bloodstream infections quality improvement activity (qia)

Bundle Logo
Network Project Lead: Amanda Morelli, BS, RN 
Network Project Co-lead: Lori Finch, MS, RN, CNN

Quality Insights Renal Network 5 (QIRN5) is conducting a Blood Stream Reduction/Prevention Project (Bundle Up) to reduce and prevent BSI rates among dialysis patients. Selected facilities are provided with guidance to improve implementation of the CDC 9 Core interventions for Dialysis BSI Prevention.

PRIMARY GOAL: Demonstrate a 20% or greater relative reduction in the semi- annual pooled mean in the cohort of 20% of facilities with the highest excess infection rates in the Network service area at re-measurement compared to the previous year.

SECONDARY GOAL: Decrease the long term catheter rate by 2% from the baseline (July 2018) by evaluation based on data available in October 2019.

Project Launch Materials

Facility Acknowledgement Form

Project Syllabus

Project Checklist

Lobby Poster

Facility ENGAGE Pre-Assessment

Monthly Data Collection

Data is collected monthly from each clinic in the QIA, based on co-hort.  The data collection tool is provided to project participants.

Patient Survey

Project Resources

CDC Dialysis Safety

CDC's Clean Hands Save CDC's Hand Hygiene Campaign 

Webinars & Slides


There are webinar events each month. Below is the 2019 schedule. Each month, the webinars will alternate between national LAN calls and Network Coaching Calls. Project participants are expected to participate in all webinar events.

Please note that these dates are subject to change based on speaker availability. Meeting details, including registration link and call overview, will be provided as they are received.
All of these webinars* will be held from 3:00 - 4:00 p.m. ET on the 1st Tuesday of each month
Advanced Registration is Required
LAN Schedule  BSI QIA Coaching Calls
January 8, 2019 February 5, 2019
March 5, 2019 April 2, 2019
May 7, 2019 June 4, 2019
July 2, 2019 August 6, 2019
September 3, 2019 October 1, 2019
November 5, 2019  

Please note: We will send out calendar invites to the FAs/CMs as we receive them.
*January webinar was on 2nd Tuesday due to holiday

All project participants not present for the live webinar event are required to view the webinar recording for the event(s) which they were not present, and complete an attestation form.


Network Coaching Calls
Recordings (files are large and may take a few minutes to load)
Slide Decks
Network 5 BSI February 2019 Webinar PDF Slides
Network 5 BSI April 2019 Webinar PDF Slides


Recordings (files are large and may take a few minutes to load) Slide Decks
ESRD NCC January QIA LAN January QIA LAN - PDF Slides

Some of the ESRD NCC webinar events offer continuing education credit.  Please visit the ESRD NCC site at, select your QIA of interest, and see upcoming and past events for opportunities.

Annual NHSN Training

Each year, the CDC requires that one person from each facility complete the Annual NHSN Dialysis Event Surveillance Training. Starting in 2018, the Network 5 must verify, track, and report training activity to CMS monthly.

To receive credit for completing the required training, follow these steps:
Webinar Troubleshooting:  Download the WebEx Networking Recording Player