Health Care Associated Infections and Preventable Adverse Events Advisory Panel – May 29, 2014 Meeting

Below is the HillCo client report from the May 29 Health Care Associated Infections and Preventable Adverse Events Advisory Panel Meeting.

PAE Reporting Status Update

HHSC still has an open software personnel role
They are testing the capability of uploading xml files into the system
PAE training:
- 5 onsite
- 2 webinars
- 6 additional onsite trainings this summer
- 4 additional webinars this summer
Have worked closely with THA for outreach
The response has been overall positive due to the importance of reporting while mitigating the burden
Planning to go visit any facility that has an event
Hoping that the rollout over 3 years will give them time to make it to all the facilities
- Please see the attachment “reporting phase in” for more details
Their audits are only validating data that has been reported
They have asked for a legislative initiative to help them align with CMS reporting

PAE and PPR rules

Have been approved by the HHSC Council
HAI rules have to be finalized before the PAE rules can be posted for comment – should be posted around September

HAI reporting data

See the attached chart for summary data
The CAUTI increase is due to the expanded definition
- Now have to account for fever and yeast
Please see the attached “report preview” that would make the information more readily accessible to the public

Facility HAI data review report

IPMA contract to do initial audit
2013 – 21 first audits (for the first half of the year)
- Reviewed 150 records, 13 were found to not meet the HAI definition
HHSC is limited because they only have one dedicated audit position and 3 vacancies
Concern that good programs are being penalized by auditors because the programs are telling the truth in accurate reporting
Need to audit the facilities that continually report zero HAIs over time

The committee is going to write the Executive Commissioner a letter to increase their FTE resources
A cluster report is not public data, but the committee asked for HHSC to make a summary of it that they can share
The committee also asked for a 6 month summary report of HAI data

Status report on MDR-A and CRE

Mandatory reporting began in April
Conducting educational meetings across the state
Updated forms
Raw data from voluntary reporting of CRE revealed 137 cases between January and April
A cluster of MDR-A was discovered in the Valley
- Highest occurrences of CRE and MDR-A are in the Valley
- Believe that it might be a continuum of the problems they saw in ‘08
- May be a border issue – accessibility of antibiotics

Status of Clostridium difficle exceptional item activities