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Interim ICU leadership enables decreased infection rates and LOS with process improvement in healthcare

A 17-bed ICU of a not-for-profit community hospital was struggling with high length of stay (LOS) and infection rates, staff turnover, and an inability to implement sustainable change.

They looked to Philips Blue Jay Consulting to provide a long-term interim ICU leader and help reduce LOS and infection rates, implement performance improvement initiatives, improve staff retention.

Results* of the client engagement included:

  • Reduced LOS from 4.5 to 2.2 days (51% improvement).
  • Reduced central line associated bloodstream infections (CLABSI) from 10 to 0.
  • Reduced central line utilization rates from 0.529 to 0.294.
  • Increased nursing staff retention rate of 83%.

A strategic approach and hands-on implementation

Assessment

As the interim ICU Manager, our consultant made immediate progress to increase staff morale and recommended an overall operational assessment of the ICU. All key stakeholders – including ICU staff, leaders, and providers – were interviewed and observed to document observations of processes, patient and staff flow, and areas of concern.

Data was analyzed to assess the flow and environment and identify insights for improvement opportunities. The ICU had inconsistent criteria for intensivist consult which contributed to the high LOS.

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