National Immersion Call Schedule for “On the CUSP STOP

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					                National Immersion Call Schedule for “On the CUSP: STOP BSI” 
                                     Hopkins Direct States COHORT 2  
                                    9am & 4pm EST on Dates indicated 
                                            All calls recorded  
                                      *Note all calls are on TUESDAY 

                                           DIAL-IN NUMBERS

                                              888-889-1172 

                         PARTICIPANT PASSCODE TO TELL OPERATOR: STOP BSI
                                                       

    Month        Date                                        Topic of Call 
      June         30                           Project Overview ~ State Coordinators 
       July        7                                  Project Overview ~ Teams 

      July         14                                     The Science of Safety 

      July         21                Eliminating Central Line Associated Bloodstream Infections 

      July         28                  The Comprehensive Unit based Safety Program (CUSP) 

     August        4                                        Building a Team 

     August        11                                     Physician Engagement 

     August        18              Overview of Data collection responsibilities, timelines and tools 

     August        31                                           HSOPS  * 

    Sept‐Oct                          Face to Face Meetings site specific monthly coaching calls 

    October                      Data entry training and collection begin the month after face to face 
                COHORT 
    November                                                         
                3 Starts 
                                                                     
                                                                     
                                                                     
 
                                 GHA STOP BSI Initiative Overview
The Partnership for Health and Accountability (PHA) of the Georgia Hospital Association is excited to
announce that it will participate in a national initiative called STOP BSI. The initiative will be led by
researchers from the Johns Hopkins University Quality and Research Group (JHU QSRG) who, in
partnership with the Michigan Health & Hospital Association Keystone Center (MHA Keystone),
and clinicians and administrators from over 70 Michigan based hospitals nearly eliminated
CLABSI in over 103 intensive care units (ICUs); an improvement that has been sustained for
nearly four years.
The goal of the “STOP BSI” initiative is to achieve these same results across the country, by
working with state level associations like PHA to implement the program.

The QSRG Improvement Model
The JHU QSRG model has two components: a technical component which provides concise
evidence based recommendations on how to address a specific clinical challenge, and an adaptive
component, which provides a framework for patient safety improvement at the local unit level. In our
experience, both components are essential.
The program is implemented by joining efforts with state based agencies, most often the state
hospital association (SHA) and work directly with the SHA for the duration of the two year project.
The trusted state association is the main contact with local ICU teams; Johns Hopkins safety leaders
interact with the teams through conference calls and workshops sponsored by the state
association.

What is the intervention?
The project requires that ICU teams do the following:
a. Implement the Comprehensive Unit-based Safety Program (CUSP) to improve teamwork
    between doctors and nurses and learn from mistakes. This program includes five steps and that
    are both qualitative and quantitative:
    1. Educate staff on the science of safety
    2. Identify defects in care
    3. Assign an executive as part of the ICU CLABSI team
    4. Learn from one defect per month
    5. Work to improve teamwork and safety culture using tools we provide

b. Implement interventions to reduce CLABSI that include:
• Educate staff on five evidence based practices to reduce CLABSI:
• Remove Unnecessary Lines
• Wash Hands Prior to Procedure
• Use Maximal Barrier Precautions
• Clean Skin with Chlorhexidine
• Avoid Femoral Lines
• Implement a checklist to ensure compliance with these practices,
• Empower nurses to ensure doctors comply with the checklist
• Collect unit level data each month using standardized definitions
• Provide feedback on infection rates to hospitals and at unit level
• Implement a monthly team checklist to assess overall progress of project
Project Leadership:

Peter Pronovost M.D. and Christine Goeschel R.N. developed and led the Michigan patient
safety project and will provide overall strategic leadership for this effort. The work would not
succeed, however, without the dedication, knowledge and skill of the extended team of QSRG
faculty, which includes doctors, nurses, sociologists, psychologists, health policy and management
specialists, health care economists, biostatisticians and other health care related disciplines.

What are the responsibilities of the JHU team?
• Appoint a JHU project coordinator to work directly with each state-level coordinating agency.
• Provide technical support (content and tools needed to implement the program)
• Provide database to collect CLABSI data
• Provide reports regarding tends in CLABSI to participating teams
• Participate on team conference calls and serve as faculty at bi-annual conferences
• Assist with development of the agenda for conference calls and bi-annual conferences
• Share what we are learning from our related work
What are the responsibilities of the state level coordinating agency?
• Coordinate efforts to eliminate CLABSI. This includes working with the Hopkins team for
  technical support and working directly with participating hospitals.
• Provide a project manager to coordinate the project with support from Hopkins project
  Manager
• Recruit hospitals to participate
• Host a bi-annual conference of participating ICU teams.
• Coordinate and host monthly communication (?conference calls) with teams
• Help to ensure teams provide accurate and timely data submission for this project.
• Monthly CLABSI data using standard CDC definitions
• Monthly team checkup data that generally take less than 5 minutes to complete
• Annual Culture of Patient Safety assessment
What are the responsibilities of participating hospitals?
•    Create and support a project team that includes at a minimum:
    • MD leader ( typically 20% effort)
    • Infection Preventionist
    • Nurse leader (typically 20% effort)
    • Data collector (typically 10% effort)
    • Executive to participate with the project team (monthly meetings)
•    Submit required infection data that is complete and on time (monthly and at baseline) using CDC
     definitions (can use NHSN system).
•    Submit a monthly team checklist to provide insight on local project management
•    Participate in project conference calls
•    Participate in face to face meetings
•   Implement improvement tools that are part of project
•   Share team experiences within their hospital and with other participating project teams

For more information on participating in the GHA Stop BSI Initiative contact:

Denise M. Flook, RN, MPH, CIC
Coordinator, Infection Prevention Initiatives
Georgia Hospital Association
1675 Terrell Mill Rd.
Marietta, GA 30067
Office: 770-249-4518
Fax: 770-955-5801
Email: dflook@gha.org.
                   PHA STOP BSI Program Sign Participation Form

________________________ (Name of Hospital) has received and reviewed the information
regarding the PHA statewide collaborative STOP BSI project to reduce/eliminate central
line-associated bloodstream infections in Georgia hospitals in collaboration with the
Johns Hopkins University Quality and Safety Research Group directed by Dr. Peter
Pronovost.

I understand in order to participate the hospital agrees to meet the following
requirements:
•    Create and support a project team that includes at a minimum:
    •   MD leader (typically 20% effort)
    •   Infection Preventionist
    •   Nurse leader (typically 20% effort)
    •   Data collector (typically 10% effort)
    •   Executive to participate with the project team (monthly meetings)
•    Submit required infection data that is complete and on time (monthly and at baseline) using
     CDC definitions. If applicable, this can be submitted through NHSN.
•    Submit a monthly team checklist to provide insight on local project management
•    Participate in project conference calls
•    Participate in face to face meetings
•   Implement improvement tools that are part of project
•   Share team experiences within their hospital and with other participating project
    teams

Hospital Name: _________________________________________________________

Hospital Project Coordinator: ______________________________________________

Title: ________________________________________________________________

Phone number: __________________________________________________________

Email: _________________________________________________________________

_______________________________________________________________________
Signature of Hospital Executive                       Date

Complete and return to:
Denise M. Flook, RN, MPH, CIC
Coordinator, Infection Prevention Initiatives
770-249-4518
dflook@gha.org.
Fax 770-955-6849

Thank you for your participation in this important collaborative to reduce CLA-BSI.