MRSA Initiative History

1
MRSA Initiative History
KEY
Early results show 29-65 reductions
Apply PD to chronic hand washing challenge
Beta sites selected first units launch Discovery
Action Dialogues
GOALS/ RESULTS
We can eliminate MRSA transmissions!
MRSA explodes in popular media! Surveillance
data submitted to CDC
Talks with Rosemary Gibson at RWJF Plexus,
PDI, and SWPA hold workshops
Start-up units begin active surveillance
PROJECTS/ STRATEGIES
Seek grant support
Spread strategies
MPSC starts PD MRSA regional initiative
PD MRSA workshops in MA IN to launch statewide
efforts
Plexus/Harvard workshop explores Positive
Deviance hand washing Waterbury Hospital
launches PD Medication Reconciliation project
KEY EVENTS
VAPHS kicks off PD/MRSA Initiative
Vet Health Admin launches Getting To Zero, 5
Hospitals Use PD
RWJF funds Plexus PD Prevention Partnership
PEOPLE

• John Jernigan from the CDC gets involved
• Margaret Toth Delmarva Foundation/MPSC join
  in
• Plexus convenes 7 coaches a coordinator to
  support beta site work

Curt Lindberg Plexus explore PD
applications Jon Lloyd contacts Jerry Monique
Sternin at PDI

• AEMC goes house wide with active surveillance
• Billings Clinic stages 35 improv learning
  simulations for 75 of clinic staff
• Delmarva publishes PD/MRSA Field Guide

• Albert Einstein Medical Center, Billings Clinic,
  Franklin Square Hospital Center, The Johns
  Hopkins Hospital, University of Louisville
  Hospital, VA Pittsburgh Healthcare System
• Hospital el Tunal Hospital Pablo Tobon Uribe in
  Colombia join in with Merck support
• 6, then 30 Maryland/DC/Virginia facilities
  volunteer

PRODUCTS/ SERVICES/ SITES
VAPHS
Acting our way into new thinking really works
Ownership is far more powerful than buy-in
Discovery Action Dialogue skills - letting go
of control - must be practiced
A narrow MRSA project can create broad cultural
change
When units truly own data improvement great
things happen
Success spreads by including unusual suspects in
widening circles
Relationships trump technical-only fixes
Positive deviants, emergent, latent solutions
exist in every unit
LEARNING
Frontline staff are the true experts
Dateline
2005
2006
2007
2008
2004
We dance around in a ring and suppose, but the
secret sits in the circle and knows. Robert Frost