Hospital-Acquired Conditions, Infections, and Healthcare Reform
As discussed in the Healthcare Reform brief, various infections are included as part of the Hospital-Acquired Conditions (HAC) program and the related Hospital-Acquired Conditions Reduction program. In FY15, these include catheter-associated urinary tract infections (CAUTI) and central line-associated bloodstream infections (CLABSI). In FY16 they will also include surgical site infections following both colon surgery and abdominal hysterectomy. In FY17, the list will expand again to include MRSA Bacteremia and Clostridium difficile (C. diff). These represent two of the most challenging drug-resistant infections faced by healthcare organizations today, often referred to publicly as “superbugs.”
Overview
Hand hygiene is the single most important component of healthcare-associated infection prevention. Many such infections are now linked to healthcare provider reimbursement in the United States. However, maintaining and improving hand hygiene compliance has been an ongoing battle despite efforts on facility, organizational, national, and international levels. Based on a literature review, this executive summary recaps hand hygiene promotion efforts following four main strategies. Each strategy integrates environmental, organizational/operational, and personal elements.
Strategy 1: Increase knowledge/awareness through education. Such programs should be tailored to particular staff and include clearly articulated guidance, social influence, and leadership support.
Strategy 2: Provide real-time monitoring/reminders. Leverage new monitoring and communication technology, stakeholder engagement, and visual (or other) cues to direct attention to hand hygiene tasks during routine work.
Strategy 3: Make it easy to clean hands. Install hand hygiene facilities (e.g., sinks and gel dispensers) in convenient locations, and design processes more effectively to incorporate hand hygiene as an important step in the workflow and to maximize staff time in direct patient care.
Strategy 4: Improve hand cleanliness through environmental hygiene. A clean environment can reduce the risk of pathogen transmission by contaminated hands.
Increasingly, a systems approach is used to implement multiple strategies simultaneously to maximize the impact on hand hygiene and infection prevention. This approach may help healthcare organizations to enhance safety and improve viability.
March 2019∘
Webinar ∘
This webinar will focus on a case study on the efficient design of one of the largest treatment centers for infectious diseases in the U.S. The University of Texas Medical Branch Galveston’s new six-bed bio-containment critical care unit will serve as a multifunctional patient care space that is equipped to treat patients with the most highly contagious diseases.
April 2015∘
Issue Brief ∘
As part of the infection prevention toolbox, in this issue brief you will learn about the importance of hand hygiene in improving safety, quality, and economic impact, a systems approach to hand hygiene that integrates environmental, operational, and personal factors for infection prevention, and new, effective, and easy-to-implement hand hygiene measures.
