Where we have been…..and the place’s we’ll go!Susanne Salem-Schatz, Sc.D.

Program Director

      

              

               

                              

           

11/1212/12Kickoff

Workshop

12/11 Coaching

Call

2/13 Sharing and

learning call

1/13Clinical topic

Webinars

3/13Sharing and

learning call

12/12

Coaching call

4/13Sharing and

learning call

SURVEY MEASURE / MONITOR SURVEYS

Hospital / Long Term Care Partnerships

UTI in the Elderly 2012-2013

6/13

Closing workshop

July-

12

Augus

t-12

Septem

ber-1

2

Octobe

r-12

Novem

ber-1

2

Decem

ber-1

2

Janu

ary-1

3

Febru

ary-1

3

March-1

3

April-1

3

Baseli

ne P

eriod

**0.0

10.0

20.0

30.0

40.0

Rate of Infection and Urine Testing in Participating Long Term Care Facilities N=15

Facility CDI Rate /10,000 PDs* Facility UTI Rate /10,000 PDs Urine Culture Rate/10,000 PDs

Rate

/10,

000

patie

nt d

ays

Encouraging Preliminary Results

Nov 2012 Dec 2012 Jan 2013 Feb 2013 Mar 20130%

10%

20%

30%

40%

50%

60%

70%

% UTIs with Specific Signs and Symptoms

Moving in the right direction!

Rate of urine testing among ED visitors ≥ 70 years of age

Rate of urine testing among ED visitors ≥ 70 years of age in reporting Emergency Departments (n=3)

0.00

0.20

0.40

0.60

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Hospital A Hospital B Hospital C

Rates of ED visitors ≥ 70 years of age with diagnosis of UTI and signs and symptoms

57%

40%

50%56%

50%

100%

14%20%

50%56%

50%

0%0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

30%

50%45%

20% 20%

50%45%

20%

50%

40%

0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

30% 30%

55%

35%

45%

30%

20%

40%

20%

40%

0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

60%

40%

0%

67%60%

0% 0%

50%

0%

20%

0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

45%40%

45%

25% 25%

15%

25%30%

75%

45%

0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

100%

83%

100% 100% 100%

50%

100% 100%

20%

33%

0% 0%

14%

0% 0% 0%0%

25%

50%

75%

100%

Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13

Perc

enta

ge o

f Cha

rt R

evie

ws

--- % patients with specific signs and symptoms --- % patients with ≥1 non-specific signs or symptoms in the absence of specific symptoms

n=100 n=23

n=35n=41

n=100n=100

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