Leading Practice: Reduction or Elimination of CAUTI - NorthCrest Medical Center


AHRMM is offering a repository for leading and proven supply chain practices, case studies, and toolkits that are developed from a Cost, Quality, and Outcomes (CQO) perspective. The following Catheter Acquired Urinary Tract Infection (CAUTI) leading practice was submitted by:

NorthCrest Medical Center, Springfield, TN

Problem Statement: Reduce the number of Foley catheters in use, thereby reducing the risk of a Catheter Associated Urinary Tract Infections (CAUTIs) and the costs involved with maintenance of a Foley catheter. 

Method: NorthCrest initiated CAUTI Comprehensive Unit-Based Safety Program (CUSP) team. The team chose to implement evidence based strategies designed to decrease the number of indwelling urinary catheters including outlining specific criteria for insertion, removal, and maintenance.

Means: The CAUTI CUSP team meets once every two weeks, which does incur a small cost in relation to paying staff to attend. 

Date Implemented: The efforts to reduce Foley catheter usage have been ongoing since 2008. However, the CAUTI CUSP team was not formed until May 2012. This team is currently in “maintenance mode,” which means the goal of the team was met and maintained for one year.

Outcomes: Clinically speaking, the outcomes have exceeded the original intention. Usage or rather non-usage of Foley catheters has become a hot topic. We not only have nurses and management on board, we also have physicians involved; surgeons have changed their post-op order sets from “discontinue Foley catheters post-op day #2” to “discontinue Foley post-op day #1”. Not only does this mobilize the patient quicker resulting in better post-op outcomes, but it also reduces the chances of a CAUTI by removing the Foley sooner. The emergency room coordinator was onboard to reduce Foley insertions by placing them in the control of the charge nurses. Emergency room utilization has improved greatly. When we first began collecting this data in May 2012, we were consistently inserting 40-50 Foleys per month. By October 2012, we had reduced that number to eight for the entire month. 


How Does Your Example Address the Issue from a CQO Perspective?  

We have decreased our Foley usage therefore decreasing overall cost. By providing quality care and decreasing our Foley days, we are decreasing our patient’s risk of developing a catheter associated urinary tract infections. The patient receives the best outcome when we decrease their risk of readmission to the facility. 

Related Resources

The AHRMM COVID-19 Recovery Guide for the supply chain professional is designed to assist supply chain leaders as their organizations expand services…
Michael Brown, Director of Supply Chain Management and Eric Swaim, Manager of Strategic Sourcing and Vendor Management at Texas Children’s Hospital…
Discover how a Medical Logistics Crisis Action Team could help your institution quickly organize efforts and resources in addition to your Incident…
Listen as one small community hospital discusses how they worked with volunteers to locate critically needed PPE and medical supplies to combat the…
Karen Conway, Vice President, Healthcare Value at GHX and Mike Schiller, Senior Director of Supply Chain at AHRMM discuss the value of UDI beyond r
Dr. Cherf, Chief Medical Officer at Lumere, and Dr.