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Download KET HCC EVD 1 Workplan - Knox/East Tennessee Healthcare
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Transcript
Awardee: Knox/East TN Healthcare Coalition Submitted By: HCC Planning Subcommittee Date: July 31, 2015 Problem Statement Recent events have illustrated the importance of a strong infrastructure across the healthcare system to have the ability to rapidly identify, isolate and inform all that need to know of pathogens of public health and epidemiologic importance. Examples of such pathogens include Ebola virus, measles, MERSCoV, avian influenza (H7N9, H5N1) and multidrug resistant pathogens such as carbapenem resistant Enterobacteriaceae (CRE). Maintaining a culture focused on safety and infection prevention is paramount to ensuring the well-being of the organization staff, patients and visitors as well as the community as a whole. State and CMS reporting requirements and value-based purchasing have resulted in many healthcare organizations focusing energy and time on the surveillance and prevention of a select number of deviceassociated and procedure-associated healthcare associated infections (HAIs) as well as Clostridium difficile infections (CDI) and methicillin-resistant Staphylococcus aureus (MRSA). Currently, there is tremendous variability in the safety, infection control programs and infection prevention expertise in healthcare organizations throughout East Tennessee. Variability can be attributed to a significant turnover among staff in hospitals and healthcare organizations and a lack of experience and competency. This variability is even greater among other healthcare providers in the region such as Emergency Medical Services (EMS) and long term care (LTC) settings like nursing homes and assisted living facilities. In these settings, there simply are not the resources to devote one full-time employee to tasks such as safety and infection prevention, so they often take a back seat to seemingly more pressing matters. Growing a cadre of experts in safety and infection prevention may serve to further cultivate a culture of safety and infection prevention-minded healthcare workers throughout the region who are better prepared to respond to a highly infectious disease occurrence. Increasing training and exercises focused on response to pathogens of public health and epidemiologic importance throughout healthcare organizations may also serve to cultivate more prepared healthcare workers. Additionally, specific tangible resources needed for the care of highly infectious disease patients such as personal protective equipment (PPE), other isolation supplies, and laboratory equipment can be limited within the healthcare organizations and those resources become in greater demand during events when the pathogens of public health and epidemiologic importance are within the community. Ensuring there are sufficient resources available to provide for the initial care of such patients is critical. Work Plan Strategies 1. KET HCC develop a close working relationship with local APIC chapter to discuss training and resource needs. o Outcome: Sharing of best practices and discussion of current infectious disease trends and intervention strategies. Activity: Appoint an official liaison to serve on both groups to share information (Yr 1). Activity: Support and encourage meeting and training attendance by providing meeting venue, refreshments and material (ongoing). Activity: Work with local APIC chapter to discuss how to grow member representation from other healthcare organizations (Yr 2 - 5). 2. Support and encourage healthcare organization staff to seek certifications in disciplines such as safety and infection control to increase expertise within the community. o Outcome: Build enduring competency among the healthcare IPs, safety officers, and other key individuals. Activity: Acquire practice and study materials needed for certification test (Yr 1). Activity: Provide funding to support fees for certification tests and prep courses (ongoing). Activity: Provide funding to support and encourage staff to attend meetings and training/education conferences (ongoing). 3. Provide infectious disease resources and training for all healthcare disciplines o Outcome: Increased capacity of healthcare personnel to recognize, isolate and identify an infectious agent. Activity: Seek out free and for-fee training resources from authorities recognized as infectious disease experts (Yr 1). Activity: Provide funding for Infection Control Guides to be placed throughout facilities (Yr 2). 4. Coordinate with TDH, Hospital Acquired Infection (HAI) Team to identify gaps in infection control practices and disease reporting to implement best practices. o Outcome: Improved compliance with infectious disease reporting requirements and reduction in HAI among regional facilities. Activity: Sponsor trainings for facility IPs related to reportable disease requirements and HAI prevention measures (Yr 2). Activity: Implement best practices where applicable from lessons learned from EAH technical assistance results obtained by the TDH HAI staff (ongoing). 5. Provide funding for personal protective equipment (PPE), special treatment equipment, and special laboratory testing equipment necessary to deal with infectious diseases like EVD as needed for Assessment Hospitals, frontline facilities, and EMS. o Outcome: Enduring treatment and testing capability and capacity. Activity: Work with the Tennessee Department of Health, Laboratory Services and local hospital lab managers to develop a list of minimal equipment needed to support a local infectious disease investigation or outbreak (Yr 2). Activity: Using the minimal equipment list, assess the needs of local facilities (Yr 3). Implement best practices where applicable from lessons learned from Laboratory technical assistance results obtained by the TDH HAI staff (ongoing). 6. Participate in infectious disease exercises. o Outcome: Test capability and capacity to manage infectious diseases Activity: Support and encourage all disciplines to participate in exercises involving practice of infectious disease management (ongoing). Conduct exercises involving patients presenting with highly infectious diseases to staff at all acute care hospitals in the region (ongoing). Activity: Conduct an exercise involving an EMS patient transfer scenario to an EAH (year 1). Training Plan Proposed HCC EVD Training Schedule Northeast HCC, Knox/East TN HCC, Southeast/Hamilton County HCC, and Upper Cumberland HCC Each participating HCC will share training resources and open training opportunities to other HCCs when possible. 1. Name of Training Course Dr. Gavin MacgregorSkinner AH Training and Assessment 2. Details 3. Frequency / Date(s) 4. Locations 5. Number & Type of Personnel Trained Full-Day: Provide walkthrough of processes at AH and train staff on PPE and other items of interest for EVD and other high infectious diseases. Year 1 – Proposed October or April NE HCC, KET HCC, SE HCC Multiple within Assessment Hospital 6. Funding Potential Expenses EVD: presenter fee, travel, participant meals. Dr. Gavin MagregorSkinner HCC Training Half Day: Provide training on EVD and other highly infectious diseases PPE and other items of interest. Year 1 – Proposed October or April NE HCC, KET HCC, SE HCC, and Upper Cumberland Multiple HCC participating organization staff. EVD: presenter fee, travel, participant meals. Infection Prevention Support through APIC Meeting with APIC chapters to brainstorm ideas. Includes purchasing APIC certification study materials, testing fees, training sessions, etc. Talk with Regional EMS Directors organizations to determine needs. Possibly sponsor related training at Regional EMS Conferences. TEEX, LSU, Emory and Nebraska visits, etc. Year 1-5 NE HCC, KET HCC, SE HCC, and Upper Cumberland IP staff at HCC participating organizations. EVD: materials, travel, participant meals? Year 1-5 NE HCC, EMS staff in KET HCC, each SE HCC, and jurisdiction. Upper Cumberland EVD: potential travel and meals Year 2-5 NE HCC, Will vary KET HCC, depending on SE HCC, and training type. Upper Cumberland EVD: potential training fees, travel, meals, and materials NE HCC, KET HCC, SE HCC, and Upper Cumberland EVD: potential course fees, materials, travel, meals EMS Support Continuing training on biological threats, highly infectious diseases, and PPE Key Staff Certifications to gain needed expertise Certified Year 2-5 Healthcare Safety Professional, Certified Patient Safety Officer, Certified in Healthcare Key staff in each discipline from participating organizations. Safety-Nursing, Certified Emergency Manager In addition to training planned by the submitting organization, this can include training courses sponsored by agencies that support the priority capabilities. Include all required information for these courses if listed. This may include but not be limited to local, state and federal emergency management, homeland security, fire, law enforcement, etc. Knox/East TN Healthcare Coalition Supplemental Ebola Viral Disease 60 Month Work Plan 6