DOMAIN 6: Public Health Laws

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Enforce public health laws

Key

(S) = State HD                        (T) = Tribal HD                       (L) = Local HD

(S/T) = State/Tribal HD         (T/L) = Tribal/Local HD        (HAI/AR) = Healthcare Associated Infections/Antibiotic Resistance

Standard 6.1: Review existing laws and work with governing entities and elected/appointed officials to update as needed

PHAB Measures

PHAB Measures

PHAB Measures

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Measure 6.1.1:

(All) Laws reviewed in order to determine the need for revisions

PHAB Measures

Measure 6.1.1:

(All) Laws reviewed in order to determine the need for revisions

Jurisdictions use legislation, regulations, and mandates for reporting (including public reporting) of HAI and certain AR infections, antibiotic stewardship requirements, or infection control training or other requirements.

HAI/AR Specific Programs or Activities

Jurisdictions use legislation, regulations, and mandates for reporting (including public reporting) of HAI and certain AR infections, antibiotic stewardship requirements, or infection control training or other requirements.

Context: HDs must document review of 2 laws in the past 3 years and include documentation of the process.

Opportunity: HAI/AR examples could be considered, if legislative review has included laws or requirements that pertain to HAI/AR or antibiotic use reporting or infection control programs.

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Context: HDs must document review of 2 laws in the past 3 years and include documentation of the process.

Opportunity: HAI/AR examples could be considered, if legislative review has included laws or requirements that pertain to HAI/AR or antibiotic use reporting or infection control programs.

Measure 6.1.2:

(All) Information provided to the governing entity and/or elected / appointed officials concerning needed updates / amendments to current laws and/or proposed new laws

PHAB Measures

Measure 6.1.2:

(All) Information provided to the governing entity and/or elected / appointed officials concerning needed updates / amendments to current laws and/or proposed new laws

Jurisdictions may use HAI/AR data, activities, and prevention progress to inform public health policy-makers about development and revision of laws.

HAI/AR Specific Programs or Activities

Jurisdictions may use HAI/AR data, activities, and prevention progress to inform public health policy-makers about development and revision of laws.

Context: The HD must provide documentation that it has submitted written reviews of current laws/position statements proposing new laws (e.g. position papers, policy agendas, white papers, legislative briefs). Includes informing elected officials and documentation of same.

Opportunity: If HAI/AR-related data and information was provided to governing entities in their consideration of updates or development of laws, this could be considered as an example.

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Context: The HD must provide documentation that it has submitted written reviews of current laws/position statements proposing new laws (e.g. position papers, policy agendas, white papers, legislative briefs). Includes informing elected officials and documentation of same.

Opportunity: If HAI/AR-related data and information was provided to governing entities in their consideration of updates or development of laws, this could be considered as an example.

Standard 6.2: Educate individuals and organizations on the meaning, purpose, and benefit of public health laws and how to comply

PHAB Measures

PHAB Measures

PHAB Measures

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Measure 6.2.1:

(All) Department knowledge maintained and public health laws applied in a consistent manner

PHAB Measures

Measure 6.2.1:

(All) Department knowledge maintained and public health laws applied in a consistent manner

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

Measure 6.2.2:

(All) Laws and permit / license application requirements are accessible to the public

PHAB Measures

Measure 6.2.2:

(All) Laws and permit / license application requirements are accessible to the public

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

Standard 6.3: Conduct and monitor public health enforcement activities and coordinate notification of violations among appropriate agencies

PHAB Measures

PHAB Measures

PHAB Measures

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Measure 6.3.1:

(All) Written procedures and protocols for conducting enforcement actions

PHAB Measures

Measure 6.3.1:

(All) Written procedures and protocols for conducting enforcement actions

Jurisdictions have laws or other policies addressing enforcement, fines or penalties for failure to adhere to the HAI/AR or related reporting, training, infection control or other related requirements.

HAI/AR Specific Programs or Activities

Jurisdictions have laws or other policies addressing enforcement, fines or penalties for failure to adhere to the HAI/AR or related reporting, training, infection control or other related requirements.

Context: HDs must provide documentation of two 2 procedures, protocols or processes for conducting enforcement actions, of which one must be communicable disease related.

Opportunity: Procedures and protocols from the HAI/AR Programs related to enforcement may be considered as an example.

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

Context: HDs must provide documentation of two 2 procedures, protocols or processes for conducting enforcement actions, of which one must be communicable disease related.

Opportunity: Procedures and protocols from the HAI/AR Programs related to enforcement may be considered as an example.

Measure 6.3.2:

(All) Inspection activities of regulated entities conducted and monitored according to mandated frequency and/or a risk analysis method that guides the frequency and scheduling of inspections of related entities

PHAB Measures

Measure 6.3.2:

(All) Inspection activities of regulated entities conducted and monitored according to mandated frequency and/or a risk analysis method that guides the frequency and scheduling of inspections of related entities

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

Measure 6.3.3:

(All) Procedures and protocols for both routine and emergency situations requiring enforcement activities and complaint follow up

PHAB Measures

Measure 6.3.3:

(All) Procedures and protocols for both routine and emergency situations requiring enforcement activities and complaint follow up

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

Measure 6.3.4:

(All) Patterns or trends in compliance from enforcement activities and complaints

PHAB Measures

Measure 6.3.4:

(All) Patterns or trends in compliance from enforcement activities and complaints

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

Measure 6.3.5:

(All) Coordinated notification of violations to the public, when required, and coordinated sharing of information among appropriate agencies about enforcement activities, follow up activities, and trends or patterns

PHAB Measures

Measure 6.3.5:

(All) Coordinated notification of violations to the public, when required, and coordinated sharing of information among appropriate agencies about enforcement activities, follow up activities, and trends or patterns

n/a

HAI/AR Specific Programs or Activities

n/a

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a