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.

Project Launch Materials

Facility Acknowledgement Form

Project Syllabus

Project Checklist

Facility ENGAGE Pre-Assessment

Additional Project Deliverables (Due 1/30, 2/28, and 3/31)

Monthly Data Collection

Monthly Data Collection Tool
Data is collected monthly from each clinic in the QIA, based on co-hort, and is due by the 10th day of the month (i.e. January data collected February 1-10th).  

Patient Survey (coming soon)

Project Resources

Patient Engagement Resources

Bloodstream Infections: A Video from The Forever is Tomorrow Foundation

ESRD NCC's National Patient and Family Engagement Learning & Action Network (NPFE-LAN)

Click the arrow beside Bloodstream Infection (BSI) Affinity Group to expand resource list


Resources for Professionals

The National Forum of ESRD Networks' Vaccination Toolkit

CDC Dialysis Safety

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

A Secure Access Management Services (SAMS) account and card are needed in order to access NHSN. SAMS allows healthcare providers to access information and computer applications operated by the CDC.  Click here for instructions on obtaining a SAMS card.

Resources that are Project Deliverables:


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
(past NCC National LAN events;
click arrow beside Bloodstream Infection BSI QIA LAN)
January 9, 2020
Network 5 Kickoff Webinar
Webinar Slides;
Webinar Recording MP4
January 7, 2020
May 19, 2020
Webinar Slides;
Webinar Recording MP4
March 3, 2020
Webinar Slides;
Webinar Recording
Resources referenced in webinar:
June 23, 2020
Webinar Slides;
Webinar Recording MP4
May 5, 2020
3:00 - 4:00 p.m. EST
  July 7, 2020
3:00 - 4:00 p.m. EST
  September 1, 2020
3:00 - 4:00 p.m. EST
  November 3, 2020
3:00 - 4:00 p.m. EST

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: