Elizabeth S
- Evaluation Plan
- Measure Cumulative Progress
- How quickly did the MA hospitals and nursing staff adopt the new policy change?
- Utilization of the new implementation (quarterly)
- Use anonymous individual surveys to ask the nursing staff/ MA hospitals how they are liking the new implementation
- Suggestion box for obtaining feedback
- How proficient are staff becoming with implementing the new policy?
- Compare before and after infection rates w/ new implemented plan in place
- Benchmarks
- Nurses are implanting the new policy successfully
- Should see a significant decrease in CLABSI rates with new implementation
- MA hospitals will be followed for 1 year
- Obtain accurate data
- Monthly checks for infection rates
- Check staff compliance
- Continue to gather data on CVC placement and line days
- Obtain accurate data
- Continue to track admissions, discharges and CLABSI related deaths
- Follow up with patients who are d/c’d home with CVC lines
- Checking for patient compliance with CVC care
- Checking to see if infection occurred after discharge home with a CVC
- EMR should have information on CVC insertion and removal dates
- Determine if implementation is working
- Was there a reduction in CLABSI with new implementation?
- Drop in CLABSI rates over a 1-year period = success
- Success = keeping the new initiative in place
- Offer hospitals an incentive for CLABSI reduction
- Follow up with patients who are d/c’d home with CVC lines
- Feedback
- Utilization of catheter caps
- Promote success by sharing data
- Asking/ receiving nursing staff and MA hospital administrators and stakeholder input
- Providing information to patients and families about CVC care and new policies
- To ensure that they are aware of the process to promote change and reduce infection rates
- Assessing barriers
- Maintaining open communication
- Plan for any negative feedback or resistance
- Handle pushback by continuing to focus on the issue at hand
- Grow a culture of trust