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Welcome to the GHA Infection Prevention Power Hour September 25, 2013

Welcome to the GHA Infection Prevention Power Hour September 25, 2013. Brief Agenda. C difficile presentation from Dr. Bob Jerris Review of CMS, Georgia HAI Reporting for 2014 Georgia DPH Update GMCF, QIO Update. 2014 CMS Reporting Requirements.

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Welcome to the GHA Infection Prevention Power Hour September 25, 2013

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  1. Welcome to the GHA Infection Prevention Power Hour September 25, 2013

  2. Brief Agenda • C difficile presentation from Dr. Bob Jerris • Review of CMS, Georgia HAI Reporting for 2014 • Georgia DPH Update • GMCF, QIO Update

  3. 2014 CMS Reporting Requirements • PN-3b Blood culture performed before first antibiotic received in hospital End after Dec 2013 • PN-6 Appropriate initial antibiotic selection Ongoing • SCIP-Infection-10 Perioperative temperature management End after Dec 2013

  4. NHSN Reporting • No change in CLABSI, CAUTI reporting for 2014. • Central Line Associated Bloodstream Infection Expand to include some non-ICU wards Jan 2015 • Catheter-Associated Urinary Tract Infection Expand to include some non-ICU wards Jan 2015 • No change SSI, Lab ID MRSA Bacteremia, C diff • Healthcare Worker Vaccination Changes • Personnel must be physically present in the healthcare facility for at least one working day (any # of hours) during the reporting period, which is October 1 through March 31.

  5. Coming • Safe Surgery checklist use: 2014 Data Reported 2015 • OP • OP-27 Influenza vaccination coverage among healthcare personnel Oct 1, 2014 – Mar 31, 2015 Reported by May 15, 2015 • ACS • ASC-8 Influenza Vaccination Coverage among Healthcare Personnel Oct 2014

  6. LTACH • Percent of residents or patients who were assessed and appropriately given the seasonal Influenza Vaccine (Short-Stay) Oct 2014 • Influenza Vaccination coverage among healthcare personnel Oct 2014 • Facility-Wide Inpatient Hospital-onset MRSA Bacteremia Outcome Measure Jan 2015 • Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure Jan 2015

  7. IP Rehab • Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine (Short Stay) (NQF#0680) Oct 2014Influenza Vaccination • Coverage among Healthcare Personnel (NQF#0431) Oct 2014

  8. Dialysis • Dialysis Event Reporting Measure replace with NHSN Bloodstream Infection in Hemodialysis Outpatients in NHSN Revise Jan 2014

  9. Other Updates • HEN • Public Health HAI Update • GMCF/QIO Update • HCW Influenza Vaccination Form

  10. Contact Information • Denise M. Flook, RN, MPH, CIC Georgia Hospital Association 770-249-4518,dflook@gha.org. • Jeanne Negley, HAI Coordinator Georgia Dept. of Public Health (404) 657-2593 | jenegley@dhr.state.ga.us. • Cindy Prosnak, RN, BSN, CIC Alliant GMCF 706.836.8361 | CProsnak@gaqio.sdps.org.

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