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The Vermont Multidrug-Resistant Organism Healthcare-Associated Infection Prevention Collaborative. A Hospital and Long Term Care Facility Partnership: Overview of Our 1 st Year. Sally Hess, MPH, CIC FAHC, Infection Prevention Manager Carol Wood-Koob RN, CIC HAI Prevention Coordinator
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Sally Hess, MPH, CIC
FAHC, Infection Prevention Manager
Carol Wood-Koob RN, CICHAI Prevention Coordinator
Patsy Tassler Kelso, Ph.D
State Epidemiologist for Infectious Disease
ARRA funding provided CDC support for state health departments in HAI prevention.
VDH, VPQHC, and BISHCA collaborated on Vermont’s proposal.
Vermont 1st state to publicly report infection rates using the National Healthcare Safety Network (NHSN).
Vermont 4th state to report hospital-specific rates.
For acute and long-term care facilities to work together toward the prevention and elimination of healthcare-associated infections.
Bacteria resistant to certain groups of antibiotics
Hospitals and long-term care facilities serving the same community, working together to form a larger team.
Geographically local groups of acute and long-term care facilities
Share patients and laboratory
Group decision-making about what interventions will work for them
Peer to peer learning and support
All 13 VT hospitals enrolled in NHSN
~ 20 LTC enrolled in NHSN
WHONET is working with Vermont hospitals to electronically transmit laboratory & ADT data
One of the 1st in the nation to do this!
8 hospitals sending data electronically so far
NHSN is developing a new LTC component
Vermont facilities are ahead of the rest of the U.S.
In many clusters the hospital IP will report MDRO data for the long-term care facilities
WHONet to identify LabID Event candidates for AC and LTCF.
Lab data must include a unique identifier for each LTCF i.e.; location code
Event candidates identified using NHSN inclusion & exclusion criteria.
WHONet Candidate list – excel spreadsheet.
AC IP will filter the candidate list; specific to each LTCF in their cluster.
AC IP sends candidate list to the LTC IP.
FAX, secure file transfer, mail or other agreed upon HIPAA compliant method.
LTC IP completes LabID event form for each candidate.
Lab ID Event form & Monthly Monitoring forms sent to CDC (need to get specifics from Nimalie on how this could be done).
MDRO Events from LTC…..using NHSN.
A Vision for the Future.
Goal 1: Cleaning protocols are followed by housekeeping contractor on transfer and discharge, and daily cleaning
Goal 2: Chittenden cluster will be enrolled in NHSN by the next learning session.
Goal 3: Standardize the transfer process to and from acute and long term care.
Goal 4: Fletcher Allen Health Care, in collaboration will develop an Infection Prevention education program for LTC facilities
Vermont can serve as a model for MDRO prevention nationally.
John A. Jernigan MD MS (CDC/CCID/NCPDCID)
Deputy Chief, Prevention and Response Branch
Centers for Disease Control and Prevention