Welcome to the January Issue of HIIN The Know ! On November 1, 2019, the Centers for Disease Control and Prevention (CDC) released the National and State Healthcare-Associated Infections (HAIs) progress report for calendar year (CY) 2018 . The report uses data reported to NHSN for CLABSIs, CAUTIs, VAEs, SSIs, MRSA bloodstream events, and CDI events.   Between CY 2017 and CY 2018, HSAG HIIN achieved statistically significant reductions in CAUTI, CLABSI, MRSA, and CDI events. We want to recognize each of your hospitals for your contributions to patient safety and for improving the quality of care provided to patients.   HSAG HIIN partners have made some tremendous improvements since this work began. However, action is still needed, and HSAG HIIN is asking for your hospital's help to both sustain progress and continue to achieve reductions in SSI following colon and abdominal hysterectomy procedures. To assist partners with these efforts, HSAG HIIN has experienced infection preventionists to assist with technical assistance and provide tools and resources.     Let HSAG HIIN help identify the best tools and strategies to fit your hospital's needs so together we can reach another threshold of harm reduction in reducing HAIs. Please reach out to your quality advisor to discuss how to review your HAI data reports, identify areas of opportunity, and continue to improve care in the communities you serve. NHSN—National Healthcare Safety Network CLABSI—Central line-associated bloodstream infection CAUTI—Catheter-associated urinary tract infections VAE—Ventilator-associated events SSI—Surgical site infections MRSA—Methicillin-resistant Staphylococcus aureus CDI— Clostridioides difficile infection

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Improvement Tools and Resources

SSI Field Guide This field guide contains valuable SSI information, including the harm impact of SSIs, the SSI measure, known improvement strategies, patient and family education strategies, and specific resources. Click here to view the field guide.

CDC and Prevention Guidelines for the Prevention of SSI, 2017 This guideline provides evidence-based strategies to help hospitals work to reduce the number of SSIs in their facilities.​ Click here to view the guidelines.

World Health Organization (WHO) Global Guidelines on the Prevention of SSIs This resource includes recommendations for the prevention of SSIs in the pre-, intra, and postoperative periods. Click here to view the resource.

WHO Save Lives: Clean Your Hands This website from the WHO provides multiple tools, resources, and graphics on hand hygiene and antibiotic resistance. Click here to view the website.

NHSN SSI Case Studies and 2020 Update These case studies can be used by hospitals to ensure SSI surveillance criteria are being consistently applied.  Click here to view the case studies . Click here to view the NHSN 2020 update.

Health Research & Educational Trust (HRET)—Preventing SSIs Change Package This change package includes a number of best practices hospitals can implement based on need and patient safety goals. Click here to view the change package.

CDC/NHSN Patient Safety Component Manual This document is a summary of significant modifications for the NHSN Patient Safety Component Manual, which went into effect January 1, 2020.  Click here to view the summary.

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The Data Advantage Corner

Now Available—Hospital Readmissions Report The Hospital Readmissions Report provides a summary of your hospital’s Medicare Fee-for-Service readmissions data through Q2 2019 and provides overall and stratified readmission rates—allowing your hospital to identify key areas of focus. To find your hospital’s readmissions report: Log in to the HSAG HIIN Secure Data Portal , select the Reports tab, and locate your hospital’s report within the Readmission drop-down menu.     Reminder—Access the Newly Designed HIIN Performance Dashboard s HSAG HIIN has published newly enhanced performance dashboards for our participating hospitals. The performance dashboards are designed to show information at a glance while highlighting performance across HSAG HIIN metrics for the selected hospital(s) on 30-day all-cause readmission stratifications, relative improvement rate (RIR) for selected measures, progress on patient and family engagement (PFE), and the health equity organizational assessment (HEOA). In addition, you are able to view measure-specific rates at different time periods for an individual measure that is chosen for the selected hospital(s) and compare and rank your hospital‘s rates to its peer groups across several HSAG HIIN metrics. To find the HIIN Performance Dashboards, please log in to the HSAG HIIN Secure Data Portal and select the dashboards tab at the top of the Secure Data Portal homepage. For additional details regarding the new performance dashboard, please reference the Secure Data Portal Users' Guide .

Upcoming Events and Education

The Opioid Crisis: A Rural and Critical Access Hospital Effect and Response* Thursday, January 16, 2020 12 noon to 1 p.m. PT *For critical access and rural hospitals only

San Antonio Regional Hospital: Focus on the Patient in the New Era of Opioid Prescribing Friday, January 24, 2020 8 a.m. to 12 noon PT

HSAG HIIN HEOA Open Office Hours Friday, January 31, 2020 9 to 10 a.m. PT

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News and Networking

Tell us about a best practice or noteworthy story you would like to share with the HSAG HIIN community. What you do makes a difference, so please share! Comprehensive Approach to Hand Hygiene Hoag Orthopedic Institute in Irvine, California, is committed to providing patients with a safe and healing environment. Click here to view additional hand hygiene practices and education strategies used by Hoag Orthopedic Institute.

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