| VDH and APIC-VA Collaborative to Reduce Healthcare Acquired Infections |
September 2009 – December 2011
Build Program Capacity
• Hired HAI Program Coordinator, HAI Epidemiologist, and Nurse
Epidemiologist
• Council of State and Territorial Epidemiologists (CSTE) Applied
Epidemiology Fellow assigned to HAI Program from October 2009 – March 2011
Enhance Surveillance Activities
• Designed, administered, and analyzed acute care infection prevention
needs assessment (December 2009 – April 2010)
o Surveyed administrators, quality improvement staff, and infection
preventionists (IPs)
o Summary report disseminated (June 2010)
• Proposed additional measures for public reporting – central line-associated
bloodstream infections (CLABSIs) in two units outside adult intensive care,
Clostridium difficile laboratory-identified infections, and Surgical Care
Improvement Project (SCIP) measures related to antibiotic use (SCIP 1,2,3)
following coronary artery bypass graft (CABG), hip replacement, and knee
replacement surgeries (April 2010 to Board of Health)
o Based on comments, decided to repropose measure in September 2011
o CLABSIs in adult ICUs are the only HAI type currently mandated by state
regulation to be reportable
• Surgical site infection surveillance pilot in 18 hospitals (July 2010 – August
2011)
o Surveillance following CABG, hip replacement, and knee replacement
surgeries
• CLABSI data audit project in 37 hospitals (October 2010 – February 2011)
• Designed, pilot tested, administered, and analyzed assisted living facility and
nursing home infection prevention needs assessment (October 2010 – January
2011)
• Administered survey of Carbapenem-resistant Enterobacteriaceae
surveillance activities (October 2010)
Engage in Prevention Collaboratives and Educational Activities
• Acute care presentation collaborative focused on data presentation (winter
2010 – spring 2011)
• Nursing home prevention collaborative focused on sharing best practices for
tracking infections and complying with prevention measures (spring 2011)
• One-day statewide training for IPs to share lessons learned from CLABSI
audit (May 2011)
• Five regional trainings (May-June 2011) of assisted living facility and nursing
home providers (administrators, direct care staff, infection prevention main point
of contact) and local epidemiologists
o Similar trainings will be delivered to ALF and NH inspectors later in 2011
• One-day statewide training for IPs, quality improvement staff, and other HAI
prevention partners to address education gaps and wrap-up ARRA grant
activities (fall 2011)
Other Activities
• Active partnerships with Association of Professionals in Infection Control
and Epidemiology-Virginia Chapter, Virginia Hospital and Healthcare
Association, Virginia Health Care Association, VHQC (state quality improvement
organization), and others
• Ongoing communication with infection preventionists and grant partners
through monthly HAI newsletter
• Collaboration with other HHS Region III states (DC, DE, MD, PA, WV) on
grant to address common gaps in HAI surveillance and prevention, especially
multidrug-resistant organisms
• Meetings of Advisory Committee and Long-Term Care Advisory Committee
• Ongoing development of VDH HAI website to provide free infection
prevention resources, fact sheets, and templates
• Ad hoc meetings with task force of infection preventionists; monthly
meetings of steering committee and pilot project participants
Report Document in Word to Download
Build Program Capacity
• Hired HAI Program Coordinator, HAI Epidemiologist, and Nurse
Epidemiologist
• Council of State and Territorial Epidemiologists (CSTE) Applied
Epidemiology Fellow assigned to HAI Program from October 2009 – March 2011
Enhance Surveillance Activities
• Designed, administered, and analyzed acute care infection prevention
needs assessment (December 2009 – April 2010)
o Surveyed administrators, quality improvement staff, and infection
preventionists (IPs)
o Summary report disseminated (June 2010)
• Proposed additional measures for public reporting – central line-associated
bloodstream infections (CLABSIs) in two units outside adult intensive care,
Clostridium difficile laboratory-identified infections, and Surgical Care
Improvement Project (SCIP) measures related to antibiotic use (SCIP 1,2,3)
following coronary artery bypass graft (CABG), hip replacement, and knee
replacement surgeries (April 2010 to Board of Health)
o Based on comments, decided to repropose measure in September 2011
o CLABSIs in adult ICUs are the only HAI type currently mandated by state
regulation to be reportable
• Surgical site infection surveillance pilot in 18 hospitals (July 2010 – August
2011)
o Surveillance following CABG, hip replacement, and knee replacement
surgeries
• CLABSI data audit project in 37 hospitals (October 2010 – February 2011)
• Designed, pilot tested, administered, and analyzed assisted living facility and
nursing home infection prevention needs assessment (October 2010 – January
2011)
• Administered survey of Carbapenem-resistant Enterobacteriaceae
surveillance activities (October 2010)
Engage in Prevention Collaboratives and Educational Activities
• Acute care presentation collaborative focused on data presentation (winter
2010 – spring 2011)
• Nursing home prevention collaborative focused on sharing best practices for
tracking infections and complying with prevention measures (spring 2011)
• One-day statewide training for IPs to share lessons learned from CLABSI
audit (May 2011)
• Five regional trainings (May-June 2011) of assisted living facility and nursing
home providers (administrators, direct care staff, infection prevention main point
of contact) and local epidemiologists
o Similar trainings will be delivered to ALF and NH inspectors later in 2011
• One-day statewide training for IPs, quality improvement staff, and other HAI
prevention partners to address education gaps and wrap-up ARRA grant
activities (fall 2011)
Other Activities
• Active partnerships with Association of Professionals in Infection Control
and Epidemiology-Virginia Chapter, Virginia Hospital and Healthcare
Association, Virginia Health Care Association, VHQC (state quality improvement
organization), and others
• Ongoing communication with infection preventionists and grant partners
through monthly HAI newsletter
• Collaboration with other HHS Region III states (DC, DE, MD, PA, WV) on
grant to address common gaps in HAI surveillance and prevention, especially
multidrug-resistant organisms
• Meetings of Advisory Committee and Long-Term Care Advisory Committee
• Ongoing development of VDH HAI website to provide free infection
prevention resources, fact sheets, and templates
• Ad hoc meetings with task force of infection preventionists; monthly
meetings of steering committee and pilot project participants
Report Document in Word to Download
| VDH and APIC-VA HAI Program |
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2009 APIC-VA Conference
Virginia Reporting by Ober
NHSN Surveillance by VDH
Virginia Reporting by Ober
NHSN Surveillance by VDH
| August 2011 State of HAI Reporting in VA Reporting Requirements Business Case for Data Mining; NHSN Import Surveillance Technology Starter Questions Technology Assessment tool |