/ en Mon, 28 Apr 2025 04:08:23 -0500 Fri, 08 Dec 23 23:47:55 -0600 /infection-control-and-prevention <div class="raw-html-embed"><div class="container"> <div class="row"> <div class="col-md-12"> <div class="field_lead"> <p> Healthcare-Associated Infections (HAI) prevention and reduction are longstanding quality and patient safety priorities. However, the level of attention and resources allocated to HAI prevention has fluctuated over the past decade Given the large amount of resources devoted to HAI reduction, it’s critical we examine what has worked in the past and what strategies are needed to continue. </p> <p> In health care, listening and sharing help us identify challenges, share what’s working, improve outcomes and create better patient experiences. Hear from hospitals and health systems that are leading the work through their stories.<br>   </p> <div> <a class="button-view" href=/infection-prevention-and-control-success-stories">View and Listen to Success Stories</a> </div> <p> <br> The AHA and its nonprofit subsidiary, the Health Research & Educational Trust (HRET), have worked with partners to develop and compile infection prevention resources for a variety of health care professionals. </p> </div> <div class="container">   <div class="col-md-12"> <div class="col-md-8; style=text-align-center;"> <div class="c19-stories"> <div class="row"> <h3 class="text-align-center"> <span>Hospital Infection Prevention & Control Success Stories</span> </h3> <p class="text-align-left"> <small>The COVID-19 pandemic and its aftermath have placed a laser focus on the threat of infectious diseases at America’s hospitals and health systems. And the field has responded by demonstrating that the foundational areas of patient safety, such as leadership engagement, culture, staff training and proven methods, work. Here are success stories from hospitals and health systems that are building and sustaining a culture of safety, getting the most from organization-wide training, deploying the basic principles of infection prevention and control, and reducing HAI rates to deliver excellent patient care and outcomes.</small> </p> </div> <div class="row"> <div class="col-md-6"> <div class="panel module-typeC"> <div class="panel-body"> <div> <a href="/alaska-native-medical-center-achieving-zero-cautis-through-team-engagement"><img alt="Alaska Medical Story Image" src="/sites/default/files/2023-07/Alaska-medical-700x532.jpg" /></a> </div> <div class="row"> <div class="col-md-12"> <h4> <small><a href="/alaska-native-medical-center-achieving-zero-cautis-through-team-engagement">Alaska Native Medical Center: Achieving Zero CAUTIs Through Team Engagement </a><br /> <a href="/alaska-native-medical-center-achieving-zero-cautis-through-team-engagement" target="_blank"><strong><span>Read more</span></strong></a>. </small><br />   </h4> </div> </div> </div> </div> </div> <div class="col-md-6"> <div class="panel module-typeC"> <div class="panel-body"> <div> <a href="/providence-reducing-cauti-and-clabsi-using-intensive-site-assessment-model"><img alt="Providence Image" src="/sites/default/files/2023-07/Providence-700x532.jpg" /></a> </div> <div class="row"> <div class="col-md-12"> <h4> <small><a href="/providence-reducing-cauti-and-clabsi-using-intensive-site-assessment-model">Providence: Reducing CAUTI and CLABSI Using an Intensive, On-site Assessment Model </a><br /> <a href="/providence-reducing-cauti-and-clabsi-using-intensive-site-assessment-model" target="_blank"><strong><span>Read more</span></strong></a>.</small><br />   </h4> </div> </div> </div> </div> </div> </div> <p> <br /> <a class="btn btn-wide btn-primary" data-view-context="top-level-view" href="/infection-prevention-and-control-success-stories">View All Stories</a> </p> </div> </div> </div> </div> --> <div class="row"> <div class="row SessionEvent"> <div class="col-md-12 spacer">   </div> --> <hr> <div class="container"> <div class="row"> <div class="col-md-12"> <table border="0" cellpadding="7" cellspacing="1"> <thead> <tr> <th class="text-align-center" colspan="2" scope="col"> <h2> <span><span>FOUNDATIONAL RESOURCES</span></span> </h2> </th> </tr> </thead> <tbody> <tr> <td> <a href="/center/project-firstline" target="_blank"><span><strong>Project Firstline</strong></span></a> </td> <td> <a href="/center/strive" target="_blank"><span><strong>STRIVE – Foundational Infection Prevention Strategies</strong></span></a>: </td> </tr> <tr> <td> <a href="https://www.youtube.com/playlist?list=PLvrp9iOILTQae7VntjYquRpatFMQ6UwII" target="_blank"><span><strong>TAP Strategy Learning Series videos</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1561121567" target="_blank"><span>Competency-based Training, Audits, and Feedback</span></a> </td> </tr> <tr> <td> <a href="https://teamstepps-video-toolkit.aha.org/" target="_blank"><span><strong>TeamSTEPPS video toolkit</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1561123246" target="_blank"><span>Hand Hygiene</span></a> </td> </tr> <tr> <td> <a href="/antibiotic-stewardship" target="_blank"><span><strong>Antibiotic Stewardship</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1564584999" target="_blank"><span>Strategies for Preventing HAIs</span></a> </td> </tr> <tr> <td> <a href="https://www.youtube.com/playlist?list=PLvrp9iOILTQZAitNjsf9xCqjZEBj0c8pS" target="_blank"><span><strong>Hand Hygiene in Healthcare Settings Video Series</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1564584999" target="_blank"><span>Environmental Cleaning</span></a> </td> </tr> <tr> <td> <a href="https://haitools.apic.org/" target="_blank"><span><strong>HAI Calculator Tools</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1565264877" target="_blank"><span>Personal Protective Equipment</span></a> </td> </tr> <tr> <td> <a href="/guidesreports/2023-05-12-building-culture-safety-health-care" target="_blank"><span><strong>Building a Culture of Safety in Health Care</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1566926963" target="_blank">Patient and Family Engagement</a> </td> </tr> <tr> <td> <a href="/system/files/media/file/2023/06/strategies-and-tactics-to-reduce-hais.pdf" target="_blank"><span><strong>Strategies and Tactics to Reduce HAIs</strong></span></a> </td> <td> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_1566925840" target="_blank"><span>Building a Business Case for Infection Prevention</span></a> </td> </tr> </tbody> </table> table, th, td {<br /> 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(other than acute care hospitals) </div> </div> <div class="tabcontentb" id="HealthCare"> <div> <a class="btn btn-wide btn-primary" data-target="#CLABSI" data-toggle="modal" data-view-context="top-level-view">CLABSI</a> <a class="btn btn-wide btn-primary" data-target="#CAUTI" data-toggle="modal" data-view-context="top-level-view">CAUTI</a> <a class="btn btn-wide btn-primary" data-target="#MRSAbacteremia" data-toggle="modal" data-view-context="top-level-view">MRSA bacteremia</a> <a class="btn btn-wide btn-primary" data-target="#CDI" data-toggle="modal" data-view-context="top-level-view">CDI</a> </div> </div> <div class="tabcontentb" id="Audience"> <div> <p> <a class="btn btn-wide btn-primary" data-target="#EnvironmenalServices" data-toggle="modal" data-view-context="top-level-view">Environmental Services Professionals</a> </p> <p> <a class="btn btn-wide btn-primary" data-target="#Engineers" data-toggle="modal" data-view-context="top-level-view">Engineers / Facility Managers</a> </p> <p> 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@media (max-width:550px){ .TabbedModal .modal-header img{ width: 70%; float: left; } .TabbedModal .modal-header a.btn{ position: absolute; top: 65px; right: 15px; padding: 5px 15px; } } @media (max-height:360px){ .TabbedModal .modal { width: 90%; top: 10px; transform: translate(-50%, -0%); /*! display: inline-block !important; */ } .TabbedModal .modal-body{ height: auto; max-height: 45vh; } } @media (max-width:990px) and (min-width:640px){ .TabbedModal .sp_modal-parent .col-md-3{ width: 33.3%; float: left } } @media (max-width:639px) and (min-width:414px){ .TabbedModal .sp_modal-parent .col-md-3{ width: 50%; float: left } } <div class="TabbedModal"> <div class="modal fade" id="CLABSI" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×CLABSI </div> <div class="modal-body"> <ul> <li> <a href="https://www.ahrq.gov/hai/clabsi-tools/index.html" target="_blank">Toolkit for Reducing CLABSI</a> </li> <li> <a href="https://www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.html" target="_blank">Toolkit for Preventing CLABSI and CAUTI in ICUs</a> </li> <li> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_CLABSI" target="_blank">STRIVE CLABSI courses</a> </li> <li> <a href="https://www.cdc.gov/hai/prevent/tap/clabsi.html" target="_blank">CDC TAP CLABSI resources</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="CAUTI" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×CAUTI </div> <div class="modal-body"> <ul> <li> <a href="https://www.ahrq.gov/hai/tools/cauti-hospitals/index.html" target="_blank">Toolkit for Reducing CAUTI in Hospitals</a> </li> <li> <a href="https://www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.html" target="_blank">Toolkit for Preventing CLABSI and CAUTI in ICUs</a> </li> <li> <a href="https://www.ahrq.gov/hai/quality/tools/cauti-ltc/index.html" target="_blank">Toolkit to Reduce CAUTI and Other HAIs in Long-Term Care Facilities</a> </li> <li> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_CAUTI" target="_blank">STRIVE CAUTI courses</a> </li> <li> <a href="https://www.cdc.gov/hai/prevent/tap/cauti.html" target="_blank">CDC TAP CAUTI resources</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="MRSAbacteremia" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×MRSA bacteremia </div> <div class="modal-body"> <ul> <li> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_MRSA" target="_blank">STRIVE MRSA Bacteremia courses</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="CDI" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×CDI </div> <div class="modal-body"> <ul> <li> <a href="https://youtu.be/hO9p_thEbAY" target="_blank">UC Davis Health - Infection Preventionist Shares Patient Education Tool</a> </li> <li> <a href="https://youtu.be/rAZR5j-rOjk" target="_blank">UC Davis Health - Infection Preventionist Discusses Expanding the Audience</a> </li> <li> <a href="/system/files/media/file/2023/04/patient-education-toolkit.pdf" target="_blank">UC Davis Health Patient Education Tool</a> </li> <li> <a href="/system/files/media/file/2023/04/team-roster-for-cdi-prevention.pdf" target="_blank">Team Roster for CDI Collaborative</a> </li> <li> <a href="/antibiotic-stewardship#working" target="_blank">Working with Your Stewardship Colleagues</a> </li> <li> <a href="/system/files/media/file/2023/04/antibiotic-stewardship-for-cdi-prevention.pdf" target="_blank">IPs and Antibiotic Stewardship</a> </li> <li> <a href="https://www.cdc.gov/infectioncontrol/training/strive.html#anchor_CDIFF" target="_blank">STRIVE CDI courses</a> </li> <li> <a href="https://www.cdc.gov/hai/prevent/tap/cdiff.html" target="_blank">CDC TAP CDI resources</a> </li> <li> <a href="https://youtu.be/8lna3c2c2h0" target="_blank">Presbyterian Healthcare Services - Benefits of Root Cause Analysis (RCA)</a> </li> <li> <a href="https://youtu.be/ieBnIMpbNLU" target="_blank">Presbyterian Healthcare Services - RCA and Collaboration with Nursing</a> </li> <li> <a href="https://youtu.be/Sea2cWXs-Lk" target="_blank">Presbyterian Healthcare Services - RCA and Staff Engagement</a> </li> <li> <a href="https://youtu.be/Sea2cWXs-Lk" target="_blank">C.difficile Review Worksheet</a> </li> <li> <a href="https://youtu.be/mZ8yjNDEc0k" target="_blank">UP Health Portage – Housekeeping Quiz</a> </li> <li> <a href="https://youtu.be/DvOPEd3-dgQ" target="_blank">UP Health Portage - Annual Competency</a> </li> <li> <a href="https://youtu.be/mZ8yjNDEc0k" target="_blank">Housekeeping Quiz</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="EnvironmenalServices" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×Environmental Services Professionals </div> <div class="modal-body"> <ul> <li> <a href="https://www.ahe.org/project-firstline" target="_blank">Project Firstline AHE site</a> </li> <li> <a href="https://apic.org/resources/topic-specific-infection-prevention/environmental-services/" target="_blank">STRIVE Environmental Services courses</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="Engineers" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×Engineers / Facility Managers </div> <div class="modal-body"> <ul> <li> <a href="https://www.ashe.org/project-firstline" target="_blank">Project Firstline ASHE site</a> </li> <li> <a href="https://www.ashe.org/resources/usehealthcarephysenvironpreventandcontrolinfection/" target="_blank">Using the Health Care Physical Environment to Prevent and Control Infection: A Best Practice Guide to Help Health Care Organizations Create Safe, Healing Environments</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="statelevel" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×State-level Partners </div> <div class="modal-body"> <ul> <li> <a href="https://www.acpjournals.org/toc/aim/171/7_Supplement" target="_blank">States Targeting Reduction in Infections via Engagement (STRIVE) supplement</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="Longtermcare" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×Long-term Care Facilities </div> <div class="modal-body"> <ul> <li> <a href="https://www.ahrq.gov/hai/quality/tools/cauti-ltc/index.html" target="_blank">Toolkit to Reduce CAUTI and Other HAIs in Long-Term Care Facilities</a> </li> </ul> </div> </div> </div> </div> <div class="modal fade" id="Ambulatory" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> ×Ambulatory Surgery Centers </div> <div class="modal-body"> <ul> <li> <a href="https://www.ahrq.gov/hai/tools/ambulatory-surgery/index.html" target="_blank">Toolkit to Improve Safety in Ambulatory Surgery Centers</a> </li> </ul> </div> </div> </div> </div> </div> <div class="row"> .c19-stories { background-color: ; padding: 5px 25px; border: solid 3px #9D2235; /* margin: 50px 15px 0px; */ overflow: auto; } <p>   </p> <div>   </div> <div class="row"> <div class="col-md-12"> <div class="col-md-6"> <div><img src="/sites/default/files/2023-03/Living-network-image246px.jpg" alt="AHA Living Learning Network"> <p><br> Connect, share, and engage with your peers by joining the IPC Challenges/Solutions subgroup on the AHA Living Learning Network today!</p> <p><a class="btn btn-wide btn-primary" data-view-context="top-level-view" href="https://livinglearningnetwork.org/">Join Now</a>  </p> </div> </div> <div class="col-md-6"> <div> <h3 class="text-align-center"><span>NEW RESOURCES</span></h3> <ul> <li><a href="https://www.ahe.org/project-firstline/evs-dashboard" target="_blank">EVS Competency Resource Search Tool</a></li> <li><a href="/system/files/media/file/2023/06/strategies-and-tactics-to-reduce-hais.pdf" target="_blank">Strategies and Tactics to Reduce HAIs</a></li> <li><a href="/guidesreports/2023-05-12-building-culture-safety-health-care" target="_blank">Building a Culture of Safety in Health Care</a></li> <li><a href="https://www.ahe.org/project-firstline" target="_blank">AHE Podcast Series</a></li> </ul> <p> </p> <p> </p> <br>  </div> </div> </div> </div> <div></div> <div class="row"> <div class="col-md-9"> <div> <div class="views-element-container"> <section class="top-level-view js-view-dom-id-27ad5b1aa0749a2137477b3e3d16f04d3e8cfd17d25dbac4ffd56d32c7db0694 resource-block"> <h2>Latest on Infection Control</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/news/headline/2025-04-23-whooping-cough-cases-surpass-8000-nationwide" hreflang="en">Whooping cough cases surpass 8,000 nationwide</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-23T15:09:09-05:00">Apr 23, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/news/headline/2025-04-22-study-finds-increase-drug-resistant-baumannii-infections" hreflang="en">Study finds increase in drug-resistant A. baumannii infections </a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-22T14:50:03-05:00">Apr 22, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/role-hospitals-arkansas-childrens-hospital-celebrates-30-years-nutrition-research-and-innovation" hreflang="en">Arkansas Children’s Hospital celebrates 30 years of nutrition research and innovation</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-16T14:54:45-05:00">Apr 16, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/news/headline/2025-04-08-study-finds-increase-invasive-strep-infections" hreflang="en">Study finds increase of invasive strep infections </a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-08T15:49:50-05:00">Apr 8, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/news/headline/2025-03-28-measles-outbreak-kansas-cdc-reports-latest-national-numbers" hreflang="en">Measles outbreak in Kansas, CDC reports latest national numbers</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-03-28T14:08:43-05:00">Mar 28, 2025</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/topics/infection-control">More on Infection Control</a></div> </section> </div> </div> </div> </div> table, th, td { border: 5px solid white; border-collapse: collapse; } th, td { background-color: #002855; } <div>   </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> .field_lead p { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } </div> Fri, 08 Dec 2023 23:47:55 -0600 Healthcare-Associated Infections (HAIs) /education-events/fight-health-care-associated-infections-hai-automated-hand-hygiene-technology <p><strong>Fight Health Care-Associated Infections (HAI) with Automated Hand Hygiene Technology  </strong> <br /> <em>Banner Health’s Infection Prevention Leader Shares Insights  </em>  </p> <p><strong>Thursday, October 12, 2023 </strong><br /> <em>1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific </em></p> <div class="webreplay"> .webreplay{ border: solid 2px #777; padding: 15px 5px; margin: 0 0 10px 15px; } @media (min-width:360px){ .webreplay{ min-width: 290px; float: right; } } <h2><small>On-demand Webinar</small></h2> MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 3437); </div> <p>One of the most severe and avoidable threats to patient safety at any health care facility is health care-associated infections (HAIs), with 2 million patients contracting HAIs. Simple sanitization and hand hygiene practices can go a long way in helping reduce the spread of HAIs. This would make facilities safer for patients and help lower the staggering impact of these infections, which cost hospitals $28.4 – 33.8 billion annually*. Hand hygiene compliance is vital to the fight against infection.  </p> <p>Join this webinar to learn the impacts of HAIs and how an automated hand hygiene solution can benefit patients and hospitals. Joan Ivaska, executive director of infection prevention at Banner Health shares the role hand hygiene plays within their infection prevention plan.  </p> <p><em>*National Library of Medicine </em></p> <p><strong>Attendees Will Learn: </strong></p> <ul> <li>Key drivers of health care-associated infection (HAIs).  </li> <li>Implications HAIs have on hospitals.  </li> <li>How to drive down HAIs with hand hygiene technology.  </li> <li>Additional benefits of automated hand hygiene monitoring. </li> </ul> <p><br /> <strong>Speakers:  </strong></p> <p><br /> Joan Ivaska, DRPH, MPH, CIC <br /> <em>Executive Director, Infection Prevention, SPCS, CSPD</em> <br /> <strong>Banner Health </strong><br />  <br /> Jaiganesh Balasubramanian <br /> <em>Director, Product and Technology </em><br /> <strong>Cox Prosight </strong></p> Tue, 29 Aug 2023 15:05:47 -0500 Healthcare-Associated Infections (HAIs) /aha-center-health-innovation-market-scan/2023-05-16-3-advances-could-change-patient-care <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="3 Advances That Could Change Patient Care. A syringe on a countertop with magnified viruses and bacteria floating above it." data-entity-type="file" data-entity-uuid="75209551-7fa3-460f-aaa0-37d07f7d1655" src="/sites/default/files/inline-images/3-Advances-That-Could-Change-Patient-Care.jpg" width="620" height="381"></p> <p>Amid the many challenges health care leaders face today, it can be easy to lose sight of some recent advances that could significantly change patient care.</p> <p>Here’s a look at some <a href="https://www.aamc.org/news/5-medical-advances-will-change-patient-care" target="_blank" title="AAMC: 5 medical advances that will change patient care">breakthrough advances</a> cited by the Association of American Medical Colleges (AAMC) that are designed to help providers tackle some of the most complex diseases.</p> <h2>1 <span>|</span> <span>Delaying Type 1 Diabetes</span></h2> <p><a href="https://www.fda.gov/news-events/press-announcements/fda-approves-first-drug-can-delay-onset-type-1-diabetes" target="_blank" title="U.S. Food & Drug Administration: FDA Approves First Drug That Can Delay Onset of Type 1 Diabetes">Teplizumab</a>, an injectable approved by the Food and Drug Administration (FDA) late last year, reportedly can delay the onset of Stage 3 type 1 diabetes in adults and pediatric patients eight years and older who have Stage 2 type 1 diabetes.</p> <p>?his will be welcome news to the 30,000 patients who are diagnosed each year with this autoimmune disease that can damage the heart, kidneys, arteries and eyes.</p> <p>The medication, sold as Tzield, binds to certain immune system cells and delays progression to Stage 3 type 1 diabetes by an average of two years and sometimes by more than a decade, notes Kevan Herold, M.D., a principal investigator of the drug and an immunologist at Yale Medicine in New Haven, Connecticut, in the AAMC report.</p> <h3>Takeaway</h3> <p>Herold hopes that this new strategy of preventive immune therapy can be applied to other autoimmune conditions, including rheumatoid arthritis and multiple sclerosis, where blood markers indicate likely disease development.</p> <h2>2 <span>|</span> <span>Accelerating Sepsis Detection</span></h2> <p>Rapid detection is critical to sepsis survival, but this is difficult given that there is no one test for sepsis, and its symptoms can mimic many other conditions. An <a href="https://hub.jhu.edu/2022/07/21/artificial-intelligence-sepsis-detection/" target="_blank" title="HUB: Sepsis-Detection AI Has the Potential to Prevent Thousands of Deaths">artificial intelligence (AI)-driven program</a> developed at Johns Hopkins Medical Center can shorten sepsis detection by nearly six hours from traditional methods.</p> <p>Patients are 20% less likely to die of sepsis because of the new system, an extensive hospital study found. The Targeted Real-time Early Warning System (TREWS) scours medical records and clinical notes to identify patients at risk of life-threatening complications. Experts fed the AI algorithm thousands of previous patients’ health records so it could recognize signs of sepsis.</p> <p>When the tool identifies an at-risk patient, it fires off an alert to the physician. It includes an explanation of why it’s flagging the patient as well as evidenced-based recommendations for how to proceed.</p> <p>Johns Hopkins tested the system in five hospitals with 4,000 clinicians and 590,000 patients over two years. Sepsis-related deaths dropped 20%, according to a <a href="https://www.nature.com/articles/s41591-022-01894-0/" target="_blank" title="Nature Medicine: Prospective, multi-site study of patient outcomes after implementation of the TREWS machine learning-based early warning system for sepsis">report last summer in Nature Medicine</a>.</p> <h3>Takeaway</h3> <p>This is the first case in which AI was used on a large scale by front-line clinicians in hospitals, said Albert Wu, M.D., director of the Johns Hopkins Center for Health Services and Outcomes Research. He noted that the platform, which is being disseminated by AI company Bayesian Health, also is being used to try to detect other conditions.</p> <h2>3 <span>|</span> <span>Tackling RSV</span></h2> <p>Respiratory syncytial virus (RSV) drew concern this past winter for its role in the tripledemic that, together with COVID-19 and flu, impacted many U.S. hospitals. Earlier this month, the FDA gave its first-ever approval to a vaccine that protects against RSV, which is associated with 6,000 to 10,000 deaths each year in adults 65 and older and as many as 160,000 hospitalizations within this group.</p> <p>GlaxoSmithKline’s vaccine is targeted to adults 60 and older and was approved by the FDA on May 3. The Centers for Disease Control and Prevention in June is slated to weigh in on whether to recommend the vaccine. The FDA also is expected to rule shortly on a Pfizer vaccine for that population, according to the AAMC report. In addition, Pfizer has been granted priority review of a vaccine for use in pregnant women that’s intended to protect infants after birth.</p> <p>In trials, the GSK vaccine was 83% effective against confirmed RSV lower respiratory disease in people 60 and older, according to a <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2209604" target="_blank" title="The New England Journal of Medicine: Respiratory Syncytial Virus Prefusion F Protein Vaccine in Older Adults">New England Journal of Medicine report</a>.</p> <h3>Takeaway</h3> <p>A small percentage (one out of some 12,000 in the GSK trial and two out of some 17,000 Pfizer recipients) developed Guillain-Barré syndrome, in which the immune system attacks a person’s nervous system. When the vaccines start to be given to millions of people, we will have to track them to see whether there is a slight increase in such rare side effects, said Ann Falsey, M.D., a University of Rochester School of Medicine professor of medicine, who has been pursuing an RSV vaccine for decades.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 16 May 2023 06:30:00 -0500 Healthcare-Associated Infections (HAIs) /education-events/new-approach-mitigating-clostridiodes-difficile-c-diff-transmission-while-saving-direct-cost-hospital-may-18 <div class="TTevent"> /* Forces the event Content Type to be 100% */ .container .row .col-md-8{ width: 100% } .event-registration-link a{ margin-left: auto; margin-right: auto; display: block; text-align: center; } .event-registration-link a.btn-block { max-width: 300px; } .TTevent h3{ color:#002855; } .TTeventBonus{ color:#9d2235; font-weight:700; font-style: italic; } .TTeventdate{ font-weight: 700; font-size: 18px; color: #555555bb; line-height: 20px; } .TTeventSponsor img{ max-height:100px; } <p class="TTeventBonus">BONUS SPONSORED WEBINAR!</p> <p class="TTeventdate">May 18, 2023</p> <p>Every year, thousands of patients across the United States are impacted by the effects of hospital-onset Clostridioides difficile (C. diff) infections (HO-CDIs). With infections estimated at half a million per year, and health care costs amounting to $5.4 billion in excess, health systems are in critical need of more effective solutions to reduce HO-CDIs than are currently being employed.</p> <p>In a recent study, “Mitigating hospital-onset Clostridioides difficile: The impact of an optimized environmental hygiene program in eight hospitals,” researchers achieved a sustained 50% decrease in HO-CDIs across eight Trinity Health hospitals. This was the first-ever controlled study of a single type of intervention—in this case, optimized environmental hygiene—to decrease the transmission of C. diff. The intervention consisted of a standardized cleaning process, training, objective CDC approved cleaning monitoring and feedback to staff on cleaning thoroughness, in order to reduce infections.</p> <p>In this webinar, we examine the limitations of current interventions to prevent transmission of C. diff. We then explore the results of the study and other relevant published studies. Finally, we present the manner in which an effective environmental hygiene program to reduce HO-CDI is implemented and the critical role EVS personnel played.</p> <h4>Learning Objectives:</h4> <ul> <li>Discuss the study design and the novel approach taken</li> <li>Examine the difference in products and methods used at the participating hospitals</li> <li>Quantify the patient health benefits and the hospital’s direct savings which results from such a program</li> </ul> <div class="row"> <div class="col-md-5"> <h4>Speakers:</h4> <ul> <li><strong>Philip C. Carling, MD</strong><br> <em>Director of Infectious Diseases and Hospital Epidemiology</em>, Carney Hospital</li> <li><strong>Billy Fischer</strong><br> <em>Regional Director of Operations for Environmental Services, Laundry/Linen Services, and Transportation for Trinity Hospitality Services</em>, Trinity Health</li> </ul> <p class="text-align-center"><a class="btn btn-wide btn-primary" href="/system/files/media/file/2023/05/AHA_Team_Training_Sponsored_Webinar_Slides_Ecolab_May_2023.pdf" target="_blank">Download the slides</a></p> </div> <div class="col-md-7"> <div></div> </div> </div> <div class="row"> <div class="col-md-6"> <h4>SPONSORED BY:</h4> </div> <div class="col-md-6"> <p><a href="https://www.ecolab.com/" target="_blank"><img alt="Ecolab" src="/sites/default/files/2023-05/Ecolab_Logo_Blue_RGB_200.png"></a></p> </div> </div> </div> <div data-embed-button="webform_embed" data-entity-embed-display="view_mode:webform.token" data-entity-type="webform" data-entity-uuid="0b43a680-6f37-4d3f-9bf9-4cd6c7c7ddc5" data-langcode="en" data-entity-embed-display-settings="[]" class="embedded-entity"> <div id="edit-processed-text" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label"> <div class="TTwebinarHide"> .webform-submission-form { max-width: 700px; } .TTwebinarHide{ display:none } .event-content.panel .TTwebinarHide { display:block; background-color: #fff; padding: 15px 15px 15px 15px; border: solid 2px #307FE2; text-align: center; } <p><a href="/center/team-training">Team Training</a> offers a variety of webinars - view our <a href="/center/team-training/webinars">current offering(s)</a> or browse the <a href="/center/team-training/webinars/library">library</a>.</p> </div> </div> </div> Tue, 02 May 2023 23:48:45 -0500 Healthcare-Associated Infections (HAIs) /sponsored-executive-dialogues/2023-03-13-/hospital-onset-bacteremia <div> </div>header.jumbotron {display:none} <div> /* center_body */ .center_body { /*margin-top:50px;*/ /* margin-bottom: 50px;*/ } .center_body h3 {} .center_body p { font-size: 16px } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } @media (max-width:768px) { p.center_Intro { line-height: 1.2em; font-size: 23px; font-size: 1.45em; } } .center_body .center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } /* center_body // */ /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2023-03/BD_HospitalBacteremia_banner_1170x250.png" alt="Banner Image" width="1170" height="250"><div><h1>Hospital Onset Bacteremia</h1></div></header>/* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } .CntMenuSub .CntMenuBar a:after{ content: "|"; padding: 0 3px 0 6px; color: #555; } .CntMenuSub .CntMenuBar a:last-child:after{ content: ""; } .CntMenuSub .CntMenuSubHome, .CntMenuSub .CntMenuSubParent{ text-transform: uppercase; color: #555; opacity: .9; } .CntMenuSub .CntMenuSubParent{ } .CntMenuSub .CntMenuSubChild{ } .CntMenuSub .CntMenuSubCurrent{ opacity: .7; } .CntMenuSub .CntMenuSubHome:hover, .CntMenuSub .CntMenuSubParent:hover{ text-transform: uppercase; color: #d50032; } /* CntMenuSub // */ <div class="container CntMenuSub"><div class="col-md-1"> </div><div class="col-md-10 row CntMenuBar"><a class="CntMenuSubHome" href="/education-events/aha-virtual-executive-dialogues">Executive Dialogues</a> <span class="CntMenuSubChild" id="CntMenuSubChild">Hospital Onset Bacteremia</span></div><div class="col-md-1"> </div></div><div class="row spacer"><div class="col-sm-3"><div><a href="/system/files/media/file/2023/04/BD_HospitalBacteremia_ebook_040523.pdf" target="_blank"><img src="/sites/default/files/2023-04/BD_HospitalBacteremia_cover_910x1220_040523.jpg" alt="Executive Dialogue | Hospital Onset Bacteremia: Hospital leaders’ attitudes on HOB sources, prevention and treatment" width="100%" height="100%"></a></div></div><div class="col-sm-9 center_body">.sponsortype { color: #9d2235; font-size: 1.5em; margin: 0px; font-weight: 700; } <p class="sponsortype">Executive Dialogue</p><h2>Hospital leaders’ attitudes on HOB sources, prevention and treatment</h2><p>Clinical studies have determined that hospital onset bacteremia (HOB) and false-positive blood cultures can have significant impacts on outcomes, length of stay and cost of care. The Centers for Disease Control & Prevention (CDC) is developing a quality measure reflecting HOB rates. The Centers for Medicare & Medicaid Services (CMS) included the HOB measure on its 2021 Measures Under Consideration list, which means the agency could propose the measure in future CMS hospital quality-reporting and value programs. With these developments, hospital leaders have a timely opportunity to give renewed consideration to how HOB is prevented, detected, treated and reported.<br><br>In October 2022, the ���������� Association (AHA) and Becton Dickinson (BD) held the “AHA Virtual Think Tank: Systematic approaches to health care-associated infection prevention,” an event for hospital and health system leaders in infectious disease, laboratory, nursing and other roles. The discussions identified additional information needs, which informed a survey to develop baseline data and additional insights about how various roles within hospitals view sources of HOB, its identification, how effectively HOB can be prevented and considerations for quality metrics. Results and commentary are presented in this report, which hospital leaders can use to assess their organizations, inform improvement efforts and prepare for potential reporting requirements.</p><div class="row">@media (min-width:768px){ .EDsponsorFloat{ float:right; } } @media (max-width:767px){ .EDLinkFloat{ position:relative; left:27%; } .EDsponsorFloat { text-align:center } } <div class="col-sm-6"><a class="btn btn-wide btn-primary EDLinkFloat" href="/system/files/media/file/2023/04/BD_HospitalBacteremia_ebook_040523.pdf" title="Executive Dialogue |Hospital Onset Bacteremia: Hospital leaders’ attitudes on HOB sources, prevention and treatment " data-view-context="top-level-view">Download the Report</a></div><div class="col-sm-6"><div class="EDsponsorFloat"><strong>Sponsored by: </strong><a href="https://www.bd.com/en-us/" target="_blank" rel="noopener nofollow"><img src="/sites/default/files/2023-03/BD_HOB_transparentlogo_834x313.png" alt="BD Logo" width="100%" height="100%"></a></div></div></div></div></div>.sp_CTA5_holder { margin-top:0px; border-bottom: solid 1px #555; padding-bottom: 50px; } .sp_CTA5_holder_last { border-bottom: solid 0px #555; } .sp_CTA5_holder >div{ overflow: auto; } .sp_CTA5_holder ul { list-style: none; /* Remove default bullets */ padding-left: 0px; /*width: calc(100% - 15%);*/ /*margin: 50px auto 0;*/ margin:auto 50px; } .sp_CTA5_holder ul li{ margin-bottom:7px; line-height: 1.5em; font-size:16px; } .sp_CTA5_holder ul li::before { content: " "; font-size: 1em; margin-right: 10px; display: inline-block; height: 12px; background-color: #9d2235; width: 12px; position: relative; top: 0px; -webkit-transform: rotate(45deg); -moz-transform: rotate(45deg); -o-transform: rotate(45deg); } .sp_CTA5_holder ul li{ padding-left:23px; text-indent:-23px; } .body ol>li, .body ul>li{ font-size:16px: } .sp_CTA5_holder h2 { color: #002855; /*! line-height: 2em; */ font-size: 2.15em; margin: 0 0 15px 0; /*! font-size: 30px; */ } .sp_CTA5_holder h3 { /*color: #002855;*/ line-height: 1em; /*font-size: 1.5em;*/ margin-bottom: 25px; margin-top:5px; font-size: 28px; } .sp_CTA5_section{ margin-top: 25px } .sp_CTA5_ImgShadow { /*background-color:green;*/ /* just a visual */ text-align: center } .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; } .sp_CTA5_ImgShadow img{ width: calc(100% - 35px - 15px); -webkit-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); -moz-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); position: relative; top: 75px; max-width: 490px; } @media (max-width:990px){ .sp_CTA5_ImgShadow img{ max-width: 350px;} } @media (max-width:990px){ .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; margin-right: 40px } } <div class="row spacer sp_CTA5_holder sp_CTA5_holder_last"><div class="col-md-12"><h3>Major findings from the workshop and survey include:</h3><div class="sp_CTA5_section"><ul><li>1. When surveyed, 45% of respondents already were tracking HOB and another 20% planned to do so as soon as possible. The rest were waiting for specific developments (e.g., from CMS, CDC, the National Healthcare Safety Network [NHSN] or measure endorsement by the federal consensus-based entity).</li><li>2. Most HOB cases are considered preventable or partially preventable, especially those from central-line catheters and urinary sources, which are viewed as major contributors to HOBs.</li><li>3. Several resources are considered impactful for mitigating HOB given the perception that currently reportable health care-associated infections (HAIs) are thought to be significant sources of HOB. Therefore, current HAI bundles may help inform any new HOB bundle. Respondents identified best practices they would like included in an HOB bundle; these include visibility to HOB sources and respective prevention measures, timely pathogen identification if HOB occurs, and improvement in definitive therapy for HOB cases.</li><li>4. Streamlined microbiology lab workflows and communication with antimicrobial stewardship programs (ASPs) also may help facilitate faster identification and therapy for HOB events.</li><li>5. Respondents are optimistic that an HOB quality metric will improve patient safety and care, but expressed concerns about how metrics should be structured, achieving reporting consistency and the potential resources needed for reporting.</li><li>6. Nearly three out of four respondents (73%) believe future reporting metrics should consider patient demographics that may have predisposing clinical risk factors for HOB. However, respondents were split as to whether some populations should be excluded from HOB reporting, with 30% favoring some exclusions, 49% saying there should not be exclusions and 21% unsure.</li><li>7. Other opportunities for education differed by professional role, which will be important for leaders to consider when formulating plans and policies.</li></ul></div></div></div><h2>Participants</h2>/* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px; max-width:200px; /* for Transformation Talks */ display:block; /* for Transformation Talks */ margin:auto; /* for Transformation Talks */ } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; text-align:center /* this is for the "Executive Dialogue" page */ } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; line-height:1.2em; margin-top:10px } 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(min-width:361px){ .people .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .people .rowEqual_768>[class*='col-'] { -ms-flex: 1; /* IE 10 */ flex: auto; width: calc((100% / 2) - 2px) /*Adjust % for the number per row, will override the bootstrap - Also needed for Safari*/; } } p.ci_profile_name { font-size: 1.5em; line-height:1.2em; margin-top:10px } .people .ci_profile_combined{ font-size:14px; line-height: 18px; } .people .ci_profile_combined span{ font-style: italic; } .people .ci_profile_combined:before{ content:""; border-bottom: solid 1px #55555522; display: block; clear: both; width: 85%; margin: 5PX auto 10px; } <div class="people"><div class="row rowEqual_768"><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2023-03/Demehin_Akin_300x300.jpg" alt="Akin Demehin" width="300" height="300"><p class="ci_profile_name">Akin Demehin, MPH</p><p class="ci_profile_title">Senior Director, Quality and Patient Safety Policy</p><p class="ci_profile_company">���������� Association</p>profile_combined</p> <p class="ci_profile_award">profile_award</p> <div class="ci_profile_social">profile_social</div>--></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2023-03/Yu_Kalvin_300x300.jpg" alt="Kalvin Yu" width="300" height="300"><p class="ci_profile_name">Kalvin Yu, M.D., FIDSA</p><p class="ci_profile_title">Vice President, Medical and Scientific Affairs</p><p class="ci_profile_company">Becton Dickinson</p>profile_combined</p> <p class="ci_profile_award">profile_award</p> <div class="ci_profile_social">profile_social</div>--></div> <img alt="xxxxx" src="/sites/default/files/2021-11/profile_placeholder_300x300.jpg"> <p class="ci_profile_name">profile_name</p> <p class="ci_profile_title">profile_title</p> <p class="ci_profile_company">profile_company</p> <p class="ci_profile_combined">profile_combined</p> <p class="ci_profile_award">profile_award</p> <div class="ci_profile_social">profile_social</div> </div> --></div></div>Moderator</h2> <div class="people"> <div class="row rowEqual_768"> <div class="col-md-4 col-sm-6 ci_profile"> <img alt="Suzanna Hoppszallern" src="/sites/default/files/2022-08/Hoppszallern_Suzanna_300x300.jpg"> <p class="ci_profile_name">Suzanna Hoppszallern</p> <p class="ci_profile_title">Senior Editor</p> <p class="ci_profile_company">���������� Association</p> </div> </div> </div>-->@media (min-width:768px){ .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col-'] { -ms-flex: 1; /* IE 10 */ flex: auto; width: calc(33.3% - 2px) /*Safari Fix*/; } } .center_callout_3invert { background-color: #f6f6f6; text-align: center; /*margin-bottom:25px;*/ margin-top:30px; } .center_callout_3invert h4 { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 30px 0; } .center_callout_3invert h3 { margin: 25px 0 0 0; color: #555; 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.feedEmbedImg .views-element-container h2{ margin-top:0px; color: } .feedEmbedImg .views-element-container .views-field.views-field-created{ color: } .feedEmbedImg .views-element-container .views-field.views-field-title a{ font-size: 20px; color:#002855 } .feedEmbedImg .views-element-container .views-field.views-field-body{ font-size: 16px; color:; } .feedEmbedImg .views-element-container .article.views-row { display: inline-block; transition: 1s; } .feedEmbedImg .views-element-container img{ float: left; margin-right:15px; max-width: 200px ; transition: 2s; } .feedEmbedImg .resource-block .resource-view .views-row:hover{ transform: scale(1.02); } .feedEmbedImg .resource-block .resource-view .views-row:hover img{ opacity: .6; transition: 1.5s; } .feedEmbedImg .resource-block .resource-view .views-row:hover a{ color:#307fe2; } .feedEmbedImg .feedEmbedImg .views-element-container .more-link{ font-size: 1.3em; text-align: right; } .feedEmbedImg .more-link{ text-align: right } @media 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datetime="2024-12-10T16:11:13-06:00">Dec 10, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-11/resilient-health-system-operating-model" hreflang="en">The Resilient Health System Operating Model</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Health system leaders are building a robust governance and resilient operating model to transform health care delivery models for the future.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-12/KnowEx_RI_RevenueCycle_620x381_rev1.jpg?itok=42C41VMq" width="200" height="123" alt="KnowEx_RI_RevenueCycle_620x381_rev1" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-05T14:26:53-06:00">Dec 5, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en">Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Optimizing hospital’s revenue cycle for efficient, patient-centered operations and enhancing critical KPIs using AI and robotic process automation.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-11/VED_PatientPoint_Engagement_620x381.jpg?itok=dHKIfRK6" width="200" height="123" alt="PatientPoint_Engagement_620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-11-13T15:51:45-06:00">Nov 13, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en">Empowering Patient Engagement and Behavior Change to Improve Health and Reduce Disparities</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Empowering patient engagement and leveraging customized communication and education via digital technologies to improve health and reduce disparities.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-10/KnowEx_CorroHealthh_Medicaid_620x381.jpg?itok=HS9Y48c8" width="200" height="123" alt="KnowEx_CorroHealth_Medicaid" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-10-29T15:17:14-05:00">Oct 29, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en">Aligning Payers and Partners for Value-based Care</a></span> </div><div class="views-field views-field-body"> <div class="field-content">As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-09/Iris-Telehealth-banner-620x381.jpg?itok=QQ9C-7Mp" width="200" height="123" alt="Iris-Telehealth-banner-620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-25T14:49:38-05:00">Sep 25, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en">Transforming the Behavioral Health Journey</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Transforming the behavioral health journey with strategic initiatives to build a sustainable and coordinated behavioral health services continuum.</div> </div></div> </div> </div> <div class="more-link"><a href="/aha-knowledge-exchange-archive">View All: AHA Knowledge Exchange</a></div> </section> </div> </div></div> Mon, 13 Mar 2023 15:12:12 -0500 Healthcare-Associated Infections (HAIs) /mount-sinai-beth-israel <div class="container"><div class="row"><div class="col-md-8"><div class="row"><div class="col-md-7"><p><img src="/sites/default/files/2023-03/ip-Mount-Sinai-Beth-Israel-story-image700x532.jpg" data-entity-uuid data-entity-type="file" alt="Mount Sinai Beth Israel Story image of women sanitizing equipment" class="align-left"></p></div><p>Hospitals strive every day to reduce the risk of healthcare-associated infections, such as catheter-associated urinary tract infections (CAUTI), central line bloodstream infections (CLABSI), and <em>Clostridioides difficile</em> (C. diff). Achieving zero infection rates is extremely difficult due to the variations in care delivery. According to the Centers for Disease Control and Prevention, about 1 in 25 U.S. hospital patients is diagnosed with at least one infection related to hospital care each year.</p><p>The Mount Sinai Beth Israel team in New York City knows that the journey to high reliability begins with focusing on the fundamentals of proper infection prevention and control practices. In 2022, the hospital achieved zero harms by following fundamental protocols with consistency and efficiency. Their remarkable results include a standardized utilization ratio (SUR) for central lines at less than 40% of the national average and indwelling urinary catheter SUR at less than 70%.</p><p>Creating a safety culture and preventing HAIs takes hospital leaders who support infection prevention and control as an organization-wide priority, frequent opportunities to provide and promote IPC training and consistent adoption and deployment of proven process improvement tools and methods. But the real game changer that helped drive success at Mount Sinai Beth Israel was effective communication.</p><p>For example, the hospital consistently shared daily email updates on patients with central lines and urinary catheters. The infection prevention and control (IPC) team sends emails daily with a list of all patients with central lines and a separate list of patients with Foley catheters. These emails include details of how long the device has been used and if there were issues with documentation of care about these devices.</p><p>The IPC teams ask for indications of need/usage and highlight patients with femoral lines and multiple central lines. Emails about urinary catheters highlight patients with missing catheter orders and patients who have had an indwelling urinary catheter in place for more than five days. For urgent device-related issues, care team members message providers in real-time using the electronic medical record’s secured chat function. This chat function asks about patients with central lines in place for longer than 3 days.</p><p>Through these simple yet reliable methods of regular communication, all care teams had the information they needed when they needed it to prevent unnecessary insertions and curtail durations when the devices were no longer necessary. Waleed Javaid, MD, Hospital Epidemiologist and Director of infection prevention and control at Mount Sinai Downtown, noted, “Low device utilization rates are the key to their success. If there is no device, no risk for device-associated infection exists, and if there are a low number of devices, it is easier to focus efforts to better care for these devices”</p><p>At Mount Sinai Beth Israel, trust is essential to creating a safety culture throughout the organization. And that too takes reliable and consistent communication with team members at every point of care — from the front lines to the C-suite.</p><p>“We discuss infection rates and new infections in daily leadership meetings, unit huddles and during unit rounding,” said Dr. Javaid. “We have an open dialogue with our clinical teams, which helps us understand the causes of hospital onset infections and opportunities to prevent them. This gives front-line staff the confidence to voice their concerns and identify potential problems, which helps mitigate these issues before they result in hospital-onset infections. An infection preventionist is available to answer staff questions as needed.”</p><p>Mount Sinai Beth Israel’s constructive communication strategies have created a holistic, synergistic model focused on reducing HAI rates. “Our interventions, when taken as a whole, are truly greater than the sum of their parts,” added Dr. Javaid.</p></div></div><div class="col-md-4"><div class="CALLOUT"><h3 class="text-align-center"><span><strong>Key Takeaways</strong></span></h3><p><small><strong>Targeted Problems</strong>: CLABSI, CAUTI, and hospital-onset CD</small><br><small><strong>Interventions Used:</strong></small></p><ul><li>Consistently communicate among care teams and openly discuss infections with frontline staff and leadership<ul><li><small>For CLABSI and CAUTI, daily emails are sent with a list of patients with lines and urinary catheters</small></li><li><small>For CDI and urine culture testing stewardship, teams are required to discuss if testing criteria are met; final approval goes to an infectious diseases physician.</small></li></ul></li><li><small>Returned back to the basics; asked frontline and agency staff to use the CLABSI prevention bundle and invited them to provide feedback on how to improve their use of it</small></li></ul><p><small><strong>Impac</strong>t: Zero CLABSI, CAUTI, and hospital-onset CDI since January 2022</small></p><p> </p></div><h4 class="text-align-center"><span>Listen to the Podcast</span></h4><p class="text-align-center"></p><div><p><a href="https://soundcloud.com/advancinghealth" target="_blank" title="Advancing Health">Advancing Health</a> · <a href="https://soundcloud.com/advancinghealth/infection-prevention-is-everyones-job" target="_blank" title="Getting to Near Zero With Infection Prevention">Getting to Near Zero With Infection Prevention</a><br> </p><p><br><a class="btn btn-wide btn-primary" href="/infection-prevention-and-control-success-stories" data-view-context="top-level-view">View All Stories</a></p><p>.CALLOUT { border-left: 3px solid #003087; margin: 0 0 25px; overflow: hidden; padding: 10px; background-color: #f7f8fb; H4: #003087; H5: #003087; } </p></div></div></div></div> Sat, 04 Mar 2023 22:19:23 -0600 Healthcare-Associated Infections (HAIs) /news/headline/2023-02-06-report-calls-action-prevent-infection-disparities-dialysis-patients <p>Adults receiving dialysis treatment for end-stage kidney disease were 100 times more likely to have a Staphylococcus aureus bloodstream infection than adults not on dialysis during 2017-2020, with the risk 40% higher for Hispanic patients than white patients, according to a <a href="https://www.cdc.gov/vitalsigns/dialysis-infections/index.html">report</a> released today by the Centers for Disease Control and Prevention. More than half of Americans receiving dialysis belong to a racial or ethnic minority group. Areas with higher poverty levels, household crowding and lower education levels had disproportionately higher infection rates. <br />  <br /> “Our data show that use of a central venous catheter as a vascular access type had six times higher risk for staph bloodstream infections when compared to the lowest-risk access, a fistula,” said Shannon Novosad, M.D., dialysis safety team lead in CDC’s Division of Healthcare Quality Promotion. “Prevention efforts that equitably promote lower-risk vascular access types and continued use of infection prevention and control best practices can save lives.”</p> Mon, 06 Feb 2023 14:42:48 -0600 Healthcare-Associated Infections (HAIs) /news/blog/2022-08-03-aha-leadership-summit-roundtable-future-health-care-quality <p>It’s been a tough two-and-a-half years. Many hospitals and health systems are struggling to ensure the safety of their staff, get the right supplies and find skilled workers. These problems, of course, existed before the pandemic, but they also were exacerbated by myriad medical, societal and political shortcomings occurring throughout the COVID-19 pandemic, despite the good intentions of those trying to respond to the crisis. Although the field needs to reflect on the litany of flaws in our efforts, it cannot afford to be distracted or deterred by these challenges.</p> <p>These topics were at the center of the Quality Leadership Roundtable that took place at the 2022 ���������� Association Leadership Summit in San Diego. Hosted by the AHA <a href="/center/living-learning-network" target="_blank">Living Learning Network</a> — a virtual community of nearly 500 members funded by the Centers for Disease Control and Prevention and focused on transforming health care by collectively sharing knowledge and concerns, expanding perspectives and problem-solving — the event facilitated discussions between hospital and health system leaders and senior staff from the AHA and CDC. It covered a wide range of themes, including quality/performance improvement programming, learning and capacity services, public policies regarding equity, the impact of the pandemic on quality-focused outcomes and workforce challenges.</p> <p><em>What needs to be done to move forward quality and patient safety?</em> That was the overarching question asked of participants as they moved between different stations devoted to the pressing needs of the field, as identified by LLN members.</p> <p>Here are some of the ideas, solutions and revelations that came out of those breakout conversations. They are focused on using structures and processes to get the needed outcomes.</p> <p><strong>Policy</strong>. Led by AHA Vice President of Quality and Patient Safety Policy Nancy Foster, this group honed in on the role of regulation during a crisis. Some antiquated rules and policies lead to excessive inspection and forced oversight, yet a reasonable number of these are needed to ensure worker and patient safety. So what is the right balance? How can the various iterations of government support, not worsen, a more aligned vision on standards of care? And how can hospitals and health systems “police” bloated policies without just adding more protocols?</p> <p>One way may be to unify organizational reporting requirements regarding actions, reports and data. This can reduce burden and promote the flow of accurate, reliable information to be used for better policies and effective actions to support delivery of needed patient care. These data coupled with an open and active flow of information from those delivering care with public policymakers can help create more practical, aligned and patient-forward policies regarding patient transfers, crisis of care protocols, salary-inflation/agency pricing, and the equitable distribution of available resources. It also may help identify care delivery challenges, such as the increase in health care-associated infections or the staffing shortages earlier and engage more organizations in addressing these challenges. It also was deemed important by the group to harness trusted communicators and channels, since the effectiveness of the communication depends as much on confidence in the messenger as it does on faith in the organizations behind the message.</p> <p>By having a clear vision of successful strategies and leading from a positive, affirming point of view, policymakers can build confidence within the existing structures of their organization.</p> <p><strong>Patient safety and health care-associated infections</strong>. Led by Kristen Hayes, AHA director of clinical quality, Arjun Srinivasan, M.D., deputy director for HAI prevention programs at the CDC’s Division of Healthcare Quality Promotion, and Cecilia Joshi, associate director for state strategy, also at the CDC’s Division of Healthcare Quality Promotion, this panel sought to identify the drivers of and solutions for the significant increases in certain HAIs during the first year of the COVID-19 pandemic. There was a consensus among participants that hospitals and health systems need to do a better job of communicating with their teams the value and importance of quality improvement and infection-prevention and control, as opposed to the oversaturation of checklists and recommendations that have become common place. By sharing these stories and humanizing the data, health care professionals are reminded of why they went into health care and the importance of using QI and IPC tools to keep patients safe.</p> <p>A focus on health equity also was deemed necessary for improving patient safety. By addressing and endorsing more equitable practices — such as providing bilingual services and meeting patients in their communities — overall patient experiences and advocacy can be improved.</p> <p><strong>Workforce</strong>. Led by AHA Senior Director of Quality and Patient Safety Akin Demehin, the group started by acknowledging known challenges and their exacerbation by the pandemic, which turned up the demand and urgency of these existing issues.</p> <p>As the pandemic’s impact on care needs has continued to strain the workforce, well-being of the health care workforce has continued to suffer. All the participants shared their concerns about the ongoing mental health and well-being of their teams, as well as the stability of their improvement efforts when the team is worn out. The ongoing pandemic, combined with broader workforce shortages across other fields and industries and the impact of team changes, have tested the teamwork and unity of the front line. One roundtable participant, a chief medical officer, noted that her hospital went from using its Rapid Response Team an average of 30 times a month pre-pandemic, to an average of 300 times a month most recently. This kind of all-hands-on-deck environment leaves little to no room for instruction, training/coaching, problem-solving or self-care and thus further taxes the team.</p> <p>The participants were eager to continue exploring the use of technology, artificial intelligence and other digital tools to supplement the workforce and ease the depth of knowledge gaps, as team members depart and new graduates are onboarded. Participants were interested in exploring layered support that could help stabilize teams but emphasized the need to do so without adding additional learning burden. The group believed that maintaining safety practices has been challenged by turnover across the teams and hopes that more resources can be developed to support better alignment.</p> <p><strong>Community partnerships</strong>. Led by AHA Director of Clinical Quality, Grants and Contracts Kristin Preihs, participants expressed troubles connecting with collaborators on issues of telehealth, data sets and behavioral health. They noted that some partnerships that had been formed during the most demanding moments of the pandemic were starting to cool, if not disappear. To reestablish and fortify these relationships, some participants suggested formalizing the infrastructure of these relationships and indexing the value gained through said collaboration(s).</p> <p>Other strategies that were suggested for improving community partnerships included larger investments in social workers, pairing with local colleges and training programs to incentivize and support attempts to grow the workforce, and more frequently enlisting the services of English as a second language translators — both clinical and nonclinical — as trusted messengers within hospitals and health systems.</p> <p><strong>Performance improvement capacity and skills</strong>. Led by AHA Vice President for Clinical Quality Marie Cleary-Fishman, this group identified several tools and cross-disciplinary incentives that address staff needs. By breaking down silos and standardizing language — which is a standard process as well as a vote of confidence for in-house, quality improvement focused departments — hospitals and health systems can create a hub for learning best practices and sharing overall concerns.</p> <p>The session participants also considered the importance of connecting best practices to finances to offer a more rounded rationale behind the importance of IPC and QI work.</p> <p><strong>Equitable strategies</strong>. Led by Leon Caldwell, AHA senior director of health equity strategies and innovation at the Institute for Diversity and Health Equity, this group identified many needs and desires for ensuring the health and safety of the most historically marginalized communities. Perhaps the most pressing obstacle is the overall lack of resources to fund these initiatives. One way to overcome this is by creating multi-stakeholder committees to redistribute organizational funds, so organizations can get a fresh perspective on what programs they truly prioritize. Antiracism classes, funding for translators and training in diversity, equity and inclusion also could go a long way to changing workforce behaviors and actions.</p> <p>Another way to tackle inequitable care is to set specific goals to address the health-related issues of specific patient populations affected by disparities. For example, asthma, hypertension and neonatal complications disproportionally affect the Black community. So by publicly “declaring war” on these inequities, they stay visible to care providers, communities, patients and financial and policy decision-makers.</p> <p><strong>Moving forward</strong>. The best recommendations and the best data are inconsequential if we don't communicate the humanity behind them in a way that people will understand. That is why events like this roundtable discussion are so important in facilitating conversations within a network. It is not just talking: It is listening, reflecting and adjusting.</p> <p>The CDC and AHA are aligned through a guiding philosophy of ensuring the best possible outcomes for patients, protecting health care professionals and improving the overall quality of the field. As advocates of performance and quality improvement, we need to be visible in our actions and are humbled by the work that was displayed at this roundtable session and throughout the AHA Leadership Summit. We look forward to continuing these robust discussions.</p> <p><em>Nancy Foster is vice president of quality and patient safety policy and Marie Cleary-Fishman is vice president of clinical quality, both at the ���������� Association.</em></p> <p><em>Check out the AHA Living Learning Network’s latest publication “<a href="/center/living-learning-network/pandemic-resiliency-and-community" target="_blank">The Pandemic: Responding with Resilience and Service to Community</a>,” which highlights images of and commentary from health care professionals on their experiences during the past two-plus years. This e-book brings to life the early days of COVID-19 testing and treatment, the struggles and perseverance of front-line workers taking care of patients and themselves during surges, and the more recent months when care teams collaborated with community partners on efforts to vaccinate Americans.</em></p> Wed, 03 Aug 2022 11:09:38 -0500 Healthcare-Associated Infections (HAIs) /education-events/lln-open-house-getting-ahead-hais-focus-indirect-care <p>Tuesday, Jun 21 at 10:00 AM – 11:00 AM CT</p> <h2>What has caused increases in healthcare-associated infections (HAIs) since 2020 and how can we stop this trend?</h2> <h3>Focus on INDIRECT CARE Staff</h3> <ul> <li>Custodial & Construction Engineers</li> <li>Supply Chain</li> <li>Food & Transport Services</li> <li>Lab Technicians</li> <li>IT & HR Managers</li> <li>Unit Clerks & Admissions Support</li> </ul> <p>During these open house events, participants will have the opportunity to informally discuss HAI prevention challenges, creative solutions, and lessons learned with their peers.</p> <hr /> <p>Intrested in an open house for <a href="/education-events/lln-open-house-getting-ahead-hais-focus-direct-care">Direct Care Staff?</a></p> <p> </p> <hr /> <p><small>The AHA LLN is funded by a cooperative agreement with the Centers for Disease Control and Prevention (grant number 6 NU50CK000477-04-01). The contents of this open house do not necessarily represent the policy or position of CDC, and should not be considered an endorsement by the CDC.</small></p> Thu, 16 Jun 2022 11:58:47 -0500 Healthcare-Associated Infections (HAIs) /education-events/lln-open-house-getting-ahead-hais-focus-direct-care <p>Tuesday, Jun 21 at 11:00 AM – 12:00 PM CT</p> <h2>What has caused increases in healthcare-associated infections (HAIs) since 2020 and how can we stop this trend?</h2> <h3>Focus on DIRECT CARE Staff</h3> <ul> <li>Physicians</li> <li>Advance Practice Nurses</li> <li>Physician Assistants Nurses</li> <li>Medical Technologists</li> <li>Nursing Assistants</li> <li>Clinical Leaders</li> </ul> <p>During these open house events, participants will have the opportunity to informally discuss HAI prevention challenges, creative solutions, and lessons learned with their peers.</p> <hr /> <p>Intrested in an open house for <a href="/education-events/lln-open-house-getting-ahead-hais-focus-indirect-care">Indirect Care Staff?</a></p> <p> </p> <hr /> <p><small>The AHA LLN is funded by a cooperative agreement with the Centers for Disease Control and Prevention (grant number 6 NU50CK000477-04-01). The contents of this open house do not necessarily represent the policy or position of CDC, and should not be considered an endorsement by the CDC.</small></p> Thu, 16 Jun 2022 11:27:34 -0500 Healthcare-Associated Infections (HAIs)