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Hospital acquired pneumonia prevention by engaging nurses (HAPPEN)

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HAPPEN, or Hospital Acquired Pneumonia Prevention by Engaging Nurses supports VHA priorities by reducing the risk of non-ventilator associated hospital acquired pneumonia (NV-HAP), improving the health and quality of life of our Veterans; modernizing systems and processes with a focus on preventive care; improving access and timeliness of service by reducing patient length of stays; and reducing health care cost.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.

Adoptions:

155 successful

Awards and Recognition:

Diffusion of Excellence Promising Practice, Gears of Government Winner, QUERI Partnered Evaluation Initiative, VHA Shark Tank Winner

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Metrics

  • Each NV-HAP case prevented is predicted to save over $100K in 12-month direct healthcare costs.

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

AL: Birmingham VA Medical Center (Birmingham, Alabama)
  • Started adoption on 10/2020.
AL: Central Alabama VA Medical Center-Montgomery (Montgomery)
  • Started adoption on 03/2021.
AL: Central Alabama VA Medical Center-Tuskegee (Tuskegee)
  • Started adoption on 02/2021.
AL: Tuscaloosa VA Medical Center (Tuscaloosa)
  • Started adoption on 08/2021.
AR: Fayetteville VA Medical Center (Fayetteville, Arkansas)
  • Started adoption on 01/2021.
AR: Little Rock VA Clinic (Little Rock Main Street)
  • Started adoption on 01/2019.
AZ: Bob Stump Department of Veterans Affairs Medical Center (Prescott)
  • Started adoption on 08/2021.
AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona)
  • Started adoption on 06/2019.
AZ: Tucson VA Medical Center (Tucson)
  • Started adoption on 06/2019.
CA: Fresno VA Medical Center (Fresno) CA: Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California)
  • Started adoption on 12/2020.
CA: Loma Linda VA Clinic (Loma Linda Redlands)
  • Started adoption on 02/2019.
CA: Martinez VA Medical Center (Martinez)
  • Started adoption on 01/2021.
CA: Palo Alto VA Medical Center (Palo Alto, California)
  • Started adoption on 06/2021.
CA: Sacramento VA Medical Center (Sacramento)
  • Started adoption on 05/2019.
CA: San Francisco VA Medical Center (San Francisco)
  • Started adoption on 06/2020.
CA: Tibor Rubin VA Medical Center (Long Beach)
  • Started adoption on 01/2021.
CA: West Los Angeles VA Medical Center (West Los Angeles)
  • Started adoption on 01/2021.
CO: Denver VA Medical Center (Denver)
  • Started adoption on 04/2021.
CO: Grand Junction VA Medical Center (Grand Junction, Colorado)
  • Started adoption on 06/2021.
CT: West Haven VA Medical Center (West Haven)
  • Started adoption on 04/2021.
DC: Washington VA Medical Center (Washington, District of Columbia)
  • Started adoption on 10/2018.
DE: Wilmington VA Medical Center (Wilmington, Delaware)
  • Started adoption on 07/2021.
FL: Bruce W. Carter Department of Veterans Affairs Medical Center (Miami)
  • Started adoption on 06/2019.
FL: C.W. Bill Young Department of Veterans Affairs Medical Center (Bay Pines)
  • Started adoption on 07/2019.
FL: James A. Haley Veterans' Hospital (Tampa, Florida)
  • Started adoption on 03/2021.
FL: Lake City VA Medical Center (Lake City, Florida)
  • Started adoption on 02/2020.
FL: Malcom Randall Department of Veterans Affairs Medical Center (Gainesville)
  • Started adoption on 02/2020.
FL: Orlando VA Medical Center (Orlando)
  • Started adoption on 11/2020.
FL: West Palm Beach VA Medical Center (West Palm Beach)
  • Started adoption on 11/2019.
GA: Atlanta VA Medical Center (Atlanta, Georgia) GA: Carl Vinson Veterans' Administration Medical Center (Dublin)
  • Started adoption on 04/2021.
GA: Charlie Norwood Department of Veterans Affairs Medical Center (Augusta Downtown)
  • Started adoption on 08/2021.
GA: Trinka Davis Veterans Village (Carrollton, Georgia)
  • Started adoption on 06/2021.
HI: Spark M. Matsunaga Department of Veterans Affairs Medical Center (Honolulu)
  • Started adoption on 07/2020.
IA: Des Moines VA Medical Center (Des Moines, Iowa)
  • Started adoption on 07/2020.
IA: Iowa City VA Medical Center (Iowa City, Iowa)
  • Started adoption on 10/2018.
ID: Boise VA Medical Center (Boise)
  • Started adoption on 09/2021.
IL: Captain James A. Lovell Federal Health Care Center (North Chicago)
  • Started adoption on 10/2021.
IL: Danville VA Medical Center (Danville, Illinois)
  • Started adoption on 05/2021.
IL: Edward Hines Junior Hospital (Hines)
  • Started adoption on 07/2019.
IL: Jesse Brown Department of Veterans Affairs Medical Center (Chicago, Illinois)
  • Started adoption on 09/2021.
IL: Marion VA Medical Center (Marion, Illinois)
  • Started adoption on 04/2020.
IN: Fort Wayne VA Medical Center (Fort Wayne)
  • Started adoption on 06/2021.
IN: Marion VA Medical Center (Marion, Indiana)
  • Started adoption on 06/2021.
IN: Richard L. Roudebush Veterans' Administration Medical Center (Indianapolis, Indiana)
  • Started adoption on 07/2021.
KS: Colmery-O'Neil Veterans' Administration Medical Center (Topeka)
  • Started adoption on 09/2021.
KS: Dwight D. Eisenhower Department of Veterans Affairs Medical Center (Leavenworth)
  • Started adoption on 09/2021.
KS: Robert J. Dole Department of Veterans Affairs Medical and Regional Office Center (Wichita)
  • Started adoption on 02/2021.
KY: Franklin R. Sousley Campus (Lexington-Leestown)
  • Started adoption on 10/2021.
KY: Robley Rex Department of Veterans Affairs Medical Center (Louisville)
  • Started adoption on 12/2020.
KY: Troy Bowling Campus (Lexington-Cooper)
  • Started adoption on 10/2021.
LA: Alexandria VA Medical Center (Alexandria, Louisiana)
  • Started adoption on 09/2020.
LA: New Orleans VA Medical Center (New Orleans)
  • Started adoption on 10/2019.
LA: Overton Brooks Veterans' Administration Medical Center (Shreveport)
  • Started adoption on 03/2019.
MA: Brockton VA Medical Center (Brockton)
  • Started adoption on 06/2021.
MA: Edith Nourse Rogers Memorial Veterans' Hospital (Bedford)
  • Started adoption on 03/2020.
MA: Edward P. Boland Department of Veterans Affairs Medical Center (Central Western Massachusetts)
  • Started adoption on 06/2021.
MA: West Roxbury VA Medical Center (West Roxbury)
  • Started adoption on 06/2021.
MD: Baltimore VA Medical Center (Baltimore)
  • Started adoption on 12/2020.
MD: Perry Point VA Medical Center (Perry Point)
  • Started adoption on 02/2021.
ME: Togus VA Medical Center (Togus)
  • Started adoption on 05/2020.
MI: Aleda E. Lutz Department of Veterans Affairs Medical Center (Saginaw, Michigan)
  • Started adoption on 04/2021.
MI: Battle Creek VA Medical Center (Battle Creek)
  • Started adoption on 08/2021.
MI: John D. Dingell Department of Veterans Affairs Medical Center (Detroit)
  • Started adoption on 11/2020.
MI: Lieutenant Colonel Charles S. Kettles VA Medical Center (Ann Arbor)
  • Started adoption on 02/2019.
MI: Oscar G. Johnson Department of Veterans Affairs Medical Facility (Iron Mountain)
  • Started adoption on 04/2020.
MN: Minneapolis VA Medical Center (Minneapolis, Minnesota)
  • Started adoption on 07/2021.
MN: St. Cloud VA Medical Center (St. Cloud)
  • Started adoption on 07/2021.
MO: Harry S. Truman Memorial Veterans' Hospital (Columbia, Missouri)
  • Started adoption on 03/2021.
MO: John J. Pershing Veterans' Administration Medical Center (Poplar Bluff)
  • Started adoption on 06/2019.
MO: Kansas City VA Medical Center (Kansas City, Missouri)
  • Started adoption on 04/2020.
MO: St. Louis VA Medical Center-Jefferson Barracks (St. Louis Jefferson Barracks)
  • Started adoption on 10/2020.
MS: Biloxi VA Medical Center (Biloxi)
  • Started adoption on 09/2020.
MS: G.V. (Sonny) Montgomery Department of Veterans Affairs Medical Center (Jackson, Mississippi)
  • Started adoption on 05/2020.
MT: Fort Harrison VA Medical Center (Fort Harrison)
  • Started adoption on 05/2021.
MT: Miles City VA Community Living Center (Miles City CLC)
  • Started adoption on 05/2021.
NC: Charles George Department of Veterans Affairs Medical Center (Asheville)
  • Started adoption on 10/2017.
NC: Durham VA Medical Center (Durham)
  • Started adoption on 10/2017.
NC: Fayetteville VA Medical Center (Fayetteville, North Carolina)
  • Started adoption on 11/2017.
NC: W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center (Salisbury)
  • Started adoption on 10/2017.
ND: Fargo VA Medical Center (Fargo)
  • Started adoption on 07/2019.
NE: Grand Island VA Medical Center (Grand Island)
  • Started adoption on 06/2021.
NE: Omaha VA Medical Center (Omaha, Nebraska)
  • Started adoption on 10/2018.
NH: Manchester VA Medical Center (Manchester)
  • Started adoption on 03/2021.
NJ: East Orange VA Medical Center (East Orange)
  • Started adoption on 02/2020.
NJ: Lyons VA Medical Center (Lyons)
  • Started adoption on 11/2019.
NM: Raymond G. Murphy Department of Veterans Affairs Medical Center (Albuquerque) NV: Ioannis A. Lougaris Veterans' Administration Medical Center (Reno)
  • Started adoption on 05/2020.
NV: North Las Vegas VA Medical Center (North Las Vegas)
  • Started adoption on 08/2019.
NY: Batavia VA Medical Center (Batavia)
  • Started adoption on 07/2021.
NY: Bath VA Medical Center (Bath)
  • Started adoption on 04/2019.
NY: Brooklyn VA Medical Center (Brooklyn)
  • Started adoption on 08/2021.
NY: Buffalo VA Medical Center (Buffalo, New York)
  • Started adoption on 07/2021.
NY: Canandaigua VA Medical Center (Canandaigua)
  • Started adoption on 02/2021.
NY: Castle Point VA Medical Center (Castle Point)
  • Started adoption on 07/2021.
NY: Franklin Delano Roosevelt Hospital (Montrose, New York)
  • Started adoption on 10/2019.
NY: James J. Peters Department of Veterans Affairs Medical Center (Bronx)
  • Started adoption on 07/2021.
NY: Margaret Cochran Corbin VA Campus (Manhattan)
  • Started adoption on 08/2021.
NY: Northport VA Medical Center (Northport, New York)
  • Started adoption on 03/2021.
NY: Samuel S. Stratton Department of Veterans Affairs Medical Center (Albany, New York)
  • Started adoption on 07/2021.
NY: St. Albans VA Medical Center (St. Albans)
  • Started adoption on 08/2021.
NY: Syracuse VA Medical Center (Syracuse)
  • Started adoption on 07/2021.
OH: Chillicothe VA Medical Center (Chillicothe)
  • Started adoption on 01/2021.
OH: Cincinnati VA Medical Center (Cincinnati, Ohio)
  • Started adoption on 07/2021.
OH: Dayton VA Medical Center (Dayton)
  • Started adoption on 08/2021.
OH: Louis Stokes Cleveland Department of Veterans Affairs Medical Center (Cleveland, Ohio)
  • Started adoption on 11/2020.
OK: Jack C. Montgomery Department of Veterans Affairs Medical Center (Muskogee, Oklahoma)
  • Started adoption on 03/2021.
OK: Oklahoma City VA Medical Center (Oklahoma City)
  • Started adoption on 08/2019.
OR: Portland VA Medical Center (Portland, Oregon)
  • Started adoption on 03/2019.
OR: Roseburg VA Medical Center (Roseburg)
  • Started adoption on 02/2021.
PA: Butler VA Medical Center (New Castle Road)
  • Started adoption on 01/2021.
PA: Coatesville VA Medical Center (Coatesville)
  • Started adoption on 10/2020.
PA: Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center (Philadelphia, Pennsylvania)
  • Started adoption on 07/2019.
PA: Erie VA Medical Center (Erie)
  • Started adoption on 12/2020.
PA: James E. Van Zandt Veterans' Administration Medical Center (Altoona)
  • Started adoption on 10/2020.
PA: Lebanon VA Medical Center (Lebanon)
  • Started adoption on 04/2021.
PA: Pittsburgh VA Medical Center-University Drive (Pittsburgh)
  • Started adoption on 05/2021.
PA: Wilkes-Barre VA Medical Center (Wilkes-Barre)
  • Started adoption on 10/2020.
PR: San Juan VA Medical Center (San Juan)
  • Started adoption on 01/2018.
RI: Providence VA Medical Center (Providence)
  • Started adoption on 09/2021.
SC: Ralph H. Johnson Department of Veterans Affairs Medical Center (Charleston, South Carolina)
  • Started adoption on 08/2021.
SC: Wm. Jennings Bryan Dorn Department of Veterans Affairs Medical Center (Columbia, South Carolina)
  • Started adoption on 04/2019.
SD: Fort Meade VA Medical Center (Fort Meade, South Dakota)
  • Started adoption on 06/2021.
SD: Hot Springs VA Medical Center (Hot Springs, South Dakota)
  • Started adoption on 06/2021.
SD: Royal C. Johnson Veterans' Memorial Hospital (Sioux Falls)
  • Started adoption on 11/2018.
TN: Alvin C. York Veterans' Administration Medical Center (Murfreesboro)
  • Started adoption on 06/2018.
TN: James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee)
  • Started adoption on 06/2019.
TN: Memphis VA Medical Center (Memphis)
  • Started adoption on 08/2021.
TN: Nashville VA Medical Center (Nashville) TX: Audie L. Murphy Memorial Veterans' Hospital (San Antonio, Texas)
  • Started adoption on 02/2021.
TX: Dallas VA Medical Center (Dallas)
  • Started adoption on 03/2020.
TX: Doris Miller Department of Veterans Affairs Medical Center (Waco)
  • Started adoption on 10/2021.
TX: George H. O'Brien, Jr., Department of Veterans Affairs Medical Center (Big Spring)
  • Started adoption on 08/2021.
TX: Michael E. DeBakey Department of Veterans Affairs Medical Center (Houston)
  • Started adoption on 02/2017.
TX: Olin E. Teague Veterans' Center (Temple)
  • Started adoption on 10/2021.
TX: Sam Rayburn Memorial Veterans Center (Bonham)
  • Started adoption on 07/2021.
TX: Thomas E. Creek Department of Veterans Affairs Medical Center (Amarillo)
  • Started adoption on 03/2021.
UT: George E. Wahlen Department of Veterans Affairs Medical Center (Salt Lake City)
  • Started adoption on 07/2021.
VA: Hampton VA Medical Center (Hampton)
  • Started adoption on 11/2017.
VA: Hunter Holmes McGuire Hospital (Richmond, Virginia)
  • Started adoption on 11/2017.
VA: Salem VA Medical Center (Salem, Virginia)
  • Started adoption on 10/2016.
VT: White River Junction VA Medical Center (White River Junction)
  • Started adoption on 07/2020.
WA: American Lake VA Medical Center (American Lake)
  • Started adoption on 08/2021.
WA: Mann-Grandstaff Department of Veterans Affairs Medical Center (Spokane, Washington)
  • Started adoption on 08/2021.
WA: Seattle VA Medical Center (Seattle)
  • Started adoption on 12/2019.
WI: Clement J. Zablocki Veterans' Administration Medical Center (Milwaukee, Wisconsin)
  • Started adoption on 09/2021.
WI: Tomah VA Medical Center (Tomah)
  • Started adoption on 11/2018.
WI: William S. Middleton Memorial Veterans' Hospital (Madison)
  • Started adoption on 04/2020.
WV: Beckley VA Medical Center (Beckley)
  • Started adoption on 08/2019.
WV: Hershel "Woody" Williams VA Medical Center (Huntington, West Virginia)
  • Started adoption on 06/2021.
WV: Louis A. Johnson Veterans' Administration Medical Center (Clarksburg, West Virginia)
  • Started adoption on 05/2020.
WV: Martinsburg VA Medical Center (Martinsburg)
  • Started adoption on 11/2020.
WY: Cheyenne VA Medical Center (Cheyenne)
  • Started adoption on 01/2019.
WY: Sheridan VA Medical Center (Sheridan)
  • Started adoption on 02/2021.

There are no in-progress adoptions for this innovation.

There are no unsuccessful adoptions for this innovation.

Multimedia

Images

Above:

With consistent oral care, the risk of hospital acquired pneumonia among non-ventilated patients is decreased an average of 40-60%. HAPPEN has spread to VA facilities across the nation and we encourage you to contact us about joining our efforts.

Videos

Above:

This video is a reminder for direct care staff about the importance of consistent oral hygiene in prevention of hospital acquired pneumonia.