Infection prevention and control Health Establishments Performance

Structure of the National Core Standards

General Performance in infection control

Performance by Province

Performance by facility type by Province

Standard outcome Performance by Province

An Infection Prevention and Control Programme to reduce healthcare associated infections is implemented

Universal precautions are applied to prevent health care associated infections

Specific precautions are taken to reduce or prevent respiratory infections

Strict infection control practices are observed in the designated feed preparation areas to prevent infection

poor performance at criteria level Nationaly (below 50% in all provinces)

Effective hand washing limits the spread of healthcare associated infections

An infection prevention and control policy is available which outlines the health establishments approach to the management of healthcare associated infections

The organization provides education on healthcare associated infection control practices to the staff / patients and as appropriate family and other caregivers

Policy and procedures related to Universal precautions to prevent healthcare associated infections are actively implemented and applied in all clinical areas of the health establishment

GOOD performance at criteria level (NATIONAL AVERAGE ABOVE 80%)

A healthcare professional with appropriate qualifications or experience oversees infection control in the health establishment

Sharps are safely managed and disposed

Equipment used by infected patients is correctly and safely disinfected

Ventilation systems in the patient care units reduce the transmission risk of respiratory infections

The appropriate transportation of patients with respiratory infections will reduce the risk of infection

Performance on Vital and Extreme measures by Province

Performance on Vital and Extreme measures by Province

Thank you

Step 4: Compliance Status Score NG & E (FA’s) Clinical outcomes* Status Grade > 80% <20% Excellent Compliant A 70 – 79% 21 - 30% Good Compliant with conditions B 60 – 69% 31 – 40% Average Limited compliance C 50 – 59% 41 – 50% Fair Limited compliance with serious concerns D 40 – 49% 51 – 60% Poor Non-compliant E < 40% > 60% Very poor Seriously non-compliant F *Can also be defined in Std Deviations from expected threshold or benchmark and therefore can be substantiated #Depends on how many of the key CF are poor and cannot be substantiated 24

Step 5: Follow up frequency Score NG & E (FA’s) Clinical outcomes* Status Grade Improvement capacity# Follow up mechanism Inspection frequency > 80% <20% Excellent Compliant A Regular routine reporting 4 yrly inspections 70 – 79% 21 - 30% Good Compliant with conditions B Self reported corrections, regular routine reporting adhoc inspections 60 – 69% 31 – 40% Average Limited compliance C Improvement and self reported review specific reinspection 50 – 59% 41 – 50% Fair Limited compliance with serious concerns D Improvement and specific reporting Specific Re-inspection 40 – 49% 51 – 60% Poor Non-compliant E Urgent intervention and complete re-inspection Complete re-inspection < 40% > 60% Very poor Seriously non-compliant F Urgent intensive intervention with disciplinary steps Enforcement *Can also be defined in Std Deviations from expected threshold or benchmark and therefore can be substantiated #Depends on how many of the key CF are poor and cannot be substantiated 25