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Bloodstream Infections (BSI)

Quality Improvement Activity (QIA) Overview

The 2019 Statement of Work requires that ESRD Networks work with at least 50% of facilities with highest excess bloodstream infection rates, as reported to the National Healthcare Safety Network (NHSN).  As such, 234 facilities were chosen for intervention: 94 target facilities and 140 outlier facilities, based on January 2018 through June 2018 NHSN bloodstream infection rate data. The target facilities have a project goal to achieve a 20% or greater relative reduction in the pooled mean bloodstream infection rate at re-measurement.  From the 50% of facilities in the Network’s service area reporting the highest BSI rates, 33 facilities were identified with a long-term catheter (LTC) in use rate above 15%, based on July 2018 vascular access data.  The LTC facilities have a project goal to achieve a 2% reduction in the LTC rate. 

Network Project Leads:

BSI - Kristi Durham, Quality Improvement Coordinator
kdurham@nw8.esrd.net
601-813-0750

LTC – Pam Stephens, Quality Improvement Nurse
pstephens@nw8.esrd.net
601-813-0746

Orientation Webinars and Infographic Sheets

BSI Target Facilities

BSI Outlier Facilities

LTC Facilities

Monthly Assignment Sheets

BSI Facilities (Target and Outlier)

LTC Facilities

National Coordinating Center (NCC) BSI QIA Learning and Action Network (LAN) Calls

2018