AMG’s Louisiana hospitals partner with the CMS QIN-QIO (Quality Innovation Network Quality Improvement Organization) to participate in a two-year “Quality Improvement in Long-Term Acute Care Hospitals” Project.
The Quality Improvement in Long-Term Acute Care Hospitals Project has convened a learning and action network (LAN) of participating LTACHs interested in improving care while reducing infection. Quality Insights will provide LAN participants with:
• Best practices from current and past Quality Improvement Organization program HAI projects
• Proven educational tools and resources
• Evidence-based guidelines
Quality Insights (Louisiana QIN-QIO) and the participating providers will improve the quality of healthcare provided to Medicare beneficiaries by reducing the rates of HAIs (Healthcare Associated Infections). The initial phase of the project targeted 12-15 LTACHs in Louisiana. Following anticipated successful implementation, Quality Insights will spread best practices and lessons learned to LTACHs in the other states we serve – Delaware, New Jersey, Pennsylvania and West Virginia.
The project’s educational approach will include webinars and other focused training based on a needs assessment from root cause analysis findings. Where root cause analysis demonstrates an opportunity for improvement, Quality Insights will take a three-pronged approach addressing hand hygiene, isolation precautions and ventilator-associated pneumonia.
To track success, Quality Insights will monitor participants’ Standardized Infection Ratios for the following areas:
• Central Line-Associated Bloodstream Infection (CLABSI)
• Catheter-Associated Urinary Tract Infection (CAUTI)
• Clostridium difficile Infections (CDI)
• Methicillin-resistant Staphylococcus aureus (MRSA)
• Ventilator-Associated Event (VAE)
The quality improvement activities, technical assistance, LANs, and educational materials will focus on enabling patients and their families to participate in treatment and communicate with healthcare professionals. Project tools and materials will include components that encourage active patient and family involvement in preventing HAIs and reinforcing healthy practices after discharge.
As a result of providers following evidence-based practices to prevent healthcare-acquired infections, as well as engaging patients and families in proper hand hygiene education and creating a culture empowering patients to “speak up” on hand hygiene, patients in LTACHs will benefit from a reduction in HAIs, which will save lives and healthcare dollars.