1. Welcome to the GHA Infection Prevention Power Hour January 17, 2013 Denise M. Flook, RN, MPH, CIC Georgia Hospital Association 770-249-4518 dflook@gha.orgdflook@gha.org.

2. Brief Agenda Introduction of SUSP Safe Surgical Care Program Review of CMS, Georgia HAI Reporting for 2013 Open Mic for Q&A Regarding NHSN and Requirements Georgia DPH Update NHSN for CAH

3. SUSP: Improving Surgical Care through TRIP and CUSP Partnering with Johns Hopkins Taking CUSP to the perioperative units

4. SUSP Goals To achieve significant reductions in surgical site infection and surgical complication rates. To achieve significant improvements in safety culture.

5. Demonstration of Improvement One outcome measure: SSI rate; One process measure: use of check- list like methods to improve surgery safety (briefings/debriefings); Improving safety and teamwork culture.

6. Requirements Assemble an interdisciplinary team including a project team leader, physician champion, nursing champion and other frontline care providers in the perioperative setting in partnership with local infection control experts. These efforts need to be led by clinicians and supported by hospital leadership. We strongly encourage SUSP teams to dedicate 2-4 hr/week for a nurse, surgeon, anesthesia, team leader, and infection preventionist to lead these efforts. Participate in seven (7) weekly on-boarding calls; Participate in monthly content and coaching teleconferences for the remaining 22 months; Attend annual day long learning sessions (video, face to face, or similar interactive format); Comply with data collection and submission requirements; Learn and implement relevant tools provided by the national team; and Hold regular safety meetings to review SSI outcome and teamwork and communication data

7. Data Requirements SSI monthly outcome data, quarterly implementation assessment, AHRQ culture survey, Hospital Survey on Patient Safety Culture (HSOPS), completed annually.

8. CallDateTopic 1 February 5 February 7 SUSP Overview 2 February 12 February 14 Building Your SUSP Team, Part 1 3 February 19 February 21 Science of Safety 4 February 26 February 28 CUSP 5 March 5 March 7 SSI Prevention 6 March 12 March 14 Building Your SUSP Team, Part 2 7 March 19 March 21 Assessing Patient Safety Culture 8 March 26 March 28 SUSP Data Platform 9 April 2 April 4 Administering the Hospital Survey on Patient Safety (HSOPS) for the SUSP project (for HSOPS coordinators) Onboarding Call Schedule Tuesdays from 7:00 to 8:00 am or Thursdays from 3:00 to 4:00 pm

9. Joining Information Send in CEO and Team Participation forms by February 1, 2013 Listen to overview calls

10. HAI Reporting to CMS/GDPH via NHSN – Current HAI EventFacility TypeStart Date CLABSI Acute Care Hospitals Adult, Pediatric, and Neonatal ICUs January 2011 CAUTI Acute Care Hospitals Adult and Pediatric ICUs January 2012 SSI Acute Care Hospitals Colon and abdominal hysterectomy procedures January 2012 I.V. antimicrobial start ( proposed ) Dialysis Facilities January 2012 Positive blood culture ( proposed ) Dialysis Facilities January 2012 Signs of vascular access infection ( proposed ) Dialysis Facilities January 2012 CAUTI Inpatient Rehabilitation Facilities October 2012 CLABSI ( proposed ) Long Term Care Hospitals October 2012 CAUTI ( proposed ) Long Term Care Hospitals October 2012 MRSA Bacteremia Acute Care Hospitals Facility-wide January 2013 C. difficile LabID Event Acute Care Hospitals Facility-wide January 2013 HCW Influenza Vaccination Acute Care Hospitals, OP Surgery, ASCs January 2013

11. Contact Information Denise Flook, GHA – dflook@gha.org, 770.249.4518 dflook@gha.org Jeanne Negley, GDPH HAI Coordinator – jenegley@dhr.state.ga.us,404. 657.2593 jenegley@dhr.state.ga.us Cindy Prosnak, GMCF – CProsnak@gaqio.sdps.org, C 706.836.8361 CProsnak@gaqio.sdps.org