Directions of IPC in the Philippines

Directions of Infection

Prevention and Control Program

(IPCP) in the Philippines

May 18, 2017Crowne Plaza Galleria Manila

DEPARTMENT OF HEALTHHealth Facility Development Bureau

Outline of Presentation

A. Infection Prevention and Control Program (IPCP) Roadmap of DOH

B. Strategies of DOH to achieve these targets

C. Past and Future activities conducted by DOH to attain Set Targets

A. IPC Roadmap

• Infection Prevention & Control at the core of quality patient care in all healthcare facilities.

• Achieving Asia Pacific Infection Prevention & Control standards in all healthcare facilities.

Vision

• To pursue excellence in Infection Prevention and Control (IPC) through, improved surveillance, harmonized standards, training, and research in all healthcare facilities.

Mission

Integrity Excellence

Compassion

What is the role of DOH? • The Department of Health through the Health Facility

Development Bureau (HFDB) is tasked to lead in the

development and management of the Infection

Prevention and Control Program (IPCP) in all

healthcare facilities providing preventive, promotive,

curative, restorative and rehabilitative care in the

Philippines.

• The HFDB assumes technical leadership and is

responsible for the provision of enabling and support

mechanism to ensure the effective and efficient

implementation of the IPC Program

BASIS for the National implementation of IPC

• Administrative Order no. 2016-00o2:“National Policy On InfectionPrevention And Control in HealthcareFacilities” dated January 8, 2016 aims toprovide guidance for the establishment andeffective implementation of the corecomponents of the infection prevention andcontrol in the healthcare facilities.

IPCOrganizational Mechanism

Capacity Building

Research and Development

Health Regulations

Advocacy and Social

Mobilization

Inter-agency Collaboration

and Networking

Client Empowerment

Monitoring and Evaluation

Development of a Roadmap to Harmonize IPC

National Standards with

ASEAN Standards

Improvement/ Strengthening of surveillance and reporting system

of HCAI/ARSP

Enforcement of Licensing Standards

Establishment of Microbiology Lab

Network and Surveillance of Anti-Microbial

Resistance

Strengthening of Health Human

Resource for IPC Implementation

Promotion of Public-Private Partnership

Investment in New Technology

Increase Awareness on

HCAIs

Institutionalization of IPC

Curriculum and Training

Harmonization with other

policies and training

programs related to IPC

Active Engagement of

Patients and Families in IPCP

Reduction in Mortality and

Morbidity due to HCAIs

Reduction of Healthcare cost and increase in

productivity

Culture of Safety and Prevention

B. Strategies Initiatives of DOH

Strategic Objective Initiative Development of a Road Map to Harmonize IPC National Standards with ASEAN Standards

1. Development of Evidence-based National Guideline for specific concerns:

a. Airborne isolation rooms

b. Reprocessing of reusable medical devices

c. Infrastructure/health facility design

d. Outpatient Departments

e. Emergency Room ICP

f. Surveillance of HCAI

g. Dialysis Center

a. Water quality


Strategic Objective Initiative

Enforcement of licensing standards

Capacity Building of Regulatory Officers on Assessment in Healthcare Facilities (National, Regional Levels)

Establishment of Monitoring and evaluation of Healthcare Facilities system



Investment in new technology

Adaption of an electronic reporting system to enhance surveillance nationwide including the following:

Upgrade of Microbiological Laboratory Facilities

B. Strategies Initiatives of DOH Strategic Objective Initiative

Promotion of Public- Private Partnership to strengthen IPC

Conduction of Training-of-Trainors Caravan to capacitate healthcare workers in the practice of infection prevention and control

Development of “Sister-hospital” System: Primary or secondary tie up with nearby private hospitals for microbiology and other diagnostic services at a discounted price

Conduction of bi-annual consultative meeting of stakeholders (PHAP, PHA, PHICS, PHICNA, DOH, UP-PGH, PSMID) to discuss key issues and cascade information Establishment of an Infection Prevention and Control Practitioner Empowerment Program through joint Public- Private ScholarshipsDevelopment of an Infection Prevention and Control-related Research Funding Program through joint Public- Private Partnerships

B. Strategies Initiatives of DOH Strategic Objective Initiative

Establishment of Microbiology Lab Network and Surveillance of Anti-Microbial Resistance

Gathering of baseline information on the status and functional capacity of micro lab in healthcare facilities in the Philippines

Capacity building of underperforming and non-performing micro lab

Conduct of trainor’s training in micro, WHONET, AMRS by ARSRL for its sentinel sites serving as trainorsCascade of training courses in micro by ARSP sentinel site trainors to micro labs in their regionProvision of resources/funds for monitoring visits/meetings by ARSRL staff and ARSP sentinel site trainors



Strengthening of Health Human Resource for IPC Implementation

Conversion of the IPC Committee into an organic unit of hospital by 2016

Addition of Infection Prevention and Control-specific plantilla positions for AMR pharmacists, nurses, physicians, and medical technologists



Increase awareness on HCAI

1. Development of Health Promo Plan, Communication Plan and Advocacy Plan

1. Development of posters,

brochures and other IEC

materials



Active Engagement of Patients and Families in IPC Program

1. Health Education Promotion, Information Dissemination through:• Poster• Brochure• Lay Forum



Harmonization with other policies and training programs related to IPC

1. Review of existing policies and programs

2. Collaboration with professional societies and other bureaus/programs of DOH



Reduction in Mortality and Morbidity due to HCAI

1. Allocation of Resources (Manpower, Materials, Supply, Equipment and finances)

2. Competency Building through training

3. Monitoring and Evaluation of the program implementation



Reduction of healthcare cost and increase in productivity

1. Development and data collection to measure hospitalization and patient care cost five (5) years after implementation of the program

Past activities conducted by DOHYear Title of Activity

2009 Printed the National Standards in Infection Control for Healthcare Facilities (revised edition)

2010 (4) Four Infection Control Orientation Courses were conducted, attended by 160 Infection Control Officers of DOH and LGU Hospitals and Regulatory Officers

2011 Four (4) Infection Surveillance Courses for the Hospital Setting conducted; attended by 174 Infection Control officers DOH and LGU Hospitals and Regulatory Officers

2012 Conduct of three (3) IPC Training of Trainors for the Regional Trainors

Past activities conducted by DOH

Year Title of Activity

2016 Strategic Planning Workshop (2016-2020)

2016 Action Planning for 2016-2017

2016 Workshop/Writeshop on the Development of the IPC Evaluation Tool based on the Standards

2016 Orientation on the National Policy of the infection Prevention and Control (IPC) Program in Healthcare Facilities

2016 Training of Trainors and Development of Training of Trainors Manual on Antimicrobial Resistance Surveillance Program (RITM)

Strategic Planning Workshop for the Development of Five (5) Year Plan for

Implementation of Infection Prevention and Control Program

• March 17-18, 2016

• The Pearl Manila Hotel, Manila

• No. of Attendees: 23 pax

• Five (5) Year Strategic Plan

• Evaluation of the Activity (Over-all Rating): Very Good (62.50%)

Dir. Abesamis welcoming the participants

Invocation by Ms. Caitlyn Tomas and

Introduction of Participants by Ms. Josie Guiao

The group participating actively during the discussion…

… and during the energizer

Dir. Abesamis with the Resource PersonsL-R: Usec. Galon, Dr. Velmonte, & Dr. Lim

Workshop/Writeshop on the Development of the IPC Evaluation

Tool based on the Standards

• September 29-30, 2016

• Atrium Hotel, Pasay City


• Draft Evaluation Tool


Asec. Eric Tayag addressing the group

Group Activity

Drafting of Evaluation Tool

Dir. Cris Abesamis with the Speakers and AdvisersL-R: Dr. Berba, Usec. Galon, Dr. Belmonte, & Dr. Roman

Development of Evaluation Tool for Infection Prevention and Control Program

September 29-30, 2016Atrium Hotel, Pasay City

Orientation on the National Policy of the Infection Prevention and Control (IPC)

Program in Healthcare Facilities

• November 3-4, 2016

• Fontana Hotel, Angeles City, Pampanga



Ms. Josie Guiaodelivering a speech during the activity

HFDB Officers and Staff

Dir. Becky

Peñafiel with Ms. Clara RoaAwarding the Certificate of Appreciation to speaker Ms.

Aida Cuadra

Participants posing for the group picture

Participants during the Hand Washing Demo

Training of Trainors on Antimicrobial Resistance Surveillance Program (RITM)

• Conducted: Oct. 27-28, Batasan, QC (13pax)

Development of Training of Trainors Manual on Antimicrobial Resistance Surveillance Program

(RITM)

• Conducted: Nov. 28-30, Pansol, Laguna (22pax)

Future activities to be conducted by DOH (2017)

Title of Activity Target Date

1. Establishment of baseline database for the functional implementation of Infection Prevention and Control in DOH Hospitals

1st Quarter 2017

2. Creation of the Technical Working Group (TWG) for the IPC Program

2nd Quarter 2017

3. Meetings, Workshop/Writeshop for the review and revision of the drafted Evaluation Tool and the IPC National Standards

2nd – 4th Quarter of 2017

Future activities to be conducted by DOH (2017)

Title of Activity Target Date

4. Development of Health Promotion Plan (Communication Plan and Advocacy Plan) 2017-2020

3rd Quarter 2017 (July)

5. Conduct of Infection Prevention and Control 1st Summit/Launching Health Promotion and Development Plan of IPC

3rd Quarter 2017 (October or November)

6. Meetings on formal tie-up with UP-PGH, PHICS and PHICNA with regards to convention and training

3rd – 4th Quarter of 2017

7. Call for Research Proposal 4th Quarter of 2017

Ultimately, we want Infection Prevention and Control to be promoted as a way of life.

Thank you!

Health & Medicine

Directions of IPC in the Philippines