Surveillance and Technology

30/30 Education Session - 30 minutes

2401 - A System-Wide Approach to Validation of Electronic Denominator Data

Primary Speaker(s)

• 

  Kristen Metzger, MPH, CIC, FAPIC

  Analytics Consultant - Infection Prevention
  Northwestern Memorial Healthcare
  Chicago, Illinois

  Nothing to disclose

Moderator(s)

• 

  Stacy Martin, RN, BSN, CIC, FAPIC

  Manager, Infection Prevention & Control
  Moffitt Cancer Center
  Apollo Beach, Florida

  Nothing to disclose

The NHSN requires the electronic denominator data must match manually collected data within +/- 5% for three consecutive months; however, accurately capturing and validating patient, central line, Foley catheter, and ventilator denominator data is an operationally challenging task that healthcare facilities often struggle to accomplish. Successfully and accurately capturing this data is essential for the calculation of HAIs and device utilization metrics.

This session will summarize a system-wide, scalable approach to electronic denominator validation that was developed as a collaborative effort between the IPC and analytics departments at a large healthcare system.

Participants will get a brief presentation on NHSN denominator data collection methods plus a description of the validation process concurrently implemented at five acute care hospitals and one critical access hospital. Specifically, this process includes:

• development of a report to capture electronic denominator data,
• nursing education,
• utilization of a shared webpage for manual data entry, and
• the application of analytical tools designed to facilitate the comparison of manual and electronic data and drill-down discrepancies at the patient level.

Potential factors that impede the validation process will be reviewed, including errors related to manual data collection, electronic report logic, nursing documentation, and data entry.

Learning Objectives:

• Upon completion, participant will be able to summarize a systematic strategy for validation of electronic denominator data.
• Upon completion, participant will be able to identify potential sources of error that hinder denominator validation, and develop targeted interventions to prevent error.
• Upon completion, participant will be able to understand how analytical tools can be utilized to assist infection preventionists in the denominator validation process.