Tract Infection (CAUTI)
The CAUTI collaborative began its initial cohort in September 2010 with 17
acute care facilities and is currently planning for a second cohort to begin in
the fall of 2011. The collaborative consists of two phases: the first phase
focuses on surveillance, data collection, and establishing baseline measurements
for CAUTI in participating facilities. The second phase involves implementation
of evidence-based prevention strategies for CAUTI. Participating facilities use
the National Healthcare Safety Network (NHSN) as a means of reporting data for
healthcare-associated infection preventionists and epidemiologists are working
with collaborative participants to Stop CAUTI. Participants will be provided:
guidance and assistance on data collection, analysis, and validation;
training on case definitions and prevention strategies;
opportunities to collaborate with peers on successes and opportunities for
improvement during monthly conference calls; and
guidance on the implementation of prevention strategies.
services are provided by FDOH staff and/or through partnerships and vendor
contracts. FDOH staff conducts site visits to review findings from the
pre-assessment and identify action steps to implement surveillance and
Participating healthcare facilities will be asked to designate a unit or
multiple units within
their facility to focus on CAUTI reduction. Participants are required to:
demonstrate senior leadership (C-Suite) support by signing a letter of
complete a pre-assessment tool;
implement evidence-based prevention strategies for CAUTI;
review progress monthly with team members and staff;
Submit monthly CAUTI data through NHSN by the 25th
of the following month; and
Participate in site visits, training, and monthly collaboration calls with
Additionally, participating facilities are required to establish and maintain multidisciplinary
and unit teams to facilitate the implementation of evidence based prevention
strategies. The multidisciplinary team includes (at a minimum) a senior
management leader, clinical champion (R.N. or M.D.), and an infection preventionist or quality lead. Each unit team consists of, at a minimum, a team
leader/nurse manager, staff nurse, and patient technician. At least one team
member is designated as the person responsible for ensuring appropriate data
collection for the specified unit.
terminal objectives for the hospitals participating in the collaborative are, by December 31, 2012, to:
Care/Long-term Acute Care
CAUTI per 1,000 urinary catheter days
by 25% from baseline or to zero.
device utilization (urinary catheter days / patient days x 100) by 50%.
Evidence-Based Prevention Strategies For Collaborative
only for appropriate indications.
hygiene in compliance with CDC or WHO.
on proper insertion and maintenance.
of catheters to trained personnel.
using aseptic technique and sterile equipment.
indwelling catheters after insertion to prevent movement and urethral traction.
unobstructed urine flow.
Cleaning the metal area with antiseptic solutions in unnecessary; routine
hygiene is appropriate.
Remove catheter within 48 hours
following surgical procedure or document reason for extended use.
12. Implement and
promote alternatives to indwelling urinary catheterization.
For more detailed information
on these strategies go to
Supporting Documents and Resources
Tools and Activities Cohort 2
User Group Data Use Agreement
Introduction to the FDOH HAI Prevention Collaboratives: Fall 2011
National Healthcare Safety Network (NHSN) Resources
Required Forms and Tools - Hospital/LTACH
CAUTI Cohort 2
Hospital Commitment Form
Cohort 2 Hospital Preassessment
Cohort 2 Required Forms and
Tools - Nursing Homes/SNF
CAUTI Data Collection Form SNF-NH
CAUTI Cohort 2 SNF-NH Commitment Form
Cohort 2 Nursing Home/SNF Preassessment
Case Definition Algorithms
CAUTI Frequently Asked Questions
Hand Hygiene Observation Tool
Urinary Catheter Supply Kit
Nurse-driven Protocol for Catheter Removal
CAUTI Collaborative Webinar
using NHSN Webinar (slides only)
Definition Webinar (slides only)
CAUTI Prevention Strategies
Collecting Summary Data for CAUTI Surveillance
Evidence-based Strategies for Prevention of CAUTI
Staff Education: Proper Insertion,
Care, and Removal of Indwelling Urinary Catheter
Catheter Insertion and Removal Post Test
2012 - Reporting CAUTI and Summary Data into NHSN (slides
February 2012 - Pre-Assessment Review
and Documentation, Daily Assessment, and Staff Education
March 2012 -
Reminders, Stop Orders, and Nurse-driven Protocols
April 2012 -
Preparing for the Implementation Period (slides
May 2012 - Staff
Education on Proper Insertion Care and Removal of Indwelling Urinary Catheters
June 2012 -
CAUTI Prevention Strategies (slides
July 2012 - no
August 2012 -
Physician Webinar on CAUTI Prevention Strategies and Treatment of UTI
September 2012 -
Data Update and Sharing Processes (slides
APIC Guide to the Elimination of CAUTI
HICPAC Guideline for Prevention of Catheter-associated Urinary Tract Infections,
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communications to or from state officials regarding state business are public
records available to the public and media upon request.
communications may therefore be subject to public disclosure.
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