champions  Pulmonologist  Hospitalist  Surgeon  Critical Care Nurses  Respiratory Therapists  Infection Preventionist  Dietitian  Quality Management  CFO

4. PATIENTS with Ventilator Associated Pneumonia IHI Vent Bundles 2005 Order Set 2006 Silvercoated ET tubes Added mouthcare to bundles Shared Governance Multidisciplinary rounding Changed to subepiglottic

5. Ventilator Associated Pneumonia Desired Direction

6.  Pick and chose your players  Don’t reinvent the wheel  Don’t hog the data  It all happens at the bedside – involve them  Keep driving thru the obstacles  Tell the story  Celebrate successes  Whatever you are doing today can be done better tomorrow Lessons Learned

7. Celebrating Success in Critical Care