The Wisconsin Healthcare-Associated Infections (HAIs) in Long-Term Care (LTC) Coalition is a collaborative effort to reduce and eliminate HAIs among long-term care residents. Below is information from infection prevention and control educational events presented or sponsored by the Wisconsin HAIs in LTC Coalition:
- Urinary Tract Infections (UTI) 101 Workshops – September/October 2016
- Surveillance Workshops held at multiple locations during May – October 2014
- Two-day Fall Conference held in September 2013
WI HAIs in LTC Coalition 2017 Spring Conference: The Art & Science of Infection Prevention and Control
May 17-18, 2017
The Wisconsin HAIs in LTC and the Department of Health Services (DHS), Division of Quality Assurance (DQA) provided the Art & Science of Infection Prevention and Control conference for staffs working in Wisconsin nursing homes on May 17-18, 2017, at the Kalahari Resort and Conference Center.
The conference was developed in collaboration with DQA staff, nursing home providers and members of the Wisconsin HAIs in LTC Coalition. National and local experts addressed the topics of antibiotic stewardship, outbreak identification and management and surveillance.
Chris Crnich, MD, PHD and Associate Professor of Medicine in the Division of Infectious Disease at the University of Wisconsin School of Medicine and Public Health, delivered the keynote address about antibiotic stewardship on May 17th. Dr. Crnich is a member of the Wisconsin HAI in LTC Coalition, has been a consultant to the Advancing Excellence Campaign and Centers for Disease Control and Prevention, and is currently leading a joint effort by the Society for Healthcare Epidemiology of America, the Infectious Disease Society of America and the American Medical Directors Association to update guidelines for initiation of antibiotics in nursing homes.
David Nace, MD, MPH was the May 18th keynote and spoke about outbreak management. Dr. Nace is an associate professor and director of the Long Term Care & Flu Programs for the University of Pittsburgh Institutes on Aging and his research focuses primarily on infectious disease in long-term care. He is the chair of the American Medical Directors Association – (Society for Post-Acute and Long-Term Care) Infections Advisory Committee.
The Wisconsin HAIs in LTC Coalition and the Department of Health Services (DHS), Division of Quality Assurance (DQA), hosted five educational workshops about urinary tract infections for healthcare personnel working in Wisconsin nursing homes. Staff recommended to attend included administrators, directors of nursing, infection preventionists, medical directors, nurses, pharmacists, physicians, and quality assurance personnel. These workshops coincided with the rollout of the Wisconsin HAI in LTC Coalition’s UTI Toolkit. The UTI Toolkit will help nursing homes understand the rationale and infrastructure needed to improve processes around diagnosis and treatment of UTI.
Five workshops were held in September and October 2016 in the following locations:
- Green Bay
- Eau Claire
- Urinary Tract Infection (UTI) & The Survey Process (PDF)
- When to Test (full page slides) (PDF) – (3 slides per page) (PDF)
- When to Test Urine – Nursing Tool (PDF)
- Scripts (1-7) (PDF)
- Antibiotic Stewardship: Start by Counting (PDF)
- Urine Test Tracking Spreadsheet (Excel)
- NHSN Surveillance for Urinary Tract Infections (UTI) and Multidrug-Resistant Organisms in Long-Term Care Facilities (PDF)
- LTC UTI Worksheets (PDF)
- Lab Report Scripts (PDF)
- The Role of the Pharmacist (PDF)
Based on the results of the evaluations of the Wisconsin HAIs in LTC’s two-day infection prevention and control conference held in September 2013, conference participants indicated they needed additional training regarding how to conduct surveillance based on current standards of practice. Based on this feedback, the Wisconsin HAIs in LTC Coalition, along with the WI Regional Director of Nursing Groups and the WI Director of Nursing (DON) Council, hosted nine Surveillance Workshops around the State.
Workshop attendees learned how to:
- Conduct systematic surveillance for targeted HAIs using standardized LTC case definitions.
- Use surveillance data to track HAI rates and monitor progress toward reduction of HAI incidence.
Registration was limited to 50 attendees per workshop, and there was no registration fee to attend. Each nursing home was limited to one or two staff attending using the following criteria:
- One person from each nursing home if he/she was the Director of Nursing who ALSO oversees infection prevention and surveillance.
- Two persons from each nursing home if there was an Infection Preventionist responsible for surveillance, then this person and the Director of Nursing attended together with separate registrations.
Nine Surveillance workshops were held between May and October 2014 in the following locations:
- Eau Claire
- Green Bay
- La Crosse
Three hundred sixteen individuals attended the four hour workshops.
- Overview of CMS §483.65 (F441) Infection Control Surveillance Requirements (PDF)
- Surveillance in Long Term Care Facilities: Urinary Tract Infections (UTI) and Multi-Resistant Organisms (MDRO) (PDF)
- UTI Worksheet (PDF)
- UTI Case Studies (PDF)
- MDRO/CDI Worksheet (PDF)
- MDRO Case Studies (PDF)
- LTC Rate Tracker (Excel)
On September 19-20, 2013, the Wisconsin Department of Health Services and the Wisconsin HAIs in LTC Coalition held a two-day educational conference for Infection Preventionists working in Wisconsin Nursing Homes. Based on the results of the Long-Term Care Baseline Prevention Practices Assessment Online Survey, the conference addressed the three most common areas of need for training to include: surveillance, antibiotic stewardship and outbreak identification and management.
Listed below are the presentations/sessions that were provided during the WI HAIs in LTC Coalition Infection Prevention and Control Conference. The table identifies session titles and speaker handouts. Select a session title to access the associated webcast.
|8:10 a.m. - 8:30 a.m.||The Case for Antibiotic Stewardship in Nursing Homes||Speaker Slides (PDF)|
|8:30 a.m. - 9:10 a.m.||Setting Up an Antibiotic Stewardship Program in a Nursing Home||Speaker Slides (PDF)|
|9:10 a.m. - 9:40 a.m.||Group Activity - Facility Antibiotic Stewardship Needs Assessment||NH Antibiotic Stewardship Worksheet (PDF)|
|9:55 a.m. - 10:25 a.m.||Your Institution's Antibiogram - More Than Just a Table||Speaker Slides (PDF)|
|10:25 a.m. - 10:55 a.m.||Group Activity - How to Create and Interpret an Antibiogram||How to Create & Interpret an Antibiogram (PDF)|
|10:55 a.m. - 11:25 a.m.||Tracking & Using Antibiotic Utilization Data in NHs||Speaker Slides (PDF)|
|12:45 p.m. - 1:05 p.m.||Management & Prevention of Outbreaks in Nursing Homes||Speaker Slides (PDF)|
|1:05 p.m. - 3:20 p.m.||Inside an Outbreak: ARI & GI Exercises & Case Studies|
|3:20 p.m. - 3:45 p.m.||Question & Answer Session|