Transcript MGH Hand Hygiene Program “90/90” and Beyond

The MGH Hand Hygiene Program
“90/90” and Beyond
Presented by
Judy Tarselli, RN and Dolores D, Suslak, MSN, CIC
Infection Control Unit
Massachusetts General Hospital
for the
Massachusetts Coalition for the Prevention of Medical Errors
15th Anniversary Celebration
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Hand hygiene compliance vs. healthcare-associated MRSA (2002-2012)
Before contact rates
0%
2002
2003
2004
2005
2006
After contact rates
2007
2008
2009
MRSA Rate
94%
100%
2.50
90%
80%
92%
2.00
70%
60%
1.50
50%
40%
1.00
30%
20%
0.50
10%
HA-MRSA rate: A new record low!
2010
2011
0.00
0.23
2012
MGH Hand Hygiene Program
Champions
STOP Task Force
Posters &
Publicity
Compliance surveys
Goals
Product availability
“The Last 10%” Feedback
Leadership
involvement
Education
Patient & Visitor
involvement
Rewards
Expansion & Outreach
“Cultural Change” (defined)
“To make hand hygiene a habit so strong
it is done without thinking…
And an expectation so strong that failure to
use it is easily noticed
and worthy of intervention.”
Key lessons and ongoing efforts
Keep it positive! Have fun, celebrate progress, focus on facts… Not faults.
Use a multidisciplinary effort: A multifaceted, team approach works best.
Set solid but attainable goals: Short term goals, long term expectations.
Get others involved: Seek input, share the efforts and the credits!
• Leaders and Champions
• Professionals and Non-professionals
Identify barriers and work to overcome them
•
Listen to complaints, concerns, and questions – and respond
•
Define, categorize and quantify noncompliance – and target it
Address the persistent failures – and link them to common goals
• “The Last Ten Percent”
• Patient Safety
Encourage growth and lasting success
• Reach out, assist, and adapt the program for others
• Look for successes (even small) and celebrate them!
• Support related efforts: Become allies!
• Seek a cultural change*
* New: The cultural change needed for lasting success must extend beyond the walls of MGH.
What’s next?
There is no end… Only new beginnings.
Celebrate the past: 10th Anniversary of the rollout of the MGH HH Program in 2014
Prepare for the future: Attract new people, new ideas
Continue working: MGH has an ever-changing population!
Expand the effort: Add Ambulatory Care Centers; other surveillance methods
Support related projects: “Excellence Every Day” requires a mutual effort
Reach out: Encourage improvement efforts at other hospitals and schools.
Lasting success depends on a cultural change that extends beyond MGH.
To achieve excellence… Look around, speak up, and expect it every day.