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Catheter Associated Urinary Tract Infection (CAUTI) Prevention

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Product Overview

The Catheter Associated Urinary Tract Infection (CAUTI) Prevention Advanced Application is aimed at hospital infection prevention teams, clinical and operational directors, hospital leadership and members of quality improvement teams. The CAUTII application enables users to efficiently find, review, and document CAUTI cases to support NHSN (National Healthcare Safety Network) reporting and to review outcomes and trends of CAUTI across institutions and health systems. It also provides near real-time analysis of internal processes related to CAUTI to support care process improvement for CAUTI prevention.

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Features

  • The Performance dashboard helps users measure outcome metrics (CAUTI rate, urinary catheter utilization, excess cost, etc.) in relation to intervention metrics (hand hygiene and urinary catheter maintenance bundle compliance).
  • The Urinary Catheter Risk dashboard enables users to identify the hospital care location where patients are at increased risk of developing CAUTI.
  • Workflow dashboard(s) provide infection prevention surveillance teams with automated work lists. These dashboards are interactive and give the surveillance team the ability to evaluate auto-flagged cases, along with supporting clinical details, to make the final determination of the CAUTI cases prior NHSN submission.

Benefits

Specific capabilities powered by the app include the ability for users to:

  • Rapidly find, assess and document CAUTI cases according to NHSN definitions.
  • Efficiently review NHSN submission data and CAUTI rates.
  • Easily identify trends in performance and CAUTI prevention bundle compliance.
  • Understand CAUTI risk based on device utilization and bundle compliance based on care location to identify and prioritize improvement interventions.
  • Drill down to the facility, unit, service, or patient level to analyze performance, provide feedback, and support measurement of performance improvement interventions.

Data Sources

  • EMR
  • nurse charting
  • orders
  • hospital billing records
  • professional billing system(s)
  • Costing

CAUTI: A Deeper View

Background

Infectious complications from urinary catheter placement, known as CAUTI, are alarmingly frequent, second only to surgical site infection (SSI) (CDC, 2015), based on recent reports by acute care hospitals to the CDC National Healthcare Safety Network (NHSN). CAUTI cases are largely preventable by proper application of best practices such as removing un-needed urinary catheters and properly inserting and maintaining urinary catheters. Effective implementation of these best practices has been shown to reduce CAUTI infection rates.

What types of problems does CAUTI Prevention address?

Infectious complications from urinary catheter placement, known as CAUTI, are alarmingly frequent, second only to surgical site infection (SSI) (CDC, 2015), based on recent reports by acute care hospitals to the CDC National Healthcare Safety Network (NHSN). CAUTI cases are largely preventable by proper application of best practices such as removing un-needed urinary catheters and properly inserting and maintaining urinary catheters. Effective implementation of these best practices has been shown to reduce CAUTI infection rates.

Use Case

  • An executive is interested is understanding the hospital CAUTI rate as well as understanding how compliant the doctors and nurses are at following best practices for hand hygiene. The CAUTI advanced application allows this user to find these outcome and intervention metrics.
  • An infection preventionist (IP) would like to easily identify and review all positive urine cultures to determine if additional CAUTI cases need to be reported to the CDC (Centers for Disease Control) via NHSN. The CAUTI advanced application enables the IP to filter down a list of positive blood cultures to those most recently collected and flagged as “pending review.” The IP can then quickly evaluate and confirm or rule out potential CAUTI cases.

Anticipated Improvements

  • Increased compliance with practices shown to decrease CAUTI: best practice device utilization, urinary catheter insertion practices, and maintenance bundle use.
  • Lower CAUTI rate and fewer urinary catheter utilization days.
  • Revelation of system-wide variation in CAUTI rates and variation in internal processes related to CAUTI (e.g., compliance with urinary catheter maintenance bundles).
  • More efficient and reliable NHSN reporting.
  • Ability for Infection Prevention resources to be redirected to analysis, feedback, and intervention to improve CAUTI prevention process and outcomes.
  • Increased insight into trends, populations, practice and performance—increased ability to uncover the “why” behind CAUTI and the “where” to focus improvement efforts.

Success Measure Improvements

There are 3 types of success measures:

Opportunity Identification:

  • Measure and broadly share CAUTI rates and CAUTI prevention bundle compliance measures across the enterprise to help make visible the opportunities for improvement.

Process Improvements:

  • XX% improvement in reduction of utilization in urinary catheter utilization days.

Outcomes Improvement:

  • Decrease CAUTI rate or CAUTI-specific readmission rate by XX%.
  • CAUTI is one of the HACs measured for the 1% reimbursement penalty form CMS in 2015.