Tennessee Partnership for Patients Tennessee Department of Health (TDH) Perspective Brynn E. Berger, MPH, CIC Epidemiologist, TDH TCPS Regional Meetings – March 2012

TDH Partnership Priorities Guiding state reporting requirements ◦ Using data to make evidence-based decisions ◦ Aligning with CMS requirements Ensuring data quality for reportable HAIs Prevention ◦ Using data to guide efforts ◦ Collaboratives (e.g., C. difficile prevention)

Tennessee HAI Reporting Requirements through 2011 HAISettings/Procedures CLABSIAll adult, pediatric, and neonatal ICUs in acute care hospitals with ADC ≥25 All LTACs and other specialty care areas SSICBGB/C, HPRO, CARD MRSA Bacteremia and CDI LabID Events FacWideIN and ED in acute care hospitals with ADC ≥25 and in all LTACs

CMS Requirements for 2012 HAISettings/Procedures CLABSIAll adult, pediatric, and neonatal ICUs in acute care hospitals LTACs to begin Oct SSICOLO, HYST CAUTIAll adult and pediatric ICUs in acute care hospitals Inpatient rehabilitation facilities and LTACs to begin Oct Dialysis EventsAll outpatient dialysis facilities/settings

MDAG Decisions for 2012 HAISettings/Procedures CLABSIAll adult, pediatric, and neonatal ICUs in acute care hospitals with ADC ≥25 All LTACs and other specialty care areas SSICBGB/C, HPRO, CARD, COLO, HYST MRSA Bacteremia and CDI LabID Events FacWideIN and ED in acute care hospitals with ADC ≥25 and in all LTACs CAUTIAll adult and pediatric ICUs in acute care hospitals Inpatient rehabilitation facilities and LTACs to begin Oct Dialysis EventsAll outpatient dialysis facilities/settings

2012 Reporting Requirements HAISettings/Procedures CLABSIAll adult, pediatric, and neonatal ICUs in acute care hospitals All LTACs SSICBGB/C, COLO, HYST MRSA Bacteremia and CDI LabID Events FacWideIN and ED in acute care hospitals and all LTACs (ADC <25 to begin July 2012) CAUTIAll adult and pediatric ICUs in acute care hospitals All inpatient rehab facilities and LTACs (Oct 2012) Dialysis EventsAll outpatient dialysis facilities/settings (at least 3 consecutive months in 2012)

Data Quality Facilities should be receiving monthly quality reports Validation ◦ Likely next step will be validation of MRSA and CDI LabID data Also working to ensure consistency among data reported by TDH, THA, and Qsource

CDI Prevention Collaborative Pilot in Davidson County– 3/8 kick-off ◦ Across the continuum of care  3 long-term care facilities, 2 long-term acute care facilities (LTACs), and partnering hospitals ◦ Topics to be addressed:  Hand hygiene  Contact precautions  Environmental cleaning Plan is to expand the project state-wide  Transitions of care  Laboratory issues  Antimicrobial stewardship

Questions?