Illinois Healthcare-Associated Infections HAI Plan .

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Illinois Healthcare-Associated Infections (HAI) Plan. Mary Fornek January 21, 2010 Metropolitan Chicago Healthcare Council. American Recovery and Reinvestment Act of 2009 (ARRA). Four Components of the HAI Plan. HAI Program Infrastructure Surveillance, Detection, Reporting and Response
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Illinois Healthcare-Associated Infections (HAI) Plan Mary Fornek January 21, 2010 Metropolitan Chicago Healthcare Council

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American Recovery and Reinvestment Act of 2009 (ARRA)

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Four Components of the HAI Plan HAI Program Infrastructure Surveillance, Detection, Reporting and Response Prevention Evaluation, Oversight, and Communication

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HAI Program Infrastructure

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Key Points Illinois has made a HAI Prevention Advisory Council Specific HAI targets have been recognized Clostridium difficile (C. difficile) Methicillin-safe Staphylococcus aureus (MRSA) Central line Associated Bloodstream Infections (CLABSIs) Surgical Site Infections (SSIs)

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Surveillance, Detection, Reporting and Response

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Central Line Associated Bloodstream Infections (CLA BSIs) Statewide reporting of CLABSIs in grown-up therapeutic as well as surgical ICUs utilizing National Healthcare Safety Network (NHSN) started January 1, 2009. Statewide reporting of CLABSIs in Pediatric and Neonatal ICUs started October 1, 2009.

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CLABSI proceeded with Baseline CLABSI institutionalized disease proportions (SIRs) for different ICU sorts for the initial twelve months of NHSN reconnaissance will be accessible by March 1, 2010. The IHA is a member in John Hopkins University\'s broadly perceived multistate "Stop BSI" activity, in which forty-one Illinois clinics are enlisted.

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Clostridium difficile Collaborative Implementation in March 2010 20 healing facilities will be requested that take an interest 10 clinics from the Chicago range 10 doctor\'s facilities from Southern Illinois Hospitals taking an interest in the C. difficile communitarian will be required to utilize the NHSN ( C. difficile Associated Disease) CDAD module for reporting.

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Methicillin Resistant Staphylococcus aureus (MRSA) October 1, 2007 – doctor\'s facilities distinguish patients colonized or potentially tainted with MRSA. MRSA information accessible on the IDPH site in a yearly report and on the Hospital Report Card. IFMC-IL MRSA Collaborative Includes 8 doctor\'s facilities, all reporting MRSA through the NHSN MDRO module

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Surgical Site Infections (SSIs) Statewide Reporting will be required in APRIL 2010 2 Procedures Total Knee Arthroplasty (TKA) Coronary Artery Bypass Graft (CABG)

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SSI Workshops Mary Andrus introducing SSI Module of NSHN February 5, 2010 MCHC February 12, 2010 Elmhurst Health Center March 5, 2010 New Sherman Hospital Two 4 hour sessions every day (8am – 12pm) and (1pm – 5pm) 30 members for each session IT Webinar – date to be resolved

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NHSN SSI Denominator Data

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Electronic Lab Reporting (ELR) Surveillance Automated reporting of reportable maladies to general wellbeing offices Development of programming modules to build the effectiveness and unwavering quality of answering to CDC\'s National Healthcare Safety Network Linking together clinics to recognize exchanges of patients for whom a multi-tranquilize safe life form (MDRO) has been distinguished

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Key Points Two need aversion focuses for reconnaissance have been recognized (e.g. CLABSI and SSI). Illinois healing centers with grown-up, pediatric, or potentially neonatal ICUs are required to report CLABSIs through NHSN. Illinois healing centers are required to report TKA and CABG SSIs through NHSN starting April 1, 2010.

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Development of 5 Workgroups MDRO Workgroup Will investigate making all or a portion of the particular rising multidrug-safe gram negative living beings of epidemiologic significance reportable in the State of Illinois. HAI Workgroup Establish flare-up reporting prerequisites Explore techniques to electronically accomplish notice of HAI flare-ups Explore building up a different module for reporting HAI groups inside the present reporting frameworks

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Workgroups proceeded with Outbreak/Breaches of IC Practices Workgroup Explore creating forms and layered reaction criteria to handle expand reports of genuine contamination control ruptures or suspect cases/bunches, and episodes Decide on moves that will be made when genuine disease control breaks have been recognized Surveillance Workgroup Explore creating enactment to command utilization of qualified electronic reconnaissance framework and least Infection Preventionist staffing levels

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Workgroups proceeded with Long Term Care Workgroup Assist in building up a statewide needs appraisal and profile Establish instructive principles for LTC and LTACH social insurance laborers Develop institutionalized instructive apparatuses Implement the instructive sessions Explore momentum and future collaboratives between neighborhood wellbeing divisions and LTCF, LTACHs and clinics

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Evaluation and Communication

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Key Points IDPH will gauge advance towards focuses through NHSN information. Approval exercises will be actualized consistently. Buyers have admittance to medicinal services quality measures through the Illinois Hospital R eport Card Web Site

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