Preventing Urinary Tract Infections in Long-Term Care

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Preventing Urinary Tract Infections in Long-Term Care

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Urinary Tract Infections in Long-Term Care

Urinary Tract Infections in Long-Term Care provides a one-stop shop for addressing the unique challenges of preventing UTIs in today's long-term healthcare environment. While the highest levels of patient care are always top of mind for healthcare facilities, issues related to UTIs can have additional implications for reimbursements and revenue.

Each chapter in this field guide combines the expertise of two seasoned healthcare professionals to supply evidence-based knowledge and firsthand experience, helping providers identify cause and effect to develop competency-based training and implement an effective UTI prevention program.

Under the Patient-Driven Payment Model, SNFs’ new payment system effective October 1, 2019, failure to prevent UTIs in a SNF will not only impact quality measures related to the Value-Based Purchasing Program as well as referrals made by Medicare Advantage plans, but expensive UTI treatments such as antibiotics or IV therapy will not be separately reimbursable.

Utilize this valuable resource in your long-term care facilities to help nursing staff fully understand criteria for identifying true UTIs and to implement evidence-based practices for UTI prevention.

This book will help readers:

  • Understand the survey implications of UTI care
  • Educate residents about UTI prevention and engage them in a prevention program
  • Implement competency-based training for prevention
  • Explain the impact that UTIs have on resident outcomes and make a business case for UTI prevention
  • Improve tracking, trending, and auditing of infection control practices, survey compliance, and quality measures
  • Utilize a wide range of customizable tools, including checklists, policies, procedures, and McGeer’s criteria to identify true infection


Published: May 2019

Page count: 160
ISBN: 978-1-68308-884-4

Table of Contents

Chapter 1: Relating Prevention to the Current Healthcare Environment

Chapter 2: Surveillance Methods

Chapter 3: Evidence-Based Practices for CAUTI

Chapter 4: Engaging Leaders in UTI Prevention Efforts

Chapter 5: Building a UTI Prevention Team

Chapter 6: Implementing a UTI Prevention Program With Frontline Staff      

Chapter 7: Competency-Based Training for UTI Prevention

Chapter 8: Auditing UTI Prevention Practices

Chapter 9: Using a Test-of-Change Model to Implement UTI Prevention

Chapter 10: Engaging Residents in UTI Prevention

Chapter 11: Strategies to Sustain UTI Prevention

Chapter 12: Survey Compliance: Tools and Strategies for Ongoing UTI Care Program Compliance

Chapter 13: How UTIs and Catheters Impact Quality Measures

About the Author

Jennifer Maina, BSN, RN, DON, is the director of nursing for a Five-Star facility in Wichita, Kansas. Maina’s experience includes over 22 years as a nurse. Serving as MDS/RAI coordinator, infection control officer, and assistant director of nursing, she has extensive experience in both nursing and clinical leadership. Maina has contributed to HCPro’s publication PPS Alert for Long-Term Care, led a webinar presentation on UTI prevention, and was named a Rising Star in the 2019 McKnight’s Women of Distinction program. In addition to being a keynote and guest speaker at conferences and graduation ceremonies, Maina has also presented at a national level at the 2017 and 2018 LeadingAge Annual Conference.

Diane Hislop, BSN, RN, is the senior partner and chief operating officer of H2 Healthcare, LLC. Hislop’s practice areas are clinical, forensic, and compliance consulting. She has more than 35 years of clinical, executive, and consulting experience, primarily in specialty healthcare and the postacute segments of the healthcare industry. Hislop is a graduate of Ball State University and is licensed as a registered nurse in Kansas, Illinois, and Wisconsin.

Hislop’s client base spans the entire healthcare industry with clients nationally. She routinely provides expert witness and litigation support, primarily to defense counsel, in wrongful death and negligent care cases. Hislop is a nationally recognized subject expert in forensic nursing and clinical compliance and is a frequent contributor to national publications. She is the author of HCPro’s Survey Success for Long-Term Care: Reducing Citation Risk, published in 2017. She is also a frequent national speaker on operational and clinical subjects pertaining to postacute care and senior housing.