• Infection Prevention

    Wednesday January 4, 2017

    "Infection Prevention"

    An Infection Prevention and Control Program (IPCP) is currently required by Federal Regulations, that state all facilities must establish a program that investigates, controls, and prevents infections in the facility.  The program, at a minimum, would adopt procedures to follow with individual residents such as residents exhibiting specific symptoms, or are diagnosed with certain types of infections.  The facility would also be responsible for maintaining a record of any infectious incident and what corrective measures were implemented to manage the infection. The facility is also charged with the task of determining ways to prevent the possible spread of infections to other individuals within facility.

    The Federal Register/Vol. 81, No. 192/Tuesday, October 4, 2016/Rules and Regulations indicate that CMS put the foundation in place for the Infection Prevention rule changes.  These changes will be implemented in "Phases",  Phase 1:   timeframe is effective date of  the final rule November 28, 2016, Phase 2: 1 year following the effective date of the final rule (November 2017), and Phase 3: 3 years following the effective date of the final rule (November 2019).

    Phase 1:

    Each facility must establish and maintain an infection prevention and control program designed to provide:

    • a safe, sanitary, and comfortable environment and,

    • to help prevent the development and transmission of communicable diseases and infections.

       

    A system of surveillance should be developed by each facility to identify possible communicable diseases or infections before they can spread to other persons in the facility.  The plan for surveillance may be a stand-alone policy or it may be included in the facility's infection prevention and control program. The facility should: a) identify what data should be collected; b)when the data should be collected; c)how the data should be collected; d)how the data will be analyzed; and e)how the results of the analyzed data will be documented and implemented.  This is not an all-inclusive list and should be viewed as an example only.

    Phase 2:

    Assessments for Infection Control and Antibiotic Stewardship are two of the items that will be required in this phase.  Assessments for Infection Control is an assessment tool developed by the facility to evaluate the potential risk for acquiring and transmitting infections, identifying opportunities for improvement, identify threats to residents health and identify gaps in facility practices.  The assessment should be completed by a multidisciplinary team and is one of the key building blocks of the Infection Prevention and Control Plan.  The assessment is used to establish goals and objectives, identify focus areas for surveillance, prioritize infections and control activities and/or initiatives.  The Antibiotic Stewardship Program includes protocols for antibiotic use and a system to monitor antibiotic use.  These policies and practices are in place to protect residents and improve clinical care as it relates to the use of antibiotics in nursing homes.

    Phase 3:

    Infection Control and Prevention Offices (ICPO) is defined as one or more individuals who are responsible for the facility's Infection Prevention and Control Program.  Facilities should be designating the ICPO in Phase 3.   This individual(s) must: Have primary professional training in nursing, medical technology, microbiology, epidemiology, or other related field; be qualified by education, training, experience or certification; work at least part-time at the facility; have completed specialized training in infection prevention and control; and participate in the quality assessment and performance improvement committee.   The individual designated as the Infection Preventionist must be a member of the facility's Quality Assessment and Performance Improvement committee with the responsibility to report to the committee on the Infection Prevention and Control Plan on a regular basis.

     

    For more comprehensive information on Infection Control and the Final Rule including the Phases and Timelines for Implementation, you should contact the Alabama Nursing Home Association for Seminars/Trainings/Workshops or review the list of references/resources provided below.

     

    References:

    Federal Register/Vol. 81, No. 192/Tuesday, October 4, 2016/Rules and Regulations

    Alabama Nursing Home Association Weekly Round Up

    CDC Long Term Care Antibiotic Stewardship

                  

     

     

     

     

     

     

     

     

    Arthur J Gallagher & Co/12-2016

    

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