1. Partnering for Healthcare- Associated Infection Prevention Andrea Alvarez, MPH HAI Program Coordinator Office of Epidemiology Virginia Department of Health

2. Healthcare-Associated Infections A major, yet often preventable, threat to patient safety On any given day, about 1 in 25 hospital patients has at least one healthcare-associated infection Estimated 722,000 infections in acute care hospitals in 2011 About 75,000 hospital patients with HAIs died during their hospitalizations One of CDC’s 10 “winnable battles” VDH HAI Program established in 2009 Program gets input from multidisciplinary HAI Advisory Committee Significant reductions in some HAIs in Virginia and other states, but more work to be done http://www.nejm.org/doi/full/10.1056/NEJMoa1306801 http://www.cdc.gov/hai/progress-report/index.html

3. Continuum of Care Health Department

4. VDH HAI Program Partnerships

5. VDH HAI Program Collaborative Projects Surgical site infection surveillance pilot (2010) Partners: APIC-VA, 18 acute care hospitals Central line-associated bloodstream infection data validation project (2011) Partners: VHHA, APIC-VA, 37 acute care hospitals Urinary tract infection prevention collaborative (2011) Partners: VHCA, 12 long-term care facilities Clostridium difficile infection prevention collaborative (2013) Partners: VHQC, 22 acute care, 22 long-term care facilities

6. Highlight of Partnership: Hepatitis B Prevention Workgroup Co-led by Dr. Danny Avula, Richmond City Health District Deputy Director and Dr. Laurie Forlano, Deputy State Epidemiologist Includes members of HAI Program Partners: DSS, Department of Medical Assistance Services, Virginia Board of Nursing Accomplishments: Revised curriculum for registered medication aides (staff who assist assisted living facility residents with blood glucose monitoring) Suggested revisions to DSS regulations to enhance infection control policies, procedures, and training requirements Trained DSS inspectors about best practices for safe blood glucose monitoring Working with DSS to develop infection prevention trainings for assisted living providers

7. Educational Collaborations Infection prevention trainings for assisted living facilities and nursing homes (2011) Partners: VHCA, VANHA, VALA, DSS, VDH Office of Licensure and Certification and local health departments >550 people trained on toolkit materials and basic infection prevention strategies Webinar and in-person trainings for acute care and long-term care facilities Partners: APIC-VA, VHHA, VHQC, Near Southwest Preparedness Alliance

8. Andrea.Alvarez@vdh.virginia.gov Andrea.Alvarez@vdh.virginia.gov Program website: http://www.vdh.virginia.gov/epidemiology/ surveillance/hai