How to Reduce CAUTI Costs Using a Hospital Enterprise Data Warehouse

our facilities.” If North Memorial were to scale the old process to hospital-wide surveillance across all units, Menier estimates the surveillance could increase by another eight to 16 hours.

The current process at North Memorial requires an ICU charge nurse to mark down how many ICU patients have a urinary catheter, central line or are on a ventilator every night at midnight. These manual forms are then faxed to the infection prevention team and entered into surveillance graphs. North Memorial is currently validating the data with their manual reports over a 3 month period. They expect to eliminate the need for charge nurses to manually track and submit data, freeing up busy charge nurses to focus on patients versus reporting.

CAUTI Advanced Application

In June, 2013, North Memorial began deployment of the Health Catalyst CAUTI module within the hospital EDW.

A mere 10 weeks from the decision to implement, the system was running its first reports. Health Catalyst estimates an 80 to 90 percent reduction in surveillance activities once North Memorial completes validation based on other client’s quantitative analysis. With the Health Catalyst Application, the system estimates tracking and management resources for all units and both facilities will decrease significantly.

The effect will be freeing up of data specialists’ and infection preventionists’ time. Data specialists no longer have to cobble together reports manually. Health Catalyst’s data automation allows them to move from data gathering and report generation to providing analysis.
Menier cites more time to operate at the top of her license, moving from manual chart abstraction to delivering improved patient care. “We’re extremely strapped for time in the infection prevention world,” she said, “and CMS is coming out with new regulations every year.”

“The more we’re out there preventing – rather than measuring – infections, the bigger a difference we can make, educating clinicians and, as a result, increasing patient safety and quality.”

Reducing Waste, Expanding Results

While the immediate need is data tracking, North Medical plans to use the Health Catalyst solution to achieve several longer-term patient care improvement goals, including:

  • Reducing CAUTI rates in ICU by 25 percent within the next 18 months
  • Catheter utilization at or below 80 percent
  • Implementing hand hygiene protocols
  • Increasing system-wide compliance with CDC’s CAUTI maintenance bundle, focusing on five key elements: Documentation of daily need; securement; tamper-evidence seal intact; bag below bladder level; bag not touching the floor; and dependent loop compliance.

Next steps include validating the algorithm by comparing six months of Health Catalyst-generated data against the results of chart review by infection preventionists. Once validated, North Memorial plans to roll the solution out to all units across their enterprise, continuing to monitor compliance, and tracking the impact of the solution on CAUTI rate reductions.

Eventually, North Memorial plans to leverage the hospital EDW and additional Health Catalyst Patient Injury Prevention Advanced Applications to implement` additional infection prevention measures.

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