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

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

3. 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

4. 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

5. 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
nd of 50 states: 36%

6. 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
nd of 50 states: 43%

7. 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 = (Idaho rank: 21st lowest)

8. Recent National Reports: Idaho
SSI Following colon surgery
One Idaho facility had higher SIR (1.130) than the national SIR (0.919)
Idaho SIR = (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 = (Idaho rank: 5th lowest)

9. 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 = (Idaho rank: 9th lowest)

10. 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

11. 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

12. 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)