In the latest episode of the LogicStreaming Podcast, host Patrick Yoder, CEO and co-founder of LogicStream Health, talks with Dr. Brita Hansen, Chief Medical Officer at LogicStream Health, about consequences and solutions surrounding healthcare-associated infections (HAIs) such as CAUTI, CLABSI and C. diff. They also dive deeper into clinical process and workflows and other factors that go into successfully managing HAIs.
Patrick kicks off this episode discussing HAI prevention. A hospital’s goal is usually zero HAIs to deliver better patient care and avoid steep Medicare reimbursement penalties. With all health systems focused on reducing HAIs to stay out of the bottom quartile and avoid penalties, having standardized processes and workflows in place is more important than ever.
Dr. Hansen breaks down the HAIs that are usually a main priority: CAUTIs, CLABSIs and C. diff. These acronyms stand for catheter-associated urinary tract infection (CAUTI), central-line associated blood stream infection (CLABSI) and Clostridium difficile (C. diff). The risk for CAUTI and CLABSI can be mitigated by making sure insertion of a catheter or central line is necessary, taking them out as soon as possible and following best care practices while they are inserted.
Patrick discusses how the FDA, CDC and other entities are trying to prevent HAIs by creating guidelines, offering incentives when HAIs are successfully managed and penalties when they are not. Hospitals are also required to report HAI rates to create national benchmarks. Dr. Hansen elaborates on software and electronic health record (EHR) tools that aid in HAI management, such as surveillance. She notes that tools like these are helpful but ineffective if the goal is to reach zero HAIs because they will only predict an infection, not prevent one altogether.
Patrick brings up clinical process improvement (CPI) and the benefits of CPI in HAI reduction. To achieve zero HAIs, best practices need to be hard-coded into the EHR to consistently guide clinicians to make the right care decisions. Dr. Hansen then introduces software solutions available from LogicStream Health that use clinical process improvement to control and prevent HAIs.
Dr. Hansen goes into guidelines and recommendations that prevent HAIs from occurring in the first place. Hospitals are usually already aware of best practices to mitigate risk. LogicStream Health helps hospitals put these best practices into action to see immediate success. One customer was able to cut inappropriate C. diff testing and improve patient care by only starting courses of antibiotics when needed, reducing prolonged hospital stays and eliminating unnecessary testing. The result was a 50 percent reduction in C. diff cases. A CAUTI success example was also covered by Patrick.
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