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CUSP Initiative: An Effort to Reduce CLABSIs in Hospital ICUs

According to the Centers for Disease Control, approximately 250,000 central line-associated blood stream infections occur in the United States each year. It is estimated that 30,000-62,000 patients die as a result of the infection and the cost to the healthcare system is about $25,000 per episode. 

The Colorado Hospital Association is pleased to announce that the Agency for Healthcare Research and Quality (AHRQ) selected Colorado as one of 10 states to participate in a national initiative to reduce CLABSI in ICUs. The project is funded by AHRQ in partnership with the American Hospital Association’s Health Research and Educational Trust (HRET), the Johns Hopkins University Quality & Safety Research Group (JHU), and the Michigan Health & Hospital Association’s Keystone Center for Patient Safety & Quality. AHRQ seeks to replicate the success of Michigan’s model in dramatically reducing CLABSI throughout the state. Michigan’s approach involved combining evidence-based protocols with patient safety culture assessment which not only greatly reduced the rate of CLABSI, but also saved patient lives and significantly reduced costs. 


Project Goals

  • To replicate the success of the Michigan Keystone/John Hopkins project to reduce the mean CLABSI rate in at least 10 hospitals (all hospitals within the state are welcome to participate) to less than 1 per 1,000 catheter days by implementing CUSP in acute care hospital ICUs,

  • To improve safety culture by 50% in participating hospitals,

  • To create educational modules regarding CUSP that will be publicly available, and

  • To partner with the CDC to support measurement and timely feedback of CLABSI data.


Regularly Scheduled Project Teleconferences


Type of Call

Date and Time

Teleconference Number

Coaching Calls

Fourth Thursday of the Month (10 MST)

1.866.861.4874

Content Calls

Second Tuesday of the Month (12 MST)

1.866.256.9239




Project Resources

Collaborative Website: http://www.onthecuspstophai.org/

Care Counts Data Entry System:  http://www.mhacarecounts.org/UserLogin.aspx?Url=/HomePage.aspx

Click here to view New England Journal of Medicine article reporting on CUSP/CLABSI interevention

Click here to view study materials

If there are any questions about this initiative, please contact Crystal Berumen, CHA Director of Clinical Improvement and Patient Safety at 720.330.6067.



Project Immersion Calls

This collaborative began with foundational informational calls. These calls have already taken place. If you are interested in viewing the PPT presentations, please access the links below.

TOPIC

Project Overview
Click here to view PPT presentation - Project Overview

The Science of Safety
Click here to view PPT presentation - Science of Safety

Eliminating CLABSI
Click here to view the PPT Presentation - Eliminating CLABSI

Comprehensive Unit Based Safety Program (CUSP)
Click here to view PPT presentation - CUSP 

Building a Team
Click here to view PPT presentation - Building a Team 

Physician Engagement
Click here to view PPT Presentation - Engaging Physicians
 

Overview of Data Collection
Click here to view PPT Presentation - Data Collection
 
 

Hospital Survey on Patient Safety (HSOPS)
Click here to view PPT Presentation - Hospital Survey of Patient Safety 


Topic-specific phone calls will be recorded and can be referenced if necessary. Use the following link to get call recordings:  http://www.hret.org/hret/programs/cusp/immersioncalls.html


Peter Pronovost, M.D., PhD. is the principal investigator for this national initiative and was instrumental in moving the CUSP model forward at Johns Hopkins Hospital. Watch the video below to get a quick insight into Peter's vision for safety patient care in hospitals.

Copyright 2006 Colorado Hospital Association
CHA Phone: (720) 489-1630