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2. New Approach to Controlling Superbugs
Virtual Learning Session 3
Data – Measuring Progress
Michael Gardam
Leah Gitterman

3. Interacting in WebEx
Jan 27, 2015 3
Be prepared to use:
•Pointer
•Raise your hand

5. Agenda:
1. Welcome and Introductions
2. Quick poll
3. Why Measure
4. Types of Measures
5. The NACS Measurement Buffet
6. Getting started with the SHN! measures

6. Quick Poll

7. Why Measure?
• To establish benchmarks
• To monitor compliance with policies and
procedures
• To understand the impact/efficacy of your
interventions
• Motivation

8. Types of Measures
Process:
• Measure how people do things
• Most done by auditing or observation
• Purpose is to verify that health care
providers are following procedures
• E.g. donning and doffing PPE, environmental
cleaning

9. Types of Measures
Outcome:
• Measure the impact of what people do
• For example: number of surgical site
infections, number of residents acquiring an
antibiotic resistant organism

10. Measure what the front line
thinks is important
What to Measure

11. • Measure the things that provide value for
your setting
Ask yourself?
• Is the information relevant? Will gathering data add
value?
• Can this process or outcome be measured?
• Can the data be fed back to frontline staff in a way
that makes sense to them?

12. Whatever is being measured, it is important
to use the information gathered. Continually
review the data and develop action plans to
address any issues

13. The Measurement Buffet
Process Measures
• Volume of ABHR used
• Volume of soap used
• Number of gowns, boxes of gloves used

14. Process Measures
• % of eligible admissions screened for MRSA
• % of eligible admissions screened for VRE
• Hand hygiene compliance

15. Process Measures Continued…
• % of bed spaces where ABHR is readily
available, full, easy to activate
• % high touch areas in patient environment
where there was appropriate cleaning as
demonstrated by using a fluorescent
marker

16. Process Measures Continued…
• Reduction in mean time to placement on
contact precautions (for known patients
and from time of lab notification)

17. Outcome Measures
• Surveillance for new healthcare
associated MRSA clinical isolates
• Surveillance for new healthcare
associated VRE clinical isolates
• Surveillance for new cases of healthcare
associated C. difficile infection

18. Getting Started
• Take a critical look at your setting
• Identify the data you need to collect
• Get help
• Choose a time period
• Review data/analyze information
• Share data with the frontline

19. Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
Jan-
Mar
05
Apr-
Jun
05
Jul-
Sep
05
Oct-
Dec
05
Jan-
Mar
06
Apr-
Jun
06
Jul-
Sep
06
Oct-
Dec
06
Jan-
Mar
07
Apr-
Jun
07
Jul-
Sep
07
Oct-
Dec
07
Jan-
Mar
08
Apr-
Jun
08
Jul-
Sep
08
Oct-
Dec
08
Jan-
Mar
09
Apr-
Jun
09
Jul-
Sep
09
Oct-
Dec
09
Jan-
Mar
10
Apr-
Jun
10
Jul-
Sep
10
Quarter
Rateper1,000ptdays

20. 8A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11
Purchasedunitsper100ptdays
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
%Handhygienecompliance
8A Glove use 8A Sanitizer use 8A HH Compliance

21. Combined nosocomial MRSA, C.diff and VRE rate, 9A, 2005-2010
0.0
1.0
2.0
3.0
Jan-
Mar
05
Apr-
Jun
05
Jul-
Sep
05
Oct-
Dec
05
Jan-
Mar
06
Apr-
Jun
06
Jul-
Sep
06
Oct-
Dec
06
Jan-
Mar
07
Apr-
Jun
07
Jul-
Sep
07
Oct-
Dec
07
Jan-
Mar
08
Apr-
Jun
08
Jul-
Sep
08
Oct-
Dec
08
Jan-
Mar
09
Apr-
Jun
09
Jul-
Sep
09
Oct-
Dec
09
Jan-
Mar
10
Apr-
Jun
10
Jul-
Sep
10
Quarter
Rateper1,000ptdays

22. 9A Glove and Sanitizer Use with Overall HH Compliance
0
10
20
30
40
50
60
08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11
Purchasedunitsper100ptdays
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
%Handhygienecompliance
9A Glove use 9A Sanitizer use 9A HH Compliance

23. Safety Cross

24. Safety Calendar: AKA Bug Tracker

25. Hand Hygiene Compliance

26. Quinte Health Care

27. Social Network Mapping

28. 28
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
Ward Clerk
Patient
Education
Manager Today, who do you talk to
about the prevention of
superbugs?
Who do you talk to about the prevention of superbugs?

29. 29
Legend
RN
External
Clinical
Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer
Resources
Ward Clerk
Patient
Education
Manager With whom would you like
to work with in the future
that you haven’t in past
superbug prevention work
Who do you want to work with in the future?

30. • Keep a log of all PD activities
• Access the worksheets here:
http://www.saferhealthcarenow.ca/en/interventions/aro_mrsa/pages/measurement.aspx
Home » Interventions » NACS »
Measurement Worksheets

31. www.stopsuperbugs.com
Next Learning Session:
December 6, 2010
Wave 3 starts:
January 10, 2011