Aim for Zero

This year, HCA CEO Richard Bracken identified “becoming the premier healthcare provider” as our first and foremost strategic objective. This requires avoiding comparisons against average clinical performance and setting our goal on excellence. AIM for Zero is a terrific example of HCA’s commitment to providing excellence in healthcare through the consistent application of evidence-based interventions in the elimination of Central Line-Associated Blood Stream Infections (CLA-BSI). Our goal for this initiative is zero, as we know from the medical literature that these infections are increasingly proven to be avoidable.

The letter “A” in AIM stands for antimicrobial stewardship which embraces the effective and efficient utilization of antibiotics. Overuse of broad spectrum antibiotics is not only needlessly expensive, but it breeds resistant infections. The letter “I” refers to a checklist of interventions that has been demonstrated as preventing CLA-BSI at the point of Insertion. “M” stands for vigilance in maintaining and removing central lines at the earliest appropriate moment.
Culture is critical to high performance health care. AIM for Zero includes behavioral expectations that encourage any team member to “speak up” to assure that the required interventions are followed.

The personal behavior choices we make each day affect our ability to protect our patients from preventable, and potentially life-threatening infections. Your leadership and support are essential to ensuring the HCA commitment to premier performance that patients expect and deserve.

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