Infection Control The Power of Integration Stacy Norris, RN, BSN Midas+ Clinical Product Manager Infection Prevention Over the last several years, regulatory demands, both state and federal, have increased exponentially. The data mining, analysis, and reporting requirements have resulted in a laborious undertaking by the Infection Preventionists. This session will provide an overview of the Midas+ Infection Control Module and Clinical Integration and how together they provide a powerful tool to track, trend, and mine data. We will review the Midas+ NHSN SSI and Device-MDRO and Cdiff Toolkits. Finally we will review reporting capabilities within Midas+, as well as within the DataVision and Statit solutions. 2014 Midas+ Symposium May 19-21 Tucson, AZ 1
Key Terms HAI (Hospital Acquired Infection) NHSN (National Health Safety Network) SSI (Surgical Site Infection) MDRO (Multi-Drug Resistant Organism) CDC (Centers for Disease Control) AHRQ (Association for Healthcare Research & Quality) PSI (Patient Safety Indicators) VBP (Value-Based Purchasing) HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) State of Infection Control Reporting Increased reporting requirements, both federal and state Increased commercial payer data demands Pending legislation at state and national levels inclusive of infection prevention 2014 Midas+ Symposium May 19-21 Tucson, AZ 2
Vascular Cath Assoc Infection CAUTI Surgical Complications Immunization for Flu HCP Influenza Vaccination Prevention Immunization for Pneumonia AHRQ PSI 90 Patient Experience VBP Mort 30 PN AHRQ PSI 90 IC & EP Standards TJC Universal Protocol Sentinel Events Isolation Practices CLABSI SSI SSI - Orthopedic SSI - CIED CAUTI C.diff NHSN - HAI Measures MRSA Bacteremia Overall Satisfaction HCAHPS Cleanliness HACs Vascular Catheter- Assoc. Infection SSI - CABG CAUTI SSI-Bariatric Surgery WA CA OR NV ID UT AZ MT WY CO NM ND SD NE KS OK TX MN IA WI IL MO AK MS LA NY MI PA OH IN WV VA KY NC TN SC GA AL ME State Reporting Laws Pending Legislation AK HI FL Voluntary or Study programs in place 2014 Midas+ Symposium May 19-21 Tucson, AZ 3
Infection Preventionists defined: Defined in 2008 by APIC to clearly define what the profession does Infection Preventionists direct interventions that protect patients from healthcare-associated infections (HAIs) in clinical and other settings around the world. They work with clinicians and administrators to improve patient and systems-level outcomes and reduce HAIs and related adverse events. Infection Prevention: Education to Staff and Patients Application of Prevention and Control Measures Regulatory Compliance Monitoring and Assurance Surveillance 2014 Midas+ Symposium May 19-21 Tucson, AZ 4
Surveillance Cycle Evaluate Population Evaluate population served and determine areas of risk for adverse outcome and process Back to main 2014 Midas+ Symposium May 19-21 Tucson, AZ 5
Determine Methodology Determine the methodology for investigation and monitoring. How will you identify those patients or special conditions/circumstances as part of surveillance Back to main Mine Data Mine/Gather the data associated with surveillance activities Back to main 2014 Midas+ Symposium May 19-21 Tucson, AZ 6
Analyze Data Analyze it for variation, trends and significance patterns Back to main Report Meaningfully Report in meaningful and actionable format Back to main 2014 Midas+ Symposium May 19-21 Tucson, AZ 7
Evaluate Population 2014 Midas+ Symposium May 19-21 Tucson, AZ 8
Interface capabilities Extensive data compilation Integration with other Midas+ Solutions further enhancing the capabilities Reporting powerhouse Ease of data entry User customizable information warehouse that the Infection Preventionist can mine data from as needed and cyclically to evaluate the population served 2014 Midas+ Symposium May 19-21 Tucson, AZ 9
Determine Methodology 2014 Midas+ Symposium May 19-21 Tucson, AZ 10
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Easy as 1, 2 & 3 Midas+ Interface Capabilities: 2014 Midas+ Symposium May 19-21 Tucson, AZ 12
Midas+ Infection Control and Clinical Integration Clinical Information Interfacing that includes: Surgery Information General Lab Microbiology Blood Bank Pharmacy Microbiology Data Ordering Physician Diagnostic Test Culture Source Culture Site Date/Time of Culture Collection Method of Study Organism Result Drug-associated Sensitivies & MIC 2014 Midas+ Symposium May 19-21 Tucson, AZ 13
General Lab Data Hematology CBC Coag Studies Chemistry Drug Levels Glucose Monitoring Serology Disease Specific Reporting C.diff, HIV, Influenza, Rapid Strep et al Pharmacy Data ADEs Dosing Frequency Resistant Drug Monitoring Antimicrobial Stewardship 2014 Midas+ Symposium May 19-21 Tucson, AZ 14
Surgery Data Date of Surgery Surgeon Surgical Specialty Anesthesiologist Anesthesia type Patient Status OR room Surgical Class Diagnosis Anesthesia Risk Anesthesia Start Time Anesthesia End time Surgery Start Time Surgery End Time Patient In Time Patient Out Time Procedures Surgical Team Go from this to this! 2014 Midas+ Symposium May 19-21 Tucson, AZ 15
Clinical Integration in Action 2014 Midas+ Symposium May 19-21 Tucson, AZ 16
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NHSN Toolkits SSI, Device and MDRO 2014 Midas+ Symposium May 19-21 Tucson, AZ 21
NHSN Toolkits: SSI, Device and MDRO Event tracking simplified and efficient data collection Automated denominator mining and data compilation Standard report generates logs to identify cases that qualified for submission as well as those missing key criterion required Extraction utility creates compressed files for easy upload to NHSN 2014 Midas+ Symposium May 19-21 Tucson, AZ 22
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Reporting 2014 Midas+ Symposium May 19-21 Tucson, AZ 24
Mine Data Types of Reporting Smart Track Record selection using any combination of data fields Profile reports containing counts, rates, and sums of selected data. Efficiently and effectively manage workflow Automated Critical Event Alerts through worklist creation Patient tracking capabilities Report Track Line listings of selected data elements Worksheet creation Template letters for Document Generation 2014 Midas+ Symposium May 19-21 Tucson, AZ 25
Smart Track examples: Percent of central line associated primary bloodstream infections per 1000 central line days by unit Rate of post-operative sepsis per 1000 elective surgical discharges Incidence of bacterial pneumonia Rate of hospital acquired urinary tract infections Percent of patients with documented infection placed in appropriate isolation precautions Incidence of ventilator associated pneumonia by unit Rate of C.Diff positive cultures by unit MDRO worklist notification for IP surveillance Customized focused surveillance notifications to IP based on culture source, organism, location etc Report Track examples: Line listing of patient for state reportable illnesses Post Discharge surveillance cases for select procedures TB Patient listing Line listing of community acquired infections with key select data elements 2014 Midas+ Symposium May 19-21 Tucson, AZ 26
Analyze Data 2014 Midas+ Symposium May 19-21 Tucson, AZ 27
Basic Infection Control Data Profile With additional data entry and/or Clinical Integration: 2014 Midas+ Symposium May 19-21 Tucson, AZ 28
Report Meaningfully 2014 Midas+ Symposium May 19-21 Tucson, AZ 29
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Midas+ Statit Statit Performance Indicator and Management System Assists with monitoring of organizational performance over time at a hospital, departmental, and team level Accepts various data sources such as Microsoft Excel, ODBC-compliant databases and other Midas+ System components 2014 Midas+ Symposium May 19-21 Tucson, AZ 35
Statit Example 2014 Midas+ Symposium May 19-21 Tucson, AZ 36
Midas+ Datavision Datavision Utilizes data from the Midas+ comparative database Several hundred hospitals with comparative data Parameter selection allows for control of date and facility characteristics Organizational data locally or comparison data via web application 2014 Midas+ Symposium May 19-21 Tucson, AZ 37
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User customizable information warehouse that the Infection Preventionist can mine data from as needed and cyclically to evaluate the population served 2014 Midas+ Symposium May 19-21 Tucson, AZ 43
Thanks for attending. Are there any questions? Stacy Norris BSN RN, Midas+ Clinical Product Manager stacy.norris@xerox.com 2014 Midas+ Symposium May 19-21 Tucson, AZ 44