1. Data…Data…Data April 19, 2011 Sam Watson VP for Patient Safety and Quality MHA Keystone Center On the CUSP: Stop CAUTI 1

2. 2 CUSP/CAUTI Content Call #2 - The Science of Safety Moderator – Sam Watson; Speaker – Sean Berenholtz 03/22/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CUSP/CAUTI Content Call #3 - Care and Removal Intervention Moderator – Sam Watson; Speaker – Mohamad Fakih 04/05/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CUSP/CAUTI Content Call #4 - Data Collection Moderator – Sam Watson; Speaker – Sam Watson 04/19/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CUSP/CAUTI Content Call #5 - The View from the Bedside Moderator – Sam Watson; Speaker – Russ Olmsted 05/03/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CUSP/CAUTI Content Call #6 - Implementation in a Community Hospital Moderator – Sam Watson; Speaker – Mary Jo Skiba 05/17/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CUSP/CAUTI Content Call #1 – CUSP Moderator – Sam Watson; Speaker – Sean Berenholtz 03/07/112 ET/1 CT/12 MT/11 PTAttendee: (866) 256-929560 Min. CAUTI Content Call Schedule

3. What Participation Requires Data Submission InterventionMeasureFrequency CUSP HSOPS Baseline and post intervention Team Check-up ToolQuarterly Care and Removal Process Prevalence & Appropriateness Daily then Weekly within Protocol Outcome Monthly within Protocol - UTI Rate / Device Days - UTI Rate / Patient DaysMonthly within Protocol InsertionTBD 3

4. Cohort 2 Prevalence and Appropriateness (PROCESS) Cohort 2 CAUTI Rates (OUTCOME) SMTWTFSSMTWTFS BASELINE PERIOD No Data Collected JUN 2011 Baseline Data Collected BASELINE PERIOD 1234 1234 567891011567891011 1213141516171812131415161718 1920212223242519202122232425 2627282930 2627282930 No Data Collected JUL 2011 Baseline Data Collected 12 12 34567893456789 1011121314151610111213141516 1718192021222317181920212223 2425262728293024252627282930 31 Baseline Data Collected AUG 2011 Baseline Data Collected 123456 123456 7891011121378910111213 1415161718192014151617181920 2122232425262721222324252627 28293031 28293031 IMPLEMENTATION Intervention Data Collected SEPT 2011 Intervention Data Collected IMPLEMENTATION 123 123 45678910456789 1112131415161711121314151617 1819202122232418192021222324 252627282930 252627282930 SUSTAINABILITY PERIOD 1 Intervention Data Collected OCT 2011 Intervention Data Collected SUSTAINABILITY PERIOD 1 1 1 23456782345678 91011121314159101112131415 1617181920212216171819202122 2324252627282923242526272829 3031 3031

5. 5 SUSTAINABILITY PERIOD 2 No Data Collected NOV 2011 No Data Collected SUSTAINABILITY PERIOD 2 12345 12345 67891011126789101112 1314151617181913141516171819 2021222324252620212223242526 27282930 27282930 No Data Collected DEC 2011 No Data Collected 123 123 45678910456789 1112131415161711121314151617 1819202122232418192021222324 2526272829303125262728293031 Post-Intervention Data Collected JAN 2012 Post-Intervention Data Collected 12345671234567 891011121314891011121314 1516171819202115161718192021 2223242526272822232425262728 293031 293031

6. Data Collection Schedule 6 MEASURE DATA COLLECTION SCHEDULE DATES CAUTI Rates (Outcome)  Number of Symptomatic CAUTI’s attributable to your unit for that month  Number of urinary catheter days per month (number of patients with urinary catheter device is collected daily at the same time each day and the total is summed for the month)  Number of patient days per month Collect monthly for 5 months beginning in June and quarterly thereafter (June-August will be considered baseline) 2011: June 1-30 July 1-31 August 1-31 September 1-30 October 1-31 2012: January 1-31 April 1-30 July 1-31 October 1-31 Prevalence & Appropriateness (Process)  Assess each patient on the unit for the presence of a urinary catheter  Record the reason for the catheter Baseline: Mon-Fri for 3 weeks Baseline: August 1-5, 8-12, 15- 19, 2011 Prospective: Mon-Fri for 2 weeks, 1 day per week for 6 weeks then one week per quarter thereafter Prospective: September 5-9, 12-16, 20 & 27 October 4, 11, 18, 25 2012: January 9-13 April 9-13 July 9-13 October 15-19

7. Data Collection Prevalence and appropriateness data (Process Measure) – Collected in Care Counts Team Check Up Tool – Collected in Care Counts CAUTI data (Outcome Measure) – NHSN Import – Direct entry into Care Counts 7

8. Prevalence and Appropriateness Data 8

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10. 10 Prevalence and Appropriateness Data

11. CAUTI Outcomes Data 11

12. 12 CAUTI Outcome Data

13. Feedback Data collection timeline correlates closely with project interventions Feedback to teams/unit staff must be given in real-time to evaluate progress and modify processes as necessary Reports will be available in Care Counts – Can be generated at the unit level and at a higher aggregate level 13

14. 14 Important Dates Cohort 2 Data Entry Training Webinar: May 2, 5, 9, & 12 at 2pm Eastern Time Cohort 2 Hospital Survey on Patient Safety (HSOPS) Training Webinar: May 16, 19, 23, 26 at 2pm Eastern Time

15. Ongoing Resources for Data MHA Resources for data questions: ---Nicole Smith (nsmith@mha.org) (for Care Counts issues)nsmith@mha.org 15

16. Your Feedback is Important http://www.surveymonkey.com/s/FN9BJKB

17. 17 Questions