QIA Guidelines

The Network will:

  •  Assist facilities to implement and monitor all of the CDC recommended interventions for dialysis BSI prevention
  •  Educate target facilities on the CDC Core Interventions, and assist the facilities in implementing the CDC Core Interventions,
  • Assist Facilities in monitoring their own progress toward implementing the CDC Core Interventions and reduction of BSIs, and
  •  Monitor the progress of QIA facilities and assist the facilities that are unable to progress to goal.
  • Involve Patient SMEs and/or family members or care partners at the facility level in discussion about infection control practices and ways to feel more comfortable bring issues to the attention of staff members.

Goals:

LTC Goal: Decrease rate by at least 2 percentage points by evaluation based on June 2017 baseline data.

BSI Goal:  Demonstrate a 20% or greater relative reduction in the semi-annual pooled mean in the cohort with the highest 50% of BSIs in the Network service area at re-measurement compared to 2017.

Graduation Requirements: A facility may be removed and replaced for 2019 in the QIA if it is no longer in the cohort of facilities with the highest 50% of BSIs in the Network service area or maintains a BSI rate of zero for at least six (6) months of the QIA.

CMS Recommended Learning Activity:
Prevention of intravascular infections, blood-borne pathogen transmission (e.g., hepatitis B), and influenza and pneumococcal disease are priorities identified in the National Action Plan to Prevent Healthcare-Associated Infections: Roadmap to Elimination

Tools and Resources

Quality Improvement Webinars:

  • HAI BSI - LTC QIA Kick-Off Webinar (2/7/2018) Slides
  • Vascular Access Planning Strategies to Reduce LTC Rates (5/3/2018) Slides 
  • BSI Midpoint Webinar (7/20/2018) Slides 
  • BSI - LTC Touch Point Webinar (10/23/2018) Slides 

Facility Resources: CDC Core Interventions 

National Healthcare Safety Network (NHSN)

Tools for Facility: CDC Resource Center

 

HAI Blood Stream Infection (BSI) QIA

For more information:

Loretta Ezell
Quality Improvement Director
919-463-4510
lezell@nw6.esrd.net