Continuous Quality Improvement

30/30 Education Session - 30 minutes

2503 - The Performance Improvement Journey of CAUTI: A Statewide Approach

Thursday, June 15
3:45 PM - 4:15 PM
Location: Oregon Convention Center, A 107-109

This presentation will highlight the Michigan Health & Hospital Association (MHA) Keystone Center lessons learned from its collaborative journey to reduce catheter-associated urinary tract infection (CAUTI) since 2007. Michigan hospitals have implemented evidence-based interventions to reduce CAUTIs through the MHA Keystone: CAUTI collaborative (formerly MHA Keystone: Hospital-Associated Infection). The presentation will highlight a road map to reducing CAUTI utilizing the high-reliability organization (HRO) philosophy, and being patient- and family-centric by utilizing process improvement strategies to test innovative ideas. The presentation will start by focusing on the concept/framework of a HRO, which is an organization that has succeeded in avoiding catastrophes in an environment where normal accidents can be expected due to risk factors and complexity. Specific examples that have been studied include nuclear power plants, air traffic control systems, and naval aircraft carriers. Researchers uncovered five elements that HROs have in common. These traits are essential for avoiding significant failure or catastrophic events despite operating in a hazardous environment where lives are at stake. The five elements are Preoccupation with Failure; Reluctance to Simplify; Sensitivity to Operations; Commitment to Resilience, and Deference to Expertise. The MHA Keystone Center has moved to adopt the HRO mindset. There is much to learn from the mindset of HRO and how it can apply to CAUTI prevention. The second part of the presentation will highlight the concepts of patient and family engagement and their important role in reducing CAUTIs. By healthcare facilities switching their thought process from doing something for the patient to working with the patient and their family, members can address CAUTI and other healthcare-associated infections. The presentation will conclude with various innovative strategies that healthcare care providers can use to address harm in their organization, such as small test of change and learning from defects.

Learning Objectives:


Bryan Buckley

Manager, Patient Safety and Quality
Michigan Health & Hospital Association Keystone Center
Okemos, Michigan

Bryan Buckley is patient safety and quality manager for the Michigan Health & Hospital Keystone Center for Patient Safety & Quality. He facilitates multiple patient safety and quality improvement efforts and uses a variety of improvement methodologies and group management techniques to support individuals and teams through process improvement initiatives. Mr. Buckley received his BS in microbiology and an MPH with a concentration in infectious diseases and administration at Michigan State University. He has previous experience working in the field of advocacy and epidemiology on the local, state, and international level for the past six years. Mr. Buckley has a great love for performance/quality improvement, healthcare organizational change, system design, and implementation science. Mr. Buckley believes patient safety is the building block to creating the vision of a highly reliable community, free from harm in which everyone is physically and emotionally healthy.

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Kelsey Peterson

Manager, Patient Safety and Quality
Michigan Health & Hospital Association Keystone Center
Okemos, Michigan

Kelsey Peterson is a data analyst with the Michigan Health & Hospital Association (MHA). In this role, she leads data collection and analysis for MHA Keystone Hospital Engagement Network efforts as part of the CMS Partnership for Patients Initiative. Additionally, she is responsible for infection-related activities and data analysis as it relates to the National Healthcare Safety Network, and ongoing quality improvement work within Michigan hospitals. Kelsey holds a BS in allied health sciences and an MPH in epidemiology with an emphasis in biomedical informatics from Grand Valley State University.

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Nicole Nomides

Manager, Infection Prevention & Epidemiology
Michigan Medicine
Ann Arbor, Michigan

Nicole Nomides earned her Bachelor of Science degree in Biology from the University of Michigan-Dearborn in 1996. She completed her internship at the St John Laboratories School of Medical Technology and received MT (ASCP) certification in 2000. She earned her Master of Science degree in Health Services from Madonna University in 2005. She has been CIC certified since 2007, and FAPIC certified since 2017. Nicole has worked as an Infection Preventionist since 2004, and is currently employed as Manager of the Infection Prevention & Epidemiology department at the University of Michigan Hospitals & Health Centers. Her areas of expertise include Critical Care, Operating Room, and the Sterile Processing Department. She has served on the Board of the APIC-Great Lakes Chapter as President, Bylaws, Nominations, Secretary, and Program Chairs, and is currently a member of the national APIC Membership Services Committee.

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