Healthcare-Associated Infections (HAI) Update - January 2018

Minnesota Department of Health

Healthcare-Associated Infections (HAI) Update

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January 16, 2018

New FDA Tool to Improve Antibiotic Use

The U.S. Food and Drug Administration (FDA) recently announced a new website that will streamline how the FDA provides updates regarding new antibiotic susceptibility test interpretive criteria or "breakpoints." Historically, these breakpoints were determined on a case-by-case basis for each manufacturer. As part of the 21st Century Cures Act, FDA will update breakpoints for multiple drugs having the same active ingredient simultaneously and will post them on the FDA webpage in order to give providers access to the most up-to-date information as they determine the most effective antibiotics to use for their patients.

FDA's full press release: FDA launches new tool for sharing information that allows doctors to better manage antibiotic use; improve patient care


Apply Now for the Minnesota Antibiotic Stewardship Honor Roll for Long-Term Care

Minnesota Antibiotic Stewardship Honor Roll

The Minnesota One Health Antibiotic Stewardship Collaborative is pleased to announce: the Minnesota Antibiotic Stewardship Honor Roll for Long-Term Care. The Minnesota Antibiotic Stewardship Honor Roll for Long-Term Care has been designed in an effort to recognize the programs developed and commitment made to antibiotic stewardship. The program objectives are to: 

  • Encourage stewardship commitment from administration, prescribers, and caregiver staff
  • Share long-term care stewardship activities with health professionals and the public
  • Provide incentive for stewardship program improvement and collaboration
  • Publicize the importance of antibiotic responsibility 

This statewide initiative is supported by Minnesota Department of Health, Care Providers of Minnesota, Leading Age Minnesota, Minnesota Hospital Association, Stratis Health, APIC Minnesota, CHAIN, and the Minnesota One Health Antibiotic Stewardship Collaborative.

Learn more, read the invitation letter, and apply now: Minnesota Antibiotic Stewardship Honor Rolls


Free! On-line Training Program Offered by SHEA/CDC on Outbreak Response

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The Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention (CDC) have teamed up to develop the Outbreak Response Training Program (ORTP). ORTP has released two online decision-making simulation modules: Hospital Incident Command Systems: How to Lead When a Crisis Occurs and Defending Against Superbugs: An Interactive Case Study Managing an "Outbreak" of Carbapenem-Resistant Enterobacteriaceae (CRE) in a Hospital Setting. Both modules take about one-half hour, provide key resources, and can help improve decision-ma​​king skills.

Learn more: SHEA/CDC Outbreak Response Training Program: Online Training


Phase Four of the National Action Plan for HAI Prevention

The Office of Disease Prevention and Health Promotion and the Federal Steering Committee for the Prevention of HAIs submitted a proposal for Phase Four of the National Action Plan for the Elimination of Healthcare-Associated Infections to the Federal Register. Phase Four is titled "Coordination Among Federal Partners to Leverage HAI Prevention and Antibiotic Stewardship." As the title suggests, Phase Four focuses on optimizing antibiotic use and aligns closely with the National Action Plan for Combating Antibiotic-Resistant Bacteria. The comment period closed in December; however, if you are curious about the future direction of HAI and antibiotic resistance prevention at the national-level, you will want to check this out!

Learn more: National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination; Phase Four: Coordination among Federal Partners to Leverage HAI Prevention and Antibiotic Stewardship (PDF)


Agency for Healthcare Research and Quality (AHRQ) Toolkit to Promote Safe Surgery

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The Agency for Healthcare Research and Quality (AHRQ) recently released its Toolkit To Promote Safe Surgery. The toolkit was developed with the help of 200 hospitals that participated in the AHRQ Safety Program for Surgery for three years. The toolkit incorporates the Comprehensive Unit-based Safety Program (CUSP) and contains two guides, one for technical work and the other for adaptive work, along with supplemental tools and instructional modules.

Learn more: AHRQ: Toolkit To Promote Safe Surgery


National Healthcare Safety Network (NHSN) Updates and Trainings

Long-Term Care Facility Trainings

  • For assistance in NHSN enrollment and reporting C. difficile, contact the MDH HAI Unit at Health.HAI@state.mn.us
  • July 16-18, 2018: NHSN Long-term Care Facility Annual Training 

Acute Care Facility Trainings

NHSN Important Dates

The National Healthcare Safety Network (NHSN) Newsletter describes important updates for acute and long-term care:

  • January 12, 2018: The new data collection forms for 2018 will be posted for hospitals
  • February 15, 2018: Annual Facility Survey completion deadline to be used in quarter 3 reporting risk adjustment models for hospitals participating in CMS Quality Reporting Program
  • March 1, 2018: The Annual Facility Survey completion deadline for long-term care and hospitals
  • April 14, 2018: Deadline to complete NHSN Agreement to Participate and Consent for long-term care and hospitals


    Make Your Job "Mission Possible"

    APIC Minnesota is now offering its Basic Infection Prevention Course for professionals specializing in infection prevention. Certified (CIC) Instructors from a variety of clinical settings will provide real world problem-solving with peers, networking support, and discuss current regulations and standards.

    Upcoming course dates in St. Paul, MN:

    February 13-14, 2018; April 25-26, 2018; July 26-27, 2018; October 25-26, 2018

    Learn More: APIC Minnesota Basic Infection Prevention Course

    CHAIN Award for Excellence

    The Minnesota Collaborative Healthcare-Associated Infection Network (CHAIN) Award for Excellence commends the infection prevention and antibiotic stewardship efforts of healthcare teams working to build safer healthcare environments. The awards are presented annually by the Collaborative Healthcare-Associated Infection Network (CHAIN). We received an abundance of nominations this year, and will be featuring a brief summary of each nomination in the coming months. This month we are featuring Augustana Health Care Center of Minneapolis. We hope the lessons learned will provide you with innovative ideas that are useful to you regarding patient safety and quality of care.


    Antibiotic Stewardship Committee

    Augustana's antibiotic stewardship committee developed and presented mandatory "train-the-trainer" sessions on antibiotic stewardship. An online learning session for nursing assistants was also created to broaden knowledge of antibiotic stewardship practices. A surveillance tool was developed to ensure antibiotic use was appropriate and was monitored by clinicians to ensure best practice. Data from this form are correlated to resident census days, type, and onset of the infection, with monthly and quarterly tabulation to monitor trends, improvements, and areas of concern.


    What is CHAIN?

    The Collaborative Healthcare-Associated Infections Network (CHAIN) represents a partnership formed in 2011 between the Minnesota Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC-Minnesota), the Minnesota Department of Health, the Minnesota Hospital Association, and Stratis Health. In early 2017, CHAIN expanded membership to include organizations representing providers across care settings. CHAIN coordinates across the continuum of health care delivery, and supports patients, individuals, and their families to prevent harm from infections acquired in the process of care and combat antibiotic resistance.