May 10, 2018

Keys to Reducing IVAC: Benchmark, RCA, Audit, Teamwork and Leadership Support

On the May FHA Call to Action IVAC Bi-Monthly Webinar, presenters from Medical Center Navicent Health, Macon, GA, shared the hospital's journey of reducing Ventilator-Associated Events (VAE) by 60 percent in 18 months by adopting practices promoted through the Hospital Improvement Innovation Network (HIIN). By benchmarking with other HRET HIIN hospitals, they realized their rates were above the national average. Given the increase they had seen in ventilator use, they felt a sense of urgency to focus on preventing VAE, despite having low Ventilator-Associated Pneumonia (VAP) rates. They formed an interdisciplinary VAE task force, which included physicians and executives along with the clinical team, to create a "burning platform" for VAE reduction. The team tied the initiative to performance goals, posted rates, reviewed data, involved front line staff in solutions and engagement and incorporated the Pain Agitation Delirium (PAD) protocol, bundles, mobility, de-escalation and alternatives into interdisciplinary rounds. They created a vent bundle monitoring tool to assist in assuring compliance along with a transport protocol to minimize breaks in the circuit when moving the patient. Their Root Cause Analysis (RCA) tool helps them determine why a VAE occurred and how to prevent it in the future.

The team at Medical Center Navicent Health attributes accountability, listening to the needs of staff, going back to basics on hand hygiene and auditing compliance with the bundles and the transport protocols the key to their sustainability. Overall, it is estimated they saved almost $1 million in costs by preventing VAE. For more on how they tackled VAE and their lessons learn, listen to the recording and/or view the slide presentation.

As part of the FHA Call to Action on reducing infection-related ventilator-associated complications (IVAC), the FHA HIIN team is hosting bi-monthly calls to highlight work underway to prevent IVAC. Recent data on our progress to reduce IVAC is showing a 30 percent reduction as of Feb. 15. For resources and support, check out the FHA IVAC website or contact FHA HIIN.