QUEST® – Premier’s ongoing national quality and safety collaborative
QUEST is one of the most comprehensive hospital collaboratives in the nation. Currently including approximately 350 members, QUEST has become one of the only initiatives to help healthcare organizations deliver the best possible care to each patient, every time. QUEST members have avoided 220,000 deaths; and saved approximately 18 billion since its inception in 2008.
QUEST uses healthcare informatics to provide the best patient care and drive performance in seven domains: mortality, safety, evidence-based care, cost and efficiency, appropriate hospital use, patient and family engagement, and community health.
The QUEST collaborative has been nationally recognized by the National Quality Forum and The Joint Commission as recipients of the John M. Eisenberg Patient Safety & Quality Award
QUEST collaborative on antimicrobial stewardship
Premier Collaboratives are six- to nine-month initiatives (webinars and face-to-face meetings) focused on a specific issue, condition or process of care with defined goals and aims. Throughout the collaboration, there is data collection, tracking and analysis to measure and share improvements with members and industry experts sharing innovative strategies, proven best practices and/or technologies.
The goal of the AMS collaborative was to reduce harm associated with the delivery of care; specifically to reduce potentially inappropriate use of redundant combinations of intravenous anti-anaerobic antibiotics, similar to those identified in Premier-CDC Research study. The goals directly support the National Action Plan (NAP) for Combatting Antibiotic-Resistant Bacteria (CARB).
There are three global aims that all teams adopted. These include:
- A 20 percent reduction of at least one of the potentially inappropriate IV redundant antimicrobial drug combinations identified in Premier-CDC research;
- Use of an antibiotic “time out;”
- Adoption or advancement of at least three of the seven Core Elements for Hospital Antimicrobial Stewardship Programs.
Using their own antibiotic use data, the participating hospital teams assessed current performance of antimicrobial stewardship best practices, established the structures and processes that support redundant antimicrobial use reduction efforts and developed action plans to implement best practices through iterative tests of change. Monthly process audits were conducted and members shared transparently what is working and what barriers/challenges they encountered. Nearly 50 organizations representing 21 states participated in this 8-month collaborative which ended in June 2016.
- Press release: Premier, Inc. member health systems form nationwide initiative to combat antibiotic-resistant bacteria (9/1/15)
- Successful strategies for success shared by participants
QUEST sprint webinar series on antimicrobial stewardship
Sprints are rapid-cycle performance improvement webinar series to help drive changes in specific indicators. Premier recent completed an AMS sprint that included reducing redundant antibiotics use, learning steps needed to start or enhance a successful antibiotic stewardship program and decreasing cost opportunities in anti-infective drug utilization. The AMS sprint concluded in June 2015 with nearly 250 individuals participating.