Introduction to Infection Prevention & Control (IPC) Open Call Series #6 Where can I find additional training for Infection Prevention and Control? Diane Dohm MT, IP, CIC, CPHQ MetaStar/Lake Superior QIN April 17, 2018 IPC Open Calls - bi-weekly series Surveillance What data should we collect? Data What do we do with the data? Outbreaks Identification and management Transmission Precautions Isolate the organism Common Citations What are we missing? Training Opportunities Where can I learn more? 1 Disclaimer ***These calls are not meant to be a substitute for completing specialized training in Infection Prevention and Control (as required in Phase 3 of Final Rule). They are meant to introduce the basic concepts of Infection Prevention and Control and discuss common issues found during the survey process. 2
3 Reminders Questions can be asked in Chat during call We will open call at the end for you to call in with questions Time permitting, we will cover any questions received and not answered from previous call All questions and answers will be compiled after completion of call series and made available on website https://www.lsqin.org/initiatives/nursing-home-quality/ Objectives Review current processes Evaluate local, state and national opportunities Prioritize potential opportunities 4 How did you start in this role? Volunteered/assigned role of Infection Preventionist (IP) Inherited a process of surveillance Learned on the job.. Previous IP may or may not still be at facility There has been a lack of training specific to Infection Prevention & Control in Long Term Care (LTC) 5
6 Conditions of Participation Final Rule 483.80 Infection Control Phase 1- November 28, 2016 Infection Prevention & Control Program (IPCP) Written standards, policies and procedures Final Rule 483.80 Infection Control Phase 2 - November 28, 2017 Annual Facility Assessment Antibiotic Stewardship Program 7 483.80 Infection Control Phase 3 - November 28, 2019 Phase 3 - November 28, 2019 The facility must designate one or more individual(s) as the Infection Preventionist(s) or IP, who are responsible for the facility IPCP The IP must: 1. Have primary professional training in nursing, medical technology, microbiology, epidemiology or other related field. 2. Be qualified by education, training, experience or certification. 8
9 483.80 Infection Control Phase 3 - November 28, 2019 3. Work at least part-time at the facility 4. Have completed specialized training in Infection prevention and control 5. The individual designated as the IP must be a member of the facilities quality assessment and assurance committee and report on the IPCP on a regular basis. Specialized Training March 16, 2018 Centers for Medicare and Medicaid Services (CMS) and Center for Disease Control and Prevention (CDC) recognize that providing specialized infection prevention and control training for long-term care nursing home staff can lead to increased health benefit to nursing home residents Reference: QSO 18-15-NH 10 Specialized Training CMS and CDC are collaborating on the development of a training course in infection prevention and control Free of charge Online On demand Spring 2019 20 hours Certificate of completion 11
12 Specialized Training Content Infection prevention and control program review Infection prevention responsibilities Quality assessment and assurance committee Infection Surveillance Outbreaks Specialized Training Content Hand Hygiene Principles of standard and transmission based precautions Medication and sharps safety Respiratory etiquette Device and wound management Environmental cleaning, disinfection and sterilization 13 Specialized Training Content Vaccine-preventable respiratory infections and tuberculosis Employee and occupational health Linen management Water management Antibiotic Stewardship Care transitions 14
15 Specialized Training of Staff Consider having additional staff complete the training in addition to the IP Director of Nursing (DON) Assistant DON Charge Nurses Others.. Team approach to infection prevention What do I do until then? Participate in education and training opportunities: CDC Division of Public Health Division of Quality Assurance Professional trade organizations Lake Superior Quality Innovation Network (Lake Superior QIN) covers Michigan, Minnesota and Wisconsin - https://www.lsqin.org/ Keep your certificates of attendance! 16 Education and training opportunities Association for Professionals in Infection Control & Epidemiology (APIC) https://apic.org/ Online training, including free live and archived webinars on clinical information, regulations, and best practices List serve specific to LTC Infection Preventionist s Guide to LTC State / Local chapter meetings Education Networking with peers 17
18 APIC EPI 101 for LTC https://apic.org/education-and-events/ltc-certificate EPI 101 for LTC Focuses on the building blocks of infection prevention and control knowledge. Topics include: State and federal regulations for infection prevention and control Basics of epidemiology and microbiology Environmental services' roles in infection prevention Course cost - $850 (less if you are an APIC member) APIC EPI 101 for LTC https://apic.org/education-and-events/academy October 1-4, 2018 Marriott Renaissance Center Detroit, MI Registration Coming Soon EPI in Long Term Care 101: Monday Tuesday, October 1-2, 2018 102: Wednesday Thursday, October 3-4, 2018 19 Michigan Michigan Department of Health and Human Services (MDHHS) is providing an APIC Infection Prevention in Long Term Care Certificate Program. - Two part program - Offered at two locations - Free of charge - Registration materials coming soon http://bit.ly/apic_ltc 20
21 Minnesota APIC Minnesota s Basic Infection Prevention Certificate Course All health care settings not specific to LTC Registration Fees APIC MN Members $375 Non-APIC Member $700 APIC Text: Attendees must have access to the AIPC Text of Infection Control and Epidemiology. You will use this resources for pre-reading and during class. http://community.apic.org/minnesota/meetings/mnbip Wisconsin Wisconsin Hospital Association, Division of Public Health and MetaStar are collaborating to provide an Infection Prevention and Control Boot Camp in fall of 2018. One day Minimal fee Certificate All health care settings with LTC breakouts More information will be available soon 22 Resources Centers for Medicare and Medicaid Services (CMS) CMS 20054 Critical Element Pathway Infection Prevention, Control and Immunization (May 20, 2017) http://cmscompliancegroup.com/2017/08/29/ltc-surveypathways-entrance-form/ 23
24 Resources Infection Preventionist s Guide to Long Term Care APIC 2013 https://rise.apic.org/web/apic/resources/store/apic/e Store/MyStore.aspx?hkey=8351e67f-e04b-472ea30d-37fcd8eac518&id=SLS6008 Questions? Diane Dohm MT, IP, CIC, CPHQ ddohm@metastar.com 608-441-8263 Link for evaluation for today s call: https://www.cvent.com/surveys/welcome.aspx?s=f99c32 60-256b-495a-afa0-7ac0c7954258 Once completed, you will receive link to certificate of attendance that you may print for your records. MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 25 This material was prepared by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MI/MN/WI-C2-18-75 040418