1. OVERVIEW AND COMPLETING THE QUESTIONNAIRES - Part 1 LECTURE 2

2. To describe the questionnaires used in the HALT PPS and what information is obtained through them. To instruct how to start completing these questionnaires. LECTURE OBJECTIVES

3. 1.Quantify the prevalence of infections and antimicrobial use. 2.Identify needs for intervention, training and/or additional infection control (IC) resources. 3.Provide a baseline/ follow trends and impact of intervention. 4.Foster the safety of health care for residents in long-term care facilities and the ageing population in general. WHY CARRY OUT HALT-2?

4. 3 SURVEY QUESTIONNAIRES 1.Institutional questionnaire 2.Ward list 3.Resident questionnaire

5. 1. INSTITUTIONAL QUESTIONNAIRE

6. 1. WHAT IS THE INSTITUTIONAL QUESTIONNAIRE? Allows for collection of denominator data & information about antimicrobial use & infection control practices Denominator = All Eligible residents Ineligible resident

7. 6 sections in total: Section A - General Information about the facility Section B - Denominator data (from ward list data) Section C - Medical care and coordination Section D - Infection prevention & control resources, practice and policies Section E - Antimicrobial policy Section F – How was the survey performed in the facility 1. INSTITUTIONAL QUESTIONNAIRE

8. 2. WARD LIST

9. The ward list is provided to facilitate the collection of denominator data in the participating LTCF, required for the institutional questionnaire Helps wards/units get the data necessary for the institutional questionnaire NOT to be sent to the national HALT study coordinator, (contains residents’ names) therefore should be kept in the LTCF For each ward/unit a separate ward list can be completed. If the LTCF does not have different wards, all data should be completed using one ward list only.

10. 2. WARD LIST Used to: Collect data on the total population & eligible residents (denominator) Identify eligible residents on antimicrobials and/or with signs & symptoms of infection (numerator) Identify risk factors for HAI (used to benchmark facilities)

11. HOW IS TOTAL POPULATION, DENOMINATOR AND NUMERATOR DATA COLLECTED? Total population of LTCF Numerator: Eligible residents with a condition of interest Denominator: Eligible residents Ineligible resident

12. Ward list is used to initially identify numerators Resident questionnaire is used to gather additional information on these numerators Numerator: Number of eligible residents with condition of interest

13. 3. RESIDENT QUESTIONNAIRE

14. NOT for every resident e.g. if prevalence is 5%; only 5 out of 100 residents will need a resident questionnaire. A resident questionnaire has to be completed only for residents with signs/symptoms of an infection AND/OR for residents on a course of antimicrobial(s) at the time of the point prevalence survey (PPS).

15. 3. RESIDENT QUESTIONNAIRE 3 Parts to Resident Questionnaire: 1.Demographic data & any additional risks for infection 2.Antimicrobial treatment 3.Signs & symptoms of infection

16. COMPLETING THE QUESTIONNAIRES

17. When completing questionnaires, it is very important that the protocol is used for precise definitions The answer is not what you and I think it is– it’s what the protocol says it is! – Why? To ensure all LTCFs are interpreting the questions the same way Example – Has the resident a urinary catheter? – Protocol defines urinary catheter as: Any tube system placed in the body to drain and collect urine from the bladder, e.g. an indwelling urinary catheter, suprapubic or abdominal wall catheter, a cystostomy

18. INSTITUTIONAL QUESTIONNAIRE

19. Section A - General Information about the LTCF Section C - Medical care and coordination Section D - Infection prevention control resources, practice and policies Section E - Antimicrobial policy NB: It is recommended that the results from these 4 sections should be inputted into the software at the same time as the input of data collected from the PPS CAN COMPLETE 4 SECTIONS BEFORE THE PPS DAY

20. COMPLETING SECTION A GENERAL INFORMATION ABOUT THE LTCF Total number of bedrooms and single bed rooms

21. A medical doctor in charge of the co- ordination of medical activities and the standardisation of practices/policies in the facility COMPLETING SECTION C

22. COMPLETING SECTION D A person trained in infection prevention and control that has responsibility for LTCF (see protocol for full definition)

23. COMPLETING SECTION D Multidisciplinary committee (see protocol for full definition)

24. COMPLETING SECTION D This information should be sought well in advance of the study day in order to access order information, pharmacy records etc, for the number of litres of hand gel used by the facility in 2012

25. COMPLETING SECTION E

27. QUESTIONNAIRES TO BE COMPLETED ON PPS DAY WARD LIST RESIDENT QUESTIONNAIRE INSTITUTIONAL QUESTIONNAIRE Sections B and F

28. QUESTIONS?