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Healthcare-Associated Infection (HAI) Advisory Committee

Long Term Care Subcommittee

HAI Prevention Strategies Subcommittee logo

The creation of an ADHS Healthcare Associated Infections (HAI) Long Term Care Subcommittee was the result of a strategic planning meeting held in July of 2011 at ADHS to promote collaboration between acute and skilled nursing facilities. During the Strategic Planning Meeting, over 92 participants from a diverse cross-section of Arizona's medical and public health community worked together to identify needs and best practices in infection control.

Originally called the Long Term Care (LTC) Working Group, the group became a permanent HAI Subcommittee of the overarching HAI Advisory Committee as members identified ongoing opportunity to assist in infection prevention in LTC settings. In 2012, nearly 17 members from across the healthcare spectrum met on a bimonthly basis to discuss issues pertinent to infection control in long term care and skilled nursing settings. This site will be periodically updated with items created or endorsed by the subcommittee.

Long Term Care Transfer Tools

Improved communication about infections among healthcare systems may serve to reduce hospital readmissions. The Arizona ADHS HAI Long Term Care Subcommittee offers some resources to improve communication regarding infection control during patient transfers between hospitals and skilled nursing facilities. When the presence of a Multidrug-Resistant Organism (MDRO) is noted clearly on a patient transfer form, appropriate practices can be implemented to prevent disease spread, for timely diagnostics, and to care for patients appropriately.

After researching potential ways for facilities to communicate about patient infections, the committee recommends that healthcare facilities draw attention to an infectious process for any patient by implementing one of the following:

  • Highlight the infection control section on the transfer form you currently use with a yellow highlighter. The section should clarify the site, organism, and isolation type.
  • Attach the recommended Isolation/Precaution Form developed by the HAI Advisory Committee if your transfer form does not include a section for infection control.
  • Implement the use of Interact II's Resident Transfer Form. The Interact II form is widely regarded by the Centers for Medicare and Medicaid Services (CMS).
  • CDC's Inter-facility Infection Control Transfer Form may be used as an internal document to supplement the Interact II tool.

To learn more about the ADHS HAI Advisory Committee's findings concerning patient transfers and infection control, please see the official letter from ADHS HAI Advisory Committee.

Carbapenem-resistant Enterobacteriaceae (CRE) Fact Sheet

CRE are a family of bacteria that are difficult to treat because they have high levels of resistance to antibiotics. CRE infections occur most commonly among patients in healthcare settings that require invasive medical devices or receive long courses of antibiotics. Arizona's Healthcare-Associated Infection (HAI) Advisory Committee has developed the following fact sheet to help address this emerging threat to public health.

Please contact us with any questions or comments.