A community hospital partnered with iCareQuality to implement an AHRQ CAUTI Toolkit using iCareQuality's iCM Mobile platform. The goals were to (1) increase nursing knowledge of CAUTI best practices, (2) enhance frontline engagement, and (3) measure mobile technology uptake. Nurses who used the mobile toolkit showed a 20% increase in CAUTI knowledge and the hospital saw a 300% reduction in catheter device days compared to the previous year. The project demonstrated that just-in-time mobile education can improve outcomes by providing access to best practices at the point of care.

1. 7/13/2016 iCM Mobile Toolkit Improves Frontline Care Delivery for #ZeroPatientHarm | Dr. Kate ONeill, DNP, RN | Pulse | LinkedIn
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iCM Mobile Toolkit Improves Frontline
Care Delivery for #ZeroPatientHarm
Published on July 6, 2016
Best Practice for Best Outcomes
WHO: iCareQuality is a best practice firm with healthcare innovation labs in
Philadelphia and Toronto. The iCQ team partnered with a community hospital in New
Jersey to use the AHRQ CAUTI Toolkit to reduce catheter associated urinary tract
infections in the clinical setting. The QI project was implemented using the iCM Mobile
platform as part of the hospital yearly improvement plan and conducted over 10 weeks
during the Spring of 2016. The purpose of this pilot project was to increase nursing
knowledge of AHRQ CAUTI best practices; (2) enhance frontline provider
engagement; and (3) measure mobile technology uptake at the point of care in the acute
care setting.
CHALLENGE: Although healthcare is embracing mobile information technology with
a global reach; yet adoption is slow and challenges remain with implementation and
connectivity issues. The NJ hospital was previously part of the CUSP project in 2013,
but noted patient complexity, sparse clinical resources, and low provider engagement
that inhibited ongoing improvement and sustainability efforts. As with other similar
institutions, outcomes were less than ideal and resulted in decreased organization
performance and adverse patient outcomes. In recent months, Leapfrog reported
medical errors to be the 3rd leading cause of death in the US. Failure to implement best
practices, such as the AHRQ Toolkit, in a sustainable, cost effective manner, may
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Dr. Kate ONeill, DNP, RN
CNO, VP Quality & Patient Safety, iCareQuality, Inc
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contribute to medical errors, clinical inefficiencies, and hospital waste.
RESULTS: CAUTI is one of the most common hospital acquired condition and was the
focus of this project in order to positively impact preventable deaths, and improve
patient and provider outcomes. The project plan included a multi­modal, time­series
educational intervention design, incorporating the iCM Mobile Toolkit with online
gamification, machine learning, and targeted staff educational activities. The mobile
technology platform by iCareQuality included AHRQ CAUTI modules for shift­to­shift
report, best practice CAUTI guide book, case studies, videos, quizzes, discussion board,
and gamification reward points. The project setting included ICU and Medical/Surgical
nurses. Fifty frontline providers participated in Phase I that was mandatory, and 26 staff
continued to participate in Phase II which was voluntary. Data showed a 20% increase
in CAUTI staff knowledge pre and posttest p<.02; with a 300% reduction in Foley Free
device days compared to 2015. Staff accrued 3800 gamification points for learning
activities and were awarded gift cards for participation. Staff rated “User Technology
Acceptance” as very favorable in order to access frontline clinical learning tools.
LEARNING: Key findings from this socio­technical clinical project were threefold.
The project demonstrated that a “just­in­time” education platform, using mobile
technology at the point of care, not only improved staff learning but sustained ongoing
provider knowledge with respect to CAUTI best practices. Mobile tools helped to
enhance clinical workflow efficiency and effectiveness by accessing AHRQ Tools at the
point of care. Finally, incentivized learning and gamification principles, when applied
tactically in the clinical learning environment, helped to drive “active” workforce
engagement. Leveraging mobile technology with targeted staff learning opportunities
allowed providers to accrue rewards points, acquire best practice information to support
a learning organization culture, and improved patient outcomes.
NOTE: Special thanks to Jason Uppal, our CEO and Founder of the MillionInnovators
Academy for his technical assistance with this project. We are looking for innovative
hospitals to collaborate on an upcoming project with sepsis and other hospital acquired
conditions using a similar model. If you are interested, please contact me at
kate.oneill@icarequality.org for #ZeroPatientHarm.
Tagged in: patient safety, innovation research, healthcare information technology
Dr. Kate ONeill, DNP, RN
CNO, VP Quality & Patient Safety, iCareQuality, Inc
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Barbara Duffy, DHSc, MPH, CPHQ, LHRM, RN
Barb Duffy Consulting LLC. Risk, Patient Safety, Quality, Online Instruction, SME
This is awesome - and I can see potential for application in so many other directions and areas. I
imagine this likewise makes for a wonderful PI/Quality project for the hospital and a great
graduate/doctorate school project. How does this also impact documentation showing compliance
with policy & procedure, best practice, quality metrics, etc?
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Dr. Kate ONeill, DNP, RN
CNO, VP Quality & Patient Safety, iCareQuality, Inc
Barb the iCMobile Toolkit is Plug and Play and can be used for almost any QI or education
application/project.
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