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This first-of-its-kind project is modeled after the pioneering efforts ofthe Michigan Health & Hospital Association's (MHA) Keystone Center for PatientSafety & Quality and Johns Hopkins University (JHU) Quality and SafetyResearch Group that have achieved significant and measurable improvements inreducing Central-Line Associated Bloodstream Infections (CLABSI) in Michiganhospital ICUs.
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In 2003, the MHA Keystone Center launched its first patient safetyimprovement program - MHA Keystone: ICU - in more than 100 Michigan hospitalICUs. Through a series of back-to-basic patient safety interventions, thiscollaborative has since resulted in more than 1,700 lives saved, more than127,000 excess hospital days avoided and more than $246 million in health carecosts saved.
"As a result of the MHA Keystone Center, Michigan hospital ICUs are nowamong the safest in the nation and world," said MHA President Spencer Johnson."Through the MHA Keystone Center, Michigan hospitals are implementinggroundbreaking and lifesaving interventions that have reduced medical errorsand health care costs, while improving the quality of patient care deliveredat the bedside. Michigan hospitals are truly leading the nation in proactiveefforts to make health care safer."
The national project, "National Implementation of the ComprehensiveUnit-Based Safety Program (CUSP) to Reduce CLABSI in the ICU", began Sept. 30,2008, and continues through Sept. 29, 2011. A major goal of the project is toreduce the average rate of CLABSI in participating hospitals to one infectionfor every 1,000 catheter days. The national average is currently fiveinfections per 1,000 catheter days.
AHRQ will select a 10-state consortium based on state interest andreadiness to participate in this national effort to adopt CUSP and willsubsequently identify at least 10 participating hospitals in each of thestates. The MHA and JHU will then develop an educational toolkit and work withthe consortium that includes national, state and regional hospitalassociations, quality improvement organizations, and public health agencies.The selected state associations and their participating hospitals will beannounced sometime later this year, with participating states to be phased inover a three-year period.
Headquartered in Lansing, Michigan, the MHA Keystone Center for PatientSafety & Quality was founded by Michigan hospitals and the MHA in 2003. TheMHA Keystone Center has been funded, to date, by MHA-member hospitals, stategrants, AHRQ and Blue Cross Blue Shield of Michigan. The center combines stateand national patient safety experts and multiple hospitals and health systems,working together in collaborative programs that identify best practices andevidence-based medicine to improve patient safety and health care quality andto reduce medical errors. The collaboratives incorporate culture change toimprove communication and the use of various checklists to standardizeprocedures; ensuring consistent quality care; and avoiding oversights that canlead to patient harm. For more information about the MHA Keystone Center forPatient Safety & Quality, visit www.MHAKeystoneCenter.org . For moreinformation on AHRQ's patient safety research, visithttp://www.ahrq.gov/qual/errorsix.htm
SOURCE Michigan Health & Hospital Association
