Neonatal Catheter Associated Blood Stream Infection (NCABSI)
The FPQC is one of the original 9 state Collaboratives in the NCABSI initiative which began in December 2011 with the goal of reducing central line associated infections through the application of defined insertion and maintenance toolkits. This project was the FPQC’s first newborn QI initiative.
Sixteen Florida Level III NICUs signed on to implement the existing protocol utilized across the nine-state project for Phase I, which was completed in December 2012. During Phase I, the Florida NICUs provided a quarter of the data and had a substantial impact on the national progress of the project – with Florida outperforming the national average in certain key measures.
Phase II began in January 2013 (red line in figure) with the goal of maintaining the gains achieved in Phase I. The NCABSI project expanded nationally to include 13 states and over 150 NICUs. The 16 Florida NICUs involved have been the largest single data contributor, with over 7800 of the 40,000 lines and over 86,000 of the 376,000 line days.
Florida has reduced central line infection by over 58.8% by August 2013. Detailed results between December 2011 and August 2013 indicated that 150 infections were avoided in Florida - saving 18 lives, reducing length of stay by more than 1,199 days and saving over $7.9 million.
The effort included individual site visits by the state Lead Investigator, conference calls involving participating centers and a series of webinars on utilizing the American Hospital Association's Comprehensive Unit-Based Safety Program (CUSP) to achieve and sustain culture change. The spirit of cooperation and collaboration which grew out of this project will give Florida a strong foundation for future projects.
If you have any questions about this initiative, please contact Dr. Douglas E. Hardy at firstname.lastname@example.org .
For detailed information on the NCABSI initiative presented at the FPQC’s 2013 Annual Neonatal-Focused Meeting (September 2013), please click here.