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Partnering for Healthcare-Associated Infection Prevention

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  1. Partnering for Healthcare-Associated Infection Prevention Andrea Alvarez, MPH HAI Program Coordinator Office of Epidemiology Virginia Department of Health

  2. Healthcare-Associated Infections • A major, yet often preventable, threat to patient safety • On any given day, about 1 in 25 hospital patients has at least one healthcare-associated infection • Estimated 722,000 infections in acute care hospitals in 2011 • About 75,000 hospital patients with HAIs died during their hospitalizations • One of CDC’s 10 “winnable battles” • VDH HAI Program established in 2009 • Program gets input from multidisciplinary HAI Advisory Committee • Significant reductions in some HAIs in Virginia and other states, but more work to be done http://www.nejm.org/doi/full/10.1056/NEJMoa1306801 http://www.cdc.gov/hai/progress-report/index.html

  3. Continuum of Care Health Department

  4. VDH HAI Program Partnerships

  5. VDH HAI Program Collaborative Projects • Surgical site infection surveillance pilot (2010) • Partners: APIC-VA, 18 acute care hospitals • Central line-associated bloodstream infection data validation project (2011) • Partners: VHHA, APIC-VA, 37 acute care hospitals • Urinary tract infection prevention collaborative (2011) • Partners: VHCA, 12 long-term care facilities • Clostridium difficileinfection prevention collaborative (2013) • Partners: VHQC, 22 acute care, 22 long-term care facilities

  6. Highlight of Partnership: Hepatitis B Prevention Workgroup • Co-led by Dr. Danny Avula, Richmond City Health District Deputy Director and Dr. Laurie Forlano, Deputy State Epidemiologist • Includes members of HAI Program • Partners: DSS, Department of Medical Assistance Services, Virginia Board of Nursing • Accomplishments: • Revised curriculum for registered medication aides (staff who assist assisted living facility residents with blood glucose monitoring) • Suggested revisions to DSS regulations to enhance infection control policies, procedures, and training requirements • Trained DSS inspectors about best practices for safe blood glucose monitoring • Working with DSS to develop infection prevention trainings for assisted living providers

  7. Educational Collaborations • Infection prevention trainings for assisted living facilities and nursing homes (2011) • Partners: VHCA, VANHA, VALA, DSS, VDH Office of Licensure and Certification and local health departments • >550 people trained on toolkit materials and basic infection prevention strategies • Webinar and in-person trainings for acute care and long-term care facilities • Partners: APIC-VA, VHHA, VHQC, Near Southwest Preparedness Alliance

  8. Andrea.Alvarez@vdh.virginia.govProgram website: http://www.vdh.virginia.gov/epidemiology/surveillance/hai