Wyoming Infection Prevention 4th Annual Infection Prevention Conference Casper, WY Russ Forney, PhD, MT(ASCP) Healthcare Survey & Licensing Aging Division,

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Presentation transcript:

Wyoming Infection Prevention 4th Annual Infection Prevention Conference Casper, WY Russ Forney, PhD, MT(ASCP) Healthcare Survey & Licensing Aging Division, WY Dept of Health

Good morning, we are here to survey your facility... Your Survey just started...

Survey Summary ( )

WYOMING (N=19)REGION 8 (N=271)NATION (N=2164) TypeDescription% SurveysTagDescription% SurveysTagDescription% Surveys LTC ASC ACH CAH Infection Control Program 56% ACH LTC ASC CAH Infection Control Program 40% ACH ASC LTC Medications38% ASC ACH CAH Infection Control (Safe, Sanitary Environment, Surgical Services) 33% LTC ASC ACH CAH Medications35% ASC LTC ACH CAH Infection Control Program 33% LTC ASC ACH Patient Rights Resident Rights 32% ASC LTC ACH CAH Infection Control (Safe, Sanitary Environment, Surgical Services) 35% ASC LTCF ACH CAH Infection Control (Safe, Sanitary Environment, Surgical Services) 28% LTC ASC ACH CAH Medications32% ASC LTC ACH CAH Infection Control (Condition) 22% LTC ASC ACH Patient Rights Resident Rights 20% LTC ASC ACH CAH Infection Control (Condition) 12% ASC LTC Admission & Assessment 18% ASC LTC ACH Advanced Directives, Consents 17%

Sources of evidence –Observation –Interview –Document review Evaluation of findings Determine if non-compliance exist Intra-office QA process Survey Process

Infection control: A747 (ACH), C278 (CAH), Q240 (ASC) Surgical services A940 (ACH), C320 (CAH), Q060 (ASC) F441: Infection control (LTC) Q181: Medication administration (ASC) Frequent Findings ( )

Acute Care and Long-Term Care

Surveillance activities Sterile processing High-level & environmental disinfection Terminal OR cleaning Sterile (controlled) storage & tracking It is more difficult (complex processes) to reprocess an endoscope than it is to use it Infection Control: Acute Care “Outside” specialties

Surveillance activities: outcome & process Data collection: active & passive Environmental tour Hand hygiene Monitor all areas within the facility Long-term care is a challenging infection control setting - it is hard work! Infection Control: LTC

Infection control is a never-ending story, ongoing training for surveyors Increasing complexity in the survey process for all facilities, notably ACH (PSI program) Adding surveyors to the LTC team: formal training and OJT on site (survey) HLS: The Next Generation

Online IC database Network Annual IC conference IP manual (2014) Other facilities, QIO, associations, WDH, regional affiliations (VA, ESRD, QIO) Valuable Resources

Questions?

Russ Forney, PhD, Healthcare/CLIA surveyor Healthcare Licensing & Surveys Aging Division Wyoming Department of Health Contact Information