Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

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Reduce Healthcare Associated Infections In its Healthy People 2020 report, the U.S. Office of Disease Prevention and Health Promotion added healthcare associated infections as a health priority. Healthcare associated infections are largely preventable. A 2003 study suggested that 6% of all healthcare associated infections are preventable with minimal infection control efforts and 32% preventable with wellorganized and highly effective infection control programs. Pennsylvania and Michigan initiatives reduced central line associated bloodstream infections in ICUs by 68% and 66% through the implementation of checklists. In studying causes of infection transmission, studies suggested that often healthcare facilities failed to follow fundamental prevention practices. A 2005 study found for instance that hand hygiene compliance for healthcare workers was 40-50%, compliance with time of surgical prophylaxis was 40%, and many facilities had not implemented proven prevention measures. To address these issues, the U.S. Department of Health and Human Services (HHS) released in January 2009 an Action Plan to Prevent Healthcare Associated Infections (HAIs). The Action Plan identified key actions in the prevention of healthcare associated infections and provided states with a template for developing state prevention plans. The Action Plan recommended state implementation of infection prevention collaboratives and increased focus on tracking of infection data. To improve the tracking of infection data, the Centers for Disease Control and Prevention (CDC) developed in 2005 a new system for monitoring healthcare associated events and processes. The National Healthcare Safety Network (NHSN) provided standardized definitions and a consistent tracking system to assist facilities and states in developing surveillance and analysis systems. The development of NHSN resulted in increased state legislation requiring the reporting of healthcare associated infection data. By October 2009, 28 states required reporting of at least some healthcare associated infection data. Of those states, 21 states were using or planning to use NHSN as the reporting tool. Indiana does not mandate reporting of healthcare associated infections. As part of its prevention initiative, the ISDH provided training to health care facilities on NHSN and infection identification standards to prepare facilities for improved tracking of infection data. In September 2009, CDC awarded grants to states to implement infection prevention initiatives. The Indiana State Department of Health was awarded a grant and implemented a two-year statewide initiative.
Reduce Healthcare Associated Infections The goals of the Indiana Healthcare Associated Infection Initiative are: � Improve the identification of healthcare associated infections by health care providers � Reduce the number of healthcare associated infections � Increase public and healthcare worker awareness of healthcare associated infections Objectives of the Indiana Healthcare Associated Infection Initiative are to: � Create a State Plan for Healthcare Associated Infections � Develop and implement a healthcare associated infections surveillance and reporting system � Develop and implement a healthcare associated infections prevention initiative
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2011 - 2016 INDIANA STATE HEALTH IM
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Dear State Health Improvement Plan
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INDIANA STATE HEALTH IMPROVEMENT PL
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G. MARIE SWANSON, Associate Vice Ch
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Section 4: Implementation and Evalu
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Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

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