Upload
nicholas-stephens
View
219
Download
1
Embed Size (px)
Citation preview
Illinois Healthcare-Associated Infections (HAI) Plan
Mary Fornek
January 21, 2010
Metropolitan Chicago Healthcare Council
American Recovery and Reinvestment Act of 2009
(ARRA)
Four Components of the HAI Plan
• HAI Program Infrastructure
• Surveillance, Detection, Reporting and Response
• Prevention
• Evaluation, Oversight, and Communication
HAI Program Infrastructure
Key Points• Illinois has created a HAI Prevention
Advisory Council
• Specific HAI targets have been identified – Clostridium difficile (C. difficile)– Methicillin-resistant Staphylococcus aureus (MRSA)– Central line Associated Bloodstream Infections (CLABSIs)– Surgical Site Infections (SSIs)
Surveillance, Detection, Reporting and Response
Central Line Associated Bloodstream Infections
(CLA BSIs)
• Statewide reporting of CLABSIs in adult medical and/or surgical ICUs using National Healthcare Safety Network (NHSN) began January 1, 2009.
• Statewide reporting of CLABSIs in Pediatric and Neonatal ICUs began October 1, 2009.
CLABSI continued
• Baseline CLABSI standardized infection ratios (SIRs) for various ICU types for the first twelve months of NHSN surveillance will be available by March 1, 2010.
• The IHA is a participant in John Hopkins University’s nationally recognized multistate “Stop BSI” initiative, in which forty-one Illinois hospitals are enrolled.
Clostridium difficile Collaborative
• Implementation in March 2010
• 20 hospitals will be asked to participate– 10 hospitals from the Chicago area– 10 hospitals from Southern Illinois
• Hospitals participating in the C. difficile collaborative will be required to use the NHSN (C. difficile Associated Disease) CDAD module for reporting.
Methicillin Resistant Staphylococcus aureus (MRSA)
• October 1, 2007 – hospitals identify patients colonized and/or infected with MRSA.
• MRSA data available on the IDPH website in an annual report and on the Hospital Report Card.
• http://www.healthcarereportcard.illinois.gov • IFMC-IL MRSA Collaborative
– Includes 8 hospitals, all reporting MRSA through the NHSN MDRO module
Surgical Site Infections (SSIs)
• Statewide Reporting will be required in APRIL 2010
• 2 Procedures
― Total Knee Arthroplasty (TKA)
―Coronary Artery Bypass Graft (CABG)
SSI Workshops
• Mary Andrus presenting SSI Module of NSHN– February 5, 2010 MCHC– February 12, 2010 Elmhurst Health Center– March 5, 2010 New Sherman Hospital
• Two 4 hour sessions each day• (8am – 12pm) and (1pm – 5pm)• 30 participants per session
• IT Webinar – date to be determined
Patient ID GenderDate of
BirthNHSN Procedure
CodeDate of
Procedure Outpt.Duration
HoursDuration Minutes
Wound Class
ASA Class Endoscope
Surgeon Code
NHSN SSI Denominator Data
Electronic Lab Reporting (ELR) Surveillance
• Automated reporting of reportable diseases to public health agencies
• Development of software modules to increase the efficiency and reliability of reporting to CDC’s National Healthcare Safety Network
• Linking together hospitals to identify transfers of patients for whom a multi-drug resistant organism (MDRO) has been detected
Key Points• Two priority prevention targets for
surveillance have been identified (e.g. CLABSI and SSI).
• Illinois hospitals with adult, pediatric, and/or neonatal ICUs are required to report CLABSIs through NHSN.
• Illinois hospitals are required to report TKA and CABG SSIs through NHSN beginning April 1, 2010.
Prevention
Development of 5 Workgroups
• MDRO Workgroup– Will explore making all or some of the specific
emerging multidrug-resistant gram negative organisms of epidemiologic importance reportable in the State of Illinois.
• HAI Workgroup– Establish outbreak reporting requirements– Explore methods to electronically achieve notification
of HAI outbreaks– Explore developing a separate module for reporting
HAI clusters within the current reporting systems
Workgroups continued• Outbreak/Breaches of IC Practices Workgroup
– Explore developing processes and tiered response criteria to handle increase reports of serious infection control breaches or suspect cases/clusters, and outbreaks
– Decide on actions that will be taken when serious infection control breaches have been identified
• Surveillance Workgroup– Explore developing legislation to mandate use of
qualified electronic surveillance system and minimum Infection Preventionist staffing levels
Workgroups continued• Long Term Care Workgroup
– Assist in developing a statewide needs assessment and profile
– Establish educational standards for LTC and LTACH healthcare workers
– Develop standardized educational tools– Implement the educational sessions– Explore current and future collaboratives
between local health departments and LTCF, LTACHs and hospitals
Evaluation and Communication
Key Points• IDPH will be measuring progress towards
targets through NHSN data.
• Validation activities will be implemented throughout the year.
• Consumers have access to healthcare quality measures through the Illinois Hospital Report Card Web Site
Activities TimelineMedical/Surgical ICU CLABSI Reporting January 1, 2009
Pediatric/Neonatal ICU CLABSI Reporting October 1, 2009
SSI NHSN Training February 2010
Initial Outbreak/Breaches of IC Practices Workgroup Meeting
February 2010
Training and launch of Chicago area C. difficile Collaborative
March 2010
SSI Reporting for TKA and CABG April 1, 2010
MDRO Workgroup Meeting 2010Long Term Care Workgroup Meeting 2010
SSI TKA and CABG Data Available January 2011HAI Workgroup Meeting February 2011
MRSA and C. difficile Reporting Through NHSN Statewide
2011
Surveillance Workgroup Meeting 2011
Questions