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About Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Funding

This funding aims to build and improve state health department workforce, training, and tools necessary to rapidly scale up to meet this new Healthcare-associated Infections (HAI) work. The activities described in this guidance are designed to support states that are just starting on HAI prevention activities or, in states that already have some HAI prevention activities, to expand into new HAI prevention areas. A key activity that this is funding will support the ability for states to submit data on their progress toward the Department of Health and Human Services (HHS) HAI Prevention Targets. With optimal use, this short-term investment will create new state-level competencies and tools that will continue even after Recovery Act funding has expired and therefore leave behind a sustainable infrastructure for reporting on long-term progress toward meeting the HHS HAI Prevention Targets.

To coordinate national HAI prevention efforts and Recovery Act funding, CDC is drafting guidance to assist State planning efforts in the prevention of HAIs. Guidance will help to ensure progress towards five-year national prevention targets as described in the HHS Action Plan in the following areas:

  • Integration, Collaboration, and Capacity Building
  • Reporting, Detection, Response and Surveillance
  • Prevention
  • Evaluation, Oversight and Communication
  • Assisting states in meeting 2009 Omnibus Bill requirement that states receiving Preventive Health and Health Services Block Grant funds to certify that they will submit a plan to reduce HAIs to the Secretary of Health and Human Services no later than January 1, 2010

Collaborative Attributes

Attribute Description/Purpose Metrics
Multidisciplinary Oversight/
Advisory Group
Steering group composed of multiple stakeholders(e.g. health department, healthcare facilities, payors, purchasers, consumers, hospital associations, professional organizations). Provides project leadership and guidance, including initial selection of targets for HAI prevention initiatives and ongoing project oversight
  • Letters of commitment from steering group members
  • Face to face meetings
  • Selection of targets for prevention collaborative (i.e. which HAIs will be targeted in the prevention collaborative?)
  • Selection of specific prevention goal
  • Feedback of outcomes to Steering group
Staffing

Successful prevention collaboratives are dependent on centeral coordination and leadership by dedicated staff. Staff functions/characteristics include:

  1. Project coordination (managing logistics, coordinating meetings, coordinating ommunications, tracking progress, etc.)
  2. Expertise and/or training in healthcare infection control, and
  3. Expertise and/or training in coordinating multicenter collaborative prevention projects

  • Project coordinator on staff
  • Infection control expertise available or on staff
  • Expertise in multicenter collaborative improvement projects (to include recruitment, training, communication, and other related activities) available or on staff
Communication Strategy Successful prevention collaboratives are dependent upon providing a mechanism to facilitate sharing of information and data among participating facilities
  • Demonstrate face to face meetings
  • Demonstrate regularly scheduled teleconferences between face to face meetings
  • Demonstrate other supportive communication infrastructure for regular sharing between participants (web sites, listservs, etc.)
Outcome Measurement System Must have standardized and uniform outcome measures that allow sharing of progress among participants and tracking aggregate progress of collaborative
  • Select measurement system
  • Demonstrate willingness of facilities to participate in measurement system and share data with central coordinator (i.e. letters of commitment)
  • Demonstrate regular feedback of outcome data to participating

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