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Implementation of Texas HAI Reporting and Prevention Program

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Voluntary, secure, internet-based surveillance system. Integrates patient and healthcare ... a facility that is listed in one of the following national databases: ... – PowerPoint PPT presentation

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Learn more at: http://www.dshs.state.tx.us
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Title: Implementation of Texas HAI Reporting and Prevention Program


1
Implementation of Texas HAI Reporting and
Prevention Program
  • Neil Pascoe RN BSN CIC
  • Epidemiologist

2
Background
  • 78th legislative Session (2005) passed study bill
  • Advisory Panel
  • White paper
  • www.HAITexas.org

3
Background 2
  • 80th Legislative Session (2007) SB 288 passed and
    created Chapter 98 Reporting of
    Healthcare-Associated Infections (HAI)
  • Required
  • Reporting System,
  • Establishment of an advisory panel
  • Departmental summary to legislature
  • Education and training regarding reporting system

4
Mandatory Public Reporting of Healthcare-associate
d Infections
  • Hospitals, Ambulatory Surgical Centers (ASCs) to
    report specific HAIs to DSHS using CDC case
    definitions
  • Must begin no later than 6/1/08
  • Minimum once per year, maximum each quarter
  • Must contain sufficient patient ID data
  • avoid duplication
  • verify accuracy and completeness
  • allow for risk adjustment
  • DSHS will review data for validity and unusual
    data patterns or trends

5
Reporting by
  • Hospitals and Ambulatory Surgical Centers in
    Texas to report to DSHS
  • Pediatric and Adolescent Hospitals
  • Appropriations None
  • AP recommended no action until adequate
    sustainable funding

6
Background 3
  • 81st Legislative Session (2009) SB 203 passed and
    amended Chapter 98
  • Added Requirements
  • Report the causative pathogen of a reportable
    healthcare associated infection
  • Reporting of preventable adverse events
  • Reporting of healthcare-associated adverse
    condition or event for which CMS program will not
    provide additional payment to the facility
  • Appropriations 2,173,451 for the biennium and
    four dedicated FTEs
  • Plus 3 IDCU staff (not 100 dedicated to HAI
    activities)

7
ARRA (American Recovery Reinvestment Act)
Funding
  • One time funding through December 2011
  • 711K and 2 additional FTEs (IT)?
  • Majority of funds used for Db development and
    data validation
  • Requires a state HAI plan written by January 1,
    2010

8
Reporting
  • 1/1/11
  • Acute care only??
  • CLABSI
  • One or more SSI
  • Preventable Adverse Events

9
Reporting System
  • Texas Healthcare Infection and Adverse Events
    Reporting System
  • NHSN
  • Training via contract (TSICP, APIC or ?)
  • Initial, annual training and updates
  • Data Validation Contract

10
Reportable Central Line Infections
  • Lab confirmed from a patient in any special care
    setting in the
    hospital

Alternative Reporting
For facilities with an average lt 50
procedures/monthly
Report SSIs related to the 3 most frequently
performed procedures from the National Healthcare
Safety Network (NHSN) procedure list
11
NHSN (National Healthcare Safety Network) see
packet material
  • Voluntary, secure, internet-based surveillance
    system
  • Integrates patient and healthcare personnel
    safety surveillance systems
  • Managed by the Division of Healthcare Quality
    Promotion (DHQP) at CDC.
  • Open to all types of healthcare facilities in the
    United States, including acute care hospitals,
    long term acute care hospitals, psychiatric
    hospitals, rehabilitation hospitals, outpatient
    dialysis centers, ambulatory surgery centers, and
    long term care facilities.

12
NHSN Eligibility Criteria
  • US healthcare facility listed in or associated
    with a facility that is listed in one of the
    following national databases
  • American Hospital Association (AHA)
  • Centers for Medicare and Medicaid Services (CMS)
  • Veterans Affairs (VA).
  • high-speed Internet access
  • digital certificate on computers
  • willing to follow the selected NHSN component
    protocols exactly
  • report complete and accurate data in a timely
    manner during months when reporting data for use
    by CDC
  • willing to share such data with CDC for the
    purposes stated above.
  • provide written consent from facilitys chief
    executive leadership (e.g., Chief Executive
    Officer).

13
Resources
  • DSHS websites
  • www.HAITexas.org
  • for feedback/input
  • https//texashai.questionpro.com/
  • Industry Website
  • http//www.haiwatch.com/home.aspx?RegionUS
  • Consumers website
  • http//www.stophospitalinfections.org/
  • NHSN website
  • http//www.cdc.gov/nhsn

14
(No Transcript)
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