Catheter-associated Urinary Tract Infection and the Medicare Rule Changes
Catheter-associated urinary tract infection, a common and potentially preventable complication of hospitalization, is one of the hospital-acquired complications chosen by the Centers for Medicare and Medicaid Services (CMS) for which hospitals no longer receive additional payment. To help understand the potential consequences of the recent CMS rule changes this article examines the preventability of catheter-associated infection, reviews the CMS rules changes regarding catheter-associated urinary tract infection, offers assessment of the possible consequences of these changes, and provides guidance for hospital-based administrators and clinicians.
Understanding the Hospital-Acquired Condition Reduction Program Beginning in FY 2015
The Hospital-Acquired Condition (HAC) Reduction Program, mandated by the Affordable Care Act, requires the Centers for Medicare & Medicaid (CMS) to reduce hospital payments by 1 percent for hospitals that rank among the lowest-performing 25 percent with regard to HACs.
Catheter Related Urinary Tract Infections Cause and Effect Diagram
A Fishbone diagram providing an overview of the cause and effect of CAUTI including patient-related factors, caregiver-related factors, system/hospital, systems/equipment and systems/environment.
Guide to Preventing Catheter-Associated Urinary Tract Infections
Urinary tract infections are one of the five most common types of healthcare-associated infection (HAI), and along with other device-associated infections (e.g., central catheter-associated bloodstream infections and ventilator-associated pneumonia) account for 25.6 percent of all hospital HAIs. A majority of healthcare-associated UTIs are caused by instrumentation of the urinary tract. Catheter-associated urinary tract infection (CAUTI) has been associated with increased morbidity, mortality, hospital cost, and length of stay. Bacteriuria also leads to unnecessary antimicrobial use, and urinary drainage systems can be reservoirs for multidrug-resistant bacteria and a source of transmission to other patients.
Catheter Associated Urinary Tract Infections (CAUTI): Fact Sheet
A fact sheet covering the prevalence and incidences of CAUTI, diagnosis, risk/contributing factors, treatment of symptomatic CAUTI and prevention of CAUTI.
Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)
The purpose of this document is to provide evidence-based practice guidance for the prevention of Catheter-Associated Urinary Tract Infection (CAUTI) in acute and long-term care settings.
Preventing CAUTI: A patient-centered approach
Catheter-associated urinary tract infection (CAUTI) is widely recognized in the United States as the most common healthcare-associated infection (HAI), representing an estimated 40 percent of all HAIs. CAUTI has been shown to increase patient mortality and morbidity, increase length of stay, and add to the cost of care. Not only is CAUTI a challenge in acute care; the prevalence of catheters in nursing homes expands the need for effective clinical prevention programs across the health services continuum.
Are you prepared to identify and prevent the three infections that make up two-thirds of all Health Care Associated Infections?
This guide will serve as an overview of the HAI risk factors and basic prevention measures that every nurse should be aware of, with additional resources listed at the end of each section.
A Practical Approach to Difficult Urinary Catheterizations
A reasonable, progressive approach to the common problem of difficult urethral catheterizations will help minimize urinary trauma and long-term urological disorders. Blind procedures with stiff or metal sounds are being rapidly replaced by guide wires, balloon dilators and direct vision techniques. All health care professionals and staff who are authorized to place urinary catheters, should be instructed in proper techniques and encouraged to call for help if they encounter difficulties beyond their ability to resolve.
It takes a village … to implement catheter associated urinary tract infection (CAUTI) prevention
Webinar slides by CHAIN, Minnesota’s Collaborative HealthCare-Associated Infection Network. CHAIN develops and helps carry out approaches for reducing and preventing healthcare-associated infections in Minnesota: CLABSI: central line associated bloodstream infections, CAUTI: catheter associated urinary tract infections, CDI, C. diff: clostridium difficile infections, SSI: surgical site infections.
Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.