Hand Hygiene Audit and Feedback at Comer

Chicago, IL US
October 1, 2019 to December 31, 2020
PI CME/Quality Improvement Effort

Improving Hand Hygiene has been an important infection prevention initiative for many years. University of Chicago Medicine began installation of the Gojo automated aggregated monitoring system in July, 2014. After a pilot in the PICU, the system was installed Comer-wide and we began weekly accountability phone calls with unit leadership. A variety of unit- and institution-wide efforts ranging from hand hygiene champions, just-in-time coaching, contests and signs have contributed to the improved rates over time. This project will incorporate many of these techniques and utilize the power of direct observation to identify additional opportunities for improvement of hand hygiene.
 
The goal of this project is to increase the University of Chicago Medicine's Comer Children's Hospital hand hygiene compliance rate by 2% (absolute) per unit during FY20. A secondary goal is to collect 60 hand hygiene observations and 20 reminders or compliments per provider enrolled.

Target Audience

This performance/quality improvement initiative is intended for physicians, residents, and fellows working in Pediatrics at Comer Children's Hospital.

Learning Objectives

The aims for this project:
 
  • Comer Children’s Hospital will increase the Hand Hygiene compliance rates as measured by Gojo by 2% (absolute) per unit and across all inpatient units by 5% (relative) by 12/31/2020.
Additional information
ACGME/ABMS Core Competencies: 
Interpersonal and Communication Skills
Professionalism
For more information, please contact:
CME Coordinator Contact Name: 
Allison Bartlett
CME Coordinator Contact Email: 
[email protected]
CME Coordinator Contact Phone: 
773-702-6800
Summary
Available credit: 
  • 20.00 AMA PRA Category 1 Credit™
  • 20.00 Participation
Event starts: 
10/01/2019 - 12:00am
Event ends: 
12/31/2020 - 12:00am
Activity opens: 
12/31/2020
Activity expires: 
03/31/2021
Add to calendar: 
UChicago Medicine Comer Children's Hospital
5721 S Maryland Ave
Chicago, IL 60637
United States
WANT TO KNOW MORE?
Learn more about the University of Chicago Medicine Comer Children's Hospital here!
 

ACCESSIBILITY The University of Chicago is committed to providing equal access appropriate to need and circumstances and complies fully with legal requirements of the Americans with Disabilities Act. If you are in need of special accommodation, please contact our office at 773-702-6800 or via email at [email protected].

Project Lead
Allison H. Bartlett , MD, MS
Associate Professor of Pediatrics, Section of Infectious Diseases
Quality Chief, Department of Pediatrics
Associate Medical Director, Infection Control and Antimicrobial Stewardship Programs
The University of Chicago Medicine
QIPI Lead
Joan Liput, MBA
Quality Improvement Project Manager
Quality Performance Improvement
The University of Chicago Medicine
Infection Prevention Lead
Vera Chu, MS, MLS(ASCP)cm, CIC
Infection Control Practitioner
The University of Chicago Medicine
 

Disclosure Declarations
As a provider accredited by the ACCME, The University of Chicago Pritzker School of Medicine asks everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. This includes any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest. Mechanisms are in place to identify and resolve any potential conflict of interest prior to the start of the activity.

Additionally, The University of Chicago Pritzker School of Medicine requires authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

Physician Credit
The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 
 
The University of Chicago Pritzker School of Medicine designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CME and MOC IV Credit
The national Multi-Specialty MOC Portfolio Approval Program has granted approval to the University of Chicago to award MOC Part IV credit to physicians participating in quality improvement (QI) projects. To qualify for both PI CME credit (AMA PRA Category 1 Credit™) and QI MOC through the ABMS Multi-specialty Portfolio Program, participants must be engaged in a systematic effort of reviewing and improving some aspect(s) of care or care delivery for their patients. 

Sustained QI Cycles: Physicians are required to complete not less than 2 intervention cycles and not less than 3 data collection points:
1. Pre-intervention cycle 1 
2. Post-intervention cycle 1 
3. Post intervention cycle 2 
 
The QI effort must be sustained, involving at least two or more linked cycles of performance review and improvement effort. The post-intervention data and review from one cycle become the baseline data and planning for the next cycle. Starting with a suspected or actual problem with care:

1st QI cycle
    Baseline data collection, analysis/review, identify underlying cause(s)
    Intervention(s) to address underlying cause(s)
    Post-intervention data collection, analysis/review, identify remaining underlying cause(s)
 
2nd QI cycle
   Post-intervention data collection, analysis/review, identify underlying cause(s) (same as above)
   Adjustment(s) / second intervention(s) to address underlying cause(s) 
   Post-adjustment data collection, analysis/review, identify remaining underlying cause(s)
 
Participants will be directed to attest and claim their 20 AMA PRA Category 1 CreditsTM through the CME website that is created for the project. Physician participation information will then be sent to the appropriate ABMS boards to report the successful completion of an MOC IV project. MOC IV credit will then appear in the diplomate’s specific board profile.

Attestation forms must be submitted by November 30th in order for us to report credit to your ABMS specialty board and have your credit count for that year. 
Registration: Closed to the public.

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