Reducing Bloodstream Infections in the ESRD Community Midwest

Reducing Bloodstream Infections in the ESRD Community Midwest Kidney Network December 2019

Project Overview For 2020, CMS has directed ESRD Networks to work with the 20% of facilities with the highest excess infections in NHSN. • Infections are the second leading cause of death in ESRD patients. • One of the sources for bloodstream infections (BSIs) in the ESRD population is catheter related infections. • ESRD patients are also at a higher risk in developing BSI from other comorbid conditions, wounds. • Communication between dialysis units and other healthcare settings is needed to provide the best care for our patients. 2

Project Overview Why has your facility been chosen for this project? Your facility has been selected based on a current analysis of facilities with the most excess bloodstream infections (BSIs) in the Excess Infection Report in the National Healthcare Safety Network (NHSN) from 1 st and 2 nd quarter 2019 data. Your unit is among the units with the highest bloodstream infection rate using that report. 3

Project Objectives 1. Improve the quality of care for patients by reducing BSIs by 20% in 2020. • Use of CDC Core Interventions. • Participation in NCC BSI LAN calls. • Support NHSN 2. Improve communication and increase awareness of the need for infection control precautions and treatment across the continuum of care for chronic kidney disease (CKD) patients on dialysis. 3. Increase facility participation in an established health information exchange or another effective transfer of information relative to positive blood culture result drawn outside of the facility. 4

Measuring Improvement • Facility’s monthly reported BSI rate from NHSN will be monitored and trended. • Feedback will be provided to each facility in a variety of ways including comparative data report for individual progress compared to all project facilities. • Periodic review of BSI root cause analysis and interventions in your specific unit will occur by webinar or phone calls as needed. 5

Sustaining Improvement • During this project, we will be discussing best demonstrated practices for sustaining improvement • You will be provided a link to a short questionnaire following this presentation. • Please complete survey monkey link by January 10 th to identify your facility’s current methods for sustaining successful practices and who is accountable for NHSN and BSI reduction at your facility. 6

National NCC Call Schedule Bloodstream Infection (BSI) QIA LAN Date (1 st Tuesdays) Time • January 7, 2020 3 pm ET, 2 pm CT (Info sent out already) • March 3, 2020 3 pm ET, 2 pm CT • May 5, 2020 3 pm ET, 2 pm CT • July 7, 2020 3 pm ET, 2 pm CT • Sept 1, 2020 3 pm ET, 2 pm CT • Nov. 3, 2020 3 pm ET, 2 pm CT • Information will be sent out before the calls to register.

Midwest Kidney Network Schedule Bloodstream Infection Project Practice Improvement Calls • Date (Usually 1 st Tuesdays) Time Opposite months from NCC calls • December 19, 2019 Today Power. Point • January 28, 2020 2 pm ET, 1 pm CT • April 7, 2020 2 pm ET, 1 pm CT • June 9, 2020 2 pm ET, 1 pm CT • October 6, 2020 2 pm ET, 1 pm CT Information will be sent out before the calls to register.

What do you need to do? 1. ASAP: confirm your facility’s access to NHSN. 2. December 17 th: Review this email with links and basic info 3. By January 11 th: Take the Survey. Monkey attached to this email. 4. January 28 th: attend a project kick-off call. Invites will be sent to each unit. Ø In January, we will provide each facility with a final project calendar showing data due dates, project calls and presentations 5. Attend NCC BSI bi-monthly calls (One attendee may attend for multiple units and share the information with their listed units). 9

Survey Monkey Link • https: //www. surveymonkey. com/r/Y 8 TZLX 9 • Please go to attached link for short survey monkey regarding your unit practices. 10

Questions? Debbie Bowe RN: Deborah. bowe@midwestkidneynetwork. org Kristen Ward, MPH: Kristen. ward@midwestkidneynetwork. org Candy Kohls, RN: Candace. kohls@midwestkidneynetwork. org 651 -644 -9877 Thank you!! 11