MHA FPX 5020 Assessment 4 Data Analysis Project Report MHA-FPX 5020 Health Administration Capstone Overview Synopsis Statement of the Problem

Hospital-Acquired Infections (HAIs) continue to pose significant risks to patient health and the quality of healthcare within the Northwell Hospitals System. These infections are associated with adverse outcomes, including extended hospital stays, preventable deaths, and increased healthcare costs (Monegro, Muppidi, & Regunath, 2020).

Factors Examined and Units of Measurement

Summary of Literature Key Findings

• Law et al. (2018): Found that statewide regulations using patient acuity tools to assign nurses were ineffective in improving patient outcomes in Massachusetts.
• COVID and CDC Team (2020): Indicated that underlying health conditions increase susceptibility to HAIs.
• Peters et al. (2019): Reported that multiple antibiotic resistance significantly contributes to the risk of HAIs.
• Haque et al. (2018): Noted a decline in HAIs across American hospitals, with hand hygiene identified as a cost-effective strategy.
• Adams et al. (2018): Identified environmental contamination and prolonged colonization of clinical case patients as key factors in the spread of Candida auris.

Presentation of Data

• Graphic 1: Trends in Invasive Medical Devices Use at Northwell Hospital
  Northwell Hospital has shown improvement in reducing HAIs caused by invasive medical devices.

• Graphic 2: Nationwide HAI Reduction Strategies
  U.S. hospitals have effectively reduced HAIs associated with invasive medical devices, achieving a 91% reduction in Central Line-Associated Bloodstream Infections.

Analysis of Data

• Graphic 1: Northwell Hospital’s performance is currently below the baseline in reducing HAIs caused by invasive medical devices. Hospital management should aim to reduce HAIs to below 0.487.

• Graphic 2: Significant improvements have been made across U.S. healthcare facilities in mitigating Central Line-Associated Bloodstream Infections. Continuous efforts are necessary to address HAIs caused by antibiotic resistance and underlying health conditions.

Evidence-Based Recommendations

• Strict adherence to hand hygiene practices.
• Implementation of Antimicrobial Stewardship Programs (ASP).

Conclusion

Hospital-Acquired Infections (HAIs) continue to challenge the quality of healthcare by extending hospital stays, increasing care costs, and contributing to preventable deaths. Key factors influencing HAIs include antibiotic resistance, patients’ underlying health conditions, and the use of invasive medical devices. While significant progress has been made in reducing HAIs associated with invasive devices, there remains a need to address other contributing factors. The findings of this study can inform future research on the effectiveness of regulatory policies in reducing HAIs.

References

Adams, E., Quinn, M., Tsay, S., Poirot, E., Chaturvedi, S., Southwick, K., & Zucker, H. (2018). Environmental contamination and prolonged colonization of clinical case patients as key factors in the spread of Candida auris. Infection Control & Hospital Epidemiology, 39(1), 1-7. https://doi.org/10.1017/ice.2018.1