Medical Design and Outsourcing

  • Home
  • Medical Device Business
    • Mergers & Acquisitions
    • Financial
    • Regulatory
  • Applications
    • Cardiovascular
    • Devices
    • Imaging
    • Implantables
    • Medical Equipment
    • Orthopedic
    • Surgical
  • Technologies
    • Supplies and Components Index
    • Contract Manufacturing
    • Components
    • Electronics
    • Extrusions
    • Materials
    • Motion Control
    • Prototyping
    • Pumps
    • Tubing
  • MedTech Resources
    • Medtech Events in 2025
    • The 2024 Medtech Big 100
    • Medical Device Handbook
    • MedTech 100 Index
    • Subscribe to Print Magazine
    • DeviceTalks
    • Digital Editions
    • eBooks
    • Educational Assets
    • Manufacturer Search
    • Podcasts
    • Print Subscription
    • Webinars / Digital Events
    • Whitepapers
    • Voices
    • Video
  • 2025 Leadership
    • 2024 Winners
    • 2023 Winners
    • 2022 Winners
    • 2021 Winners
  • Women in Medtech
  • Advertise
  • Subscribe

Toolkit Designed to Prevent Bloodstream Infections During Home Care

June 14, 2016 By Montefiore Health System

A new toolkit offers approaches and tools for home care professionals and hospital acute care providers to systematically assess the risks for and reduce the incidence of central line–associated bloodstream infections in patients receiving home health care services.

The toolkit, which is the result of collaborative work between the grant-making United Hospital Fund and two grant recipients, Montefiore Health System and Northwell Health, will fill a resource void for home care providers working with patients transitioning from the acute care hospital setting to home with a peripherally inserted central catheter (PICC) or other central lines used for administration of intravenous fluids, blood products, medications, and parenteral nutrition, among other treatments including chemotherapy.  

The substantial number of patients discharged from hospital to home with central lines in place lends an urgency to prevent infections in the home care setting, according to the medical professionals. A central line is an intravascular catheter that terminates at or near the heart or in one of the great vessels.

One of the challenges facing health care providers is that home care staff, partnering with patients and/or family caregivers, are responsible for safely maintaining central lines inserted in the acute care setting, without having a clear maintenance standard.

In contrast, hospitals across the country have instituted efforts to reduce central line–associated infections in the inpatient setting, especially in intensive care units. These efforts have resulted in a 46 percent decline nationally in the incidence of catheter infections in the acute care setting between 2008 and 2013.

Much of the work to date in home care settings has focused on defining the number of PICC lines in use and evaluating the extent of infections outside the acute care hospital setting, rather than adopting a systematic approach to infection control.

The strategies, recommendations, and tools included in the toolkit, “Preventing Central Line-Associated Bloodstream Infection (CLABSI) in the Home Care Setting,” are intended to provide a basic framework that can be customized to meet the needs of individual institutions regardless of size, academic teaching status, staffing model, patient population, or available resources. Among its components are:

  • Surveys and related tools to help health care providers assess home care clinicians’ current practices and better understand central line–associated bloodstream infections in the home care setting
     
  • A data collection tool to help home care providers monitor the number and types of central lines they are overseeing, as well as any related possible or confirmed infections
     
  • Results of two surveys administered by Montefiore and Northwell Health, which provide insights on some of the special challenges of home care, such as a cluttered environment or unsanitary conditions related to pets

The toolkit also points readers to a single source (the Centers for Disease Control and Prevention’s Healthcare Infection Control Practices Advisory Committee guidelines) for clinical information about central line maintenance.

“As more and more health care services are delivered in the community, it is becoming increasingly clear that more guidance is required for a broader range of clinicians in settings beyond hospitals,” Hillary Jalon, director of quality improvement at United Hospital Fund, said. “Montefiore and Northwell Health identified this particular need and opportunity in 2012. We expect that this work will help address an often overlooked challenge, not just throughout the region, but across the country.”

Montefiore and Northwell — their respective hospitals and home care networks — worked together and with UHF, supported by an aggregate $140,000 in UHF grant funding, to identify and evaluate current practices of caring for central lines in the home care setting, design a methodology for data collection, and, ultimately, create the toolkit.

“There are no uniform procedures or requirements for reporting infections in the home care setting to any national database, or even back to the hospital’s infection control team,” Donna Armellino, RN, MPA, CIC, vice president for infection control at Northwell Health, said. “This toolkit provides standardized tools that will allow for better data and better reporting than we’ve ever had.”

The creation of the toolkit was built on earlier work by UHF, which, in partnership with Greater New York Hospital Association, led the Central Line–Associated Bloodstream Infection (CLABs) Collaborative. That collaborative operated from 2005 to 2008 and resulted in the 38 participating hospitals’ recording a 54 percent reduction in the incidence of targeted infections by the final year.

Related Articles Read More >

An image showing the Johnson & Johnson MedTech Monarch system's controller and scope.
J&J MedTech arms its Monarch robot for futuristic lung cancer therapies
An image of the KIFFIK Lab system for ISF analysis.
Tapping into the body’s ISF ‘superhighway’ for early disease detection
An artist's rendering depicting the Vail Scientific VSNO device for rapid sepsis diagnosis.
First Look: Vail Scientific’s redesigned VSNO device for rapid sepsis screening
Brain EEG rendering from peterschreiber.media on Adobe Stock
Hidden signatures in EEGs could reduce epilepsy misdiagnoses
“mdo
EXPAND YOUR KNOWLEDGE AND STAY CONNECTED
Get the latest medical device business news, application and technology trends.

DeviceTalks Weekly

See More >

MDO Digital Edition

Digital Edition

Subscribe to Medical Design & Outsourcing. Bookmark, share and interact with the leading medical design engineering magazine today.

MEDTECH 100 INDEX

Medtech 100 logo
Market Summary > Current Price
The MedTech 100 is a financial index calculated using the BIG100 companies covered in Medical Design and Outsourcing.
DeviceTalks

DeviceTalks is a conversation among medical technology leaders. It's events, podcasts, webinars and one-on-one exchanges of ideas & insights.

DeviceTalks

New MedTech Resource

Medical Tubing

MassDevice

Mass Device

The Medical Device Business Journal. MassDevice is the leading medical device news business journal telling the stories of the devices that save lives.

Visit Website
MDO ad
Medical Design and Outsourcing
  • MassDevice
  • DeviceTalks
  • MedTech100 Index
  • Medical Tubing + Extrusion
  • Medical Design Sourcing
  • Drug Delivery Business News
  • Drug Discovery & Development
  • Pharmaceutical Processing World
  • R&D World
  • About Us/Contact
  • Advertise With Us
  • Subscribe to Print Magazine
  • Subscribe to our E-Newsletter
  • Listen to our Weekly Podcasts
  • Join our DeviceTalks Tuesdays Discussion

Copyright © 2025 WTWH Media, LLC. All Rights Reserved. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media LLC. Site Map | Privacy Policy | RSS

Search Medical Design & Outsourcing

  • Home
  • Medical Device Business
    • Mergers & Acquisitions
    • Financial
    • Regulatory
  • Applications
    • Cardiovascular
    • Devices
    • Imaging
    • Implantables
    • Medical Equipment
    • Orthopedic
    • Surgical
  • Technologies
    • Supplies and Components Index
    • Contract Manufacturing
    • Components
    • Electronics
    • Extrusions
    • Materials
    • Motion Control
    • Prototyping
    • Pumps
    • Tubing
  • MedTech Resources
    • Medtech Events in 2025
    • The 2024 Medtech Big 100
    • Medical Device Handbook
    • MedTech 100 Index
    • Subscribe to Print Magazine
    • DeviceTalks
    • Digital Editions
    • eBooks
    • Educational Assets
    • Manufacturer Search
    • Podcasts
    • Print Subscription
    • Webinars / Digital Events
    • Whitepapers
    • Voices
    • Video
  • 2025 Leadership
    • 2024 Winners
    • 2023 Winners
    • 2022 Winners
    • 2021 Winners
  • Women in Medtech
  • Advertise
  • Subscribe