The monthly calls support a Learning Network of people who want to
explore new ideas, approaches and methodologies to address quality
issues in service delivery, and improve the experience of patients and
Healthcare Innovation in the Veterans Health Administration
Dr. Rajiv Jain will be our guest caller, sharing his experience of beginning a successful initiative to fight healthcare-associated infections at the VA Pittsburgh Health System, and bringing us up to date on current programs in the VHA.
In 2001, Dr. Rajiv Jain, Chief of Staff at the VA Pittsburgh Health System, spearheaded a relentless attack on HAIs, focused on MRSA. This effort was initially based on the principles of the Toyota Production Systemin collaboration with Paul O'Neill, the Pittsburgh Regional Healthcare Initiative, and John Jernigan at the CDC.
In 2005 he discovered the Sternins’ work in Vietnam and invited them to introduce Positive Deviance at VAPHS. The PD MRSA work at VAPHS has been successful and sustainable, with a steady decrease in HA MRSA infections every year since 2005. The VA's successful application of the PD approach garnered the attention of the Robert Woods Johnson Foundation and informed the grant that supported similar efforts at the beta sites starting in 2006 and continuing to the present.
Rajiv Jain, MD
Chief Consultant, Specialty Care Services, VHA
Dr. Jain is the Chief Consultant, Specialty Care Services in the Office of Patient Care Services.From that position, Dr. Jain provides national leadership to and has advisory and consultative responsibility for all Veterans Health Administration (VHA) medical care programs and initiatives. In addition, the Office of Nutrition and Food Service and the National Chaplain Center report to Dr. Jain.Dr. Jain also manages over 30 field - based Specific Purpose Workgroups (SPWs) and over 25 Field Advisory Committees (FACs) that are related to Specialty Care.
Dr. Jain is a board certified Hematologist-Oncologist and Professor of Medicine at the University of Pittsburgh School of Medicine. Prior to his appointment as Chief Consultant, Dr. Jain served as the Chief of Staff at the VA Medical Center in Salem, VA from 1993 until 2000 and as Chief of Staff at the VA Pittsburgh Healthcare System from 2000 until 2010. In addition, Dr. Jain also serves as the National Program Director of the MRSA Prevention Program, which he established in 2007. Dr. Jain was selected by the VHA to lead a national MRSA prevention effort involving 153 acute care VA hospitals. As a result of his leadership in this and other initiatives, he was awarded a Samuel J. Heyman Service to America Medal (Sammie), the Federal Government's highest honor.
A study on the results of the 4-year MRSA Prevention Program has just been released. Read a New York Times article on study results, including comments from Dr. Jain and Dr. John Jernigan of the CDC, here:
For those who would like to read the full story and the editorial
in the New England Journal of Medicine, here are pdf versions:
NEJM Time for a Culture Change
NEJM Veterans Affairs Initiative