Quality Improvement Collaboratives
A quality improvement collaborative (often called a Breakthrough Series Collaborative) is a structured approach to convening a group of similar healthcare organizations that share a common concern. The group works together for a defined period of time to implement best practices and support one another in making rapid, sustainable changes. You can read more about collaboratives in our publication Quality Improvement Collaboratives: Frequently Asked Questions.
Drawing from change packages used by participants of its improvement collaboratives, the Commission has compiled a collection of resources aimed at reducing healthcare-associated infections and fostering a culture of patient safety.
Oregon Regional MDRO Prevention Collaboratives
The Oregon Regional MDRO Prevention Collaboratives are designed to build partnerships and improve patient safety efforts related to multi-drug resistant organisms (MDROs). Participants will work together for nine months, establishing a cross-setting team comprised of acute and long term care facilities to foster best practices and effective communications. Participants in the collaborative will build and share MDRO prevention infection knowledge, identify and address common infection control challenges across the continuum of care, receive expert guidance for adapting protocols to facilities, implement small tests of change using the Plan-Do-Study-Act (PDSA) cycle, enhance communication among facilities through the development and use of an interfacility transfer tool, and ensure appropriate patient/resident transactions within facilities.
Northwest DIALYSIS BSI PREVENTION COLLABORATIVE
In August 2012, the Commission received funding from the Centers for Disease Control to expand bloodstream infection (BSI) reduction efforts in renal dialysis facilities. The NW Dialysis BSI Prevention Collaborative is partnering with the Northwest Renal Network and Washington State Department of Health to convene 30 facilities in Oregon and Washington.
Antimicrobial Stewardship Initiative (Completed)
In March 2012, the Commission received funding from the Oregon Department of Justice to establish the Oregon Antimicrobial Stewardship Collaborative, launched November 29, 2012. Collaborative participants learned the fundamentals of antimicrobial stewardship programs, received guidance in adapting protocols to best suit their individual settings, and learned to use the Institute for Healthcare Improvement’s Model for Improvement to effectively and efficiently enact change. The Collaborative participants included these hospitals: Columbia Memorial, Doernbecher Children’s Hospital, Lake District Hospital, Legacy Salmon Creek, Legacy Randall Children’s Hospital, Mid-Columbia Medical Center, Rogue Regional Medical Center, Sacred Heart Medical Center, Salem Hospital, Samaritan North Lincoln Hospital, Samaritan Albany Hospital, Sky Lakes Medical Center, and Willamette Valley Medical Center.
Astoria Regional MDRO Prevention Collaborative (Completed)
The Commission worked with Columbia Memorial Hospital and their local extended care facilities to establish a regional, cross-setting team that fostered best practices and effective communications, resulting in better control of multidrug-resistant organisms (MDRO). The Collaborative ran through late spring of 2013, with goals including reducing suffering caused by MDRO infections, improving resident satisfaction by reducing spread of infection while maintaining quality of life, ensuring effective communication between acute and long-term care facilities, and improving ability to quickly and safely place residents in the region. Funded by the U.S. Department of Health and Human Services, the grant served Washington, Oregon, Idaho, and Alaska, and is currently being integrated with the Oregon Regional MDRO Prevention Collaboratives (see top Collaboratives summary).
DIALYSIS BSI PREVENTION COLLABORATIVE (Completed)
The Commission recruited several renal dialysis centers to come together for seven months (December 2011 to July 2012) to focus on prevention of blood stream infections (BSIs), using tools successfully implemented by the CDC’s own Dialysis BSI Prevention Collaborative. The Dialysis Collaborative participants included: Hillsboro Dialysis Center, Providence Portland Medical Center, PNRS Rose Quarter, Qualicenters Albany, Ray Yasui Dialysis Center at Hood River Memorial Hospital, Sherwood Dialysis Center, Tillamook Dialysis Center.
NICU CLABSI PREVENTION COLLABORATIVE (Completed)
Most of Oregon’s neonatal intensive care units collaborated for eight months (November 2011 to July 2012) to prevent CLABSI in this vulnerable population. Participants implemented activities focusing on CLABSI prevention and promotion of a safety oriented culture, and used enhanced CLABSI prevention activities and materials from the Comprehensive Unit-Based Safety Program (CUSP) developed at Johns Hopkins Medical Center. The NICU Collaborative participants included: Oregon Health and Sciences University, Providence St Vincent Medical Center, Rogue Valley Medical Center, Sacred Heart Medical Center, Salem Hospital, and St. Charles Medical Center.
HOSPITAL HEALTHCARE-ASSOCIATED INFECTION (HAI) PREVENTION COLLABORATIVE (Completed)
Started in June 2010, participating hospitals successfully reduced CLABSIs on pilot units by over nearly 40 percent. The hospitals also focused on spreading CLABSI prevention initiatives to other units and SSI prevention interventions to other surgeries. A subset of the participants continued forward to a second phase of the HAI Collaborative, focusing specifically on CLABSI reduction outside of intensive care units. Both phases of the HAI Prevention Collaborative closed in June 2012. The Hospital Collaborative participants included: Columbia Memorial Hospital, Good Samaritan Regional Medical Center, Mountain View Hospital, Oregon Health and Sciences University, Providence Portland Medical Center, Rogue Valley Medical Center, St. Anthony Hospital, Silverton Hospital, and Sky Lakes Medical Center.