Preventing the #1 Hospital-Acquired Infection and Saving Lives: One Clean Mouth at a Time

Nonventilator Hospital Acquired Pneumonia (NVHAP) is an emerging hospital acquired infection (HAI) with important patient safety concerns.  As device-related HAIs have decreased – thanks to focused prevention efforts – NVHAP continued to increase. According to the new CDC Point Prevalence Study (Magil 2018), hospital acquired pneumonia now accounts for 25% of all HAIs in the U.S., and the majority of those are NVHAP. This presentation will highlight the incidence, mortality, and morbidity of NVHAP in the U.S., review risk factors, and suggest specific prevention efforts that can be started as soon as tomorrow.

Date & Time

December 5, 2018 from 12:00-1:00pm PST


Dian_Barb Barbara Quinn, MSN, RN, ACNS-BC
Director, Professional Practice & Nursing Excellence
Sutter Health

Dian Baker PhD, RN
Professor, School of Nursing
​California State University, Sacramento


  1. Describe the significance of NVHAP.
  2. Discuss how prevention of NVHAP is based on addressing patients’ modifiable risk factors.
  3. Name one action you can take tomorrow to move NVHAP into the patient safety conversation.

Webinar Recording and Slide Deck

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  • Sutter Health HQI Conference Short Film
  • ICD 10 Codes
    • This is the COMPLETE LIST of ALL pneumonia codes:  highlighted in yellow are those codes that are excluded (i.e. community acquired)
    • NOTE:  when requesting this list from your quality departments, ask for “all pneumonia AND not present on admission”, rather than pneumonia as a secondary diagnosis which may leave out many cases
  • Baker, D & Quinn, B. (2017). Hospital Acquired Pneumonia Prevention Initiative-2: Incidence of nonventilator hospital-acquired pneumonia in the United States. Am J Infect Control, 46. 10.1016/j.ajic.2017.08.036. https://www.ncbi.nlm.nih.gov/pubmed/29050903
  • Baker D, Quinn B, Ewan V, Giuliano KK. (2018). Sustaining Quality Improvement: Long-Term Reduction of Nonventilator Hospital-Acquired Pneumonia. J Nurs Care Qual.  doi: 10.1097/NCQ.0000000000000359. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30198950
  • Giuliano, KK. et al. (2018). The epidemiology of nonventilator hospital-acquired pneumonia in the United States Am J Infect Control, 46, Issue 3, 322 – 327. https://www.ajicjournal.org/article/S0196-6553(17)31056-8/fulltext
  • Magill, S et al. (2018). New England Journal of Medicine, 2018. Changes in prevalence of health care–associated infections in U.S. hospitals. N Engl J Med; 379:1732-1744. DOI: 10.1056/NEJMoa1801550. https://www.nejm.org/doi/full/10.1056/NEJMoa1801550
  • Wall Street Journal, 2018. In hospitals, pneumonia is a lethal enemy.

CE Notice and Survey

Please complete this survey to obtain CE.

One complimentary CE unit will be provided to member hospitals of the Hospital Quality Institute, CHPSO Patient Safety Organization, the California Hospital Association or the regional hospital associations in CA, who attended the entire session.

HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16793 for 1.0 contact hour.

HQI does not currently offer ACPE approved Pharmacy CE, but the State of California will accept CE from courses which have been approved for continuing education by the Medical Board of California, the California Board of Podiatric Medicine, the California Board of Registered Nursing or the Dental Board of California towards their California continuing education requirement (Section 1732.2(b) of the California Code of Regulations). Pharmacists need to keep track of CE from these sources on their own as they are not submitted to NAPB.


  • Describe the significance of NVHAP
  • Discuss how prevention of NVHAP is based into the patient safety conversation
  • Name one action you can take tomorrow to move NVHAP into the patient safety conversation

Dauner Award Video – Sutter Health