AHRQ funded a program by Johns Hopkins Medicine and the American Hospital Association to use tools developed at Johns Hopkins at 1,100 adult intensive care units over a four-year period. Preliminary findings show a reduction rate from 1.903 infections per 1,000 central line days to 1.137 infections.
Michigan was the early leader in testing CUSP, a customizable program, with leadership from the Michigan Health & Hospital Association before it was expanded to 10 states and then nationally. More information and the toolkit is available here.





























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