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 2019) by evaluation based on data available in October 2020.

Project Launch Materials

Facility Acknowledgement Form

Project Syllabus

Project Checklist

Facility ENGAGE Pre-Assessment

Monthly Data Collection

Data is collected monthly from each clinic in the QIA, based on co-hort, and is due by the 5th day of the month (i.e. January data collected February 1-5th).  The data collection tool is provided to project participants.

Patient Survey (coming soon)

Project Resources

Bloodstream Infections: A Video from The Forever is Tomorrow Foundation

CDC Dialysis Safety

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


There are webinar events each month. Project participants are expected to participate in all webinar events.
Advanced registration is required in order to participate in all calls
Network Coaching Calls National LAN Calls
January 9, 2020
Network 5 Kickoff Webinar
(Webinar Slides;
Webinar Recording: MP4Go-To Meeting)

Meeting details, including registration link and call overview, will be provided as they are received. Please note that these dates are subject to change based on speaker availability.

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.

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: