Welcome to the GHA InfectionPrevention Power Hour December 18, 2014

Agenda NHSN REPORTING UPDATES (Jan Ratterree, GHA) INFLUENZA AND EBOLA UPDATES (Audrey Kuntz, DPH) INFLUENZA ATHLETIC MARKETING CAMPAIGN (Lillian Ansley) DPH HEALTHCARE ADVISORY COMMITTEE (Jeanne Negley, DPH) ANTIMICROBIAL STEWARDSHIP PROGRAM UPDATE GET SMART WEEK / SHARING ACTIVITIES QIN-QIO Update (Linda Kluge) INFECTION PREVENTION CONDITIONS OF PARTICIPATION(Jeanne Negley, DPH)

NHSN UPDATES

Ensure at least one individual at our facility can access NHSN via an active digital certificate or SAMS and have been assigned appropriate user rights so they may enter and view the facility’s data. To ensure your data have been correctly entered, make sure to verify that: Your monthly reporting plans are complete You’ve entered appropriate summary and event data or checked the appropriate no events boxes, and You’ve cleared all alerts from your NHSN homepage. For additional guidance on ensuring your data are accurately sent to CMS, visit NHSN website and navigate to the appropriate section for your facility type: For questions, contact

Acute Care Hospitals that participate in the CMS IQR Program Beginning with this influenza season, acute care hospitals should begin reporting healthcare worker influenza vaccination summary data from personnel working in hospital outpatient departments along with the counts from personnel working in the inpatient locations of the acute care hospital. Reporting perod for this new requirement is October 1, 2014 – March 31, More info is in the newsletter. Beginning January 1, 2015, acute care hospitals should begin reporting CLABSI and CAUTI data from all patient care locations that are mapped as NHSN adult and pediatric medical, surgical, and medical/surgical wards, in addition to the ongoing reporting from ICUs.

Cancer Hospitals that participate in the CMS PPS_Exempt Cancer Hospital Quality Reporting Program: There are no additions to the reporting requirements for 2015

Inpatient Rehabilitation Facilities (IRFs) that participate in CMS IRF Quality Reporting Program Beginning with influenza season, IRFs should begin reporting healthcare worker influenza vaccination summary data. Reporting period is October 1, 2014 – March 31, 2015 Beginning January 1, 2015, IRFs should begin reporting MRSA Bacteremia and C. difficile LabID Events by location from all CMS IRF units within acute care hospitals or at the facility wide inpatient level (FacWideIN) if free-standing.

Long-Term Acute Care Facilities (LTACs/LTCHs) that participate in the CMS LTCH Quality Reporting Program: Beginning with this 2014 – 2015 influenza season, LTACs should begin reporting healthcare worker influenza vaccination summary data. Reporting period for this new requirement is October 1, 2014 – March 31, 2015 Beginning January 1, 2015, LTACs should begin reporting MRSA Bacteremia and C. difficile LabID Events at the facility wide inpatient level (FacWideIN).

Ambulatory Surgery Centers (ASCs) that particpate in the CMS ASC Quality Reporting Program: Beginning with 2014 – 2015 influenza season, ASCs should begin reporting healthcare worker influenza vaccination summary data. Reporting period is October 1, 2014 – March 31, 2015

Complete list of CMS reporting requirements and due dates Reporting Requirements and Deadlines in NHSN per CMS Current Rules: Reporting-Requirements-Deadlines.pdfhttp:// Reporting-Requirements-Deadlines.pdf Healthcare Facility HAI Reporting Requirements to CMS via NHSN – Current and Proposed Requirements: Requirements.pdf

Influenza and Ebola Audrey Kuntz, Influenza Coordinator, Georgia DPH

Influenza Marketing Campaign Lilian Ansley

Antimicrobial Stewardship Program Jeanne Negley, HAI Coordinator DPH

Get Smart About Antibiotics Get Smart About Antibiotics Week is an annual one-week observance to raise awareness of antibiotic resistance and the importance of appropriate antibiotic prescribing and use. Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics and at least 23,000 people die as a direct result of these infections. Many more people die from other conditions that were complicated by an antibiotic-resistant infection.

Get Smart About Antibiotics On September 18, 2014, the White House announced an Executive Order stating that the Federal Government will work domestically and internationally to detect, prevent, and control illness and death related to antibiotic-resistant infections by implementing measures that reduce the emergence and spread of antibiotic-resistant bacteria and help ensure the continued availability of effective therapeutics for the treatment of bacterial infections. Executive Order

Get Smart About Antibiotics Get Smart About Antibiotics Week 2014 During November 17-23, 2014, the annual Get Smart About Antibiotics Week will be observed. The observance is a key component of CDC’s efforts to improve antibiotic stewardship in communities, in healthcare facilities, and on the farm in collaboration with state-based programs, nonprofit partners, and for-profit partners. The one-week observance raises awareness of the threat of antibiotic resistance and the importance of appropriate antibiotic prescribing and use.

QIN-QIO Updates Linda Kluge

CMS Conditions of Participation Update Jeanne Negley, MBA Jan Ratterree, BSN, CIC