CUSP 4 MVP – VAP Exposure Receipt Assessment 1: Aggregated Results (Cohort 1)
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Transcript of CUSP 4 MVP – VAP Exposure Receipt Assessment 1: Aggregated Results (Cohort 1)
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CUSP 4 MVP – VAPExposure Receipt Assessment 1: Aggregated Results (Cohort 1)
Kisha Ali, MS
Roshanak Hakimian
October 8, 2014
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Exposure Receipt Assessment
• Metric designed to close the gap between hospital unit leads and frontline providers
• Purpose is to help identify and work with teams to provide needed training, resources, or other aids
• Pioneered in the CUSP for VAP Maryland and Pennsylvania Pilot Project– paper based
• Evolved for CUSP4MVP-VAP – now electronic, questions reflect most updated evidence for VAE prevention
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Exposure Receipt Assessment
• Metric allows the implementation components of the project to be quantified
• Data provided directly by front-line staff with direct-patient care
• In congruence with the Implementation Assessment - tools are complementary
• Assessment
– consist of solely quantitative questions
– Anonymous
– Semi-annual
• Supports improvement efforts of individual units
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Unit Participation:Results of Compliance
Participation Overall:
- Aggregated results from Cohort 1
- Administered 3 months into the project (May – Jun 2014)
- 593 observations
- 7 states
Participation by State: Coordinating Entity (n= # of units)
Number of Front-line Staff that Completed ERA
Contribution to Result Data (%)
UHC (n= 2) 90 15.18MHA Keystone (n=19) 201 33.91Texas (n= 7) 157 26.48New Jersey (n=13) 76 12.82Tennessee (n = 9) 69 11.64South Carolina (n= 6) 0 0Independent (n= 1) 0 0
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Exposure Receipt Assessment Measures
• Results divided into 3 categories based on question type to
allow similar components to be examined together. The
categorical measures are as follows:
1. Distribution of participants
2. CUSP Components of the intervention
3. MVP-VAP Components of the intervention
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Distribution of Participants
What is your role in the Unit?
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CUSP Components of the Intervention
How familiar are you with CUSP?
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CUSP Components of the Intervention
Do you have a CUSP team on your unit?
Has CUSP been active at improving patient safety?
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CUSP Components of the Intervention
Have you watched a Science of Safety presentation
Have you completed a Staff Safety Assessment
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CUSP Components of the Intervention
Have you used the Learning from Defects tool?
For how many patients has your unit used Daily Goals?
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Summary:CUSP Components of the Intervention
• The majority of units participating in Cohort 1 are familiar with
CUSP
• Half the units have CUSP teams, but only 50% of those teams
are active, and even less are using all the CUSP tools
• Overall, providers believe that these teams are somewhat active
at improving patient safety.
• Penetrance and use of the tools, Staff Safety Assessment and
Science of Safety, are high
• Penetrance and use of the tools, Learning from Defects and
Daily Goals, are low
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MVP - VAP Components of theIntervention
Do you know your unit’s VAP or VAE rate(s)?
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MVP - VAP Components of the Intervention
Which of these interventions are being used by your Unit and how often?
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MVP - VAP Components of the Intervention
Do you believe that the interventions in MVP-VAP bundle will help to prevent VAE on your Unit?
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MVP - VAP Components of the Intervention
In your opinion, which of the following interventions are most likely to prevent VAE? (Select 3)
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MVP - VAP Components of the Intervention
In your opinion, where is the biggest opportunity to improve care of mechanically ventilated patients in your unit?
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Summary: VAP Components of the Intervention
• Overwhelming proportion of front-line providers believe
the technical interventions prevent VAE
• Most front-line staff know their VAE rates
• All 6 MVP-VAP bundle interventions measured are being
used at least 50% of the time
• Providers believe early mobility represents the biggest
opportunity to improve care for MVP
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Conclusion
• Results represent the perspective of 593 front-line clinicians surveyed in the Exposure Receipt Assessment 1 for Cohort 1
• Units will soon be able to track implementation successes and barriers over time via CECity platform
• Assessments will continue to be administered semi-annually
– Next ERA assessment will be administered Nov. 2014
• This assessment helps identify
– Additional opportunities for education and training on the unit
– Bridges the gap in information
– Areas of success
• Remember to involve your font-line staff in the CUSP4MVP-VAP project
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Thank you!
Questions?