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C Difficile Prevention Case Studies HPP VIZIENT
- 1. © 2013 VHA Inc. All rights reserved.
Healthcare Performance Partners
(HPP, a VIZIENT Company),
introduces a Lean based, staff and
leadership engaging approach to
the reduction of Clostridium Difficile
Infections (CDI).
With an average estimated cost
avoidance of $12,093 per CDI event,
11 additional days LOS per event
and noting a 6.4% mortality rate for
CDI, many hospitals stand to
eliminate millions of dollars in cost
and gain back > $100K Value Based
Purchasing (VBP) dollars lost due to
high CDI numbers/rates.
More importantly, CDI has such a
dramatic negative impact on
patients, especially the elderly.
Your organization stands to improve
the health of patients in the
communities you serve!
For more information on how you
can reduce CDI at your organization,
call Rick Beaver at 412-302-9900.
This 500 bed hospital
experienced 111 Hospital
Acquired Clostridium
Difficile (C-Diff or CDI)
Infections in the 12
months from July 2015 to
June 2016. Following an
engagement with HPP
that entailed a focus on
front line staff processes
(including physicians) and
on hospital leadership
“Lean Management
Systems” they
experienced a 50%
reduction in CDI. A p-
value of 0.001
demonstrated that a
significant process
change was required to
achieve this result. See
below the graphics
showing improvement.
A 500 BED HOSPITAL
CUTS C-DIFFICILE BY
50% IN FIRST 60
DAYS OF WORK
HPP utilizes a process
where the key 1 to 3
Leading Indicators that
contribute a majority of
infections are identified.
An audit process is
employed that not only
identifies non-
compliance but in real
time corrects the
noncompliance. These
Leading Indicators are
tracked on an hourly
basis and once > 90%
compliance is achieved,
the organization begins
to realize a decrease in
infections. Lagging
Indicator(s), i.e. number
of infections, are
measured before and
after process
improvement and
changes are evaluated
for statistical
significance. A
sustainment plan offers
the organization a path
to long range
sustainment of low CDI
rates.
A LEAN –
ANALYTICS
APPROACH TO CDI
REDUCTION