partnering for healthcare-associated infection prevention
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Partnering for Healthcare-Associated Infection
Prevention
Andrea Alvarez, MPHHAI Program CoordinatorOffice of Epidemiology
Virginia Department of Health
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 donehttp://www.nejm.org/doi/full/10.1056/NEJMoa1306801
http://www.cdc.gov/hai/progress-report/index.html
Continuum of Care
Health Department
VDH HAI Program Partnerships
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 difficile infection prevention collaborative (2013)• Partners: VHQC, 22 acute care, 22 long-term
care facilities
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
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
Andrea.Alvarez@vdh.virginia.gov
Program website: http://www.vdh.virginia.gov/epidemiolo
gy/surveillance/hai
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