Download (MN) Healthcare-Associated Infections (HAI) Prevention Plan

Minnesota (MN) Healthcare-Associated Infections (HAI) Prevention Plan
- Executive Summary In response to the increasing concerns about the public health impact of healthcare-associated
infections (HAIs), the US Department of Health and Human Services (HHS) has developed an
Action Plan to Prevent Healthcare-Associated Infections (HHS HAI Action Plan).
The Minnesota Department of Health (MDH) was awarded funding through the national
American Recovery and Reinvestment Act (ARRA) to support the development and
implementation of population-based, public health-focused HAI prevention activities in
Minnesota. This funding is available from September 1, 2009 through December 31, 2011.
Through this funding, the Minnesota (MN) HAI Prevention Plan has been developed to serve as
a roadmap to HAI prevention activities that will ensure Minnesota’s progress towards national
prevention targets as outlined in the HHS Action Plan. The MN HAI Prevention Plan
incorporates a public health, population-based perspective to promote HAI prevention in all
healthcare settings. The initial focus of this Plan is inpatient acute care settings; however, the
need for prevention activities for outpatient settings is recognized.
The MN HAI Prevention Plan will be implemented in consultation with the MN HAI Advisory
Group established in late 2009. The Advisory Group meets quarterly and is comprised of
representatives from many professional organizations and consumer groups:
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Association for Professionals in Infection Prevention and Control – Minnesota
Chapter (APIC-MN)
Consumer organizations
Institute for Clinical Systems Improvement (ICSI)
Minnesota Hospital Association (MHA)
Minnesota Medical Association (MMA)
North Central Chapter – Infectious Diseases Society of America (NCCIDSA)
Stratis Health (Minnesota Quality Improvement Organization)
Minnesota Department of Health (MDH) – Division of Health Policy
MDH – Division of Compliance and Monitoring
MDH – Division of Infectious Disease Epidemiology Prevention and Control
(IDEPC)
Minnesota Antimicrobial Resistance Collaborative (MARC)
The MN HAI Advisory Group responsibilities are as follows:
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Provide leadership to implementation of the statewide HAI Prevention Plan
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Identify two HAI prevention priorities from the HHS Action Plan that will be the
targets of intensive HAI prevention collaboratives.
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Identify two statewide surveillance measures to be reported to CDC quarterly. These
data will be reported by MDH in collaboration with the Minnesota Hospital
Association, the organization responsible for posting publicly reported HAI measures.
Minnesota (MN) Healthcare-Associated Infections (HAI) Prevention Plan
Executive Summary
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HAI Prevention Collaborative topics chosen by the MN HAI Advisory Group:
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Clostridium difficile infection (CDI)
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Surgical site infection (SSI)
Surveillance measures (already publicly reported in Minnesota) to be reported to CDC:
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SSI (total knee and vaginal hysterectomy)
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CLABSI (adherence to the Central Line-associated Bloodstream Infection prevention
bundle)
The MN HAI Prevention Plan is divided into 4 major program areas: (1) develop or enhance
HAI Program infrastructure; (2) surveillance, detection, reporting, and response; (3) prevention;
(4) evaluation, oversight and communication. Various organizations, governmental and private,
working on HAI prevention activities in Minnesota have been incorporated into the plan.
Activities addressed in the Plan include:
Improve HAI outbreak detection and investigation
Continue and expand communication with infection preventionists, laboratorians and infectious
disease physicians statewide to promote early HAI outbreak detection, reporting and
investigation.
Provide training and guidance regarding the MN Communicable Disease Reporting Rule,
investigation procedures for clusters or unusual pathogens, and use of facility-specific
surveillance data.
Continue and enhance communication and collaboration with MDH programs (e.g., Emerging
Infections Program, vaccine-preventable diseases, HIV/AIDS), Compliance Monitoring (state
surveyors), and PHL will contribute to the early identification and investigation of HAI
outbreaks or clusters.
Enhance laboratory capacity for state and local detection and response to new and
emerging HAI issues
Communication to clinical laboratorians, clinicians and infection preventionists regarding
emerging pathogens and other pertinent issues will be provided in a timely manner by MDHPublic Health Laboratory (PHL) and MN HAI staff will communicate with MN clinical
laboratories through the Laboratory Response Network (LRN).
Promote HAI prevention through the use of facility-specific surveillance data
The CDC’s National Healthcare Safety Network (NHSN) surveillance system will be promoted
to healthcare facilities statewide. MDH will provide NHSN training in collaboration with Stratis
Health and will form a State NHSN User Group for interested MN NHSN participants.
Make available risk-adjusted HAI data that enables state agencies to make comparisons
between hospitals
Currently, Surgical Site Infection (SSI) data that are reported on the MHA
(www.mnhospitalquality.org) and Stratis Health (http://www.stratishealth.org/index.html)
Minnesota (MN) Healthcare-Associated Infections (HAI) Prevention Plan
Executive Summary
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websites are risk-adjusted. The use of risk-adjusted data will be promoted through HAI
prevention measures.
Strategies for implementation of HICPAC recommendations for at least 2 prevention
targets specified by the state HAI Advisory Group
The MHA Call-to-Action framework will be used as an intervention tool by HAI prevention
collaboratives and will incorporate HICPAC Recommendations.
The MDH Recommendations for the Prevention and Control of MRSA in Acute Care Facilities,
based on HICPAC recommendations, is reviewed annually by the MDH – MRSA Task Force
(http://www.health.state.mn.us/divs/idepc/diseases/mrsa/rec/index.html).
Prevention working group to coordinate state HAI collaboratives
The MN HAI Advisory Group will create two HAI Prevention Collaboratives that focus on
identified HHS HAI Prevention Targets.
Prevention Collaboratives will be led by the MN HAI Coordinator in collaboration with
experienced infection preventionists and members of the MN HAI Advisory Group.
Establish HAI collaboratives with at least 10 hospitals. The HAI prevention initiatives, piloted
by the Prevention Collaboratives, will be evaluated, revised as indicated and launched statewide.
HAI prevention initiatives will be promoted among key stakeholders including hospital CEOs
and quality directors.
Communication
Partner with APIC-MN to promote Certification in Infection Control (CIC) among infection
preventionists.
Collaborate with consumers to promote public HAI education.
Promote infection prevention and control training in all clinical training programs – contingent
on additional funding.
Enhance surveillance and detection of HAIs in nonhospital settings
MDH is working with other EIP sites to assess HAI burden in dialysis facilities. HAI prevention
efforts may include collaboration with MDH Compliance Monitoring (state surveyors) and may
include the use of NHSN.
Continue to collaborate with MDH Compliance Monitoring in the evaluation of LTCF and
provision of infection control training for surveyors and LTCF providers.
Expand HAI prevention activities in collaboration with state surveyors, including infection
control training and promotion of NHSN, in ambulatory surgical centers and dialysis centers.
Minnesota (MN) Healthcare-Associated Infections (HAI) Prevention Plan
Executive Summary
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