Champions for Children’s Health
NACHRI 2008 Annual Meeting Session Presentation
Eliminating BSIs: How Your Hospital Can Avoid a Payor’s Never Event
Marlene R. Miller, MD, MSc, Vice Chair, Quality and
Safety
Johns Hopkins Children's Center, Baltimore, MD
Chief Medical Officer
NACHRI, Alexandria, VA
Learning objectives: After attending this session attendees will be able to:
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Understand why NACHRI launched the CA-BSI initiative as part of its commitment to national quality and safety projects and what makes this collaborative different
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Explore the quality improvement results and cost savings from collaborative hospital teams in CA-BSI
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Understand the teamwork and institutional support required to implement hospital-wide improvements of this nature
In October 2006, as part of NACHRI’s commitment to transformational pediatric care, the Association created a national quality improvement collaborative to reduce and eventually eliminate Catheter-associated Blood Stream Infections (CA-BSI) in PICUs across the US. The CA-BSI project has resulted in a 70 percent decrease in CA-BSI events in the 27 institutions. Approximately 349 infections have been prevented, at a cost savings of approximately $12 million and an estimated 35-40 deaths have been prevented. Based on these results, a second phase of CA-BSI was launched in June 2008 with an additional 25 institutions. Results from both CA-BSI phases will be presented, as well as descriptions of methods used in the collaborative, the institutional support needed for participation and information about how interested institutions can become involved in the planned third phase of this initiative.