Improvement in Early Identification and Diagnosis of C.diff

The C. diff collaborative is an ongoing initiative that was developed to improve the early identification and treatment of patients during acute inpatient hospitalization. One goal was to develop early identification of 'community onset' C. diff. Another goal of this project was to decrease health-care acquired C. diff. Methodology used for testing for CDI is the Nucleic Acid Amplified Test method. Review of documentation and education for nurses and patient care technicians on C. diff was completed. Since C. diffis on the increase nationally, it was important to identify if it was associated with practice in the community or related to hospital practice in the environment and antibiotic utilization.

This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)