How to Reduce CAUTI Costs Using a Hospital Enterprise Data Warehouse
North Memorial Health Care is a 518-bed health system providing healthcare services in the Northwest metro area of Minneapolis-St. Paul, Minnesota, and beyond. The system comprises North Memorial Medical Center, a Level I Trauma Center; Maple Grove Hospital, a community-based hospital; and a network of primary, urgent care and specialty care clinics. North Memorial also operates one of the nation’s largest hospital-based air and ground ambulance services.
According to the Centers for Disease Control and Prevention (CDC), urinary tract infections (UTIs) are the most common type of healthcare-associated infection, causing 450,000 annual infections leading to 13,000 deaths, increasing lengths of stay by as many as four days, and increasing healthcare costs by as much as $500 million per year nationally. Seventy-five percent of UTIs are Catheter-Associated Urinary Tract Infections (CAUTIs), and 15-25 percent of hospitalized patients receive urinary catheters during their hospital stay.
To satisfy new proposed Centers for Medicare and Medicaid Services (CMS) reporting requirements, North Memorial Health Care needed to expand its CAUTI monitoring – a time- and labor-intensive process for even one unit – to track patients in all their units across multiple facilities. Their solution: leverage existing Late-Binding™ Enterprise Data Warehouse (EDW) and Patient Injury Advanced Application- CAUTI Module solutions from Health Catalyst.
Late-Binding™ Data Warehouse
North Memorial understood the challenge of increased data scope. In 2010, when the Robbinsdale, Minnesota-based health system expanded to a second hospital, it invested in a hospital EDW from Health Catalyst.
By aggregating data from North Memorial’s disparate systems with its Epic electronic health record (EHR), the EDW allowed the health center to manage data on an enterprise level – which is precisely how CMS is now proposing CAUTI be tracked.
But the health system had not yet leveraged the EDW to address CAUTI. Terra Menier, R.N., and Infection Prevention Practitioner at North Memorial, explained how CAUTI monitoring worked at the time: “At the end of the month, decision support ran reports of all ICU patients. I’d have to go through the 30-page reports, identify Foley catheter patients with positive urine cultures, and then pull their charts to determine if they met the NHSN definition for CAUTI. It took anywhere from eight to 16 hours each month and that was just for ICU at