Oklahoma hospital quality leaders reduce risk of catheter-associated urinary tract infections (CAUTI)

Posted On: April 10, 2013

On the CUSP: Stop CAUTI is a national initiative to reduce mean rates of catheter-associated urinary tract infections (CAUTI) in U.S. hospitals by 25 percent and improve safety culture by disseminating Comprehensive Unit-Based Safety Program (CUSP) methodology as evidenced by improved teamwork and communication. On the CUSP: Stop CAUTI is funded by the Agency for Healthcare Research and Quality (AHRQ) and is led by the Health Research and Educational Trust (HRET) of the American Hospital Association. OHA, in partnership with the Oklahoma Foundation for Medical Quality, initiated the CUSP CAUTI project in Oklahoma in March 2012. Since that date, we have continuous CUSP CAUTI projects, including CUSP CAUTI ICU-Cohort 9, CUSP CAUTI - ED, and CUSP MVP.

Why is the CUSP CAUTI project so important?

  • More than 600,000 patients each year develop urinary tract infections, and 80 percent of those are catheter-associated. 
  • 12 percent to 25 percent of hospitalized patients will have a Foley placed and about half of those are placed without appropriate reasons.
  • CAUTI is associated with increased morbidity and mortality and are the second most common cause of bloodstream infections.
  • Studies show that patients with CAUTI have a longer stay by one-half to one day and an added cost of approximately $1,000 per case, more if they have a resistant bug or develop complications. 
  • Most cases of CAUTI are preventable.
  • As of Oct. 1, 2008, the Centers for Medicare & Medicaid Services (CMS) affected a rule that if a patient develops a HAI-CAUTI, the hospital will be paid as if the complication were not present. Many private insurers have done the same. 

OHA Partners with Qualivis 

Qualivis was developed as a collaborative effort among multiple state hospital associations to meet the temporary staffing needs of member hospitals and health systems.

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