Surgical Infection Prevention: Success Stories FLORIDA LeesburgRegionalMedicalCenter Achieves Success With Surgical Infection Prevention Program Leesburg Regional Medical Center has seen marked improvement in their Surgical Infection Prevention (SIP) indicators from baseline to remeasurement. Here are the rates for baseline (3rd Qtr 2002) to remeasurement (1st Qtr 2004). Appropriate prophylactic antibiotics: Baseline 94.62% Remeasurement 93% Discontinuation of antibiotics: Baseline 54% Remeasurement 80% On time antibiotics (1 hour prior): Baseline 19.35% Remeasurement 92% Leesburg Regional participated with FMQAI in their Surgical Infection Prevention Collaborative. They also developed their own program known as the SWAT program. SWAT stands for Success With Accountability Team. Members include CVICU Director, Cardiac Medical Director, Open Heart Resource Nurse, RT Director. Case Managers, ER Director, Quality Director and the Quality Nurse Abstractor. The team began the process of concurrent chart review. Then they had weekly reports of the findings to know where they were not doing well. They began to see improvement slowly. FMQAI recognized them as a Best Practice SIP Hospital and they shared their results by webinar to other Florida hospitals. The Collaborative was led by FMQAI, the Medicare Quality Improvement Organization for Florida, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. FMQAI is continuing to work with hospitals statewide to improve quality of care and to continue to decrease their rates of surgical infection. This material was prepared by FMQAI, the Medicare Quality Improvement Organization for Florida, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy.

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