Heroes of APIC: Driving Cultural Change Through Untiring Leadership
IP Competency: Novice, Proficient, Expert
Duration: 60 minutes Available through: 12/31/2021
Presentation #1: Process Improvements and Culture Change Drive C. diff Decrease
The Infection Prevention and Quality departments at MountainView Hospital combined evidence-based process improvements with an emphasis on front-line collaboration to significantly enhance safety for their patients.
In early 2015, the team “de-engineered” the healthcare-associated infections (HAIs) their facility was reporting to identify specific improvement opportunities. Leveraging their varied medical technology, quality, and nursing backgrounds, Harsha Dave, Jan Olivas, and Lisa Schaffer then created processes to reduce HAIs across the board, with an emphasis on Clostridium difficile (C. diff).
Using evidence-based guidelines, the team developed a C. diff testing algorithm designed to prevent unnecessary and duplicative C. diff testing. The algorithm was disseminated to all healthcare workers in the facility and medical staff leadership support for the project and appropriate testing was clear. The appropriateness of C. diff testing at MountainView has greatly improved and the facility’s C. diff rate dropped from 1.78 standardized infection ratio (SIR) in 2015 to 0.56 in mid-2016.
Presentation #2: Improving Antimicrobial Stewardship Nationwide Through Untiring Leadership
Marc Meyer has tirelessly leveraged his infection prevention and pharmacy expertise to become a recognized leader and advocate for antimicrobial stewardship (AMS), driving improvements in his small critical-access facility, his community and nationwide.
A pharmacist by training, Meyer assumed responsibility for his 25-bed hospital’s infection control department in 1995. “I saw an ideal marriage between clinical pharmacy and infection prevention,” Meyer said. “These departments really need to work together, especially in small hospitals.” Southwest Memorial credits Meyer and his department for a 60 percent decline in surgical site infections and a 30 percent decline in multi-drug resistant organisms.
But Meyer knew that hospital-based efforts alone would not preserve antimicrobial efficacy. As a member of the Colorado Hospital Association’s AMS collaborative, he works with 26 hospitals statewide to improve stewardship. Extending his advocacy and leadership even further, Meyer has helped the Centers for Disease Control and Prevention (CDC) and the National Quality Forum develop ASM guidance documents.
BD is pleased to support the APIC Heroes of Infection Prevention Program and the outstanding and essential work of the Heroes honorees in the field of infection prevention.
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Harsha Dave, RN, BSN, BSMT(ASCP), CIC
Vice President of Quality/Risk for MountainView Hospital in Las Vegas, Nevada
Harsha Dave is a Vice President of Quality/Risk who is dedicated in providing quality, patient and family-centered care in hospital settings. She is committed to clinical excellence and a philosophy of “the Patient comes first”. Harsha is also very adaptable to emergency situations that require immediate intervention.
Before becoming Vice President of Quality/Risk Management, Harsha spent four years as a Director of Infection Prevention & Control in which she helped restructure the Infection Prevention program that has resulted in a decrease in hospital acquired infections and increased patient satisfaction. Prior to this, Harsha spent ten years as an Infection Preventionist interacting with front line staff and educating them on the importance of preventing infections. Harsha also contributed to the implementation of a comprehensive unit based program for CLABSIs and CAUTIs. Harsha was also a part of the Surgical Unit based program that lead to decreasing surgical site infections. Harsha has spent eighteen years as a Medical Technologist working in Clinical Laboratory helping diagnose diseases.
Lisa Schaffer, RN, CIC
Infection Preventionist for MountainView Hospital in Las Vegas, Nevada
Lisa Schaffer is an Infection Preventionist, who is dedicated to providing quality care in hospital settings. She has been a nurse 25+ years and has worked on Medical/Surgical units, Intermediate Care units and the Burn Care unit. Lisa with her quality team took the lead to create evidence based process to enhance the safety of the patients.
Currently pursuing her BSN at Western Governors University (WGU). Lisa has officially been working in the Infection Prevention world since 2011, however has always had an interest in preventing infections. Lisa has been a member of HCA’s Mountainview Hospital since 2014.
Marc Meyer, BPharm, RPH, CIC, FAPIC
Director of Infection Control and Director of Pharmacy for Southwest Health System in Cortez, Colorado
Marc Meyer, a clinical pharmacist, is Director of Infection Control and Director of Pharmacy for Southwest Health System in Cortez, Colorado. He is an APIC Fellow, and is board certified in infection control and epidemiology. He helped design and implement the Colorado Hospital Association’s 28-hospital SSTI/ UTI stewardship project. A UTI project he implemented in a two-state long-term care chain produced a two-day decrease in days of therapy and 27% reduction in UTI diagnoses. His clinic URI/UTI stewardship project for pediatric and adult patients increased penicillin use to 80% in URI treatments and decreased days of therapy in UTIs. He worked on the CDC’s Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals and was invited to post about small-hospital stewardship on CDC’s Safe Healthcare Blog. SHS’s stewardship program was highlighted in the CDC’s 2017 Antibiotic Use in the United States: Progress and Opportunities. HRET published a case study on SHS’s stewardship work. He has provided stewardship education at the APIC annual meeting, to the CDC, to the JC and groups in multiple states. He received a 2018 APIC Hero award for advocacy and influence at the local, state, and national level for his work on antimicrobial stewardship. Arjun Srinivasan, MD, the CDC’s Associate Director for Healthcare Associated Infection Prevention Programs said, “Marc’s rare combination of infection control and pharmacy expertise, along with many years of service in a critical access hospital, make him an invaluable resource to us.”
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