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The ARRA of Infection Prevention

The ARRA of Infection Prevention. Andrea Alvarez, MPH HAI Program Coordinator Virginia Department of Health November 10, 2011. Continuum of Care. Health Department. Before the American Recovery and Reinvestment Act (ARRA) – Life at the Health Department.

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The ARRA of Infection Prevention

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  1. The ARRA of Infection Prevention Andrea Alvarez, MPH HAI Program Coordinator Virginia Department of Health November 10, 2011

  2. Continuum of Care Health Department

  3. Before the American Recovery and Reinvestment Act (ARRA) – Life at the Health Department • No resources specifically dedicated to infection prevention • Local health department staff built local relationships • Investigation of outbreaks • Consultation on reportable disease, infection prevention issues

  4. And Then… CDC VDH

  5. Forming Our Program

  6. Activity A: Build Program Capacity and Partnerships

  7. Activity B: Enhance Surveillance • Focused on acute care facilities initially • Needs assessment • Validated central line-associated bloodstream data collected in CDC’s National Healthcare Safety Network (NHSN) • Piloted surgical site infection (SSI) surveillance through NHSN • 18 facilities, three procedures (none chosen by CMS! ) • Moved into long-term care (LTC) in 2010 • Needs assessment • Piloted surveillance for urinary tract infections with nursing homes participating in prevention collaborative

  8. Activity C: Collaborate, Communicate, and Educate Education: • Assisted living facility and nursing home staff • Local health department staff • Inspectors from VDH Office of Licensure and Certification, Department of Social Services • CLABSI audit project webinar Collaboratives: • Data presentation (acute care) • Urinary tract infections (nursing homes)

  9. After the LTC Training • Increase in calls/e-mails to the HAI Team • MDROs, isolation precautions, environmental cleaning, C. difficile • Continued emphasis on connecting providers with local health dept contacts • Toolkit dissemination • Revisions, additions of documents

  10. HAI Activities by the Numbers • 17 newsletters written • 2,000 toolkits produced • >550 people trained on toolkit materials and basic infection prevention strategies • 11 trainings, including one for inspectors • 319 positive blood cultures and 37 hospitals audited • 12 nursing homes in UTI collaborative • 18 hospitals in SSI pilot/acute care collaborative

  11. Today…

  12. The Future…HAI Program in Virginia • Website enhancements • www.vdh.virginia.gov/epidemiology/surveillance/hai • Public reporting to VDH • Ongoing technical assistance and infection prevention guidance • Continued outreach to non-acute settings

  13. The Future…Healthcare Facility HAI Reporting to CMS via NHSN – Current and Proposed Requirements (8/1/2011)

  14. Infection Prevention is in Every Setting and is Everyone’s Business Thank you and your staff for all you do to keep our facilities safe! Andrea.Alvarez@vdh.virginia.gov 804-864-8097

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