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Riverside LTAC Hospital had a CAUTI rate of 3.8 per 1,000 catheter-days — nearly double the national LTAC benchmark. Perineal hygiene was identified as a primary contributing factor, as traditional sponge baths were inconsistent and inadequate for catheterized patients. The facility was subject to CMS value-based purchasing penalties.
Riverside LTAC Hospital had a CAUTI rate of 3.8 per 1,000 catheter-days — nearly double the national LTAC benchmark. Perineal hygiene was identified as a primary contributing factor, as traditional sponge baths were inconsistent and inadequate for catheterized patients. The facility was subject to CMS value-based purchasing penalties.
Riverside implemented Bed Shower Wib as the standard bathing method for all catheterized patients, with a specific focus on thorough perineal hygiene using CHG solution. The Wib's directional water flow and complete body coverage ensured consistent perineal cleansing that sponge baths could not reliably achieve.
Learn About Wib™Conducted a root cause analysis identifying perineal hygiene as the primary CAUTI driver.
Piloted Wib bathing for all catheterized patients in a 20-bed unit for 90 days.
Developed a standardized perineal care protocol using 4% CHG with the Wib system.
Trained all nursing staff and CNAs on catheter care bundle integration with Wib bathing.
Expanded to all 90 beds after pilot showed 71% CAUTI reduction at 90 days.
"Perineal hygiene is the cornerstone of CAUTI prevention, and we were failing at it with sponge baths. The Wib gave us a reproducible, thorough protocol. Our CAUTI rate dropped from 3.8 to 0.6 — that is a transformation."
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84% reduction in CAUTI rate, from 3.8 to 0.6 per 1,000 catheter-days
Elimination of $210,000 annual CMS Value-Based Purchasing CAUTI penalty
57% reduction in antibiotic usage, reducing C. diff risk and antibiotic resistance pressure
5-day reduction in average length of stay, improving bed throughput and revenue
Zero CAUTI-related sepsis events in the 12 months following full implementation
Protocol shared with state LTAC association as a quality improvement model
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