Telligen Quality Innovation Network – Quality Improvement Organization TAP Report – Targeted Assessment for PreventionMay 27, 2015

This material was prepared by Telligen, Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-IL-C1-04/15-099

2

Agenda Overview

• Targeted Assessment for Prevention (TAP) Strategy• Creating a TAP Report• TAP Report Overview• Understanding the TAP Report

– Cumulative attributable difference (CAD)– DUR%– Pathogens

• Driving Improvements with TAP Data• Call to Action

3

Objectives

Participants will be able to:

•Create a TAP Report for their facility

•Discuss the information contained in the TAP report

•Utilize the TAP report to drive HAI improvement efforts

4

TAP Strategy

• Developed by CDC as a tool to drive HAI prevention efforts

• Piloted in 2014 • Generated in NHSN for CLABSI, CAUTI and CDI LabID

data

5

Creating a TAP Report

6

TAP Report Overview

7

Interpreting the TAP Report

1 2 3 4 5

8

Interpreting the TAP Report - continued

9

Interpreting the Tap Report - Continued

10

Driving Improvement with the TAP Report

• Focus limited resources where you will get the biggest return on time and investment

• Create Unit or Department specific improvement teams• Utilize HAI specific Survey Monkey Assessment to

identify gaps in evidence based practices. Tool coming soon for CAUTI.

• Ask 3-4 members of the unit/department or team to complete the Survey Monkey Assessment – eye opening results!

11

Driving Improvement with the TAP Report

• Initiate improvement work utilizing tools and processes that your facility is familiar with

• Engage multidisciplinary group• Consider small test of change• Communicate results

12

Next Steps

• Survey Monkey – for CAUTI evidence based practice assessment in progress.

• Enter NHSN data monthly• Look for Telligen generated graphs

13

Open Discussion

• How will you use the TAP Report in your organization?

• Have you already used it?• Any concerns?

14

Contacts

Karen Boland Sr. Quality Improvement Facilitator

Telligen QIN-QIO

Email: karen.boland@area-d.hcqis.orgPhone: 630-928-5828

Debbie CamachoSenior QI ManagerTelligen QIN-QIO

Email: debbie.camacho@area-d.hcqis.orgPhone: 630-928-5815

Meghan FoleyProject Assistant IITelligen QIN-QIO

Email: meghan.foley@area-d.hcqis.orgPhone: 630-928-5805