Surveillance… Changing Hats

Association for Professionals in Infection Control and Epidemiology (APIC)Greater New York Chapter 13

Sandra Hardy, MA, RN

December 18, 2013

How surveillance has changed We wear many hats We juggle many hats

Infection Control Practitioner - Then Collects data on hospital infections Analyzes the data to identify patterns and trends Infection rates are shared and discussed at the

Infection Control Committee with representatives from various departments

Infection rates are shared with physicians and nursing administration

Surveillance Surveillance is a comprehensive method of

measuring outcomes and related processes of care, analyzing the data and, providing information to members of the healthcare team to assist in improving those outcomes and processes.

Surveillance can be used to quickly identify outbreaks.

Surveillance Data – Then National Nosocomial Infection Surveillance System ( NNIS) Total House - positive blood cultures Surgical Site Infections – Cardiac High Risk Surgical Procedures Data was entered into the NNIS data base and

analyzed Spreadsheets, graphs , analysis ,and reports were

done by the IP

Collection of Data – Then Manual review of computerized microbiology

reports and other laboratory reports Patient care information from a variety of sources –

i.e. patient chart, OR Limited in scope Time consuming and labor intensive Limited resources

One Infection Preventionist & Surveillance

Surveillance – Drivers of Change In Healthcare Joint Commission Center For Medicare/Medicaid Services (CMS) National Guidelines State Mandates Institute of Medicine (IOM) Institute of Healthcare Improvement (IHI)

Surveillance & Data Collection - Now Use of automated surveillance technologies ICIS EPIC system Electronic Medical Record Commercial software APIC Tool Kit National Healthcare Safety Network (NHSN)

Infection Preventionists - Now The new team members to our Infection Prevention

department - Data analysts/specialists

Normally Data analysts/specialist: collects, organize and interprets statistical information

Infection Prevention Department Data Analysts / Specialists

Orientation to the IP department Surgical Site Infections Analytics – downloading of data Hand Hygiene Observers Collection of Central line checklist data Environmental culturing Influenza Vaccinations

IP: Validate Surveillance Data Case review meeting Reviewing the download data Randomly review cases – over a period of time Make sure data have been reviewed by the Director

or Associate Director of the department

Conclusion Surveillance is an essential part of an effective

infection prevention & control program, and technology has alter the manner in which it is done. The electronic data technologies should decrease the time spent on data management and more time spent on prevention and intervention. When the hospital begin to invest in newer technology a representative from the IP department should be on the committee.

References1. Green l, et al. APIC Position Paper: The Importance of Surveillance Technologies in

the Prevention of Healthcare- Associated Infection(HAIs) 2009-5-29-09

2. Grota PG, Stone PW, Jordan S. Electronic surveillance systems in infection prevention: organizational support, programs characteristics, and user satisfaction. Am J Infection Control. 2010 Sep:38(7):509-14

3. Tagalicod R, Jacob R, Progress on Adoption of Electronic Health Records CMS. gov http://www.cms.gov/eHealth/ListServ_Stage3Implementation.html

4. Birdsall C, Health Information Management http://www.healthline.com/galecontent/health-information-management

APIC Greater New York Chapter 13 2013 Champion