Wisconsin Healthcare-Associated Infections in Long-Term Care Coalition Resources

• 2019 Antibiotic Resistance Threats Report
• Agency for Healthcare Research & Quality—Nursing Home Antimicrobial Stewardship Guide
• Antimicrobial Stewardship
• Antimicrobial stewardship and infection prevention—leveraging the synergy: A position paper update
• Core Elements of Antibiotic Stewardship for Nursing Homes
• Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial
• Minnesota Antibiotic Stewardship Commitment Toolkit Materials for Partners
• Pharmacist-Led Model of Antibiotic Stewardship in a Long-Term Care Facility

CDC (Centers for Disease Control & Prevention)—Education on hand hygiene in health care settings

• Hand hygiene is the #1 way to prevent the spread of infections (PDF)
• Handwashing posters
• Handwashing fact sheets
• Handwashing podcasts

World Health Organization—WHO calls for better hand hygiene and other infection control practices

• Advisory Committee on Immunization Practices (ACIP) Recommendations
  • ACIP Adult Immunization Schedule
• CDC Pneumococcal Vaccine Recommendations
• CDC Recommended Vaccines for Healthcare Workers
• Immunize.org
  • Top 10 Facts About VISs (Vaccine information statements) (PDF)
• Wisconsin Immunization Registry — information for Providers

Implementation Guides from the Association for Professionals in Infection Control and Epidemiology (APIC):

• Guide to Preventing Central-Line Associated Bloodstream Infections
• Guide to Hand Hygiene Programs for Infection Prevention (2015)
• Guide to Preventing Catheter-Associated Urinary Tract Infections (2014)
• Guide to Preventing Clostridium difficile Infections (2013)
• Guide to the Elimination of Multidrug-resistant Acinetobacter baumannii Transmission in Healthcare Settings (2010)
• Guide to the Elimination of MRSA in the Long-Term Care Facility (2009)

• NHSN Tracking Infections in Long-Term Care Facilities
• Recommended practices for surveillance: Association for Professionals in Infection Control and Epidemiology (APIC), Inc.
• Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria
• Surveillance for Urinary Tract Infections

• Recommended practices for surveillance: Association for Professionals in Infection Control and Epidemiology (APIC), Inc. (PDF)

• Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings – Recommendations of the HICPAC (2017)
• Enhanced Barrier Precautions—Implementation of Personal Protective Equipment in Nursing Homes to Prevent Spread of Novel or Targeted Multidrug-Resistant Organisms (MDROs)
• Infection Control Guidelines
  • Disinfection and Sterilization
  • Environmental infection control
  • Hand Hygiene
  • Isolation precautions
  • Multidrug-resistant organisms (MDRO) Management
  • Norovirus Information and Prevention Toolkit
• Infection Control in Health Care Facilities Seasonal Influenza
• Infection Prevention during Blood Glucose Monitoring and Insulin Administration
  • Clinical Reminder: Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens
  • CDC Clinical Reminder: Insulin Pens Must Never Be Used for More than One Person
• Inter-facility Infection Control Transfer Form (PDF)
• National Healthcare Safety Network: Tracking Infections in Long-term Care Facilities
• Nursing Homes and Assisted Living
• TB Guidelines

• Interpretive Guidelines for Long Term Care Facilities (PDF)—See 483.80, Infection Control regulations F880 through F883 beginning on page 755
• Nursing Homes
• CMS QSO-20-29 (PDF): Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes – F884 – F885
• CMS QSO-20-38 (PDF): Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements – F886
• CMS QSO-21-19 (PDF): Interim Final Rule—COVID-19 Vaccine Immunization Requirements for Residents and Staff – F887
• CMS QSO-22-07 (PDF): Revised Guidance for the Interim Final Rule—Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination – F888

Disease reporting

• Wisconsin Stat. ch. 252 Communicable Diseases
• Specific reporting requirements are described in Wis. Admin. Code ch. DHS 145, Control of communicable diseases
  • A list of reportable conditions is provided in Wis. Stat. ch. 145 – Appendix A
  • Division of Public Health—Disease Reporting
• Reportable Multidrug-Resistant Organisms
• Preventing and Controlling Respiratory Illness Outbreaks in Long-Term Care Facilities

• Employee Health and Personal Hygiene Handbook

• Preventing and Controlling Respiratory Illness Outbreaks in Long-Term Care Facilities
• Influenza: Wisconsin Data—See the weekly respiratory virus surveillance report and sign up to receive the report in an email.
• Immunizations: Influenza Vaccine Data—See reports on flu vaccinations for Wisconsin residents who have received at least one dose of flu vaccine during the season.
• Mandatory influenza vaccination for health care personnel—Immunize.org Honor Rolls for Patient Safety
• Increasing Influenza Vaccination among Health Care Personnel in Long-term Care Settings – A Toolkit for Long-Term Care Employers
• Infection Control in Health Care Facilities Seasonal Influenza
• CDC Interim Guidance for Influenza Outbreak Management in Long-Term Care Facilities
• Long-Term Care and Other Residential Facilities Pandemic Influenza Planning Checklist (PDF)
• Preventing Seasonal Flu

• CDC Legionella website
• CDC Healthcare Facility Water Management Program Checklist
• Toolkit: Developing a Water Management Program to Reduce Legionella Growth and Spread in Buildings

• CDC Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings
• CDC Measles for Healthcare Providers
• CDC Transmission-Based Precautions—See airborne precautions
• DHS Measles

• CDC Clostridium difficile Guidelines and Prevention Resources
• CDC Management of Multidrug-Resistant Organisms In Healthcare Settings
• Wisconsin Reportable Multidrug-Resistant Organisms
• Wisconsin DPH Recommendations for Prevention and Control of Targeted Multidrug-Resistant Organisms in Wisconsin Nursing Homes, P-03250
• Wisconsin DPH Guidelines for Prevention and Control of Multidrug-Resistant Organisms for Health Care Settings, P-42513 (PDF)

• CDC Interim Guidance for Influenza Outbreak Management in Long-Term Care and Post-Acute Care Facilities
• Disease Reporting
• Recommendations for Prevention and Control of Acute Gastroenteritis Outbreaks in Wisconsin Long-Term Care Facilities, P-00653 (PDF)

• Wisconsin Immunization Program: Pertussis (whooping cough)

• CDC Pneumococcal Vaccine Recommendations
• CDC Pneumococcal Vaccine Timing for Adults
• Immunization.org – Administering Pneumococcal Vaccines (PCV15, PCV20, and PPSV23) to Adults (PDF)

• Scabies Surveillance, Prevention and Control
• Scabies Prevention and Control Guidelines for Healthcare Settings

CDC resources:

• Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (PDF)
• Resources for TB Screening and Testing of Health Care Personnel
• TB 101 for Health Care Workers (web-based course)
• TB Screening and Testing of Health Care Personnel

Wisconsin DHS resources:

• Decision Tree: Tuberculosis Screening of Health Care Personnel (HCP) and Caregivers upon Hire, P-02530
• Decision Tree: Tuberculosis Screening of Patients/Residents upon Admission to Care Facilities, P-02529
• Tuberculosis Screening and Testing: Health Care Personnel and Caregivers, P-02382 (PDF)
• Tuberculosis Screening and Testing: Residents of Care Facilities, P-02382a (PDF)
• Wisconsin Tuberculosis Program
• Wisconsin Tuberculosis Program TB Risk Assessment and Symptom Evaluation, F-02314 (PDF)
• TB Risk Assessment and Symptom Evaluation for Annual Employment Screening, F-02314E

• Clinical Uncertainties in the Approach to Long Term Care Residents with Possible Urinary Tract Infection (PDF)
• Frequently Asked Questions About the Use of and Care for Leg Bags in the Long-Term Care Setting—AHRQ
• APIC Guide to Preventing Catheter Associated Urinary Tract Infection Criteria
• Massachusetts Coalition for the Prevention of Medical Errors – Improving Evaluation of Urinary Tract Infections in the Elderly: Collaborative on Antibiotic Stewardship for Seniors in Long Term Care
• Surveillance for Urinary Tract Infections
• Wisconsin HAI Long-Term Care Education Series: Urinary Tract Infection (UTI) Toolkit (PDF)

• CDC Norovirus Information and Prevention Toolkit
• INTERACT by Pathway Health
• Long-Term Care Facility Rate Tracker, F-01269 (Excel)
• Tool Kit for Implementing Single Patient User Glucose Meters in Long-Term Care Facilities (PDF)
• Wisconsin HAI Long-Term Care Education Series: Urinary Tract Infection (UTI) Toolkit (PDF)

• CDC/STRIVE Infection Control Training
• CDC Infection Prevention Training
• EVS and the Battle Against Infection: a Graphic Novel – also has online course
• Training the Next Generation of Wisconsin Nursing Home Infection Preventionists
• WI DPH HAI Infection Prevention Education