DOMAIN 6

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

PHAB Measures

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

PHAB Measures

Measure 6.1.1:

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

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.

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.

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

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.

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

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

PHAB Measures

Measure 6.2.1:

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

HAI/AR Specific Programs or Activities

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

PHAB Measures

Measure 6.2.2:

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

HAI/AR Specific Programs or Activities

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

HAI/AR Specific Programs or Activities

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

PHAB Measures

Measure 6.3.1:

(All) Written procedures and protocols for conducting enforcement actions

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.

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.

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

HAI/AR Specific Programs or Activities

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

PHAB Measures

Measure 6.3.3:

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

HAI/AR Specific Programs or Activities

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

PHAB Measures

Measure 6.3.4:

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

HAI/AR Specific Programs or Activities

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a

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

HAI/AR Specific Programs or Activities

n/a

Opportunities / Considerations For Connections Between HAI/AR and Accreditation

n/a