CUSP 4 MVP-VAP
Improving Care for Mechanically Ventilated Patients
Patients on mechanical ventilation are an extremely vulnerable subset of the intensive care unit population. While the short-term risks—such as ventilator-associated pneumonia and pulmonary embolism—are well established, the long-term risks of being on a ventilator have come into focus in recent years. Patients may experience physical disabilities, lingering cognitive dysfunction and psychiatric issues such as anxiety and depression, for months or years after their hospitalizations.
Through a contract awarded in September 2013 by the Agency for Healthcare Research and Quality, the Armstrong Institute is leading a three-year national collaborative project that aims to prevent these short- and long-term harms, while reducing length of stay and readmissions. By improving care of patients on mechanical ventilation, we can save patients’ lives, prevent suffering and reduce health care costs.
Hospitals: Join the Next Cohort
We encourage acute-care hospitals from across the United States, including Puerto Rico, to participate in this effort to improve the care of mechanically ventilated patients. Orientation for hospitals in the next cohort begins in late July 2015. Get registration instructions.
Participating organizations will:
- Use evidence-based interventions to safely shorten the duration of ventilation, to reduce ventilator-associated harms, and to improve long-term outcomes by increasing early mobility and preventing delirium
- Harness data to drive improvement, using online tools to track performance in both outcome and process measures related to mechanical ventilation
- Tap into the wisdom of frontline staff and foster a culture of patient safety by adopting the Comprehensive-Unit-Based Safety Program
There is no fee to join this program. Participants also enjoy deeply discounted workshops and online learning programs offered by the Armstrong Institute, to help build their organization’s capacity for improvement work.
- Reduce ICU inpatient mortality
- Prevent short-term complications, such as ventilator-associated pneumonia and sepsis
- Reduce long-term physical, cognitive and psychological harm to ICU survivors
- Decrease the number of mechanical ventilation days and overall length of stay
- Improve hospital and ICU efficiency by increasing patient throughput
- Enhance teamwork and communication
“Our ventilator-associated event rate went from 16.04 per 1,000 vent days in May 2014 to 5.43 in April 2015. I believe that getting ICU patients walking and decreasing their sedation is the biggest thing that’s going to help their outcomes.”
- Kassie Basnight, R.N., B.S.N., Nurse Manager, Tampa General Hospital
Read more participant experiences.
Get More Details
- Visit the Frequently Asked Questions page for details on the project overall, as well as such issues as measurement, data collection, participation requirements and coaching.
- Read stories from hospitals already participating in the project, and see how high-performing units have reduced rates of ventilator-associated events
- Watch our overview video, "Improving Care for Mechanically Ventilated Patients," featuring principal investigator Sean Berenholtz
- Watch a recorded informational webinar from March 2015 to learn about program interventions, hear about the benefits of participation, and meet the project team and other participating hospitals. (View slides only)
Why Target Mechanical Ventilation?
- 800,000 patients receive mechanical ventilation in the U.S. each year
- 35 percent mortality rate
- 10–20 percent of ventilated patients develop ventilator-associated pneumonia, perhaps the most deadly hospital-acquired infection
- 40.5 percent of mechanical ventilation lasts 8 days or longer
- Ventilator-associated events, such as pneumonia and acute respiratory distress, are associated with longer ventilator days, hospital stays, and higher mortality rates compared to patients without these events
This initiative leverages the capabilities of other leaders in the field, including faculty from Harvard Pilgrim Health Care Institute for their scientific expertise, and MHA Keystone Center for program support and coordination.
If your team is already participating in this project, or to review presentations, tools and other content from it, visit the CUSP for Mechanically Ventilated Patients project portal.
Subscribe to updates about this project and other opportunities for your health care organization to participate in patient safety and quality improvement projects.