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FY 2013 Affordable Care Act (ACA) Activities Funded

Investments provided through the Affordable Care Act (ACA) Prevention and Public Health Fund will be used to bolster states’ abilities to prevent healthcare-associated infections (HAI). Using our country’s proven public health infrastructure to prevent healthcare-associated infections strengthens our ability to improve the health and well being of all Americans.

The Affordable Care Act funding includes the activities outlined below.

HAI Prevention Infrastructure is the coordination and implementation of HAI prevention activities within the state, facilitation of the state multidisciplinary advisory group on HAIs, and implementation and reporting on progress of the state HAI plan.

Prevention of Healthcare-associated Infections Across the Spectrum of Healthcare builds upon successes from CDC's work with states on HAl prevention through the development and implementation of multi-facility prevention initiatives.Current efforts have demonstrated that many HAls can be prevented through the implementation of best-practice recommendations for infection prevention. To meet national targets for HAI prevention, adherence to these recommendations must be expanded to all healthcare settings.

Identifying Cost-effective and Evidence-based HAI Interventions Sub-activities will identify implementation strategies with the greatest efficiency and simplicity, along with cost-savings associated with implementation.

Initial Implementation of the CLABSI Validation Guidance to Ensure the Quality of HAI Data is to build and sustain health department programs' ability to ensure the quality of HAI data reported to NHSN.

Implementation of Laboratory Tests for HAIs and Antimicrobial­ Resistant Pathogens will allow public health labs to build capacity to sustain and support prevention of HAIs and the detection of antimicrobial-resistant pathogens.

Improving Antimicrobial Use to Decrease Antimicrobial Resistant HAIs and Clostridium difficile infections is to facilitate the control of antimicrobial-resistant pathogens including MRSA, multidrug resistant gram-negative  bacteria, and CDI, through the formation of collaboratives to reduce unnecessary antimicrobial  use in healthcare facilities.

Improving Health Department Capacity to Provide Infection Prevention and Control Assistance is to establish and maintain activities around injection safety and basic infection control to prevent HAIs and work with a key partner in this effort, the Safe Injection Practices Coalition (SIPC); and to build and sustain collaborative relationships to prevent lapses in injection safety and basic infection control practices, thus strengthening overall HAI prevention efforts.

Regional Multidrug-Resistant Organism (MDROs) Prevention and Detection will allow health departments to develop and implement a coordinated approach to identifying and preventing epidemiologically important MDROs within a geographic region, especially carbapenem-resistant Enterobacteriaceae.

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