Maryland Activities to Prevent Healthcare-associated Infections

• Patients in Maryland hospitals had 33 percent fewer central line-associated bloodstream infections in 2011 than would have been predicted.  (SIR=0.67, What is this?)
• The percent of healthcare facilities in this state reporting HAI data to CDC's NHSN:
  • CLABSIs: 79.7%
  • CAUTIs: 47.5%
  • The number of facilities reporting SSIs: 45
  • This state has done some type of validation effort for CLABSI and SSI. For CLABSI, this includes audit of medical records.
• Facilities in this state are required by law to report HAI data to NHSN
• State health department and hospital association are involved with a CUSP initiative to prevent CLABSI and/or CAUTI
• One of 10 state health departments in the Emerging Infections Programs (EIP) network*
• State has implemented a CAUTI Prevention Collaborative
• State has implemented a C. diff Prevention Collaborative
• State has implemented a CLABSI Prevention Collaborative
• State has implemented a Hand Hygiene Collaborative
• State has implemented a Prevention Collaborative for LTC Facilities
• State has implemented a MDRO Prevention Collaborative
• State has implemented a VAP Prevention Collaborative
• Dialysis facilities in this state are participating in prevention and/or reporting initiatives for HAIs
• This state is part of an HHS study evaluating MDROs on environmental surfaces in healthcare facilities*
• State is involved with antimicrobial stewardship activities
• 2012 Affordable Care Act (ACA) funding amount: $333,494.66
  • Activities: HAI Prevention Infrastructure and HAI Prevention Initiatives (see ACA Activities Funded for more information)
• 2011 Affordable Care Act (ACA) funding amount: $66,853
  • Activity: HAI Prevention Infrastructure (see ACA Activities Funded for more information)
• 2009-2011 Recovery Act (EIP) funding amount: $394,129
• 2009-2011 Recovery Act (EL) funding amount: $1,258,613
  • Activities A, B, and C: Infrastructure, Monitoring, and Prevention Projects (see EIP ELC Activities Funded for more information)

* These projects include laboratory components