1. Welcome to the GHA Infection Prevention Power Hour September 25, 2013

2. Brief Agenda C difficile presentation from Dr. Bob Jerris Review of CMS, Georgia HAI Reporting for 2014 Georgia DPH Update GMCF, QIO Update

3. 2014 CMS Reporting Requirements PN-3b Blood culture performed before first antibiotic received in hospital End after Dec 2013 PN-6 Appropriate initial antibiotic selection Ongoing SCIP-Infection-10 Perioperative temperature management End after Dec 2013

4. NHSN Reporting No change in CLABSI, CAUTI reporting for 2014. Central Line Associated Bloodstream Infection Expand to include some non-ICU wards Jan 2015 Catheter-Associated Urinary Tract Infection Expand to include some non-ICU wards Jan 2015 No change SSI, Lab ID MRSA Bacteremia, C diff Healthcare Worker Vaccination Changes – Personnel must be physically present in the healthcare facility for at least one working day (any # of hours) during the reporting period, which is October 1 through March 31.

5. Coming Safe Surgery checklist use: 2014 Data Reported 2015 OP – OP-27 Influenza vaccination coverage among healthcare personnel Oct 1, 2014 – Mar 31, 2015 Reported by May 15, 2015 ACS – ASC-8 Influenza Vaccination Coverage among Healthcare Personnel Oct 2014

6. LTACH Percent of residents or patients who were assessed and appropriately given the seasonal Influenza Vaccine (Short-Stay) Oct 2014 Influenza Vaccination coverage among healthcare personnel Oct 2014 Facility-Wide Inpatient Hospital-onset MRSA Bacteremia Outcome Measure Jan 2015 Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure Jan 2015

7. IP Rehab Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine (Short Stay) (NQF#0680) Oct 2014Influenza Vaccination Coverage among Healthcare Personnel (NQF#0431) Oct 2014

8. Dialysis Dialysis Event Reporting Measure replace with NHSN Bloodstream Infection in Hemodialysis Outpatients in NHSN Revise Jan 2014

9. Other Updates HEN Public Health HAI Update GMCF/QIO Update – HCW Influenza Vaccination Form

10. Contact Information Denise M. Flook, RN, MPH, CIC Georgia Hospital Association 770-249-4518, dflook@gha.org.dflook@gha.org Jeanne Negley, HAI Coordinator Georgia Dept. of Public Health (404) 657-2593 | jenegley@dhr.state.ga.us.jenegley@dhr.state.ga.us Cindy Prosnak, RN, BSN, CIC Alliant GMCF 706.836.8361 | CProsnak@gaqio.sdps.org.CProsnak@gaqio.sdps.org