State HAI Program Changes and Updates Intermountain APIC Chapter Meeting, 3/25/2015 K. Turner

Topics for discussion Recent funding opportunities Changes in statewide HAI program Recently released national data Update of Idaho HAI Prevention Plan

Recent funding opportunities Public Health Emergency Preparedness: Ebola Community Preparedness Public Health assessments Monitoring of exposed persons Healthcare Associated Infection Programs Healthcare setting “inventory” Scholarships/Funding to Intermountain APIC National conferences (APIC, SHEA) Training materials and cost of testing for Infection Prevention Certification Trainer at annual I-APIC meeting – 2 years APIC texts for Assessment Hospitals

Statewide HAI Program Changes Retirement of Ginger Floerchinger-Franks IHA Continues to be NHSN Group Admin IHA Continues to provide TA IHA NO LONGER provides data validation Options after July 2015 Programmatic staff within DPH Public Health Districts Different Contractor

Recent National Reports: Idaho CLABSI REPORTING – NHSN PARTICIPATION 2012: 28 states mandated reporting 2012: 45th of 50 states: 26% 2013: 32 states mandated reporting 2013:CLABSI REPORTING – NHSN PARTICIPATION CAUTI REPORTING – NHSN PARTICIPATION 2012: 13 states mandated reporting 2012: 44th of 50 states: 32% 2013: 15 states mandated reporting 2013 42nd of 50 states: 36%

Recent National Reports: Idaho SSI REPORTING – NHSN PARTICIPATION 2012: 16 states mandated reporting 2012: 43rd of 50 states: 34% 2013: 32 states mandated reporting 2013: 43rd of 50 states: 40% MRSA BSI REPORTING – NHSN PARTICIPATION 2013: 27 states mandated reporting 2013: 40th of 50 states: 45% C. DIFF REPORTING – NHSN PARTICIPATION 2013: 28 states mandated reporting 2013 42nd of 50 states: 43%

Recent National Reports: Idaho All Location CLABSI rates are very low compared with national rates No Idaho facilities have higher SIRs than the national SIR (0.54) Idaho SIR = 0.29 (Idaho rank: 5th lowest) All Location CAUTI rates could be improved One Idaho facility had higher SIR (1.270) than the national SIR (1.057) Idaho SIR = 1.003 (Idaho rank: 21st lowest)

Recent National Reports: Idaho SSI Following colon surgery One Idaho facility had higher SIR (1.130) than the national SIR (0.919) Idaho SIR = 0.797 (Idaho rank: 12th lowest) HO-MRSA BSI rates are very low compared with national rates No Idaho facilities have higher SIRs than the national SIR (0.917) Idaho SIR = 0.452 (Idaho rank: 5th lowest)

Recent National Reports: Idaho HO-C. diff infection rates are very low compared with national rates No Idaho facilities have higher SIRs than the national SIR (0.904) Idaho SIR = 0.666 (Idaho rank: 9th lowest)

Table 9. Changes in state-specific standardized infection ratios (SIRs), 2012 compared to 2013 9a. Central line-associated bloodstream infections (CLABSI), all locations1 State 2012 SIR 2013 SIR % Change Direction of Change p-value South Dakota 0.275 0.194 29% Decrease 0.3155 Oregon 0.390 0.301 23% 0.1211 New Mexico 0.613 0.486 21% 0.1473 New Hampshire 0.433 0.345 20% 0.4769 Oklahoma 0.480 0.394 18% 0.0761 Virginia 0.578 0.501 13% 0.0540 Idaho 0.322 0.287 11% 0.7357

Table 9. Changes in state-specific standardized infection ratios (SIRs), 2012 compared to 2013 9b. Catheter-associated urinary tract infections (CAUTI), all locations1 State 2012 SIR 2013 SIR Percent Change Direction of Change p-value Louisiana 0.816 0.809 1% Decrease 0.8897 New Hampshire 0.956 0.918 4% 0.7976 Nebraska 0.975 0.925 5% 0.5998 Arkansas 1.099 1.040 0.4579 Washington 1.074 1.012 6% 0.3658 Rhode Island 1.349 1.269 0.5914 Arizona 1.092 1.024 0.2732 Iowa 0.943 0.884 0.5377 Illinois 1.039 0.967 7% 0.0794 Mississippi 1.192 1.078 10% 0.1458 Maine 1.906 1.718 0.3609 Utah 1.839 1.640 11% 0.2204 Connecticut 1.868 1.654 0.0637 Idaho 1.145 1.003 12% 0.4421

Idaho HAI Prevention Plan Update Statewide HAI Prevention Plan drafted in 2009 Updated Plan due October 1, 2015 Invitations: ID physicians, IPs, preparedness staff Current plan: LabID MRSA BSI, SSIs (CHOL, COLO, and HPRO)