1. Robin Nettleton MSN RN St. Luke’s Elmore, Mountain Home
APIC 43rd Annual Conference
Charlotte, NC June 11-13
Incorporating CDC’s NHSN into Nursing Home Infection Surveillance Programs
Robin Nettleton MSN RN
St. Luke’s Elmore, Mountain Home

2. If you wanted to compare your infection surveillance data to another nursing home in Idaho that cared for a similar resident population, how confident are you that events were tracked the same way?

3. Impact of Using NHSN in Long Term Care
Standardizes and validates surveillance definitions
Allows for fair comparison of rates by facility characteristics and/or resident characteristics
Provides national rates for facilities to use as a benchmark for assessing own rates and prevention efforts
Trending over time will demonstrate trends in improvements

4. Facilities eligible for NHSN LTCF Enrollment
Certified skilled nursing facilities and nursing homes
Intermediate/chronic care facilities for developmentally disabled
Assisted living facilities and residential care facilities
(Currently limited to Prevention Process Measures
309 Facilities have enrolled since launch Sept. 2012

5. Nursing homes/Skilled nursing facility's located within a hospital that have a CCN number that is different from the hospital must be enrolled as a separate NHSN Facility within the LTCF Component.

6. NHSN Long Term Care facility Component
Healthcare associated Infections (HAI)
Laboratory-Identified (LabID) Event
Prevention Process Measures
UTI
Catheter and non-cath associated
Multi-drug Resistant Organisms
Hand Hygiene
Clostridium difficile Infection
Gown Gloves

7. Urinary Tract Infection
Two Types of UTI
Symptomatic UTI (SUTI)
Asymptomatic Bacteremic UTI (ABUTI)
For Both Types- surveillance must occur for both catheter and non-catheter associated UTI events.

8. Key Points for UTI
LTCF UTI doe not have a set time period during which only one UTI may be reported for the same resident
Clinical info must be used to determine that the original infection had resolved before reporting a second
New onset of signs and symptoms
Completion of antimicrobial therapy
If signs/symptoms resolved prior to onset of new signs/symptoms with a new urine culture a second UTI must be considered.
Mixed flora is not an organism and cannot be reported
Yeast cannot be reported as an organism, must have at least 1 qualifying bacterium
All symptoms must be new or acutely worse.

9. Other Metrics LabID Events Prevention Process Measures
Facility wide C.diff and MDRO
Can chose to monitor one or more MDRO
Prevention Process Measures
Facility wide Hand Hygiene and Glove and Gown use
Can chose one or both
Minimally 30 observations per month

10. Questions?

11. THANK YOU!!