Continuous Quality Improvement

Concurrent Education Session - 60 minutes

3602 - The Hidden Epidemic of Nonventilator Hospital-Acquired Pneumonia: A Serious and Costly Issue

Friday, June 16
2:45 PM - 3:45 PM
Location: Oregon Convention Center, D 135-136

Nonventilator hospital-acquired pneumonia (NV-HAP) is an underreported and understudied disease. While U.S. hospitals are required to monitor ventilator-associated pneumonia/events (VAP/VAEs), there are no such requirements for NV-HAP. The limited studies available indicate that NV-HAP is a significant factor in prolonged hospital stays, patient morbidity and mortality, need for postdischarge care, and overall cost of care. The purpose of this session is to help participants understand the scope of NV-HAP, overall burden to patients and the healthcare system, and the key role that the infection preventionist can play in prevention. Healthcare-associated infections (HAIs), which are largely preventable, create an enormous burden for the U.S. healthcare system. Annually, 2 million patients will contract a HAI, resulting in approximately 90,000 deaths and a cost of $28 to $45 billion. Data support pneumonia as a leading cause of HAI. While the rate of VAP has decreased over the past decade, the rate of NV-HAP remains high, especially in critically ill patients. In this session, we will review the emerging body of evidence on the incidence, cost, pathophysiology, risk factors, and prevention of NV-HAP. We will share hands-on experience and a step-by step approach that can be used to identify the incidence in your own hospitals and implement effective prevention strategies.

Learning Objectives:

Dian Baker

Professor of Nursing
Sacramento State
Davis, California

Dian Baker, PhD, is a professor at the School of Nursing at California State University, Sacramento, an adjunct faculty member at the Center for Excellence in Developmental Disabilities at the MIND Institute, and volunteer clinical faculty in pediatrics at the University of California, Davis, Medical Center. Dr. Baker obtained her PhD from the University of Hawaii and completed a postdoctoral research fellowship at the Betty Irene Moore School of Nursing at the University of California, Davis. Dr. Baker’s research includes hospital-based studies and community-based participatory research that rely on both qualitative and quantitative methods. During the span of her 40-year nursing career, she has partnered with multiple organizations and hospitals to design research studies and disseminate findings. Dr. Baker’s current research includes a national study on nonventilator hospital-acquired pneumonia and oral care to prevent pneumonia and reduction in 30-day hospital admissions.


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James Davis

Senior Infection Prevention Analyst
Pennsylvania Patient Safety Authority
Telford, Pennsylvania

James Davis has more than 19 years of nursing experience spanning long-term care, adult critical care, clinical decision support, education, nurse management, and infection prevention. Currently he is a senior infection prevention analyst at the ECRI Institute under contract with the Commonwealth of Pennsylvania, Pennsylvania Patient Safety Authority. Mr. Davis is board certified in infection control and epidemiology, is a certified healthcare environmental manager, and holds national certification in adult critical care nursing. He is an APIC Fellow (FAPIC) and currently sits on the APIC Research Committee. He has served as president of the APIC Philadelphia/Delaware Valley chapter. Mr. Davis has authored multiple infection prevention and control articles and has been published in the Pennsylvania Patient Safety Authority Advisory and the American Journal of Infection Control


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Karen Giuliano

Nurse Scientist
Hallmark Health
Salem, New Hampshire

Karen has made numerous contributions to the literature, with over 70 publications in more than 18 different journals. Karen is a frequent national and international presenter with a specific interest on the intersection of clinical needs and medical technology use, development and innovation. As a clinical outcomes researcher, Karen’s specific areas of expertise include the generation of highly credible clinical evidence to support improved patient outcomes and medical product innovation. Karen is currently a Nurse Scientist at Hallmark Health System and Director of Clinical Outcomes at Stryker/Sage in Cary, IL. Karen has received numerous research and nursing awards, including induction in 2003 as a Fellow in the American Academy of Nursing (FAAN). Karen is a six sigma green belt, and holds a BSN and PhD in nursing from Boston College, NP from University of Massachusetts, an MBA from Babson, and a postdoctoral research fellowship from Yale.


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Barbara Quinn

Clinical Nurse Specialist
Sutter Health
Shingle Springs, California

Barbara Quinn has been a registered nurse since 1994 and a clinical nurse specialist since 2007. She works in the quality and safety department for a large urban hospital in Sacramento, California. Barbara leads quality improvement projects with the goal of improving nursing practice and patient outcomes. Some of these projects include hand hygiene, CAUTI, CLABSI, patient immunizations, and prevention of hospital-acquired pneumonia. Barbara has performed original nursing research, has published in several peer-reviewed journals, and is a frequent presenter at national conferences.


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Kathleen MEEHAN. Arias

Arias Infection Control Consulting, LLC
Crownsville, Maryland

Kathleen Meehan Arias, MS, MT(ASCP), CIC, FAPIC has worked in the infection prevention and control field since 1980 and is currently the Director of Arias Infection Control Consulting, LLC. She has infection prevention experience in a variety of healthcare settings, including acute care, long-term, and ambulatory care. She has a Bachelor of Science Degree in Medical Technology, a Master of Science Degree in Clinical Microbiology, and is certified in infection control.

Kathy has written articles, chapters, and textbooks on a variety of infection prevention and control topics. She is the author of the surveillance chapter in the APIC Text of Infection Control and Epidemiology and the Editor and an author of the APIC/JCR Infection Prevention and Control Workbook. She is a frequent lecturer at local, national, and international conferences, and is a faculty member for several APIC courses, including Infection Prevention for Ambulatory Surgery Centers.


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3602 - The Hidden Epidemic of Nonventilator Hospital-Acquired Pneumonia: A Serious and Costly Issue

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