1. Keeping the Glowing Going: Preview of Upcoming HAI Activities in NM
Susan M. Kellie, MD, MPH

3. The Lesson
We need hands-on knowledge to bridge the gap from theory to practice
Our IPs and other hospital partners “complete the circuit” in changing practice to change outcomes.

4. ECHO, surveillance, lab support
Available venues for participation
HIIN (H2N)
30+ hospitals
FACE-TO-FACE MEETING
DOH/IPs/HEN/
HealthInsight
DOH activities:
ECHO, surveillance, lab support

5. Projects Now Recruiting
HIIN or “H2N”
(Hospital Improvement Innovation Network)
“HEN” concept
DOH Antimicrobial stewardship project
Target 7-10 hospitals
ECHO-based intervention
Focus on IT and population of AUR module (Antibiotic Use Module in NHSN) requiring computer upload of antibiotic data for the facility)

6. HIIN or “H2N” – What’s Coming
HIIN – Improved Patient Safety NM
Hospitals
HEN
QIO
Beginning October 1, 2016 the NM Hospital Engagement Network (NM Hosp Association) will work in conjunction with the NM QIO (HealthInsight) as the Hospital Improvement Innovation Network (HIIN)

7. NMDOH Antimicrobial Stewardship and Monitoring Project
Who will be involved:
Micro IT
Pharmacy
Stewardship programs
IPs with C. difficile data

8. What AUR Monitoring Can Do
Know your SAAR
Standardized Antimicrobial Administration Ratio
= Observed (O) Antimicrobial Use
Predicted (P) Antimicrobial Use

9. Sample SAAR Output

10. Also Available: Antibiotic R module
1. uses a standardized approach to:
a. Provide local practitioners with an improved awareness of a variety of antimicrobial-resistance problems to both aid in clinical decision making and prioritize transmission prevention efforts.
b. Provide facility-specific measures in context of a regional and national perspective (i.e., benchmarking) which can inform decisions to accelerate transmission prevention efforts and reverse propagation of emerging or established problematic resistant pathogens.
2. Regional and national assessment of resistance of antimicrobial resistant organisms of public health importance including ecologic assessments and infection burden.

11. Why Should Facilities Do This?
Joint Commission standard on Antimicrobial Stewardship (for 2017) requires the following:
Tracking: Monitoring the antimicrobial stewardship program, which may include information on antibiotic prescribing and resistance patterns.
Reporting: Regularly reporting information on the antimicrobial stewardship program, which may include information on antibiotic use and resistance, to doctors, nurses, and relevant staff.

12. Welcome to Public Reporting for Rehab and Long-term Care Partners
Section 3004(a) and (b) of the Affordable Care Act established the Long-Term Care Hospital (LTCH) and Inpatient Rehabilitation Facility (IRF) Quality Reporting Programs (QRPs) respectively.
CMS has established websites—similar to Hospital Compare—to provide public information from inpatient rehabilitation facility (IRF) and long-term care hospital (LTCH) quality reporting programs.
Preview data are available to IRFs and LTCHs until September 30, Facilities are encouraged to review this data prior to public display.

13. Inpatient Rehab facilities
FY 2015
FY 2016
FY 2017
CAUTI
Yes
Influenza Vaccination Coverage among Healthcare Personnel No
Percent of Residents or Patients given Seasonal Influenza Vaccine
Hospital-Onset
MRSA Bacteremia      
NHSN Facility - Wide
Inpatient Hospital-Onset
Clostridium difficile

14. How do we participate? HIIN (H2N): enrollment
DOH-ECHO-Antimicrobial Stewardship and Monitoring
LTCFs:

18. Light up the map!