Wisconsin Surgical Site Infection

Prevention Summit VII: Using Evidence-Based Practices to Improve

Patient Outcomes

Presented by the Wisconsin Department of Health Services and the Department of Surgery, Medical College of Wisconsin

Date: September 27, 2019 Time: 11:00 a.m. to 5:00 p.m.

Invited speakers:

Gwen Borlaug, MPH, CIC, FAPIC Independent Infection Prevention Consultant

Donald E. Fry, MD, FACS Adjunct Professor of Surgery at Northwestern University Feinberg School of Medicine in Chicago, and Professor Emeritus of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico

Javad Parvizi, MD Professor, Orthopedic Surgery and Vice Chairman of Research, Thomas Jefferson University Hospital, Director of Clinical Research, Rothman Orthopedic Institute, Philadelphia, Pennsylvania

Nasia Safdar, MD, PhD Professor, Infectious Diseases and Vice Chair for Research, Department of Medicine, University of Wisconsin School of Medicine and Public Health, and Hospital Epidemiologist, University of Wisconsin Hospital and Clinics, Madison, Wisconsin

Casey Stubbs, BSN, RN, CIC Infection Preventionist, Mercyhealth Hospital and Trauma Center, Janesville, Wisconsin

Location: Glacier Canyon Conference Center at the Wilderness Resort 45 Hillman Rd, Wisconsin Dells | Room: Sandstone 1456

Surgical site infections (SSI) are associated with significant patient morbidity and mortality. Efforts to prevent the risk of SSIs require knowledge of the mechanistic factors responsible for the etiology of these severe HAIs. Therefore, development of successful patient-centric pathways to improve surgical outcomes requires matching comorbid risk with effective evidence-based interventional strategies. The 2019 SSI Prevention Summit will focus on the epidemiology and pathogenesis of device-related and specialty-specific infections. In addition, our expert panel will discuss the role of selected evidence-based interventional practices that effectively reduce the risk of infection in specific surgical patient populations. Antibiotic stewardship has become a major focus of quality improvement within the hospitalized patient population. The precise role of the surgical practitioner in the antibiotic stewardship process will be explored with an emphasis on appropriate antimicrobial prophylaxis and antimicrobial management in the general surgical population.

The Wisconsin Department of Health Services and the Department of Surgery, Medical College of Wisconsin Present

Wisconsin Surgical Site Infection Prevention Summit VII: Using

Evidence-Based Practices to Improve Patient Outcomes

September 27, 2019 | Wilderness Resort | Wisconsin Dells

Agenda

11:00 - 11:45: Registration (11:30 - 12:20: light lunch)

12:20 - 12:30: Opening Comments

Charles E. Edmiston, Jr. Emeritus Professor of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin

12:30 - 12:50: “Update on SSIs in Wisconsin – How Are We Doing?”

Ashlie Dowdell HAI Surveillance Coordinator, Wisconsin Department of Health Services, Madison, Wisconsin

12:50 - 1:40: “The Coming Tsunami: Periprosthetic Joint Infection Risk Factors and Effective Interventional Strategies”

Javad Parvizi, MD Professor, Orthopedic Surgery, Rothman Orthopedic Institute, Philadelphia, Pennsylvania

1:40 - 2:30 “Postop Infection Following Abdominal Hysterectomy Risk Factors and Effective Interventional Strategies”

Nasia Safdar, MD, PhD Professor, Infectious Diseases and Vice Chair for Research, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

2:30 - 2:50: Break

2:50 - 3:40: “The Surgeon’s Role in Antibiotic Stewardship”

Donald E. Fry, MD, FACS Adjunct Professor, Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois

3:40- 4:00 “A Case Study in Improving Surgical Outcomes in Wisconsin”

Casey Stubbs, BSN, RN, CIC

4:00 - 4:20: “Is It Time to Move Away from Mupirocin in Nasal Decolonization?”

Gwen Borlaug, MPH, CIC, FAPIC

4:20 - 4:50: Collegial Roundtable (Q & A)

Participants: Safdar, Parvizi, Fry, Borlaug, Edmiston (Moderator)

4:50-5:00: Closing Comments

Speaker Profiles

Gwen Borlaug, MPH, CIC, FAPIC, worked at the Wisconsin Division of Public Health (DPH) as the Director of the Healthcare-Associated Infection Prevention Program and infection prevention epidemiologist. She launched a statewide public health initiative to reduce surgical site infections, using a surgical care champion to provide peer-to-peer learnings to surgeons and surgical teams in Wisconsin hospitals. She also served as the MRSA epidemiologist and subject matter expert. She has been an infection preventionist for 22 years. She received an APIC Heroes of Infection Prevention Award and a Chapter Leadership award in 2010 and became an APIC Fellow in 2017. She is

currently an independent infection prevention consultant.

Donald E. Fry, MD, FACS, is Adjunct Professor of Surgery at Northwestern University Feinberg School of Medicine in Chicago, and Professor Emeritus of Surgery from the University of New Mexico, School of Medicine where he was the Chairman of the Department of Surgery for over 16 years. Dr. Fry completed his BSc and MD degrees from The Ohio State University. He completed his general surgery residency at the University of Louisville in Louisville, Kentucky. Dr. Fry has authored over 310 journal publications, over 140 book chapters, and edited 10 books. He is the Editor-in-Chief of the journal Surgical Infections. Dr. Fry is board certified by the American Board of Surgery and

was recertified in 1988, 1998, 2008, and 2018. He is a Fellow of the American College of Surgeons, a member of the American Surgical Association, and a Fellow of the Infectious Diseases Society of America. He is past-president of the Association of VA Surgeons, the Shock Society, and the Surgical Infection Society of North America. He has had a career interest in clinical infectious disease and the septic response in the surgical patient. New interests include objective measures of clinical outcomes, healthcare models for payment reform, and strategies to realign physician incentives for quality and efficiency in the delivery of care.

Javad Parvizi, MD, is a board certified orthopaedic surgeon and has been at the Rothman Institute since 2003. He specializes in the management of young patients with hip disorders such as dysplasia and femoroacetabular impingement. He has performed over 1,000 femoroacetabular osteoplasty procedures, 300 pelvic and femoral osteotomies, and over 5,000 hip replacements in young adults and continues to lead the clinical research team at the Rothman Orthopaedic Institute. His personal areas of interest in research and clinical practice include prevention and diagnosis of joint infection, joint

preservation in adults, and prevention of thromboembolism following orthopedic procedures. He has published over 700 scientific articles and has written 18 text books in related subjects including books on THE HIP and on THE KNEE. He has received numerous awards from societies and has received funding for his research from the National Institutes of Health, Department of Defense, Orthopedic Research and Education Foundation, Musculoskeletal Transplant Foundation, Arthritis Foundation and numerous other funding bodies. Dr. Parvizi travels extensively across the globe to give lectures related to his area of expertise and has been given honorary membership in numerous societies around the world. He has served as the president of the Musculoskeletal Infection Society (2013) and Eastern Orthopedic Association (2018) and holds positions on the board of numerous organizations and societies.

Speaker Profiles

Dr. Nasia Safdar, MD, PhD, is a faculty member in the Division of Infectious Disease within the Department of Medicine and holds affiliate appointments in the Department of Population Health and the Division of Geriatrics, as well as the Division of Industrial and Systems Engineering. Dr. Safdar is Vice Chair for Research in the Department of Medicine and the Medical Director of Infection Control at UW Hospital and Clinics. She received the John Q. Sherman Award for Excellence in Patient Engagement in 2014.

In 2017, Dr. Safdar received a President’s Early Career Award for Scientists and Engineers (PECASE), the highest honor bestowed by the U.S. government on outstanding scientists and engineers beginning their independent careers. Her research program has been supported by agencies such as the Department of Veterans Affairs, the Agency for Healthcare Research and Quality (AHRQ), and the National Institutes of Health. She has published over 146 peer-reviewed publications. Dr. Safdar’s research program focuses on reducing the incidence of healthcare-associated infections and improving interventions for these infections with a particular emphasis on reducing the burden of multi-drug resistant infections and surgical site infections.

Casey Stubbs, BSN, RN, CIC, received her Bachelor of Science in Nursing from Edgewood College in December 2004. She began her nursing career as a nurse on a maternity unit, and then spent 10 1/2 years as a public health nurse. In May 2016, Casey started her career in Infection Prevention at Mercyhealth Hospital & Trauma Center in Janesville, Wisconsin.

Her recent accomplishments include receiving a Nursing Practice Award in the area of Interdisciplinary Collaboration for her work on the Surgical Care Bundle and receiving her Certification in Infection Control in May 2019.

Charles Edmiston, Jr, PhD, CIC Professor Emeritus of Surgery Division of Vascular Surgery Medical College of Wisconsin

Ashlie Dowdell HAI Surveillance Coordinator and Interim

HAI Prevention Program Manager Wisconsin Department of Health Services,

Division of Public Health

Conference Co-Chairs

Register by September 13, 2019, at

https://www.surveygizmo.com/

s3/5028526/2019-SSI-Summit-Registration

Driving Directions (https://www.wildernessresort.com/directions/)

From Madison: I-90 westbound to exit 92, Hwy 12 (Lake Delton/Wisconsin Dells). Turn north (right) at the bottom of the exit ramp onto Hwy 12. At Hill-man Road, turn right. From Milwaukee: I-94 westbound to exit 92, Hwy 12 (Lake Delton/Wisconsin Dells). Turn north (right) at the bottom of the exit ramp onto Hwy 12. At Hill-man Road, turn right. From Green Bay/Appleton: US 41 southbound to Hwy 44 south. Hwy 44 south to Hwy 23 west to I-39 south (Hwy 23 merges with I-39). Take exit 87 for Hwy 33 toward Portage/Baraboo. Turn right onto Hwy 33 westbound. Turn right to merge onto I-90/94 westbound toward the Wisconsin Dells. Take exit 92, Hwy 12 (Lake Delton/Wisconsin Dells), and turn right at the exit ramp onto Hwy 12. Turn right at Hillman Road.

More Info:

Contact Ashlie Dowdell, (ashlie.dowdell@wi.gov, 608-266-1122) or Heidi Brittnacher (surgeryevents@mcw.edu, 414-955-1831) with questions.