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considerations for reducing mpox transmission in congregate living settings this website provides advice for congregate living settings such as assisted living in preventing recognizing and responding to mpox infections '),(17074,'slug',0,1,''),(17075,'field',99,1,''),(17075,'field',100,1,''),(17075,'field',101,1,' this website provides advice for congregate living settings such as assisted living in preventing recognizing and responding to mpox infections '),(17075,'field',104,1,' considerations for reducing mpox transmission in congregate living settings '),(17075,'slug',0,1,' temp axcpwpklluedkwvllysioirbaxulgxolofzs '),(17075,'title',0,1,''),(17076,'field',98,1,' guidelines for collecting and handling specimens for mpox testing '),(17076,'slug',0,1,''),(17077,'field',99,1,''),(17077,'field',100,1,''),(17077,'field',101,1,''),(17077,'field',104,1,' guidelines for collecting and handling specimens for mpox testing '),(17077,'slug',0,1,' temp sehpjiteemnuykgnxqoerdhebyzdfuamwlgq 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infections that may lead to cirrhosis or liver cancer in healthcare settings transmission of hbv and hcv typically results from infection control breaches that expose patients to blood from another person hbv and hcv outbreaks can be difficult to recognize due to the potential for asymptomatic infections and prolonged incubation periods weeks to months a single case of possible healthcare associated hbv or hcv warrants investigation and follow up to rule out a larger problem '),(17371,'slug',0,1,' temp wzuhuwqmemslfjxmjxxvvsldlazdmyzubxmo '),(17371,'title',0,1,''),(17372,'field',1,1,''),(17372,'field',11,1,''),(17372,'field',63,1,' read more healthcare associated hepatitis a virus hav can also transmit in healthcare settings hav is spread by the fecal oral route '),(17372,'slug',0,1,''),(17373,'field',98,1,' viral hepatitis healthcare investigation guide this toolkit provides a framework to investigate possible healthcare associated viral hepatitis transmission events this resource 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'),(17656,'title',0,1,''),(17657,'field',98,1,' cste legionnaires disease resources this website provides links to a risk communication toolkit and water management program wmp evaluation tool that can be used when responding to healthcare associated legionnaires disease '),(17657,'slug',0,1,''),(17658,'field',99,1,''),(17658,'field',100,1,''),(17658,'field',101,1,' this website provides links to a risk communication toolkit and water management program wmp evaluation tool that can be used when responding to healthcare associated legionnaires disease '),(17658,'field',104,1,' cste legionnaires disease resources '),(17658,'slug',0,1,' temp gcrdubuivrcfqjcisusppxgajbboqgnszlfb '),(17658,'title',0,1,''),(17659,'field',98,1,' example of patient notification legionella outbreak in a general medicine ward see page 32 box 8 3 for this example '),(17659,'slug',0,1,''),(17660,'field',99,1,''),(17660,'field',100,1,''),(17660,'field',101,1,' see page 32 box 8 3 for this example 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can be found in soil dust and water ntm infections can be difficult to diagnose and treat healthcare associated ntm outbreaks have been traced to medical devices cosmetic procedures dental procedures contaminated parenteral medications and other exposures '),(18766,'slug',0,1,''),(18766,'title',0,1,''),(18767,'field',1,1,''),(18767,'field',11,1,''),(18767,'field',63,1,' read more nontuberculous mycobacteria ntm refer to more than 180 recognized species of mycobacteria other than m tuberculosis the cause of tuberculosis and m leprae the cause of leprosy ntm outbreaks have been reported in healthcare settings due to the ability of ntm to form biofilms in hospital plumbing and on medical devices healthcare associated ntm outbreaks often result from breaches in infection control practices that allow patients to be exposed to contaminated water during invasive procedures such as injections infusions or surgeries '),(18767,'slug',0,1,''),(18768,'field',64,1,' read more '),(18768,'field',65,1,' nontuberculous mycobacteria ntm refer to more than 180 recognized species of mycobacteria other than m tuberculosis the cause of tuberculosis and m leprae the cause of leprosy ntm outbreaks have been reported in healthcare settings due to the ability of ntm to form biofilms in hospital plumbing and on medical devices healthcare associated ntm outbreaks often result from breaches in infection control practices that allow patients to be exposed to contaminated water during invasive procedures such as injections infusions or surgeries '),(18768,'slug',0,1,' temp pynucdlniuodojllimgteezitndqvskrvogk '),(18768,'title',0,1,''),(18786,'field',98,1,' candida auris resources visit this corha resource page if you are looking for resources related to candida auris '),(18786,'slug',0,1,''),(18787,'field',99,1,''),(18787,'field',100,1,''),(18787,'field',101,1,' visit this corha resource page if you are looking for resources related to candida auris '),(18787,'field',104,1,' 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'),(19034,'field',1,1,''),(19034,'field',11,1,''),(19034,'field',63,1,''),(19034,'slug',0,1,''),(19035,'slug',0,1,''),(19112,'field',38,1,''),(19112,'field',44,1,' tools other resources to ensure that healthcare facilities and investigatory agencies have the support and technological tools they need corha has assembled a curated collection of downloadable files these should be used in conjunction with the systems already in place and the guidance provided in the principles practices and other pathogen resources '),(19112,'slug',0,1,' tools '),(19112,'title',0,1,' tools other resources '),(19114,'field',46,1,' tools other resources '),(19114,'field',47,1,' to ensure that healthcare facilities and investigatory agencies have the support and technological tools they need corha has assembled a curated collection of downloadable files these should be used in conjunction with the systems already in place and the guidance provided in the principles practices and other pathogen resources '),(19114,'slug',0,1,' temp xaigijbfdpxicbtcbyjejpjeoacxlntzbrss '),(19114,'title',0,1,''),(19128,'slug',0,1,''),(19128,'title',0,1,''),(19290,'alt',0,1,''),(19290,'alt',0,2,''),(19290,'extension',0,1,' jpg '),(19290,'extension',0,2,' jpg '),(19290,'filename',0,1,' influenza jpg '),(19290,'filename',0,2,' influenza jpg '),(19290,'kind',0,1,' image '),(19290,'kind',0,2,' image '),(19290,'slug',0,1,''),(19290,'slug',0,2,''),(19290,'title',0,1,' influenza '),(19290,'title',0,2,' influenza '),(19326,'field',71,1,''),(19326,'field',72,1,''),(19326,'slug',0,1,' temp nsamcbrfzruolhjkksoieidffhsgzbuvqzqs '),(19326,'title',0,1,''),(19330,'field',1,1,''),(19330,'field',11,1,''),(19330,'field',63,1,' read more bcc have intrinsic resistance to antimicrobials and preservatives which enhance their ability to contaminate aqueous products bcc can form biofilms in building water systems including healthcare facilities and product manufacturing sites bcc emerged in the healthcare setting as a significant and transmissible pathogen causing pulmonary infections among pediatric patients with cystic fibrosis '),(19330,'slug',0,1,''),(19331,'field',64,1,' read more '),(19331,'field',65,1,' bcc have intrinsic resistance to antimicrobials and preservatives which enhance their ability to contaminate aqueous products bcc can form biofilms in building water systems including healthcare facilities and product manufacturing sites bcc emerged in the healthcare setting as a significant and transmissible pathogen causing pulmonary infections among pediatric patients with cystic fibrosis '),(19331,'slug',0,1,' temp dhagdamagtlhgcirgfcxpcchbgsndvtszdss '),(19331,'title',0,1,''),(19332,'field',98,1,' best practices for manufacturers of non sterile water based drug products this resource could be helpful to investigators when responding to a bcc outbreak with potential medical product contamination '),(19332,'slug',0,1,''),(19333,'field',99,1,''),(19333,'field',100,1,''),(19333,'field',101,1,' this resource could be helpful to investigators when responding to a bcc outbreak with potential medical product contamination '),(19333,'field',104,1,' best practices for manufacturers of non sterile water based drug products '),(19333,'slug',0,1,' temp hvphjihoioblfcvdupxggfixbdkvackxjaoe '),(19333,'title',0,1,''),(19334,'field',98,1,' burkholderia cepacia this decision is overdue fda authors reviewed the regulatory and scientific impact of bcc describing fda guidance manufacturing control measures and possible points of origin for microbial contamination '),(19334,'slug',0,1,''),(19335,'field',99,1,''),(19335,'field',100,1,''),(19335,'field',101,1,' fda authors reviewed the regulatory and scientific impact of bcc describing fda guidance manufacturing control measures and possible points of origin for microbial contamination '),(19335,'field',104,1,' burkholderia cepacia this decision is overdue '),(19335,'slug',0,1,' temp tztcuixrozpicvthmqzccxsparleuheacjoo '),(19335,'title',0,1,''),(19336,'field',98,1,' bcc a feared contamination risk in water based pharmaceutical products this article summarizes bcc outbreaks and describes the mechanisms behind pharmaceutical product contamination '),(19336,'slug',0,1,''),(19337,'field',99,1,''),(19337,'field',100,1,''),(19337,'field',101,1,' this article summarizes bcc outbreaks and describes the mechanisms behind pharmaceutical product contamination '),(19337,'field',104,1,' bcc a feared contamination risk in water based pharmaceutical products '),(19337,'slug',0,1,' temp czknwpimpsntsfjtxvusnbyvhrtutknjjcjb '),(19337,'title',0,1,''),(19338,'field',98,1,' systematic review of healthcare associated b cepacia this systematic review summarizes the investigation and control of 111 bcc healthcare associated outbreaks '),(19338,'slug',0,1,''),(19339,'field',99,1,''),(19339,'field',100,1,''),(19339,'field',101,1,' this systematic review summarizes the investigation and control of 111 bcc healthcare associated outbreaks '),(19339,'field',104,1,' systematic review of healthcare associated b cepacia '),(19339,'slug',0,1,' temp zhtsumbkodbulmcqwfmpqroytrhdpgvyzbbj '),(19339,'title',0,1,''),(19340,'field',98,1,' bcc outbreak linked to a no rinse cleansing foam product united states 2017 2018 an outbreak due to intrinsic contamination of a non sterile skin cleanser product '),(19340,'slug',0,1,''),(19341,'field',99,1,''),(19341,'field',100,1,''),(19341,'field',101,1,' an outbreak due to intrinsic contamination of a non sterile skin cleanser product '),(19341,'field',104,1,' bcc outbreak linked to a no rinse cleansing foam product united states 2017 2018 '),(19341,'slug',0,1,' temp zaqafmavkfqhzybtepzxtuljmhvagumydjmp '),(19341,'title',0,1,''),(19342,'field',98,1,' multistate outbreak of bcc bloodstream infections after exposure to contaminated saline flush syringes united states 2016 2017 an outbreak due to intrinsic contamination of injectable sterile medical product saline flushes '),(19342,'slug',0,1,''),(19343,'field',99,1,''),(19343,'field',100,1,''),(19343,'field',101,1,' an outbreak due to intrinsic contamination of injectable sterile medical product saline flushes '),(19343,'field',104,1,' multistate outbreak of bcc bloodstream infections after exposure to contaminated saline flush syringes united states 2016 2017 '),(19343,'slug',0,1,' temp rlwbfucqweuwvobrtqwvvphirdfnczagasrh '),(19343,'title',0,1,''),(19344,'field',98,1,' a multistate investigation of health care associated bcc infections related to liquid docusate sodium an outbreak due to an intrinsically contaminated non sterile oral medication '),(19344,'slug',0,1,''),(19345,'field',99,1,''),(19345,'field',100,1,''),(19345,'field',101,1,' an outbreak due to an intrinsically contaminated non sterile oral medication '),(19345,'field',104,1,' a multistate investigation of health care associated bcc infections related to liquid docusate 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sed pellentesque convallis neque ac tempor december 10 2023 added lorem ipsum dolor sit amet consectetur adipiscing elit added etiam vulputate tincidunt vestibulum removed nulla semper est sem updated in nec sollicitudin nisi eget viverra lectus phasellus at leo varius eros suscipit varius sit amet ut nisi cras sit amet ullamcorper erat vestibulum pretium luctus justo at volutpat odio finibus nec removed praesent volutpat diam et vestibulum malesuada aenean cursus nibh a odio vehicula sodales sed pellentesque convallis neque ac tempor april 23 2023 added lorem ipsum dolor sit amet consectetur adipiscing elit added etiam vulputate tincidunt vestibulum removed nulla semper est sem updated in nec sollicitudin nisi eget viverra lectus phasellus at leo varius eros suscipit varius sit amet ut nisi cras sit amet ullamcorper erat vestibulum pretium luctus justo at volutpat odio finibus nec removed praesent volutpat diam et vestibulum malesuada aenean cursus nibh a odio vehicula sodales sed pellentesque convallis neque ac tempor september 05 2022 added lorem ipsum dolor sit amet consectetur adipiscing elit added etiam vulputate tincidunt vestibulum removed nulla semper est sem updated in nec sollicitudin nisi eget viverra lectus phasellus at leo varius eros suscipit varius sit amet ut nisi cras sit amet ullamcorper erat vestibulum pretium luctus justo at volutpat odio finibus nec removed praesent volutpat diam et vestibulum malesuada aenean cursus nibh a odio vehicula sodales sed pellentesque convallis neque ac tempor february 19 2022 '),(19583,'field',123,1,''),(19583,'field',124,1,' since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what are the general roles and responsibilities of various agencies during an outbreak since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what individual roles should the outbreak response team consist of and what are their responsibilities since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what equipment supplies documents toolkits and other resources should a response team have since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what communication needs should an outbreak response team be prepared for since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department how should an outbreak response team manage their records since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department when should an outbreak response team ask for help and who can provide it since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what is an incident command center since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what other legal ethical or privacy concerns should be considered since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department how can an outbreak response team plan for recovery and follow up '),(19583,'slug',0,1,' overview '),(19583,'title',0,1,' 1 overview '),(19584,'slug',0,1,''),(19584,'title',0,1,''),(19589,'slug',0,1,' 1 '),(19589,'title',0,1,' collaborative workgroups '),(19590,'slug',0,1,' 1 '),(19590,'title',0,1,' member organizations '),(19592,'slug',0,1,' 1 '),(19592,'title',0,1,' strategic map '),(19621,'alt',0,1,''),(19621,'alt',0,2,''),(19621,'extension',0,1,' svg '),(19621,'extension',0,2,' svg '),(19621,'filename',0,1,' icon search vibrant blue svg '),(19621,'filename',0,2,' icon search vibrant blue svg '),(19621,'kind',0,1,' image '),(19621,'kind',0,2,' image '),(19621,'slug',0,1,''),(19621,'slug',0,2,''),(19621,'title',0,1,' icon search vibrant blue '),(19621,'title',0,2,' icon search vibrant blue 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outbreak detection response investigation and control are needed to speed up detection of new threats reporting outbreaks to public health developing tools to support outbreak investigation stop outbreaks from spreading and inform prevention activities to address these needs cdcs division of healthcare quality promotion funded the association of state and territorial health officials astho and the council of state and territorial epidemiologists cste to co lead the council for outbreak response hai ar corha council member representatives bring expertise in healthcare epidemiology and infection prevention environmental health public health laboratory activities and hai ar reporting and regulation at the local state and federal levels '),(22078,'slug',0,1,' temp szvektvhljcynvmvprjthrenqvswnuygtqvy '),(22078,'title',0,1,''),(22079,'field',1,1,''),(22079,'field',11,1,''),(22079,'field',63,1,''),(22079,'slug',0,1,''),(22080,'field',3,1,' the council focuses on making those who work on healthcare related outbreaks more successful corha supports the public health and healthcare communities so that they can work together more effectively speeding up detection of new threats and stopping outbreaks from spreading corhas workgroups are continually expanding the councils suite of free online tools and resources to help you detect investigate and control outbreaks involving healthcare associated infections including antimicrobial resistant pathogens the councils foundational resource the corha principles and practices provides the knowledge base and insightful strategies needed for an effective healthcare outbreak response corha also offers expertly curated tools plus pathogen and setting specific resources helping to prevent and reduce harms from emerging infectious disease infection control breaches contaminated medical products and more '),(22080,'slug',0,1,' temp blcetbiqwcwbtycavmxtmdflsukxhvpqpzrr '),(22080,'title',0,1,''),(22081,'field',1,1,' corhas vision uplifting 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that are relevant to corhas work shall be identified in discussions with corha voting representatives but as indicated in the bylaws decisions to extend membership to organizations and individuals shall be made by the governance committee new corha member organizations the governance committee will discuss and determine the need to add new member organizations to corha following the approval of the governance committee member organizations of interest will be discussed for approval and a vote by the full council approved organizations will be issued an official corha invitation letter new corha voting representatives new corha voting representatives may be nominated by their organizations and will be approved by the corha governance committee curriculum vitaes may be required for new corha voting representatives for consideration approved corha members will be issued an official corha invitation letter once the invitation is accepted the new corha voting representative will meet with 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plus tools and guidance for prevention and response '),(28736,'slug',0,1,''),(28737,'field',99,1,''),(28737,'field',100,1,''),(28737,'field',101,1,' learn about diversion related outbreaks plus tools and guidance for prevention and response '),(28737,'field',104,1,' cdcs drug diversion webpage '),(28737,'slug',0,1,' temp xqzehqrmktrwqpauhqzxzvdfiixdaedviwer '),(28737,'title',0,1,''),(28738,'field',98,1,' cluster of sphingomonas paucimobilis bacteremias linked to diversion of intravenous hydromorphone this publication details an outbreak of sphingomonas paucimobilis resulting from drug diversion in a cancer center '),(28738,'slug',0,1,''),(28739,'field',99,1,''),(28739,'field',100,1,''),(28739,'field',101,1,' this publication details an outbreak of sphingomonas paucimobilis resulting from drug diversion in a cancer center '),(28739,'field',104,1,' cluster of sphingomonas paucimobilis bacteremias linked to diversion of intravenous hydromorphone '),(28739,'slug',0,1,' temp aljvndvwolmriztdnioszzaqczfikreweavr '),(28739,'title',0,1,''),(28740,'field',98,1,' hepatitis c virus potentially transmitted by opioid drug diversion from a nurse washington august 2017 march 2018 this publication details an outbreak of a t least 12 hcv infections in patients who had received opioid injections from a nurse who admitted to diverting injectable narcotic drugs '),(28740,'slug',0,1,''),(28741,'field',99,1,''),(28741,'field',100,1,''),(28741,'field',101,1,' this publication details an outbreak of a t least 12 hcv infections in patients who had received opioid injections from a nurse who admitted to diverting injectable narcotic drugs '),(28741,'field',104,1,' hepatitis c virus potentially transmitted by opioid drug diversion from a nurse washington august 2017 march 2018 '),(28741,'slug',0,1,' temp mezykglwlinjailwkwsavjkbsedejnenvqut '),(28741,'title',0,1,''),(28766,'alt',0,1,''),(28766,'alt',0,2,''),(28766,'extension',0,1,' jpg '),(28766,'extension',0,2,' jpg 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like methicillin resistant staphylococcus aureus discovery of unsafe injection practices requires prompt investigation and consideration for patient notification '),(28857,'slug',0,1,' temp wljpjuobxfdvmppzahfbkrpuanyfxujckbqy '),(28857,'title',0,1,''),(28858,'field',1,1,''),(28858,'field',11,1,''),(28858,'field',63,1,' read more safe injection practices are a set of recommendations within standard precautions which are the foundation for preventing transmission of infections in settings where needles are used or injections are performed '),(28858,'slug',0,1,''),(28859,'field',98,1,' injection safety observation form a simple tool to assess healthcare providers adherence to safe injection practices that can be adapted for use in an outbreak investigation '),(28859,'slug',0,1,''),(28860,'field',99,1,''),(28860,'field',100,1,''),(28860,'field',101,1,' a simple tool to assess healthcare providers adherence to safe injection practices that can be adapted for use in an outbreak 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including those related to injection practices '),(28863,'slug',0,1,''),(28864,'field',99,1,''),(28864,'field',100,1,''),(28864,'field',101,1,' this article provides considerations and thresholds for patient notification when investigating an infection control breach including those related to injection practices '),(28864,'field',104,1,' outbreaks and infection control breaches in health care settings considerations for patient notification '),(28864,'slug',0,1,' temp aljvndvwolmriztdnioszzaqczfikreweavr '),(28864,'title',0,1,''),(28865,'field',98,1,' patient notification events due to syringe reuse and mishandling of injectable medications by health care personnel united states 2012 2018 summary and recommended actions for prevention and response this article summarizes patient notifications and outbreaks due to unsafe injection practices '),(28865,'slug',0,1,''),(28866,'field',99,1,''),(28866,'field',100,1,''),(28866,'field',101,1,' this article summarizes patient notifications and outbreaks due to unsafe injection practices '),(28866,'field',104,1,' patient notification events due to syringe reuse and mishandling of injectable medications by health care personnel united states 2012 2018 summary and recommended actions for prevention and response '),(28866,'slug',0,1,' temp mezykglwlinjailwkwsavjkbsedejnenvqut '),(28866,'title',0,1,''),(28867,'field',98,1,' cluster of sphingomonas paucimobilis bacteremias linked to diversion of intravenous hydromorphone healthcare personnel public health clinicians this publication details an outbreak of sphingomonas paucimobilis resulting from drug diversion in a cancer center '),(28867,'slug',0,1,''),(28868,'field',99,1,''),(28868,'field',100,1,' healthcare personnel public health clinicians '),(28868,'field',101,1,' this publication details an outbreak of sphingomonas paucimobilis resulting from drug diversion in a cancer center '),(28868,'field',104,1,' cluster of sphingomonas paucimobilis bacteremias linked to diversion of 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department of health '),(43686,'field',83,1,''),(43686,'field',85,1,' spotlight series '),(43686,'field',86,1,' lisa hannah rn cic is the infection prevention team supervisor at the washington state department of health her infection prevention and control work during the ongoing covid 19 pandemic and her dedication to serving rural counties across washington state earned her the 2022 mcknight prize for healthcare outbreak heroes the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and recognize those who serve and protect patients from harm related to healthcare outbreaks hannah is a nursing consultant advisor in the washington state department of healths office of communicable disease epidemiology in her role she led 300 covid 19 healthcare outbreak and infection prevention site visits across 70% of washington states counties many of them hard hit rural areas hannah built a robust and multi disciplinary hai ar team to offer support to healthcare facilities within 24 hours of notification of an outbreak the team developed and implemented a workplace resiliency training program to provide resources for staff to avoid burnout and support work life balance the team also converted the manual facility outreach and infection control assessment and response tracking process into redcap to collect real time data to optimize response times and project development efforts hannah also strengthened infection prevention and control by empowering healthcare facilities with training and educational resources she expanded the infection preventionists ips capacity to include dialysis clinics oncology clinics dental and ambulatory settings in addition to acute and long term care hannah overcame many obstacles throughout the pandemic including vague and shifting guidance scarce ppe and testing resources and the lack of electronic systems in place for tracking outreach and outbreak response observing the fear sadness anxiety and other emotions of the healthcare workers was something i had not experienced as an ip before this working with the staff and administration left me feeling that most often the facilities were doing the best they could with the resources available to them they were not prepared for this hannah credits her success to strong partnerships between local health departments lhds and healthcare facilities which were built on trust transparency and compassion this allowed for more customized approaches to ipc hannah organized the ips that were assigned to lhds and the healthcare facilities within that area with the goal of providing consistent support and proactive guidance hannah believes the future of hai ar response includes strategically evaluating the need for outbreak response and ipc activities with proactive education and outreach she also highlights the importance of emergency preparedness plans and drills and maintaining access to fit testing resources ppe and testing supplies in recognizing both the progress and challenges faced by the public health community in recent years hannah hopes that corhas outreach efforts can promote outbreak investigations in specialty settings amplify corha resources and increase ip confidence beyond covid click here to learn more about additional resources and products developed by corha '),(43686,'field',87,1,''),(43686,'field',137,1,''),(43686,'slug',0,1,' leadership lisa hannah 2022 mcknight prize for healthcare outbreak heroes recipient '),(43686,'title',0,1,' lisa hannah 2022 mcknight prize for healthcare outbreak heroes recipient '),(43688,'field',44,1,''),(43688,'field',83,1,''),(43688,'field',85,1,' spotlight series '),(43688,'field',86,1,''),(43688,'field',87,1,''),(43688,'field',137,1,''),(43688,'slug',0,1,' corha spotlight dr natasha bagdasarian '),(43688,'title',0,1,' leadership spotlight dr natasha bagdasarian '),(43690,'field',44,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and reward those who protect patients from harm related to healthcare outbreaks were happy to introduce jennifer jones as the 2023 recipient of this prestigious award '),(43690,'field',83,1,''),(43690,'field',85,1,' spotlight series '),(43690,'field',86,1,' the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and reward those who protect patients from harm related to healthcare outbreaks were happy to introduce jennifer jones as the 2023 recipient of this prestigious award jennifer jones senior infection preventionist at helen devos childrens hospital part of corewell health in grand rapids michigan is the recipient of the 2023 mcknight prize for healthcare outbreak heroes award for her outstanding response to a methicillin resistant staphylococcus aureus mrsa outbreak in a neonatal intensive care unit in the spring of 2022 the helen devos childrens hospitals infection prevention team led by jennifer senior infection preventionist was monitoring hospital acquired mrsa cases in their neonatal intensive care unit nicu the team identified an outbreak after observing a sudden uptick in mrsa bacteremia cases in a short period of time prompting an investigation the infection prevention team utilized their outbreak investigation policy referenced cdc apic resources and implemented mitigation strategies examples of these strategies included mandatory call to action sessions for all team members who enter the nicu weekly mrsa screening of all admitted nicu babies development of a decolonization protocol and installation of additional hand sanitizer dispensers jennifer exemplified outstanding leadership initiative and personal commitment as part of a successful effort to protect newborns throughout this outbreak response corha spoke with her about her lessons learned and keys to success jennifer recognized that during this outbreak good communication was essential for all stakeholders parents staff leadership the health department and cdc she organized weekly meetings to provide updates during the investigation that could be shared among their teams jennifer emphasized that navigating these conversations with partners during an hai ar outbreak response is always tough however when you provide data to support your rationale and response it makes the conversations easier a success jennifer shares is that her staff felt comfortable going to leadership and the infection prevention team with suggestions for example during their call to action sessions staff felt empowered to notify the infection prevention team that gloves in all sizes were not easily accessible to provide care jennifers team went onsite with facility and bedside team members to see where they could install a place to house small medium and large gloves for staff use this is just one example of open communication from over 40 suggestions that were provided to jennifers team sharing key messages with everyone who might enter the nicu space was a challenging and essential part of the outbreak response jennifers team rounded in the nicu frequently to conduct knowledge surveys and of course hand out candy this helped them evaluate whether their messaging was reaching the care team and provide real time observations and feedback the following is a key insight jennifer gained while leading the outbreak response get out there and observe what is truly happening and partner with the care team so it doesnt seem punitive walk alongside them in all phases of an outbreak scenario so it remains a partnership between the care team and infection prevention team we applaud jennifer for her leadership dedication and initiative to ensure a well coordinated and successful outbreak response to view resources to help your team on patient notification check out corhas patient notification page which includes our framework for healthcare associated infection outbreak notification there youll find advice for timely and transparent communication when faced with your next outbreak response click here to read more featured stories as part of the spotlight series that highlight the successes and challenges experienced on the local state and national levels when responding to and managing hai ar outbreaks across the healthcare continuum '),(43690,'field',87,1,''),(43690,'field',137,1,''),(43690,'slug',0,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient 5 '),(43690,'title',0,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient '),(43692,'field',44,1,' november 2023 fall meeting recap corha members and partners convened in atlanta ga for the annual hybrid corha fall meeting '),(43692,'field',83,1,''),(43692,'field',85,1,' spotlight series '),(43692,'field',86,1,' corha members and partners convened in atlanta ga for the annual hybrid corha fall meeting council members engaged in two days of meeting discussions that ranged from data modernization and sharing of hai ar data detection and response for respiratory viruses and robust breakout sessions from corhas three workgroups in addition council members were briefed on updates to the corha principles and practices for healthcare outbreak response chapters and other products such as a one pager to accompany the framework for healthcare associated infection outbreak notification document the council also analyzed the strategic map and considered key strategies for corha to achieve its mission vision and goals the primary strategies discussed were 1 review pertinent policies and guidance documents issued by corhas member organizations to ensure they meet the needs of the councils stakeholders and 2 raise awareness amongst policymakers and the public to support hai ar outbreak response in response to these areas of focus members discussed how corha will continue to engage with and identify member organization needs set priorities and explore ways to review and disseminate new guidance documents members also agreed that endorsement by corha is highly valued and opportunities for corha to provide such endorsements and aggregate multidisciplinary feedback will be explored addressing the second strategy members identified that corha can collaborate with state health departments for surveillance and data reports using storytelling and other methods to make data more widely accessible finally leveraging member organizations social media for increased corha visibility proactively preparing materials in advance of outbreaks and rethinking data sharing are other key strategies to further the goals of the counci 2023 corha fall meeting attendees priority areas for corha members are efforts to enhance awareness of corhas goals and objectives among policymakers the public and both public health and healthcare professionals council members also strive to increase the utilization of genomic data in outbreak scenarios enhance public sharing of outbreak information and address gaps in respiratory illnesses multidrug resistant organisms and outbreaks of non reportable conditions future activities also involve updating existing guidance such as transforming influenza and covid 19 guidance into universal respiratory infection guidance as corha heads into 2024 the council will begin working on drafting a new strategic map for 2025 onwards fall meeting discussions will continue to be deepened and expanded upon through workgroup and governance committee activities workgroup and council wide discussions will frame the direction of corha and inform ongoing and future activities to provide the most up to date resources to build standardize and improve hai ar outbreak detection reporting investigation and control to stay informed on corha activities please continue reading the monthly corha correspondence newsletter '),(43692,'field',87,1,''),(43692,'field',137,1,''),(43692,'slug',0,1,' november 2023 fall meeting recap '),(43692,'title',0,1,' november 2023 fall meeting recap '),(43696,'alt',0,1,''),(43696,'alt',0,2,''),(43696,'extension',0,1,' jpg '),(43696,'extension',0,2,' jpg '),(43696,'filename',0,1,' picture1 1 jpg '),(43696,'filename',0,2,' picture1 1 jpg '),(43696,'kind',0,1,' image '),(43696,'kind',0,2,' image '),(43696,'slug',0,1,''),(43696,'slug',0,2,''),(43696,'title',0,1,' picture1 1 '),(43696,'title',0,2,' picture1 1 '),(43697,'field',46,1,' november 2023 fall meeting recap '),(43697,'field',47,1,' corha members and partners convened in atlanta ga for the annual hybrid corha fall meeting '),(43697,'slug',0,1,' temp sanulgfhozjscjemqdxvxborpyyoxwtlozin '),(43697,'title',0,1,''),(43712,'field',46,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient '),(43712,'field',47,1,' the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and reward those who protect patients from harm related to healthcare outbreaks were happy to introduce jennifer jones as the 2023 recipient of this prestigious award '),(43712,'slug',0,1,' temp jbyvaarpzsthpavcpcshuipcpxnwdywuwfip '),(43712,'title',0,1,''),(43720,'field',44,1,''),(43720,'slug',0,1,' temp oqsjctfjbpdiddfhejraafjoltgkgywbckmg '),(43720,'title',0,1,''),(43721,'field',46,1,''),(43721,'field',47,1,''),(43721,'slug',0,1,' temp sghtxogdkxdnhzpozrdcjmqtzscbbpmidjqr '),(43721,'title',0,1,''),(43722,'slug',0,1,' thankyou '),(43722,'title',0,1,' thank you '),(43723,'field',46,1,' thank you '),(43723,'field',47,1,' thank you for your interest in corha please fill out the form below to share with us how you are using these resources any questions concerns or if there are other topics and resources that you would like to see from corha 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jpg '),(43844,'filename',0,1,' lisa hannah 276x300 2024 07 21 172403 drrk jpg '),(43844,'filename',0,2,' lisa hannah 276x300 2024 07 21 172403 drrk jpg '),(43844,'kind',0,1,' image '),(43844,'kind',0,2,' image '),(43844,'slug',0,1,''),(43844,'slug',0,2,''),(43844,'title',0,1,' lisa hannah 276x300 '),(43844,'title',0,2,' lisa hannah 276x300 '),(43850,'field',44,1,''),(43850,'field',83,1,' grace lee mph '),(43850,'field',85,1,' spotlight series '),(43850,'field',86,1,' corha members and partners convened in atlanta ga for the annual hybrid corha fall meeting council members engaged in two days of meeting discussions that ranged from data modernization and sharing of hai ar data detection and response for respiratory viruses and robust breakout sessions from corhas three workgroups in addition council members were briefed on updates to the corha principles and practices for healthcare outbreak response chapters and other products such as a one pager to accompany the framework for healthcare associated infection outbreak notification document the council also analyzed the strategic map and considered key strategies for corha to achieve its mission vision and goals the primary strategies discussed were 1 review pertinent policies and guidance documents issued by corhas member organizations to ensure they meet the needs of the councils stakeholders and 2 raise awareness amongst policymakers and the public to support hai ar outbreak response in response to these areas of focus members discussed how corha will continue to engage with and identify member organization needs set priorities and explore ways to review and disseminate new guidance documents members also agreed that endorsement by corha is highly valued and opportunities for corha to provide such endorsements and aggregate multidisciplinary feedback will be explored addressing the second strategy members identified that corha can collaborate with state health departments for surveillance and data reports using storytelling and other methods to make data more widely accessible finally leveraging member organizations social media for increased corha visibility proactively preparing materials in advance of outbreaks and rethinking data sharing are other key strategies to further the goals of the council 2023 corha fall meeting attendees priority areas for corha members are efforts to enhance awareness of corhas goals and objectives among policymakers the public and both public health and healthcare professionals council members also strive to increase the utilization of genomic data in outbreak scenarios enhance public sharing of outbreak information and address gaps in respiratory illnesses multidrug resistant organisms and outbreaks of non reportable conditions future activities also involve updating existing guidance such as transforming influenza and covid 19 guidance into universal respiratory infection guidance as corha heads into 2024 the council will begin working on drafting a new strategic map for 2025 onwards fall meeting discussions will continue to be deepened and expanded upon through workgroup and governance committee activities workgroup and council wide discussions will frame the direction of corha and inform ongoing and future activities to provide the most up to date resources to build standardize and improve hai ar outbreak detection reporting investigation and control to stay informed on corha activities please continue reading the monthly corha correspondence newsletter '),(43850,'field',87,1,''),(43850,'field',137,1,''),(43850,'slug',0,1,' november 2023 fall meeting recap '),(43850,'title',0,1,' november 2023 fall meeting recap '),(43851,'field',46,1,''),(43851,'field',47,1,''),(43851,'slug',0,1,' temp psvfiyzokncevcbyvgspvvhbbwykkibaezoq '),(43851,'title',0,1,''),(43855,'alt',0,1,''),(43855,'alt',0,2,''),(43855,'extension',0,1,' jpg '),(43855,'extension',0,2,' jpg '),(43855,'filename',0,1,' picture1 1 1 jpg '),(43855,'filename',0,2,' picture1 1 1 jpg '),(43855,'kind',0,1,' image '),(43855,'kind',0,2,' image '),(43855,'slug',0,1,''),(43855,'slug',0,2,''),(43855,'title',0,1,' picture1 1 1 '),(43855,'title',0,2,' picture1 1 1 '),(43857,'field',44,1,''),(43857,'field',83,1,' jaclyn abramson mph '),(43857,'field',85,1,' spotlight series '),(43857,'field',86,1,' the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and reward those who protect patients from harm related to healthcare outbreaks were happy to introduce jennifer jones as the 2023 recipient of this prestigious award jennifer jones jennifer jones senior infection preventionist at helen devos childrens hospital part of corewell health in grand rapids michigan is the recipient of the 2023 mcknight prize for healthcare outbreak heroes award for her outstanding response to a methicillin resistant staphylococcus aureus mrsa outbreak in a neonatal intensive care unit in the spring of 2022 the helen devos childrens hospitals infection prevention team led by jennifer senior infection preventionist was monitoring hospital acquired mrsa cases in their neonatal intensive care unit nicu the team identified an outbreak after observing a sudden uptick in mrsa bacteremia cases in a short period of time prompting an investigation the infection prevention team utilized their outbreak investigation policy referenced cdc apic resources and implemented mitigation strategies examples of these strategies included mandatory call to action sessions for all team members who enter the nicu weekly mrsa screening of all admitted nicu babies development of a decolonization protocol and installation of additional hand sanitizer dispensers jennifer exemplified outstanding leadership initiative and personal commitment as part of a successful effort to protect newborns throughout this outbreak response corha spoke with her about her lessons learned and keys to success jennifer recognized that during this outbreak good communication was essential for all stakeholders parents staff leadership the health department and cdc she organized weekly meetings to provide updates during the investigation that could be shared among their teams jennifer emphasized that navigating these conversations with partners during an hai ar outbreak response is always tough however when you provide data to support your rationale and response it makes the conversations easier a success jennifer shares is that her staff felt comfortable going to leadership and the infection prevention team with suggestions for example during their call to action sessions staff felt empowered to notify the infection prevention team that gloves in all sizes were not easily accessible to provide care jennifers team went onsite with facility and bedside team members to see where they could install a place to house small medium and large gloves for staff use this is just one example of open communication from over 40 suggestions that were provided to jennifers team sharing key messages with everyone who might enter the nicu space was a challenging and essential part of the outbreak response jennifers team rounded in the nicu frequently to conduct knowledge surveys and of course hand out candy this helped them evaluate whether their messaging was reaching the care team and provide real time observations and feedback the following is a key insight jennifer gained while leading the outbreak response get out there and observe what is truly happening and partner with the care team so it doesnt seem punitive walk alongside them in all phases of an outbreak scenario so it remains a partnership between the care team and infection prevention team we applaud jennifer for her leadership dedication and initiative to ensure a well coordinated and successful outbreak response to view resources to help your team on patient notification check out corhas patient notification page which includes our framework for healthcare associated infection outbreak notification there youll find advice for timely and transparent communication when faced with your next outbreak response click here to read more featured stories as part of the spotlight series that highlight the successes and challenges experienced on the local state and national levels when responding to and managing hai ar outbreaks across the healthcare continuum '),(43857,'field',87,1,''),(43857,'field',137,1,''),(43857,'slug',0,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient '),(43857,'title',0,1,' jennifer jones 2023 mcknight prize for healthcare outbreak heroes recipient '),(43858,'field',46,1,''),(43858,'field',47,1,''),(43858,'slug',0,1,' temp ekptxikrojheybsnysbimqqwmkzwekzeevio '),(43858,'title',0,1,''),(43865,'field',44,1,''),(43865,'field',83,1,' jaclyn abramson mph '),(43865,'field',85,1,' spotlight series '),(43865,'field',86,1,' the evelyn and thomas mcknight family fund for patient safety and the cdc foundation created the mcknight healthcare outbreak heroes prize to encourage and recognize those who serve and protect patients from harm related to healthcare outbreaks lisa hannah lisa hannah rn cic is the infection prevention team supervisor at the washington state department of health her infection prevention and control work during the ongoing covid 19 pandemic and her dedication to serving rural counties across washington state earned her the 2022 mcknight prize for healthcare outbreak heroes hannah is a nursing consultant advisor in the washington state department of healths office of communicable disease epidemiology in her role she led 300 covid 19 healthcare outbreak and infection prevention site visits across 70% of washington states counties many of them hard hit rural areas hannah built a robust and multi disciplinary hai ar team to offer support to healthcare facilities within 24 hours of notification of an outbreak the team developed and implemented a workplace resiliency training program to provide resources for staff to avoid burnout and support work life balance the team also converted the manual facility outreach and infection control assessment and response tracking process into redcap to collect real time data to optimize response times and project development efforts hannah also strengthened infection prevention and control by empowering healthcare facilities with training and educational resources she expanded the infection preventionists ips capacity to include dialysis clinics oncology clinics dental and ambulatory settings in addition to acute and long term care hannah overcame many obstacles throughout the pandemic including vague and shifting guidance scarce ppe and testing resources and the lack of electronic systems in place for tracking outreach and outbreak response observing the fear sadness anxiety and other emotions of the healthcare workers was something i had not experienced as an ip before this working with the staff and administration left me feeling that most often the facilities were doing the best they could with the resources available to them they were not prepared for this hannah credits her success to strong partnerships between local health departments lhds and healthcare facilities which were built on trust transparency and compassion this allowed for more customized approaches to ipc hannah organized the ips that were assigned to lhds and the healthcare facilities within that area with the goal of providing consistent support and proactive guidance hannah believes the future of hai ar response includes strategically evaluating the need for outbreak response and ipc activities with proactive education and outreach she also highlights the importance of emergency preparedness plans and drills and maintaining access to fit testing resources ppe and testing supplies in recognizing both the progress and challenges faced by the public health community in recent years hannah hopes that corhas outreach efforts can promote outbreak investigations in specialty settings amplify corha resources and increase ip confidence beyond covid click here to learn more about additional resources and products developed by corha '),(43865,'field',87,1,''),(43865,'field',137,1,''),(43865,'slug',0,1,' lisa hannah 2022 mcknight prize for healthcare outbreak heroes recipient '),(43865,'title',0,1,' lisa hannah 2022 mcknight prize for healthcare outbreak heroes recipient '),(43866,'field',46,1,''),(43866,'field',47,1,''),(43866,'slug',0,1,' temp wfnsxmsbtumfzswbtpalzoikfuredgwpysmg '),(43866,'title',0,1,''),(43871,'field',44,1,''),(43871,'field',83,1,' grace lee mph '),(43871,'field',85,1,' spotlight series '),(43871,'field',86,1,' in early november 2022 after almost three years of virtual meetings council representatives and workgroup members convened in atlanta ga for the hybrid corha fall meeting this two day meeting consisted of robust discussions informative presentations and productive workgroup sessions aimed at improving healthcare associated infections and antimicrobial resistance hai ar outbreak response meeting attendees discussed corhas strategic map and reflected on their experiences leading the covid 19 pandemic response applying the successes and lessons learned from the response to corhas goal of improving current and future hai ar outbreak response corha fall 2022 meeting attendees the covid 19 pandemic significantly tested and strained our healthcare systems and public health professionals while illuminating the many challenges of responding to the outbreak meeting attendees noted that waterborne pathogens such as legionella fungal infections such as candida auris and other common respiratory viruses were pathogens of concern that can similarly test our healthcare outbreak response capacities corha has proven to be a vital resource for both healthcare and public health professionals as well as their leadership members and partners have utilized the newly updated reporting thresholds and outbreak definitions for covid 19 in healthcare settings document as well as the corha policy workgroups framework for healthcare associated infection outbreak notification document corha is growing into a trusted resource by providing and packaging timely hai ar outbreak response guidance and recommendations the fall meeting reinvigorated corhas member organizations to not only update and refine existing products to reflect evolving needs but also develop new resources and tools for future healthcare outbreaks meeting discussions highlighted many opportunities to expand the reach and increase visibility of the councils work first member organization representatives discussed improving bi directional communication and coordination between local state federal and private sectors to promote and share the councils work additionally attendees identified that corha would benefit from more strategic engagement with other organizations such as hospital associations and licensing or accrediting agencies finally members explored ideas such as developing one pagers for corha products establishing an ambassador program and using social media as strategies for boosting engagement discussions from the fall meeting will inform ongoing and future corha activities to provide the most up to date resources to build standardize and improve hai ar outbreak detection reporting investigation and control to stay informed on corha activities please consider sharing relevant resources to your professional networks and communication channels you are also encouraged to subscribe to the monthly corha correspondence newsletter and submit feedback on corha products '),(43871,'field',87,1,''),(43871,'field',137,1,''),(43871,'slug',0,1,' november 2022 fall meeting recap '),(43871,'title',0,1,' november 2022 fall meeting recap '),(43872,'field',46,1,''),(43872,'field',47,1,''),(43872,'slug',0,1,' temp dccinbxintydlpfsgvjdaygixbfhrqvsijmc '),(43872,'title',0,1,''),(43873,'alt',0,1,''),(43873,'alt',0,2,''),(43873,'extension',0,1,' jpg '),(43873,'extension',0,2,' jpg '),(43873,'filename',0,1,' fall 2022 meeting scaled jpg '),(43873,'filename',0,2,' fall 2022 meeting scaled jpg '),(43873,'kind',0,1,' image '),(43873,'kind',0,2,' image '),(43873,'slug',0,1,''),(43873,'slug',0,2,''),(43873,'title',0,1,' fall 2022 meeting scaled '),(43873,'title',0,2,' fall 2022 meeting scaled '),(43878,'field',44,1,''),(43878,'field',83,1,' jaclyn abramson mph '),(43878,'field',85,1,' spotlight series '),(43878,'field',86,1,' chapters 1 5 the field of healthcare epidemiology has expanded tremendously and now encompasses an extensive network of stakeholders working collaboratively across healthcare settings government agencies and partner organizations to decrease healthcare associated infections hais and antimicrobial resistance ar the corha principles and practices for healthcare outbreak response is a comprehensive reference that covers key concepts and topics related to hai ar outbreak detection reporting investigation and control in its final form the principles and practices will consist of 8 chapters and 2 supplemental documents corha is excited to announce that the first 5 chapters are now available chapter 1 overview introduces some basic concepts and terms such as hai ar outbreak and response and provides an outline and guide to subsequent chapters chapter 2 fundamental concepts focuses on the background and basis for surveillance of healthcare associated infections hais and antimicrobial resistant ar pathogens as well as associated outbreak response activities chapter 3 planning and preparation discusses strategies that public health agencies and other partners can use to create a strong foundation for healthcare outbreak response topics include communications legal authorities escalation recovery and follow up as well as potential implementation of incident command systems chapter 4 outbreak detection and reporting examines the detection and reporting of potential outbreaks including detection via reports and through use of surveillance data definitions of sentinel cases clusters and outbreaks are described chapter 5 investigation and control reviews the goals of a healthcare outbreak investigation and includes collections of resources to support and improve the hai ar outbreak response the chapter is arranged to follow the steps typically involved in a healthcare outbreak investigation with the publication of its principles and practices for healthcare outbreak corha aims to equip public health healthcare and other stakeholders with a useful resource to build on and improve their healthcare outbreak response capacities and practices click here to learn more about additional resources and products developed by corha '),(43878,'field',87,1,''),(43878,'field',137,1,''),(43878,'slug',0,1,' introducing corhas principles and practices for healthcare outbreak response and its importance '),(43878,'title',0,1,' introducing corhas principles and practices for healthcare outbreak response and its importance '),(43879,'field',46,1,''),(43879,'field',47,1,''),(43879,'slug',0,1,' temp ztrexopeesfaejtyjwseyhipnzxmjlgnurfs '),(43879,'title',0,1,''),(43882,'field',44,1,''),(43882,'field',83,1,' grace lee mph '),(43882,'field',85,1,' spotlight series '),(43882,'field',86,1,' on june 21 corha governance committee members drs erin epson and dawn terashita convened 150 people for a virtual roundtable discussion at the annual cste conference where they provided an overview of corhas mission and goals the current progress of the principles and practices for outbreak response pp and other ongoing council work they highlighted corhas pp and pathogen specific products and described how these tools can prepare public health and healthcare practitioners for hai ar outbreak responses as well as assisting in onboarding new infection prevention and control staff implementing hai ar epidemiology competency trainings establishing hai ar outbreak definitions and providing guidance for case reporting attendees and facilitators engaged in a robust conversation on their engagement with the councils current products and provided suggestions for future work for corha to consider to further improve hai ar outbreak investigation and response many of the roundtable attendees discussed how they have turned to corha for recommendations and guidance especially during the ongoing covid 19 pandemic the facilitators solicited feedback from attendees regarding the use of infection control assessment and response icar tools and the responses were mixed some attendees said they used cdcs icar tools while others used corhas templates and some developed their own workflows within their state and local agencies for infection prevention and control efforts such as conducting pre site visit calls using a motivational interview approach an underlying theme that united all these icar approaches was the need for collaboration between public health agencies and healthcare facilities especially when the sectors may have competing needs and priorities while defining roles responsibilities and regulatory requirements is important public health and healthcare should aim to begin building and leveraging their relationships before an outbreak occurs this ultimately creates the most collaborative space for public health agencies and healthcare facilities to work together to respond to outbreaks drs epson and terashita closed the session by discussing products that will be considered for development such as one pagers for the chapters of the pp standardized online tools for icars guidance for non licensed facilities updated pathogen specific thresholds and definitions and a database where healthcare facilities can track and report hai ar outbreaks to stay informed on new and updated corha products please consider subscribing to the monthly corha correspondence newsletter corha will continue to work on providing the most up to date evidence based resources for healthcare and public health professionals who aim to build standardize and improve hai ar outbreak detection reporting investigation and control corha members also welcome feedback on corha products '),(43882,'field',87,1,''),(43882,'field',137,1,''),(43882,'slug',0,1,' corha governance committee cste roundtable discussion '),(43882,'title',0,1,' corha governance committee cste roundtable discussion '),(43883,'field',46,1,''),(43883,'field',47,1,''),(43883,'slug',0,1,' temp btxjqhevgzfmmtabgxlwghkrhendgtptxhpu '),(43883,'title',0,1,''),(43886,'field',44,1,''),(43886,'field',83,1,' maureen tierney md msc fidsa moon kim md mph dawn terashita md mph '),(43886,'field',85,1,' spotlight series '),(43886,'field',86,1,' part two corhas new hai outbreak notification framework in part one of this blog we discussed the case for making outbreak notifications now we will talk about a new corha resource to assist with notifications the corha policy workgroup has been discussing both legal and policy considerations related to outbreaks of healthcare associated infections hais including those caused by antimicrobial resistant ar pathogens our workgroup aims to generate products that can assist policy makers at all levels with improving the detection reporting investigation control and prevention of hai ar outbreaks corhas framework for healthcare associated infection outbreak notification is a prime example the framework was created because standards for hai outbreak patient notification and public disclosure were lacking we recognize that communicating information about outbreaks to patients families and healthcare workers is critical so patients can make informed decisions about their health and take appropriate recommended steps or actions it is also very important for controlling and preventing further disease transmission our patient notification framework is based on public health best practices and grounded in bioethical principles of autonomy and beneficence it was developed as a resource to help navigate the growing expectations and charged conversations around outbreaks and patient notification the notification framework is designed to guide healthcare facility clinicians and policy makers with a standard set of actions that they may need to consider when an outbreak is identified at their facility healthcare partners should work with their local or state health departments to identify who to notify and how to notify as the framework details specific examples and considerations through the different steps of notification during an outbreak the framework addresses three different levels of notification immediate notification expanded notification and public notification and details steps and actions to consider depending on the circumstances of the outbreak notifications like outbreaks vary in size scale and complexity we anticipate corhas new framework will be a valuable tool to assist our healthcare facility and public health partners with navigating these multifaceted and demanding situations please click here to learn more about additional resources and products developed by corha maureen tierney moon kim dawn terashita '),(43886,'field',87,1,''),(43886,'field',137,1,''),(43886,'slug',0,1,' the importance of patient notification and corhas hai outbreak notification framework part 2 '),(43886,'title',0,1,' the importance of patient notification and corhas hai outbreak notification framework part 2 '),(43887,'field',46,1,''),(43887,'field',47,1,''),(43887,'slug',0,1,' temp mglelwybnlnonycxlgrimuygahioqkfigbiu '),(43887,'title',0,1,''),(43895,'alt',0,1,''),(43895,'alt',0,2,''),(43895,'extension',0,1,' jpg '),(43895,'extension',0,2,' jpg '),(43895,'filename',0,1,' maureen tierney jpg '),(43895,'filename',0,2,' maureen tierney jpg '),(43895,'kind',0,1,' image '),(43895,'kind',0,2,' image 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spotlight series '),(43903,'field',86,1,' part one truth and transparency patient notification is at the forefront now more than ever due to the covid 19 pandemic the corha policy workgroup has been working to develop an hai outbreak notification framework to help assist health departments and facilities with the process of notifying patients and providers during outbreaks in this post we will be discussing the importance of notification and the benefits to everyone involved check back soon for part two where we will discuss the hai outbreak notification framework in more detail notifying patients about outbreaks enables them to make informed decisions about their health and take actions to protect themselves transparency promotes confidence and increased trust between patients and providers making clear and transparent communication key patients want and need to be informed of potential impacts on their health and wellbeing and we have personally heard from facilities that patients and their families generally appreciate transparency about outbreaks patients appreciate providers discussing risks the impact on their care information on how to protect themselves and what the facility is doing to prevent new infections although the circumstances surrounding outbreaks vary communication needs to be truthful clear and timely ideally notification should be done as soon as an outbreak has been identified so changes or enhancements in infection control practices can be adhered to by patients visitors and healthcare providers outbreak control measures can impact patients visitors and healthcare personnel and often include actions like case finding immediate implementation of strict hand hygiene enhanced environmental cleaning personal protective equipment use or patient isolation its also important that as additional information becomes available it is communicated to the affected groups outbreaks are complex so acknowledging what is known and what is still unknown can also help educate individuals regarding risks and actions to prevent further transmission communicating timely accurate information can address inaccuracies and help stop further transmission on the other hand with poor communication people could take inappropriate or unnecessary actions like not seeking care or delaying necessary care or feel they had been misled if information regarding their care is withheld another common dilemma occurs when a large number of people may need to be notified about a longstanding error in sterilizing instruments but the likelihood of individual patient exposure is uncertain and the risk of infection could be very low these are just a few of the tough communication challenges faced regarding patient notification maureen tierney moon kim dawn terashita '),(43903,'field',87,1,''),(43903,'field',137,1,''),(43903,'slug',0,1,' the importance of patient notification and corhas hai outbreak notification framework part 1 '),(43903,'title',0,1,' the importance of patient notification and corhas hai outbreak notification framework part 1 '),(43904,'field',46,1,''),(43904,'field',47,1,''),(43904,'slug',0,1,' temp nezahwjyqhxadefbgzjpqfgibcoxdtluysut '),(43904,'title',0,1,''),(43911,'field',44,1,''),(43911,'field',83,1,' kelly wroblewski mph '),(43911,'field',85,1,' spotlight series '),(43911,'field',86,1,' public health laboratories are foundational to our nations public health infrastructure while the covid 19 pandemic response presented many significant challenges for public health laboratories it has also provided opportunities to strengthen partnerships and implement new technologies that will enhance the ability to detect and respond to healthcare associated infections hais moving forward kelly wroblewski from the earliest days of the covid 19 response public health laboratories faced scarcity of laboratory reagents and supplies staff shortages inability to meet high testing demands and outdated test ordering and reporting systems although several of those challenges remain public health laboratories have adapted to the pandemic response by installing high throughput testing platforms implementing electronic test order and result systems enhancing their capability and capacity to perform genomic surveillance and establishing training programs for point of care testing public health laboratories genomic sequencing capacity is one of the most striking examples of technologic advancements made during the pandemic while the recent covid 19 omicron variant wave exacerbated ongoing issues with testing it also highlighted the significant developments made in genomic sequencing capacity and the ability of health departments to effectively utilize point of care tests performed in a wide variety of healthcare settings both of which were not common practices early in the pandemic since march 2020 the number of public health laboratories that are performing genomic sequencing for sars cov 2 to monitor the emergence and spread of variants and identify transmission networks has increased from five to 71 partnerships with hai ar programs healthcare facilities and other entities have also been vital in preventing the spread of covid 19 in healthcare settings during the early stages of the pandemic it quickly became apparent that residents of congregate settings would be at the highest risk of contracting covid 19 and would be especially vulnerable to severe illness and death given this public health laboratories worked with partners to rapidly develop interventions to respond to these populations unique needs some of the most significant partnerships between public health laboratories and hai ar programs during the pandemic occurred through interventions aimed at limiting transmission and preventing outbreaks in long term care facilities ltcfs to support implementation of a cms testing directive encouraging serial screening of residents and health care personnel hcp to facilitate rapid case identification public health laboratories worked with hai ar programs and ltcfs to develop testing training programs extend clia licenses support acquisition of clia certificates of waiver and establish mechanisms for reporting notably a collaboration between minnesotas hai ar program and public health laboratories demonstrated the importance of serial screening in ltcfs to limit the spread of covid 19 and the utility of genomic sequencing to determine the source of transmission in addition the michigan department of health developed a covid 19 webpage specific to ltcfs with training materials and videos that public health laboratories helped develop to ensure that testing is conducted properly gains made during the covid 19 pandemic response can be leveraged to improve detection reporting response and investigation of future hai ar outbreaks for example public health laboratories advancements in performing genomic sequencing are already being applied to support sars cov 2 testing as well as other hais and ar pathogens including carbapenem resistant enterobacterales and candida auris hai ar programs and public health laboratories partnerships that were strengthened during the pandemic will continue to be valuable for sustainable and innovative approaches to prevent and control hai ar outbreaks similarly public health laboratories experiences are helping inform development of resources such as corhas product offerings and will continue to equip health departments and healthcare facilities with the tools to improve hai ar outbreak responses '),(43911,'field',87,1,''),(43911,'field',137,1,''),(43911,'slug',0,1,' leadership pandemic response public health laboratories rise to the challenges with kelly wroblewski association of public health laboratories '),(43911,'title',0,1,' leadership pandemic response public health laboratories rise to the challenges with kelly wroblewski association of public health laboratories '),(43912,'field',46,1,''),(43912,'field',47,1,''),(43912,'slug',0,1,' temp nlaogobniiqxorvdhhdgeogrixecjsbqcgeu '),(43912,'title',0,1,''),(43913,'alt',0,1,''),(43913,'alt',0,2,''),(43913,'extension',0,1,' jpg '),(43913,'extension',0,2,' jpg '),(43913,'filename',0,1,' kelly wroblewski jpg '),(43913,'filename',0,2,' kelly wroblewski jpg '),(43913,'kind',0,1,' image '),(43913,'kind',0,2,' image '),(43913,'slug',0,1,''),(43913,'slug',0,2,''),(43913,'title',0,1,' kelly wroblewski '),(43913,'title',0,2,' kelly wroblewski '),(43916,'field',44,1,''),(43916,'field',83,1,' dawn terashita md mph facpm zachary rubin md '),(43916,'field',85,1,' spotlight series '),(43916,'field',86,1,' covid 19 has impacted healthcare associated infections and antimicrobial resistant hai ar threats across all healthcare settings los angeles county saw an increase in hais such as central line bloodstream infections clabsi as a result of many facilities changing their clabsi prevention efforts to accommodate the challenges of caring for covid 19 patients additionally los angeles county saw an increase of multidrug resistant organisms mdros such as candida auris due to personal protective equipment ppe practices being altered early in the pandemic due to severe shortages despite the difficulties brought on by covid 19 awareness of infection prevention efforts has improved over the last two years especially in nursing homes the covid 19 pandemic has had both negative and positive impacts on infection prevention in healthcare the negative impacts such as ppe shortages staffing shortages facility crowding frequent moving of patients throughout the facilities due to covid related cohorting and lack of focus on identifying and containing mdros contributed to increased mdro spread the positive impacts include new legislative actions increased funding and building stronger relationships and partnerships to support infection prevention efforts across the healthcare community california introduced a new state law requiring all nursing homes to employ a full time infection preventionist ip funding opportunities from the centers for disease control and prevention cdc at the local and state level have helped to improve infection control and has provided some much needed resources for nursing homes and other long term care facilities increased funding stakeholder engagement and requirements for infection preventionists have helped shaped the backbone for an unprecedented future educational program centered on infection prevention within nursing homes there are many insights that we have gained while leading the healthcare outreach unit at the los angeles county department of public health that can help improve hai ar response we believe that stakeholder engagement is a key to success for health departments programs rolled out by public health departments should be developed in conjunction with stakeholders and should address the concerns that these stakeholders bring to the table as an example to support nursing homes we have hired two geriatricians and nurses with experience working in this setting who understand many of the concerns and constraints present in these facilities and already have relationships in the field we have learned that you should not underestimate the importance of giving each nursing home a specific public health nurse to work with and build rapport we have also strengthened our ties with the leadership in individual nursing homes and with the nursing homes operators which helps to improve stakeholder buy in and input we plan to use the engagement and trust that we have developed over the last two years to elevate infection prevention across all nursing homes through standardized template policies and training instead of allowing each facility to develop their ip program unilaterally which is what many facilities have done in the past with mixed success overall we believe the future of hai ar response success is dependent on the ability to adapt and remain flexible while refocusing activities beyond covid 19 the council for outbreak response healthcare associated infections and antimicrobial resistant pathogen corha plays a vital role in improving practices and policies at the local state and national levels regarding hai ar outbreaks across the healthcare continuum we hope that through sharing our experience we can help promote corhas mission to improve practices and policies for the detection investigation control and prevention of hai ar outbreaks with other local health departments and healthcare facilities dawn terashita zachary rubin '),(43916,'field',87,1,''),(43916,'field',137,1,''),(43916,'slug',0,1,' leadership dawn terashita zachary rubin los angeles county department of public health on the future of hai ar response in the face of covid 19 '),(43916,'title',0,1,' leadership dawn terashita zachary rubin los angeles county department of public health on the future of hai ar response in the face of covid 19 '),(43917,'field',46,1,''),(43917,'field',47,1,''),(43917,'slug',0,1,' temp glokdkqjzvpcjpsqtzwphdmpqolnqfzelekg '),(43917,'title',0,1,''),(43921,'alt',0,1,''),(43921,'alt',0,2,''),(43921,'extension',0,1,' jpg '),(43921,'extension',0,2,' jpg '),(43921,'filename',0,1,' zachary rubin jpg '),(43921,'filename',0,2,' zachary rubin jpg '),(43921,'kind',0,1,' image '),(43921,'kind',0,2,' image '),(43921,'slug',0,1,''),(43921,'slug',0,2,''),(43921,'title',0,1,' zachary rubin '),(43921,'title',0,2,' zachary rubin '),(43923,'field',44,1,''),(43923,'field',83,1,' joseph perz drph ma '),(43923,'field',85,1,' spotlight series '),(43923,'field',86,1,' the biden harris administration and cdc recently announced a $2 1 billion investment as part of the american rescue plan arp to improve infection prevention and control activities across the u s public health and healthcare sectors health departments received $885 million of this total in late october 2021 to support this work corha interviewed dr joe perz our lead representative from cdc and a governance committee member to learn more about the funding what is the new funding weve been hearing about the initial funding is divided between two projects that are managed under a cdc cooperative agreement with health departments one of these is the nursing home long term care facility strike team and infrastructure project which totals $500 million the other is the strengthening hai ar program sharp capacity project which totals $385 million how is healthcare outbreak response reflected in the new funding healthcare outbreak response is clearly recognized as a core function and essential need in both new funding opportunities which cover the response continuum beginning with outbreak detection and extending to on site investigation as well as longer term follow up activities to prevent a recurrence can you unpack that a bit in relation to the nursing home long term care project sure the ltc project guidance includes a directive to support nursing homes and other types of long term care facilities with covid 19 outbreak response thats the primary motivation and the funding can be used to support the rapid reactive activities like testing cohorting infection control auditing and even supplemental staffing when sars cov 2 has entered a facility and transmission is ramping up the allowable activities also support more proactive measures like helping equip facilities with technology for infection tracking and reporting or communication with health department partners in addition we are supportive of creative approaches for staff recruitment development and retention the overall aim here is to build infection prevention infrastructure and achieve a greater quality of care in other words greater resilience to sars cov 2 and outbreaks more generally susceptibility to the rapid spread of infections is something that nursing homes really must guard against given the congregate and residential nature of long term care and what about the sharp project same spirit spread farther the sharp funds are intended to enhance health department hai ar healthcare associated infections antimicrobial resistance program activities across all healthcare settings not limited to long term care the sharp project guidance reflects the central challenge that corha was originally founded on which was the need to build capacity for public health and healthcare to improve outbreak detection response and prevention this requires close collaboration and relationship building between public health professionals and healthcare providers which has been growing steadily but could really blossom now with these arp supported investments outbreak detection should improve thanks to sharp activities related to both the ar lab network and national healthcare safety network nhsn these will enhance surveillance for drug resistant pathogens and hais providing data for action likewise outbreak investigation should benefit from additional staffing and increased engagement with healthcare partners sharp encourages health departments to build hai ar prevention and response capacity throughout their jurisdictions such as expanded use of local and regional approaches to address hai ar threats and controlling the spread of resistant pathogens the guidance describes requirements for funded hai ar programs to establish a lead position to coordinate and oversee hai response activities and to train staff in outbreak response advice for corha and its member organizations yes lets lean into this opportunity corha is identified as a key source for healthcare outbreak training resources it would be great to see increased activities in that realm including collaboration with corhas member organizations to improve and expand our collective offerings both of the new projects emphasize direct engagement with individual facilities the sharp project references activities such as medical product investigations targeted ar threats molecular testing methods patient notification and many other aspects of healthcare outbreak response these all represent opportunities for corhas workgroups and member organizations to take our work to the next level joseph perz '),(43923,'field',87,1,''),(43923,'field',137,1,''),(43923,'slug',0,1,' leadership new cdc funding recognizes healthcare outbreak response needs '),(43923,'title',0,1,' leadership new cdc funding recognizes healthcare outbreak response needs '),(43924,'field',46,1,''),(43924,'field',47,1,''),(43924,'slug',0,1,' temp bhoaqpcwliheoxdoefccuqomhlidlzrakdlm '),(43924,'title',0,1,''),(43928,'alt',0,1,''),(43928,'alt',0,2,''),(43928,'extension',0,1,' jpg '),(43928,'extension',0,2,' jpg '),(43928,'filename',0,1,' joseph perz 300x241 2 jpg '),(43928,'filename',0,2,' joseph perz 300x241 2 jpg '),(43928,'kind',0,1,' image '),(43928,'kind',0,2,' image '),(43928,'slug',0,1,''),(43928,'slug',0,2,''),(43928,'title',0,1,' joseph perz 300x241 2 '),(43928,'title',0,2,' joseph perz 300x241 2 '),(43930,'field',44,1,''),(43930,'field',83,1,' linda greene rn mps cic fapic '),(43930,'field',85,1,' spotlight series '),(43930,'field',86,1,' as a front line infection preventionist and director of infection prevention in a healthcare organization preventing healthcare associated infections and addressing antimicrobial resistance are both high priorities of mine prior to the covid 19 pandemic my work with outbreaks included surgical site infections and an outbreak of healthcare associated influenza the influenza outbreak investigation and response were remarkably successful and stemmed from our ability to identify an initial source of the outbreak and implement several recommended infection prevention measures response actions included closing the unit to new admissions carefully screening staff and administering pre and post exposure prophylaxis however in my experience the greatest outbreak and infection prevention and control challenges i have witnessed were related to covid 19 the greatest outbreak and infection prevention and control challenges i have witnessed were related to covid 19 our hospitals covid 19 clusters were associated with myriad issues including staff to staff transmission patient to staff transmission and staff to patient transmission in addition patient and visitor non compliance with masking risk from aerosol generating procedures patients who initially test negative and incubate on admission as well as contamination during donning and doffing personal protective equipment were the main difficulties we navigated another challenge was the shortage of private rooms and medical supply delays especially at the height of the pandemic which exacerbated our containment efforts these matters have highlighted areas and opportunities for improvement in practices testing and hardwiring processes looking to the future of outbreak investigation we need access at the local level to important tools such as whole genome sequencing once these and other tools become more readily available we will be able to identify attribute and mitigate outbreaks in a more comprehensive and timely manner i have gained many insights from my involvement in corha most notably i have a greater appreciation for and recognition of the link between hospital infection prevention and public health this is an important and essential relationship as i have acquired invaluable knowledge from both my public health colleagues in my state and in cohra recently i worked with corha to develop the corha cste proposed investigation reporting thresholds and outbreak definitions for covid 19 in healthcare settings and more broadly to review corhas principles and practices for outbreak response as a former apic president my perceptions and experiences have granted me the ability to contribute to corha in a distinctive way apics competencies for infection preventionists are critical during the covid 19 pandemic in particular the leadership competencies communication collaboration critical thinking behavioral science program management and mentorship my hope for the future of corha is to expand its strategy and awareness to other emerging pathogens and continue development of principles and practices for addressing product and device associated infections as well as important healthcare associated infection outbreaks the diverse organizations who contribute to cohra represent an abundance of knowledge and expertise and embody the essential link between patient safety infection prevention and public health linda greene '),(43930,'field',87,1,''),(43930,'field',137,1,''),(43930,'slug',0,1,' leadership linda greene director of hospital infection prevention at the university of rochester highland hospital '),(43930,'title',0,1,' leadership linda greene director of hospital infection prevention at the university of rochester highland hospital '),(43931,'field',46,1,''),(43931,'field',47,1,''),(43931,'slug',0,1,' temp uuqnhftgycxwxzpcxbcypxcsnmbvnigpkzxa '),(43931,'title',0,1,''),(43932,'alt',0,1,''),(43932,'alt',0,2,''),(43932,'extension',0,1,' jpg '),(43932,'extension',0,2,' jpg '),(43932,'filename',0,1,' linda greene 200x300 jpg '),(43932,'filename',0,2,' linda greene 200x300 jpg '),(43932,'kind',0,1,' image '),(43932,'kind',0,2,' image '),(43932,'slug',0,1,''),(43932,'slug',0,2,''),(43932,'title',0,1,' linda greene 200x300 '),(43932,'title',0,2,' linda greene 200x300 '),(43941,'field',44,1,''),(43941,'field',83,1,' kelley garner mph '),(43941,'field',85,1,' spotlight series '),(43941,'field',86,1,' mentorship is an important part of the public health profession and the hai ar outbreak response field not only does it guide direct and shape your present situation and future opportunities for the better but it also improves the ways in which we respond to hai ar outbreaks i have had numerous experiences with being both a mentor and mentee in my career i started as an intern at the arkansas department of health where i faced many challenges as the sole coordinator in the hai program i was fortunate to have mentors in various roles from diverse professional backgrounds and with a broad scope of expertise surrounding myself with mentors early in my career helped me improve and master both my technical and leadership skills and helped me to overcome those challenges i experienced as an intern and continues to shape a lot of my current work dont be afraid of mentorship at every level of your career constantly surround yourself with experts in the field a key mentor in my career was dr nate smith the former state health official from arkansas whose interest and involvement in our hai ar program activities was instrumental in establishing and guiding the direction of our hai program from day one dr smith invested his time in boosting my confidence such as when he ensured i felt comfortable presenting data in front of arkansass hai ar advisory committee early on in my career he encouraged me to be creative to meet the public health needs for hai ar as well as taught me to think big finally dr smith appreciated my input and asked questions which allowed me to develop control measures and descriptive work to tackle an outbreak of a new species of mycobacterium within the state i was later hired and promoted to a supervisor and now the chief of epidemiology on hai ar at the arkansas department of health throughout my career my mentors have been safe spaces and part of my support system to help me excel in my roles hai ar outbreak response can be complex and sometimes we encounter unique situations that may benefit from additional guidance or perspectives from others in the field during these times mentors are pivotal for either providing you with the information and guidance necessary or working with you through the challenge to reach a solution for example i recall an outbreak linked to contaminated saline bottles in a rural part of arkansas which required a process of documentation and analyses with limited available written guidance my mentors helped me manage that outbreak and supported me through that experience while ive continued to surround myself with experts in the field who continue to serve as my mentors ive also taken on roles as a mentor to others i currently mentor college students and scholars in public health and i have formed mentor relationships with hai coordinators in neighboring states like missouri and oklahoma where i support them in their ipc and hai outbreak response work such a role has been particularly valuable because of the cross collaboration and relationship building this has contributed to our hai ar outbreak response activities for example weve invited states to participate in infection control assessment and responses which has allowed us to get an outside perspective on arkansass outbreak response and for other states to learn from our processes additionally weve assisted states with analyzing complex data which further expanded our states resources across the spectrum of hai ar finally working with other states has created a sense of community within the infectious disease field and has mutually instilled confidence in us as state health leaders of hai ar im proud of the many success stories that have emerged from my mentorships throughout my past and current mentorship experiences ive gained insight into what makes a mentorship successful good mentors have similar shared experiences and starting points as their mentees exercise transparency in sharing both successes and failures set realistic expectations and create a safe space for mentees to try new things within boundaries help their mentees learn through experience can boost confidence foster and instill critical leadership skills such as communication decision making responding to the press conducting patient notifications and other outbreak response skills emphasize the broader impact of hai ar response serve as inspiration for their mentee to succeed mentorship is a two way street and its important for both the mentor and mentee to reach a consensus on the goals for the relationship as the roles change over time while traditional and formal mentorship opportunities through fellowships and peer to peer convenings such as cste or astho can create a strong foundation to learn and build relationships there are equally impactful mentorship experiences that can occur informally and organically with people in various roles and with diverse experiences skills and expertise groups like the corha can also support mentorship in the hai ar outbreak community as they develop tools and resources that bridge public health and healthcare outbreak response mentorship in the hai ar outbreak field is critical and to those that are early in their career a mentor can help you identify your priorities and manage your expectations find a mentor with the right personality and someone who understands where you are coming from also look for mentors who are transparent and honest and give you the space to think creatively i believe mentorships are critical at all levels and just as important for those who have progressed in their career dont be afraid to embrace mentorship experiences at all levels and to continuously surround yourself with experts kelly garner '),(43941,'field',87,1,''),(43941,'field',137,1,''),(43941,'slug',0,1,' leadership kelley garner arkansas department of health on the value of mentorship in the hai ar outbreak response '),(43941,'title',0,1,' leadership kelley garner arkansas department of health on the value of mentorship in the hai ar outbreak response '),(43942,'field',46,1,''),(43942,'field',47,1,''),(43942,'slug',0,1,' temp doabsgiflqswvauiugyrmothoobptzgehmqb '),(43942,'title',0,1,''),(43943,'alt',0,1,''),(43943,'alt',0,2,''),(43943,'extension',0,1,' jpg '),(43943,'extension',0,2,' jpg '),(43943,'filename',0,1,' kelley garner 300v2 jpg '),(43943,'filename',0,2,' kelley garner 300v2 jpg '),(43943,'kind',0,1,' image '),(43943,'kind',0,2,' image '),(43943,'slug',0,1,''),(43943,'slug',0,2,''),(43943,'title',0,1,' kelley garner 300v2 '),(43943,'title',0,2,' kelley garner 300v2 '),(43948,'field',44,1,''),(43948,'field',83,1,' david gifford md mph '),(43948,'field',85,1,' spotlight series '),(43948,'field',86,1,' my work over the past 20 years has focused on how to improve the healthcare system to ultimately improve healthcare outcomes in pursuit of this life goal i have worked with numerous agencies in furthering healthcare quality improvement efforts i helped create the quality department at the american health care association which assists providers in their quality improvement i also directed the centers for medicare and medicaid cms quality improvement organization nursing home based quality improvement efforts when i served as chief medical officer for quality partners of rhode island now i work on initiatives with the national trade association representing long term care providers during my 6 years as director of the rhode island state department of health i led the states response on several disease outbreaks such as the h1n1 influenza outbreaks throughout the past couple of decades i have gained insight into improving hai ar outbreak response from both the public health and healthcare perspectives adequate investigation surveillance and clear guidance are necessary in developing and implementing evidence based actions to prevent the spread of infections in healthcare settings this was exemplified during the covid 19 pandemic where inconsistent guidance led to challenges in responding to these outbreaks the covid 19 pandemic underscores the need for standardized approaches frameworks and guidance that are clear and implementable as well as the importance of corha and the work that its members and partners are doing to develop these tools one outcome of the pandemic response is how it has bolstered both the provider and public health communities collaborative efforts against the common threat of hai ar outbreaks in my new role on corha i aim to help support the council in developing and promoting guidance and resources that can be widely adopted to help improve hai ar outbreak investigation in a more consistent timely and efficient manner i look forward to integrating the provider community into public healths hai ar outbreak response and protocols and strengthening sustainable relationships between the provider and public health communities finally i hope that corha will help advance and highlight the important role of rapid whole genome sequencing more widely as part of hai ar outbreak investigations i believe that civic service is one of the most rewarding challenging and underappreciated jobs our colleagues in public health and healthcare are some of the most passionate and mission driven individuals i have had the pleasure of working with thank you all for the work you have done so far in improving hai ar outbreak response standards i look forward to all of you continuing to achieve the councils mission of protecting patients and preventing harm from hai ar outbreaks david gifford '),(43948,'field',87,1,''),(43948,'field',137,1,''),(43948,'slug',0,1,' leadership leadership perspectives from dr david gifford '),(43948,'title',0,1,' leadership perspectives from dr david gifford '),(43949,'field',46,1,''),(43949,'field',47,1,''),(43949,'slug',0,1,' temp adrluhulfmnryhkjevtzbtbcmbvuwquwltcq '),(43949,'title',0,1,''),(43950,'alt',0,1,''),(43950,'alt',0,2,''),(43950,'extension',0,1,' jpg '),(43950,'extension',0,2,' jpg '),(43950,'filename',0,1,' david gifford 300x241 1 jpg '),(43950,'filename',0,2,' david gifford 300x241 1 jpg '),(43950,'kind',0,1,' image '),(43950,'kind',0,2,' image '),(43950,'slug',0,1,''),(43950,'slug',0,2,''),(43950,'title',0,1,' david gifford 300x241 1 '),(43950,'title',0,2,' david gifford 300x241 1 '),(43953,'field',44,1,''),(43953,'field',83,1,' shannon xydis liz shane mph christy zelinski mph '),(43953,'field',85,1,' spotlight series '),(43953,'field',86,1,' the covid 19 vaccine roll out in chicagos long term care facilities ltcfs was a component of a larger initiative to increase vaccine uptake in the city of chicago as the federal pharmacy partnership program ppp was introduced the chicago department of public health cdph offered to liaise with ltcfs and facilitate the vaccination process we were uniquely positioned to assist in ltcfs because of existing relationships with ltcfs after the past year of routine individual facility engagement for covid 19 related infection control guidance we worked with the community and leveraged the healthcare facility communication platforms we created to support ltcfs during the pandemic to address vaccine hesitancy and provide vaccine education we acted quickly to facilitate vaccination coordination in ltcfs because they were included in the first phase of vaccine distribution due to their residents high risk of covid 19 morbidity and mortality in partnership with project hope we held two listening sessions with directors of nursing assistant directors of nursing and infection preventionists at ltcfs in chicago where we assessed their levels of vaccine hesitancy discussed vaccine hesitancy among residents and collected ideas on how to increase vaccine uptake for example during the listening sessions we heard concerns from communities of color who felt targeted and pressured to get vaccinated and were hesitant about getting it we used the information shared and questions asked during the listening sessions to better tailor our vaccine education efforts in ltcfs these efforts included converting our weekly covid 19 ltcf roundtables into a vaccine education and implementation series during these roundtables we discussed vaccine hesitancy and encouraged ltcf leaders to empower their staff to become vaccine influencers we also shared with ltcf leadership concerns we heard from staff and residents and suggested ltcf leaders use the information to adjust their vaccine responses to the needs of residents and staff for example we heard that some ltcf staff were hesitant because of how quickly it was being rolled out and concerns about being used as test subjects so many administrators got the vaccine in front of their staff to show confidence in it in the early stages of the ppp representatives from different pharmacies spoke about logistics and provided answers about the vaccination process the cdph commissioner hosting a qa session for all facilities which was advertised to all residents and their families transforming our existing testing strike teams into vaccine mobilization and education teams the vaccine education teams used the information from the listening sessions to address the concerns of ltcf staff and residents people viewed the vaccine education teams as trusted sources of information that could speak about the vaccine without outside influences at one facility we saw a 40 percent increase in vaccine uptake after one education event leadership at the ltcf and the vaccine education team worked together to organize the event we kept learning new information as our efforts continued like the importance of expanding vaccine education initiatives beyond staff and residents at ltcfs we found that in many cases the healthcare power of attorney for residents of ltcfs declined the vaccine on behalf of the residents typically the healthcare powers of attorney do not attend the vaccine education events and miss these opportunities this gap underscored the importance of empowering family and community members to be vaccine champions during the roll out of covid 19 vaccinations in ltcfs we continued to appreciate the importance of coordination and planning much planning was required to make the vaccine readily available in facilities particularly second doses a lot of coordination was also needed to ensure a seamless transition to ltc pharmacies when the ppp ended before the ppp ended we quickly surveyed facilities to identify their ltc pharmacies and encouraged those pharmacies to enroll as covid 19 vaccine providers we found that some of chicagos ltc pharmacies were located outside of chicago borders we could not deliver vaccine to those facilities because the union contracts of our drivers meant they could only drive within the boundaries of chicago in order to overcome this roadblock we partnered with the illinois department of public health idph and provided them with doses of moderna through tiberius idph then distributed the vaccine to ltc pharmacies that served chicago facilities but were based outside of city limits the challenges successes and experiences supporting covid 19 vaccine uptake at ltcfs helped us identify strategies to address vaccine hesitancy going forward given high staff and resident turnover in ltcfs it is important to keep high vaccination coverage in ltcfs it is also important to continue education efforts about vaccines and vaccine hesitancy we saw that individuals who were hesitant to receive the covid 19 vaccine may have also been hesitant to get the influenza vaccine overall the educational and coordination strategies we used to address vaccine hesitancy resources we shared for informed decision making and methods to increase access of the covid 19 vaccine in ltcfs will be critical for future vaccine initiatives shannon xydis projects administrator hai coordinator chicago department of public health liz shane mph cic infection prevention specialist chicago department of public health christy zelinski mph project manager and contractor covid 19 response bureau chicago department of public health '),(43953,'field',87,1,''),(43953,'field',137,1,''),(43953,'slug',0,1,' local ltcf vaccine education program vital to chicagos covid 19 outbreak response effort '),(43953,'title',0,1,' local ltcf vaccine education program vital to chicagos covid 19 outbreak response effort '),(43954,'field',46,1,''),(43954,'field',47,1,''),(43954,'slug',0,1,' temp sozuhstdiupdlrwxixaaustdalqrzkeiqgux '),(43954,'title',0,1,''),(43958,'alt',0,1,''),(43958,'alt',0,2,''),(43958,'extension',0,1,' jpg '),(43958,'extension',0,2,' jpg '),(43958,'filename',0,1,' christy zelinski jpg '),(43958,'filename',0,2,' christy zelinski jpg '),(43958,'kind',0,1,' image '),(43958,'kind',0,2,' image '),(43958,'slug',0,1,''),(43958,'slug',0,2,''),(43958,'title',0,1,' christy zelinski '),(43958,'title',0,2,' christy zelinski '),(43959,'alt',0,1,''),(43959,'alt',0,2,''),(43959,'extension',0,1,' jpg '),(43959,'extension',0,2,' jpg '),(43959,'filename',0,1,' liz shane jpg '),(43959,'filename',0,2,' liz shane jpg '),(43959,'kind',0,1,' image '),(43959,'kind',0,2,' image '),(43959,'slug',0,1,''),(43959,'slug',0,2,''),(43959,'title',0,1,' liz shane '),(43959,'title',0,2,' liz shane '),(43960,'alt',0,1,''),(43960,'alt',0,2,''),(43960,'extension',0,1,' jpg '),(43960,'extension',0,2,' jpg '),(43960,'filename',0,1,' shannon xydis jpg '),(43960,'filename',0,2,' shannon xydis jpg '),(43960,'kind',0,1,' image '),(43960,'kind',0,2,' image '),(43960,'slug',0,1,''),(43960,'slug',0,2,''),(43960,'title',0,1,' shannon xydis '),(43960,'title',0,2,' shannon xydis '),(43962,'field',44,1,''),(43962,'field',83,1,' enyinnaya merengwa md drph mha mph thi dang '),(43962,'field',85,1,' spotlight series '),(43962,'field',86,1,' the covid 19 pandemic presented challenges in how our healthcare associated infections and antimicrobial resistant pathogens hai ar program provides support to long term care facilities ltcf experiencing outbreaks as the pandemic unfolded we quickly realized the need to increase our infection prevention capacity we sought out support from leadership and partners to modify our staffing structures in order to provide continued quality and focused support to our healthcare facilities the texas department of state health services dshs is divided into 8 public health regions with 64 local health departments that operate at the county or city level texas has approximately 4 000 licensed nursing facilities assisted living facilities and group homes including 1 200 centers for medicare medicaid services cms certified nursing homes across 254 counties traditionally one hai epidemiologist is assigned to each public health region to lead and support hai outbreak response activities including providing direct assistance and on site infection control assessments to healthcare facilities the texas department of state health services dshs is divided into 8 public health regions with 64 local health departments that operate at the county or city level texas has approximately 4 000 licensed nursing facilities assisted living facilities and group homes including 1 200 centers for medicare medicaid services cms certified nursing homes across 254 counties traditionally one hai epidemiologist is assigned to each public health region to lead and support hai outbreak response activities including providing direct assistance and on site infection control assessments to healthcare facilities this structure worked for our team until the onset of the covid 19 pandemic when it became evident that one hai epidemiologist per public health region was insufficient to support the surge in covid 19 cases so we explored the options of increasing infection prevention staff at our public health regions to build capacity for our covid 19 response we received approval and support to build staffing capacity from dshs leadership and they provided us with the resources to contract with 3 infection preventionists per public health region for a total of 24 additional infection preventionists throughout the state the real challenge however was finding certified infection preventionists to recruit at that time healthcare facilities and local health departments were also in the process of recruiting infection preventionists so we were competing for contractors in a limited pool we decided to partner with the association for professionals in infection control and epidemiology apic who aided with the recruitment process out of the 24 infection preventionists we sought to recruit we were able to contract with 17 these additional infection preventionists were instrumental in building our capacity during the response they performed on site infection control assessments and provided dedicated support to meet the needs of facilities from the first quarter of 2021 we started seeing a decrease in the number of requests for assistance from our regulatory partners and healthcare facilities and as a result we reduced the number of apic contractors it was important for us to still maintain a reasonable number of staff to assist with the continued pandemic so we currently have at least one contracted infection preventionist in each public health region to assist the assigned hai epidemiologist with outbreak response activities coordinating with the texas health and human services commission hhsc our regulatory branch and utilizing established communication pathways facilitated the coordination of our response activities we held daily meetings with hhsc dshs and the division of emergency managements state operations center soc where all communication plans and guidance were developed for dissemination to facilities by hhsc thanks to the support of dshs leadership and partners as well as the dedication of our team we worked together in a coordinated fashion to build capacity and respond to covid 19 outbreaks in healthcare facilities enyinnaya merengwa healthcare safety investigations group manager and state hai coordinator at the texas department of state health services thi dang hai epidemiologist at the texas department of state health services '),(43962,'field',87,1,''),(43962,'field',137,1,''),(43962,'slug',0,1,' state how the texas state healthcare associated infections hai program increased capacity in public health regions to support healthcare facilities during the covid 19 response '),(43962,'title',0,1,' state how the texas state healthcare associated infections hai program increased capacity in public health regions to support healthcare facilities during the covid 19 response '),(43963,'field',46,1,''),(43963,'field',47,1,''),(43963,'slug',0,1,' temp xvexlirlbrwikocwjvbesmzqtuudcktanfdg '),(43963,'title',0,1,''),(43964,'alt',0,1,''),(43964,'alt',0,2,''),(43964,'extension',0,1,' jpg '),(43964,'extension',0,2,' jpg '),(43964,'filename',0,1,' thi dang jpg '),(43964,'filename',0,2,' thi dang jpg '),(43964,'kind',0,1,' image '),(43964,'kind',0,2,' image '),(43964,'slug',0,1,''),(43964,'slug',0,2,''),(43964,'title',0,1,' thi dang '),(43964,'title',0,2,' thi dang '),(43965,'alt',0,1,''),(43965,'alt',0,2,''),(43965,'extension',0,1,' jpg '),(43965,'extension',0,2,' jpg '),(43965,'filename',0,1,' enyinnaya merengwa jpg '),(43965,'filename',0,2,' enyinnaya merengwa jpg '),(43965,'kind',0,1,' image '),(43965,'kind',0,2,' image '),(43965,'slug',0,1,''),(43965,'slug',0,2,''),(43965,'title',0,1,' enyinnaya merengwa '),(43965,'title',0,2,' enyinnaya merengwa '),(43968,'field',44,1,''),(43968,'field',83,1,' erika baldry mph cic '),(43968,'field',85,1,' spotlight series '),(43968,'field',86,1,' montana the fourth largest state geographically in the u s spans more than 147 000 square miles slightly larger than japan and is home to about 1 million people montana has a decentralized public health system so a lot of the authority and responsibility for implementing rules and regulations and every aspect of pandemic response actually land with the counties many of which have limited staff in order to provide public health support to city and rural areas we partnered with our states local health departments survey agency quality innovation network quality improvement organization qin qio hospital and public health preparedness teams and laboratory partners to identify and provide support to ltcf experiencing covid 19 outbreaks we worked closely with these partners prior to the pandemic so these existing relationships led to a coordinated approach during the covid 19 response our team coordinates outbreak response efforts with local public health departments healthcare facilities and the state survey agency at the beginning of the pandemic i communicated with facilities at least daily to get updates on their covid 19 outbreaks and to provide guidance and technical assistance including offering covid 19 focused infection control assessments icar to all healthcare facilities in montana i now check in with ltcfs alfs and local public health at least weekly to monitor active outbreaks our local health departments really stepped up during the pandemic given montanas decentralized governance structure our local health department staff take on multiple roles and usually do not have a dedicated communicable disease staff person so their collaboration with us and their engagement with the facilities was a huge benefit to the response the montana hai program hosted weekly webinars for all montana apic chapter members as well as infection preventionists from other states this webinar series which was established prior to the pandemic provided a platform to communicate updates share resources and provide trainings to infection preventionists it also helped strengthen our relationship with infection preventionists which led to timely and frequent communication about outbreaks in facilities additionally in november of 2020 our hai program partnered with a local acute care hospital and the agency for healthcare research and quality to provide a 16 week ltcf training course primarily focused on covid 19 we also leveraged our good relationship with qin qios and our hospital association to use their communications channels to send important messages and updates to facilities state wide as a rural state we faced unique challenges when it came to reaching every facility testing for example was a huge logistical challenge since some facilities are not located near a hospital and our laboratory courier system could not reach every facility we were fortunate to have our governors support and some time to plan and respond so we worked with our state public health laboratory and other laboratory partners to figure out ways to offer baseline testing and implement surveillance testing prior to national ltcf testing recommendations took effect we also worked closely with the hospital preparedness and public health preparedness programs hpp using data from the national healthcare safety network nhsn to address ppe and other supply shortages in ltcfs each week the hpp coordinator submitted the state ltcf integrated red report which we used to reach out to facilities reporting ppe and staffing shortages during this outreach we reminded facilities of the staffing and ppe resources available through the state and communicated information on how to obtain these resources one of the biggest contributing factors to the success of our response was the additional funding from cdc which led to the growth of our hai program we were able to expand our hai program team to four infection preventionists who now consult with facilities perform infection control assessments and provide direct support and assistance to facilities the additional funding has also allowed us to expand the services we offer to facilities as a rural state we have more critical access hospitals so our infection prevention activities have focused on providing one on one support to these facilities which typically have limited staff who are stretched across multiple roles during the pandemic we were able to expand these services to ltcfs and assisted living facilities and have hopes to expand to other types of congregate living settings including outpatient health clinics dialysis centers schools and jails our experience during this pandemic has highlighted the importance of infection control we have learned that infection control is a responsibility and duty of everyone in the facility and this facility wide approach to infection prevention can contribute to a successful outcome we also recognize the importance of inter and intra facility communication as well as communicating information to residents and family members to prevent the spread of infections and outbreaks we were met with challenges every day but because of our hard working and dedicated infection preventionists we were able to overcome a lot of them it has also been inspiring to work with our amazing healthcare workers and public health staff during the response we have a lot of work in front us but i remain excited because this experience has been the catalyst for us to enhance our infection prevention activities expand our reach and support and provide guidance and education on infection prevention standards erika baldry healthcare associated infections and antimicrobial resistance hai ar epidemiologist and program coordinator at the montana department of public health and human services dphhs '),(43968,'field',87,1,''),(43968,'field',137,1,''),(43968,'slug',0,1,' state montana leverages partnerships to manage covid 19 outbreaks in long term care facilities '),(43968,'title',0,1,' state montana leverages partnerships to manage covid 19 outbreaks in long term care facilities '),(43969,'field',46,1,''),(43969,'field',47,1,''),(43969,'slug',0,1,' temp dvsobebzouyzkcsnsecuqdvoricmwkavmsyk '),(43969,'title',0,1,''),(43970,'alt',0,1,''),(43970,'alt',0,2,''),(43970,'extension',0,1,' jpg '),(43970,'extension',0,2,' jpg '),(43970,'filename',0,1,' erika baldry jpg '),(43970,'filename',0,2,' erika baldry jpg '),(43970,'kind',0,1,' image '),(43970,'kind',0,2,' image '),(43970,'slug',0,1,''),(43970,'slug',0,2,''),(43970,'title',0,1,' erika baldry '),(43970,'title',0,2,' erika baldry '),(43977,'slug',0,1,' policy workgroup '),(43977,'slug',0,2,' policy workgroup 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'),(44034,'slug',0,1,''),(44035,'field',99,1,''),(44035,'field',100,1,''),(44035,'field',101,1,' this website introduces valuable concepts and strategies for preventing and containing mdros including cre '),(44035,'field',104,1,' preventing mdros multidrug resistant organisms '),(44035,'slug',0,1,' temp zhhcdigssqnrjxfnuctgqalhtealjvccwrmg '),(44035,'title',0,1,''),(44036,'field',98,1,' cre handout information for facilities two page flyer with cre information covering nomenclature transmission colonization and prevention '),(44036,'slug',0,1,''),(44037,'field',99,1,''),(44037,'field',100,1,''),(44037,'field',101,1,' two page flyer with cre information covering nomenclature transmission colonization and prevention '),(44037,'field',104,1,' cre handout information for facilities '),(44037,'slug',0,1,' temp ajhzqvrzylszpvkccoqrqhcbodohwriuppsv '),(44037,'title',0,1,''),(44038,'field',98,1,' inter facility infection control transfer form an essential aide to facilitate communication during patient transfers to prevent spread of cre or other mdros '),(44038,'slug',0,1,''),(44039,'field',99,1,''),(44039,'field',100,1,''),(44039,'field',101,1,' an essential aide to facilitate communication during patient transfers to prevent spread of cre or other mdros '),(44039,'field',104,1,' inter facility infection control transfer form '),(44039,'slug',0,1,' temp iystdoheimlpsucfsfktiktitmjpiwzmfhfv '),(44039,'title',0,1,''),(44040,'alt',0,1,''),(44040,'alt',0,2,''),(44040,'extension',0,1,' jpg '),(44040,'extension',0,2,' jpg '),(44040,'filename',0,1,' cre jpg '),(44040,'filename',0,2,' cre jpg '),(44040,'kind',0,1,' image '),(44040,'kind',0,2,' image '),(44040,'slug',0,1,''),(44040,'slug',0,2,''),(44040,'title',0,1,' cre '),(44040,'title',0,2,' cre '),(44041,'alt',0,1,''),(44041,'alt',0,2,''),(44041,'extension',0,1,' jpg '),(44041,'extension',0,2,' jpg '),(44041,'filename',0,1,' cre 2024 07 25 180825 tgas jpg '),(44041,'filename',0,2,' cre 2024 07 25 180825 tgas jpg 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effective against candida auris the epas list p provides information on registered antimicrobial products listed as effective against c auris '),(44102,'slug',0,1,''),(44103,'field',99,1,''),(44103,'field',100,1,''),(44103,'field',101,1,' the epas list p provides information on registered antimicrobial products listed as effective against c auris '),(44103,'field',104,1,' antimicrobial products effective against candida auris '),(44103,'slug',0,1,' temp zantjlhdqpstwwdfwekawhdwvzqvkrczjlns '),(44103,'title',0,1,''),(44104,'field',98,1,' tracking candida auris c auris cases are nationally notifiable this page offers reporting information case counts and maps '),(44104,'slug',0,1,''),(44105,'field',99,1,''),(44105,'field',100,1,''),(44105,'field',101,1,' c auris cases are nationally notifiable this page offers reporting information case counts and maps '),(44105,'field',104,1,' tracking candida auris '),(44105,'slug',0,1,' temp hcunbavkrfugxblnduessxokbsjwzmjodlqc '),(44105,'title',0,1,''),(44106,'field',98,1,' inter facility infection control transfer form this tool fosters communication about c auris colonization and infection at transitions of care essential to preventing further spread '),(44106,'slug',0,1,''),(44107,'field',99,1,''),(44107,'field',100,1,''),(44107,'field',101,1,' this tool fosters communication about c auris colonization and infection at transitions of care essential to preventing further spread '),(44107,'field',104,1,' inter facility infection control transfer form '),(44107,'slug',0,1,' temp kdhsyvlsnpojsuxumulsjhrzhnbtxodswqtt '),(44107,'title',0,1,''),(44108,'field',98,1,' implementation of personal protective equipment use in nursing homes to prevent the spread of multidrug resistant organisms this long term care facility specific guidance provides an alternative to contact precautions it clarifies the precautions needed based on the population at risk and the regional prevalence of c auris '),(44108,'slug',0,1,''),(44109,'field',99,1,''),(44109,'field',100,1,''),(44109,'field',101,1,' this long term care facility specific guidance provides an alternative to contact precautions it clarifies the precautions needed based on the population at risk and the regional prevalence of c auris '),(44109,'field',104,1,' implementation of personal protective equipment use in nursing homes to prevent the spread of multidrug resistant organisms '),(44109,'slug',0,1,' temp vvlxghjhqexglvavvjczjbeltdcvwppxlwam '),(44109,'title',0,1,''),(44130,'slug',0,1,' group a streptococcus '),(44130,'title',0,1,' group a streptococcus '),(44131,'field',69,1,' bacteria '),(44131,'slug',0,1,' temp thgogifghptncchxkatfxestxojplmxapbyz '),(44131,'title',0,1,''),(44132,'field',46,1,' group a streptococcus '),(44132,'field',47,1,' also referred to as group a strep or gas '),(44132,'slug',0,1,' temp eusblbislnunmsfkjvxyoqinzapzcnjligyy '),(44132,'title',0,1,''),(44133,'alt',0,1,''),(44133,'alt',0,2,''),(44133,'extension',0,1,' jpg '),(44133,'extension',0,2,' jpg '),(44133,'filename',0,1,' gas jpg '),(44133,'filename',0,2,' gas jpg '),(44133,'kind',0,1,' image '),(44133,'kind',0,2,' image '),(44133,'slug',0,1,''),(44133,'slug',0,2,''),(44133,'title',0,1,' gas '),(44133,'title',0,2,' gas '),(44134,'alt',0,1,''),(44134,'alt',0,2,''),(44134,'extension',0,1,' png '),(44134,'extension',0,2,' png '),(44134,'filename',0,1,' group a streptococcus gas 1 png '),(44134,'filename',0,2,' group a streptococcus gas 1 png '),(44134,'kind',0,1,' image '),(44134,'kind',0,2,' image '),(44134,'slug',0,1,''),(44134,'slug',0,2,''),(44134,'title',0,1,' group a streptococcus gas 1 '),(44134,'title',0,2,' group a streptococcus gas 1 '),(44135,'field',1,1,''),(44135,'field',11,1,''),(44135,'field',63,1,''),(44135,'slug',0,1,''),(44136,'field',3,1,' bacteria called group a streptococcus can cause many different infections invasive group a strep igas infections include necrotizing fasciitis and streptococcal toxic shock syndrome the most common igas outbreaks investigated in the united states are those occurring in long term care ltc facilities healthcare associated igas clusters can also involve postpartum and post surgical infections gas is spread by respiratory droplets direct contact with mucus or secretions of an infected person or by contact with infected or colonized wounds outbreaks and clusters of healthcare associated igas often require urgent public health action even a single case of igas usually warrants investigation and follow up to rule out a larger problem '),(44136,'slug',0,1,' temp zsfusiqwvyoprragaudjynmygwxvbqrigieu '),(44136,'title',0,1,''),(44138,'field',1,1,''),(44138,'field',11,1,''),(44138,'field',63,1,' read more cdc is available to assist state tribal local and territorial health departments for gas outbreaks particularly for persistent large or severe outbreaks for assistance contact gasoutbreaks cdc gov '),(44138,'slug',0,1,''),(44139,'field',64,1,' read more '),(44139,'field',65,1,' cdc is available to assist state tribal local and territorial health departments for gas outbreaks particularly for persistent large or severe outbreaks for assistance contact gasoutbreaks cdc gov '),(44139,'slug',0,1,' temp nxhkcsmvdnpcriebxnpdzcbjmcbdqsqcprrx '),(44139,'title',0,1,''),(44140,'field',98,1,' decision tool for investigating gas infections in long term care facilities this toolkit outlines detailed actions that investigators should consider depending on the number of cases of gas identified '),(44140,'slug',0,1,''),(44141,'field',99,1,''),(44141,'field',100,1,''),(44141,'field',101,1,' this toolkit outlines detailed actions that investigators should consider depending on the number of cases of gas identified '),(44141,'field',104,1,' decision tool for investigating gas infections in long term care facilities '),(44141,'slug',0,1,' temp rvkopaqsbubmmvejrxhiekmarmexwnzdniwm '),(44141,'title',0,1,''),(44142,'field',98,1,' additional gas investigation resources compilation of links to helpful resources from state health departments including sample line lists and facility letters cdcs interfacility infection control transfer form is also included '),(44142,'slug',0,1,''),(44143,'field',99,1,''),(44143,'field',100,1,''),(44143,'field',101,1,' compilation of links to helpful resources from state health departments including sample line lists and facility letters cdcs interfacility infection control transfer form is also included '),(44143,'field',104,1,' additional gas investigation resources '),(44143,'slug',0,1,' temp tguaffzxjjypaculktbdqpkfvaohqtbghjqh '),(44143,'title',0,1,''),(44144,'field',98,1,' prevention of igas among household contacts of case patients and among postpartum and postsurgical patients recommendations from the centers for disease control and prevention recommendations for controlling igas among exposed household contacts and for 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norovirus gastroenteritis outbreaks in healthcare settings comprehensive guidance for norovirus surveillance prevention and control in healthcare settings '),(44261,'slug',0,1,''),(44262,'field',99,1,''),(44262,'field',100,1,''),(44262,'field',101,1,' comprehensive guidance for norovirus surveillance prevention and control in healthcare settings '),(44262,'field',104,1,' guideline for the prevention and control of norovirus gastroenteritis outbreaks in healthcare settings '),(44262,'slug',0,1,' temp uyqfbwinjmatlruonsfqobnthqvmsvorhmir '),(44262,'title',0,1,''),(44263,'slug',0,1,' healthcare infection control practices advisory committee hicpac '),(44263,'slug',0,2,' temp lggwkfxozktlxrujophjngphyfioaxoguovn '),(44263,'title',0,1,' healthcare infection control practices advisory committee hicpac '),(44263,'title',0,2,' healthcare infection control practices advisory committee hicpac '),(44264,'field',98,1,' toolkit for control of norovirus outbreaks in long term care facilities this toolkit was adapted from the cdc hicpac guideline and may serve as a model for other states it contains an outbreak response checklist sample line lists and outbreak report forms '),(44264,'slug',0,1,''),(44265,'field',99,1,''),(44265,'field',100,1,''),(44265,'field',101,1,' this toolkit was adapted from the cdc hicpac guideline and may serve as a model for other states it contains an outbreak response checklist sample line lists and outbreak report forms '),(44265,'field',104,1,' toolkit for control of norovirus outbreaks in long term care facilities '),(44265,'slug',0,1,' temp mwmmabanlwdhcauakvaypeojrzahmlzeaqsl '),(44265,'title',0,1,''),(44266,'slug',0,1,' pennsylvania department of health '),(44266,'slug',0,2,' temp dkurpbwcnnbkwosiunhlsvdyntpedrdychjr '),(44266,'title',0,1,' pennsylvania department of health '),(44266,'title',0,2,' pennsylvania department of health '),(44267,'field',98,1,' epas registered antimicrobial products effective against norovirus list g environmental cleaning is a key component of norovirus outbreak reponse this resource includes an interactive table that details antimicrobial products listed as effective against norovirus '),(44267,'slug',0,1,''),(44268,'field',99,1,''),(44268,'field',100,1,''),(44268,'field',101,1,' environmental cleaning is a key component of norovirus outbreak reponse this resource includes an interactive table that details antimicrobial products listed as effective against norovirus '),(44268,'field',104,1,' epas registered antimicrobial products effective against norovirus list g '),(44268,'slug',0,1,' temp zgzwyvvkeovmgmxjpcejcymbtnvmbccxdeto '),(44268,'title',0,1,''),(44269,'field',98,1,' sample communication framework suspected or confirmed norovirus outbreaks this resource offers a template for timely internal communications when a norovirus outbreak is suspected in a healthcare facility '),(44269,'slug',0,1,''),(44270,'field',99,1,''),(44270,'field',100,1,''),(44270,'field',101,1,' this resource offers a template for timely internal communications when a norovirus outbreak is suspected in a healthcare facility '),(44270,'field',104,1,' sample communication framework suspected or confirmed norovirus outbreaks '),(44270,'slug',0,1,' temp zycsmstxvavfjzspgtjcikqxfnxpbdnjkrha '),(44270,'title',0,1,''),(44271,'field',98,1,' norovirus in healthcare facilities fact sheet this two page fact sheet can be used to educate healthcare partners about norovirus transmission diagnosis and control measures '),(44271,'slug',0,1,''),(44272,'field',99,1,''),(44272,'field',100,1,''),(44272,'field',101,1,' this two page fact sheet can be used to educate healthcare partners about norovirus transmission diagnosis and control measures '),(44272,'field',104,1,' norovirus in healthcare facilities fact sheet '),(44272,'slug',0,1,' temp pglklfhbipbriccyvwwjoqyfsxnjcivwtxxr '),(44272,'title',0,1,''),(44273,'field',98,1,' burden of norovirus in healthcare facilities and strategies for outbreak control the authors summarize the challenges and economic burden posed by healthcare associated norovirus outbreaks and offer a tabular summary of cdc hicpac control recommendations '),(44273,'slug',0,1,''),(44274,'field',99,1,''),(44274,'field',100,1,''),(44274,'field',101,1,' the authors summarize the challenges and economic burden posed by healthcare associated norovirus outbreaks and offer a tabular summary of cdc hicpac control recommendations '),(44274,'field',104,1,' burden of norovirus in healthcare facilities and strategies for outbreak control '),(44274,'slug',0,1,' temp erajesfncfiyvehjmsufdonofdoykxmehpth '),(44274,'title',0,1,''),(44304,'slug',0,1,' water associated organisms '),(44304,'title',0,1,' water associated organisms '),(44306,'field',69,1,' various pathogens '),(44306,'slug',0,1,' temp qudbwuzoyjhuptakklfluaacpptnfuvrksqp '),(44306,'title',0,1,''),(44307,'field',46,1,' water associated organisms '),(44307,'field',47,1,''),(44307,'slug',0,1,' temp roqevoidgtkjifqthynxphayebbabjemnesy 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frxkpjtvdrblnrbvgobhrdwnchvxeczdvggn '),(44334,'title',0,1,' centers for medicare medicaid services cms '),(44334,'title',0,2,' centers for medicare medicaid services cms '),(44335,'field',1,1,''),(44335,'field',11,1,''),(44335,'field',63,1,''),(44335,'slug',0,1,''),(44336,'field',3,1,' healthcare facilities often have complex distribution pathways and other features which serve as a favorable environment for the proliferation of opportunistic pathogens such as nontuberculous mycobacteria and legionella among many others water associated organisms have caused many outbreaks in healthcare settings and these outbreaks can be challenging to detect and control this page offers a collection of resources to assist with water related outbreak detection and response corhas nontuberculous mycobacteria burkholderia cepacia and legionella resource pages offer additional detailed information '),(44336,'slug',0,1,' temp rwlpacukoilaobdjruttbkelpdngvkaclcfo '),(44336,'title',0,1,''),(44337,'field',1,1,''),(44337,'field',11,1,''),(44337,'field',63,1,' read more routine clinical care can result in exposure and transmission either directly or indirectly from sinks showers toilets and ice machines patients also may be exposed to these organisms through medical products i e medications and medical devices which can become contaminated at the point of manufacture or at the healthcare facility through improper handling e g storage preparation or administration of the products near water sources '),(44337,'slug',0,1,''),(44338,'field',64,1,' read more '),(44338,'field',65,1,' routine clinical care can result in exposure and transmission either directly or indirectly from sinks showers toilets and ice machines patients also may be exposed to these organisms through medical products i e medications and medical devices which can become contaminated at the point of manufacture or at the healthcare facility through improper handling e g storage preparation or administration of the products near water sources '),(44338,'slug',0,1,' temp yufidpfxmtetnedwvuusixjcjohyfvapttdk '),(44338,'title',0,1,''),(44339,'field',98,1,' reducing risk from water from plumbing to patients helpful information resources and tools for understanding and reducing infectious risks due to water associated organisms '),(44339,'slug',0,1,''),(44340,'field',99,1,''),(44340,'field',100,1,''),(44340,'field',101,1,' helpful information resources and tools for understanding and reducing infectious risks due to water associated organisms '),(44340,'field',104,1,' reducing risk from water from plumbing to patients '),(44340,'slug',0,1,' temp emfqqzsiyecrzhfzdvgbcyxarwhgyoqugmze '),(44340,'title',0,1,''),(44341,'field',98,1,' tap water quality and infrastructure discussion guide for investigation of potential water associated infections in healthcare facilities this guide provides an organized approach to identifying the potential sources of exposure 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reservoir and infection prevention strategies '),(44344,'slug',0,1,' temp lieyoafjcnckwlspkwjdscuwqdnjmvvgzwqn '),(44344,'title',0,1,''),(44345,'field',98,1,' tap water avoidance decreases rates of hospital onset pulmonary nontuberculous mycobacteria this outbreak response involved avoiding the use of nonsterile water and offers considerations for expanded use of this strategy '),(44345,'slug',0,1,''),(44346,'field',99,1,''),(44346,'field',100,1,''),(44346,'field',101,1,' this outbreak response involved avoiding the use of nonsterile water and offers considerations for expanded use of this strategy '),(44346,'field',104,1,' tap water avoidance decreases rates of hospital onset pulmonary nontuberculous mycobacteria '),(44346,'slug',0,1,' temp djkscwdlhxnkuoptzewcmfvlhguiognhoaoo '),(44346,'title',0,1,''),(44347,'field',98,1,' investigation of healthcare infection risks from water related organisms summary of cdc consultations 2014 2017 summary of water associated organism outbreak consultations that details commonly encountered transmission routes associated with clinical care '),(44347,'slug',0,1,''),(44348,'field',99,1,''),(44348,'field',100,1,''),(44348,'field',101,1,' summary of water associated organism outbreak consultations that details commonly encountered transmission routes associated with clinical care '),(44348,'field',104,1,' investigation of healthcare infection risks from water related organisms summary of cdc consultations 2014 2017 '),(44348,'slug',0,1,' temp qcogcnxwsqwechfabesvjowdsmnjcgeddymw '),(44348,'title',0,1,''),(44349,'field',98,1,' outbreaks of healthcare associated infections linked to water containing hospital equipment a literature review this paper summarizes common hospital medical devices that use water and have led to outbreaks the authors propose measures to help mitigate these risks '),(44349,'slug',0,1,''),(44350,'field',99,1,''),(44350,'field',100,1,''),(44350,'field',101,1,' this paper summarizes common hospital medical 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is not without challenges data sharing and reporting outbreaks of healthcare associated infections hais is one of the most pressing issues the success of this type of outbreak response hinges on access to accurate timely data while technology limitations represent some challenges like data system access for public health professionals and system interoperability other challenges are administrative like dedicating resources for up to date data systems and informatics and having access to staff with informatics expertise any solutions must also carefully balance public awareness and patient confidentiality even if challenges in accessing and using available electronic health information are overcome gaps in collecting or reporting data between health departments and local healthcare organizations may still exist for instance demographic data that could identify populations disproportionately impacted by hai outbreaks and individual cases of antimicrobial resistance ar are not collected consistently posing a challenge to understanding health inequities manually sharing reports between healthcare organizations and public health can further strain thinly stretched healthcare staff the best time to work through technical issues and reporting inconsistencies is prior to an outbreak incident it is integral to effective outbreak response efforts some ways to work through challenges include establishing data dictionaries checking data system interoperability mandating reporting perimeters and standardizing data corhas policy workgroup aims to advocate for and establish more transparency related to data collection and reporting we recognize that accomplishing this goal requires additional guidance resources and buy in from leadership across public health and healthcare given the variations from state to state in public health data sharing rules national level mandates and public health law advocacy may also be necessary to address this challenge the corha policy workgroup continues to develop resources on public data sharing and reporting of hai ar outbreaks with the goal of balancing public data sharing and the protection of patient confidentiality the following corha resources can be used to inform policies and legal frameworks for outbreak reporting investigation notification and disclosure framework for hai outbreak notification framework for hai outbreak notification one pager principles practices chapter 4 outbreak detection and reporting principles practices chapter 8 notification and communication '),(45383,'field',87,1,''),(45383,'field',137,1,''),(45383,'slug',0,1,' importance of data sharing and reporting a conversation with corhas policy workgroup co chairs '),(45383,'title',0,1,' importance of data sharing and reporting a conversation with corhas policy workgroup co chairs '),(45384,'field',46,1,''),(45384,'field',47,1,''),(45384,'slug',0,1,' temp suiqsbumleypaljbnqpylqrkgqsngzonrrmy 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hco staff previously this type of information exchange could involve multiple rounds of faxes or phone calls when we reach out to pursue a new ehr access agreement my colleagues and i have conversations with the hcos executive c suite leaders to identify their concerns we underscore our willingness to support the data sharing agreement process and its flexibility regarding potential hco requirements such as limiting public health account access to requesting specific types of patient information or records this establishes a basis to build trust from which growth can occur with the long term goal of gaining full read only access to all hco partner ehrs as is allowable under hipaa and public health law with these foundational relationships lhds can expand data sharing opportunities to improve community health another strategy schd has leveraged was to first target the hcos with the lowest barriers to ehr access for both public health and healthcare providers from different systems once we had multiple hcos that granted access it was easier to persuade other organizations that were more hesitant we also worked internally to identify the hcos for which ehr access would be most beneficial to our disease and outbreak investigation work snohomish county also recommends a proactive approach in which ehr access is obtained prior to outbreaks and relevant accounts are ready to go were hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their hcos james lewis '),(45391,'field',87,1,''),(45391,'field',137,1,''),(45391,'slug',0,1,' local health departments use of data sharing modeled by snohomish county wa '),(45391,'title',0,1,' local health departments use of data sharing modeled by snohomish county wa '),(45392,'field',46,1,''),(45392,'field',47,1,''),(45392,'slug',0,1,' temp bjaszkepjsvkxvtbdocfptraehdthyrvmbee '),(45392,'title',0,1,''),(45393,'slug',0,1,' data sharing 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allen jb janelle sj lujan k bamberg wm outbreak of group a streptococcus infections in an outpatient wound clinic colorado 2014 am j infect control 2016 44 10 1133 1138 doi 10 1016 j ajic 2016 03 058 adams e quinn m tsay s et al candida auris in healthcare facilities new york usa 2013 2017 emerg infect dis 2018 24 10 1816 1824 doi 10 3201 eid2410 180649 holden d mitsunaga t sanford d fryer t et al multifacility outbreak of ndm oxa 23 producing acinetobacter baumannii in california 2020 2021 antimicrobial stewardship healthcare epidemiology 1 suppl 1 2021 s79 doi 10 1017 ash 2021 155 buser gl cassidy pm cunningham mc et al failure to communicate transmission of extensively drug resistant blaoxa 237 containing acinetobacter baumannii multiple facilities in oregon 2012 2014 infect control hosp epidemiol 2017 38 11 1335 1341 doi 10 1017 ice 2017 189 perkins km lawsin a hasan na et al notes from the field mycobacterium chimaera contamination of heatercooler devices used in cardiac surgery 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'),(46355,'title',0,1,''),(46357,'field',99,1,''),(46357,'field',100,1,''),(46357,'field',101,1,' this resource offers a template for timely internal communications when a norovirus outbreak is suspected in a healthcare facility '),(46357,'field',104,1,' sample communication framework suspected or confirmed norovirus outbreaks '),(46357,'slug',0,1,' temp zycsmstxvavfjzspgtjcikqxfnxpbdnjkrha '),(46357,'title',0,1,''),(46359,'field',99,1,''),(46359,'field',100,1,''),(46359,'field',101,1,' this two page fact sheet can be used to educate healthcare partners about norovirus transmission diagnosis and control measures '),(46359,'field',104,1,' norovirus in healthcare facilities fact sheet '),(46359,'slug',0,1,' temp pglklfhbipbriccyvwwjoqyfsxnjcivwtxxr '),(46359,'title',0,1,''),(46361,'field',99,1,''),(46361,'field',100,1,''),(46361,'field',101,1,' the authors summarize the challenges and economic burden posed by healthcare associated norovirus outbreaks and offer a tabular summary of cdc 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tguaffzxjjypaculktbdqpkfvaohqtbghjqh '),(46382,'title',0,1,''),(46384,'field',99,1,''),(46384,'field',100,1,''),(46384,'field',101,1,' recommendations for controlling igas among exposed household contacts and for responding to postpartum and postsurgical igas '),(46384,'field',104,1,' prevention of igas among household contacts of case patients and among postpartum and postsurgical patients recommendations from the centers for disease control and prevention '),(46384,'slug',0,1,' temp vuzqxxcouacsacxfjiewyuxxkmpoeqywvlhc '),(46384,'title',0,1,''),(46386,'field',99,1,''),(46386,'field',100,1,''),(46386,'field',101,1,' outbreak report that examined the role of working while ill or presenteeism in the introduction and transmission of gas within a skilled nursing facility '),(46386,'field',104,1,' a cluster of group a streptococcal infections in a skilled nursing facility the potential role of healthcare worker presenteeism '),(46386,'slug',0,1,' temp dwsoomkpzmmvotnvjgklzuaiiajdnypxnxnp '),(46386,'title',0,1,''),(46388,'field',99,1,''),(46388,'field',100,1,''),(46388,'field',101,1,' audit tool to help identify infection control issues during wound care a common source of gas transmission in ltc outbreaks '),(46388,'field',104,1,' icar observation form wound care '),(46388,'slug',0,1,' temp otftwxpcqnfrnoryhdbkusswaalvrjzxtjjh '),(46388,'title',0,1,''),(46419,'field',99,1,''),(46419,'field',100,1,''),(46419,'field',101,1,' recommendations that healthcare providers and health departments can use to reduce the spread of cre infections '),(46419,'field',104,1,' cre infection control '),(46419,'slug',0,1,' temp iewdglllnctgpubfqoaqlwjfmwbqhxpcdtku '),(46419,'title',0,1,''),(46421,'field',99,1,''),(46421,'field',100,1,''),(46421,'field',101,1,' this website introduces valuable concepts and strategies for preventing and containing mdros including cre '),(46421,'field',104,1,' preventing mdros multidrug resistant organisms '),(46421,'slug',0,1,' temp 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'),(46453,'title',0,1,''),(46455,'field',99,1,''),(46455,'field',100,1,''),(46455,'field',101,1,' this article includes checklists for assessing facility linen management practices '),(46455,'field',104,1,' keeping health care linens clean underrecognized hazards and critical control points to avoid contamination of laundered health care textiles '),(46455,'slug',0,1,' temp nmrwhqzbygmponhgvsqhirauxxuehqweukil '),(46455,'title',0,1,''),(46457,'field',99,1,''),(46457,'field',100,1,''),(46457,'field',101,1,' visit this corha resource page if you are looking for resources related to candida auris '),(46457,'field',104,1,' candida auris resources '),(46457,'slug',0,1,' temp dkgppqqxuzgnomvsrkycdgzctcnofsncxcgx '),(46457,'title',0,1,''),(46483,'field',99,1,''),(46483,'field',100,1,''),(46483,'field',101,1,' this resource includes recommended practices for ntm outbreak response in healthcare settings including outbreak detection and reporting investigation and control measures 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'),(46510,'title',0,1,''),(46512,'field',99,1,''),(46512,'field',100,1,''),(46512,'field',101,1,' this toolkit was adapted from the cdc hicpac guideline and may serve as a model for other states it contains an outbreak response checklist sample line lists and outbreak report forms '),(46512,'field',104,1,' toolkit for control of norovirus outbreaks in long term care facilities '),(46512,'slug',0,1,' temp mwmmabanlwdhcauakvaypeojrzahmlzeaqsl '),(46512,'title',0,1,''),(46514,'field',99,1,''),(46514,'field',100,1,''),(46514,'field',101,1,' environmental cleaning is a key component of norovirus outbreak reponse this resource includes an interactive table that details antimicrobial products listed as effective against norovirus '),(46514,'field',104,1,' epas registered antimicrobial products effective against norovirus list g '),(46514,'slug',0,1,' temp zgzwyvvkeovmgmxjpcejcymbtnvmbccxdeto '),(46514,'title',0,1,''),(46516,'field',99,1,''),(46516,'field',100,1,''),(46516,'field',101,1,' this resource offers a template for timely internal communications when a norovirus outbreak is suspected in a healthcare facility '),(46516,'field',104,1,' sample communication framework suspected or confirmed norovirus outbreaks '),(46516,'slug',0,1,' temp zycsmstxvavfjzspgtjcikqxfnxpbdnjkrha '),(46516,'title',0,1,''),(46518,'field',99,1,''),(46518,'field',100,1,''),(46518,'field',101,1,' this two page fact sheet can be used to educate healthcare partners about norovirus transmission diagnosis and control measures '),(46518,'field',104,1,' norovirus in healthcare facilities fact sheet '),(46518,'slug',0,1,' temp pglklfhbipbriccyvwwjoqyfsxnjcivwtxxr '),(46518,'title',0,1,''),(46520,'field',99,1,''),(46520,'field',100,1,''),(46520,'field',101,1,' the authors summarize the challenges and economic burden posed by healthcare associated norovirus outbreaks and offer a tabular summary of cdc hicpac control recommendations '),(46520,'field',104,1,' burden of norovirus in healthcare facilities and 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health considerations for healthcare associated cases and outbreaks of legionnaires disease '),(46571,'slug',0,1,' temp eghzzegqoautvdvwieuyxwvhckymfohexgkz '),(46571,'title',0,1,''),(46573,'field',99,1,''),(46573,'field',100,1,''),(46573,'field',101,1,''),(46573,'field',104,1,' cdc vital signs june 2017 legionnaires disease a problem for healthcare facilities '),(46573,'slug',0,1,' temp vyaplsbwlgporyyvxmqihqeuhslddoqtzavw '),(46573,'title',0,1,''),(46575,'field',99,1,''),(46575,'field',100,1,''),(46575,'field',101,1,' this website provides links to a risk communication toolkit and water management program wmp evaluation tool that can be used when responding to healthcare associated legionnaires disease '),(46575,'field',104,1,' cste legionnaires disease resources '),(46575,'slug',0,1,' temp gcrdubuivrcfqjcisusppxgajbboqgnszlfb '),(46575,'title',0,1,''),(46577,'field',99,1,''),(46577,'field',100,1,''),(46577,'field',101,1,' see page 32 box 8 3 for this example '),(46577,'field',104,1,' example of patient notification legionella outbreak in a general medicine ward '),(46577,'slug',0,1,' temp zfrirbwzvzjbooewrasjyqdteqgsbwmpstwv '),(46577,'title',0,1,''),(46579,'field',99,1,''),(46579,'field',100,1,''),(46579,'field',101,1,' this page offers a collection of resources to assist with water related outbreak detection and response including items relevant to legionnaires disease e g cms wmp memo '),(46579,'field',104,1,' water associated organisms '),(46579,'slug',0,1,' temp wclzvwjxhojnljwppzjxpnvvqcejqmyjkmon '),(46579,'title',0,1,''),(46596,'field',99,1,''),(46596,'field',100,1,''),(46596,'field',101,1,''),(46596,'field',104,1,' infection prevention and control of mpox in healthcare settings '),(46596,'slug',0,1,' temp xrwivleolcvmfxdrdgohqluvxzrtxgjffavt '),(46596,'title',0,1,''),(46598,'field',99,1,''),(46598,'field',100,1,''),(46598,'field',101,1,' this collection of resources contains links to webinars and slide presentations such as ipc 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detection of possible outbreaks and timely intervention to prevent transmission '),(46642,'field',104,1,' investigation reporting thresholds and outbreak definitions for covid 19 in healthcare settings '),(46642,'slug',0,1,' temp qjcqyooemaxqjsihxhgtmayekgbhjefspdea '),(46642,'title',0,1,''),(46644,'field',99,1,''),(46644,'field',100,1,''),(46644,'field',101,1,' this resource published at the start of the 2023 2024 respiratory virus season provides guidance for preventing all viral respiratory pathogens including influenza virus and sars cov 2 infection in healthcare settings '),(46644,'field',104,1,' preventing transmission of viral respiratory pathogens in healthcare settings '),(46644,'slug',0,1,' temp arjjquljsgcwzmvrzpqzbskknongblwhmpwv '),(46644,'title',0,1,''),(46646,'field',99,1,''),(46646,'field',100,1,''),(46646,'field',101,1,' this toolkit was published at the start of the 2023 2024 respiratory virus season alongside general healthcare setting guidance and serves as a 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collection of resources to assist with water related outbreak detection and response corhas nontuberculous mycobacteria burkholderia cepacia and legionella resource pages offer additional detailed information '),(47246,'slug',0,1,' temp rwlpacukoilaobdjruttbkelpdngvkaclcfo '),(47246,'title',0,1,''),(47247,'field',1,1,''),(47247,'field',11,1,''),(47247,'field',63,1,' read more routine clinical care can result in exposure and transmission either directly or indirectly from sinks showers toilets and ice machines patients also may be exposed to these organisms through medical products i e medications and medical devices which can become contaminated at the point of manufacture or at the healthcare facility through improper handling e g storage preparation or administration of the products near water sources '),(47247,'slug',0,1,''),(47248,'field',64,1,' read more '),(47248,'field',65,1,' routine clinical care can result in exposure and transmission either directly or indirectly from sinks 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'),(47287,'title',0,1,''),(47288,'field',3,1,' chapter summary this chapter introduces healthcare outbreak response and provides an outline of corhas principles practices in its entirety while the primary audience for the corha principles practices consists of public health agency personnel the information presented here can also be useful to healthcare professionals and other partners involved in healthcare outbreak response the field of healthcare epidemiology has expanded tremendously during the last few decades an extensive network of healthcare and public health professionals has begun working collaboratively to decrease healthcare associated infections hais and antimicrobial resistance ar one part of this partnership is rapid and efficient outbreak responses to prevent and halt the transmission of pathogens or spread of disease the term hai ar outbreak includes outbreaks involving infections that meet the definition of an hai as well as infections or colonizations with organisms typically associated with the receipt of healthcare including pathogens demonstrating resistance to antimicrobial treatment ar pathogens the term outbreak response or simply response refers to efforts made to assist with assessment and investigation of specific acute hai ar risks the types of hazards addressed by healthcare outbreak response include overt outbreaks clusters of infections sentinel cases e g an uncommon hai or emerging ar threat or serious breaches in infection control practice please consult chapter 1 for additional information including an expanded table of contents with detailed outlines of the topics covered in each chapter and section '),(47288,'slug',0,1,' temp nwegmmuwkebpftigeittdgcnpvhfythqdnca '),(47288,'title',0,1,''),(47289,'field',1,1,''),(47289,'field',11,1,''),(47289,'field',63,1,' what individual roles should the outbreak response team consist of and what are their responsibilities since states organize their governmental public health systems in diverse 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use of this strategy '),(47356,'slug',0,1,''),(47357,'field',99,1,''),(47357,'field',100,1,''),(47357,'field',101,1,' this outbreak response involved avoiding the use of nonsterile water and offers considerations for expanded use of this strategy '),(47357,'field',104,1,' tap water avoidance decreases rates of hospital onset pulmonary nontuberculous mycobacteria '),(47357,'slug',0,1,' temp djkscwdlhxnkuoptzewcmfvlhguiognhoaoo '),(47357,'title',0,1,''),(47358,'field',98,1,' investigation of healthcare infection risks from water related organisms summary of cdc consultations 2014 2017 summary of water associated organism outbreak consultations that details commonly encountered transmission routes associated with clinical care '),(47358,'slug',0,1,''),(47359,'field',99,1,''),(47359,'field',100,1,''),(47359,'field',101,1,' summary of water associated organism outbreak consultations that details commonly encountered transmission routes associated with clinical care '),(47359,'field',104,1,' 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requirement to reduce legionella risk in healthcare facility water systems to prevent cases and outbreaks of legionnaires disease ld outline of requirements for acute care hospitals and long term care facilities regarding water management policies and procedures to reduce the risk of growth and spread of legionella and other opportunistic pathogens '),(47362,'slug',0,1,''),(47363,'field',99,1,''),(47363,'field',100,1,''),(47363,'field',101,1,' outline of requirements for acute care hospitals and long term care facilities regarding water management policies and procedures to reduce the risk of growth and spread of legionella and other opportunistic pathogens '),(47363,'field',104,1,' requirement to reduce legionella risk in healthcare facility water systems to prevent cases and outbreaks of legionnaires disease ld '),(47363,'slug',0,1,' temp dxkllpryxvqfasjbweozfaxkhviwfnpkshze '),(47363,'title',0,1,''),(47366,'field',3,1,' investigating outbreaks in healthcare settings requires the 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