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Healthcare-Associated Infections (HAI) for Healthcare Providers

Know Your Role in Preventing HAI video

Preventing and reducing healthcare-associated infections (HAI) is a top priority for the U.S. Department of Health and Human Services (HHS). The HHS Steering Committee for HAI was established in July 2008, to develop the HHS Action Plan to Prevent Healthcare-Associated Infections, which provides a roadmap for HAI prevention in acute care hospitals. The HHS Action Plan includes recommendations for surveillance, research, communication and metrics for measuring progress towards national goals.

The second State HAI Plan Adobe Acrobat Reader Symbol to respond and prevent healthcare-associated infections (HAI) was published in 2017. The HAI Program and other stakeholders use the plan to identify current progress, guide future initiatives, and identify areas for improvement. The plan can be used as a resource for healthcare facilities and consumers to understand current and planned future HAI prevention and response activities.

The HAI Plan focuses on three primary calls to action:

  • RESPOND to threats of infectious disease transmission
  • ANALYZE data to target prevention activities
  • PREVENT future HAIs, infection control breaches, high threat infectious diseases (e.g. Ebola) and antimicrobial resistance

Resources

Infection Prevention Guidelines
The Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) have published numerous infection prevention guidelines for use in healthcare facilities. The HICPAC is a federal advisory committee made up of 14 external infection control and public health experts who provide guidance to the CDC regarding the practice of healthcare infection prevention and control, strategies for surveillance, and prevention and control of HAI in United States healthcare facilities.

Additionally, NH DHHS has published recommendations and guidelines, specifically for the prevention and management of certain infections in healthcare settings.

Facility HAI Reporting Requirements
New Hampshire statute, (RSA) 151:32-35, requires hospitals, ambulatory surgery centers (ASC), and end-stage renal dialysis centers (ESRD) are to identify, track and report HAI to DHHS.

Healthcare Associated Infection Annual Reports
New Hampshire law RSA 151 also requires certain healthcare facilities report specific parameters to DHHS in order to monitor HAI. Specifically the statute requires reporting of central line-associated bloodstream infections (CLABSI); central line insertion practices; and, catheter associated urinary tract infections (CAUTI) in intensive care units. Hospitals also report data on surgical site infections (SSI) following coronary artery bypass procedures, colon procedures, abdominal hysterectomy procedures and knee arthroplasty procedures. ASC also report data on surgical site infections following breast, hernia and open reduction fracture procedures. ESRD centers are now required to report certain bloodstream and access site infections. The HAI program collects, analyzes and publishes the data annually.

NH Healthcare Personnel Influenza Vaccination Coverage
Since healthcare personnel provide care to patients at high risk for complications of influenza, hospitals are required to offer the influenza vaccine each year to employees. Hospitals, ASC, ESRD centers, adult residential care, assisted living, adult day care, and nursing homes are all required by New Hampshire law to report healthcare personnel influenza vaccination rates.

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