Case Study: Hospital Acquired Conditions (HAC)

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Hospital Acquired Conditions (HAC) Baptist Memorial Hospital is in a highly competitive healthcare environment. This capitation is not only the result of efforts of the other healthcare organizations but, also driven by patient consumerism. The government sponsored hospital compare website allows potential patients the ability to compare our clinical outcome data. The targeted group is also the group with the greatest healthcare choice, our medicare population. One of the major reporting categories is Hospital acquired condition, the most significant of these is hospital aired infections. The significance of the website data is:
These infections result from the hospital not using proper procedures and precautions
Show a comparison of Baptist Memorial directly to Methodist Healthcare as well as the state and national benchmarks. Indicate there are published guidelines that if followed would reduce infections.
Central Line-Associated Bloodstream Infections (CLABSI) I believe CLABSI represent an area of greatest concern and should be our first focus area. This concert is supported by:
A hospital wide CLABSI rate 4.5 times that of Methodist and twice the state rate.
An ICU CLABSI rate that is 15 …show more content…

This unit has the highest identified CLASBI rate. Correction of the rate in this unit may have the greatest impact on the total hospital rate. In addition it has a limited number of staff as compared to the total hospital. This unit likely represents the highest number of central line use at any single time interval. By beginning the CPG in this unit, the PDSA cycles can be utilized to optimize the process for Baptist before the attempt is made to move it the rest of the hospital. By beginning the process in the ICU, there will be a group of line care experts and champions to move the process out the rest of the hospital. The use of central lines is ubiquitous through out the hospital and so should the care

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