(51004,50599,1,'Leadership: Dr. Natasha Bagdasarian','leadership-dr-natasha-bagdasarian','news/leadership-dr-natasha-bagdasarian','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>For almost 20 years, my <a href=\\\"{entry:2192@1:url||https://corha.org/leadership}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">career</a> has focused on hospital epidemiology, infection prevention and control (IPC), and antimicrobial stewardship programs (ASP), so I am excited about joining this group of like-minded folks.</p><p>My blended international and state-level perspectives have helped me identify opportunities in IPC guidance, and to ponder ways health care and public health could work together. Now, more than ever, it is crucial to strengthen the relationships between public health and healthcare. Communication and relationship building are critical. CORHA is well positioned to assist this effort. For example, the Council brings public health and healthcare partners together to engage in dialogue about some of the most pressing issues facing us today, such as strengthening public health infrastructure, increasing trust in messaging and communication, building and deepening relationships with community members, and prioritizing health equity.</p><p>We are in a moment when outbreak and pandemic preparedness is experiencing greater visibility, and this is our opportunity to ask for the things public health needs: flexible funding, robust data infrastructure and workforce support. This is also a good time to communicate about what public health does and why this work is so important. In my new leadership role with CORHA, representing the Association of State and Territorial Health Officials, I will work on these initiatives and further the Council’s mission, vision, and goals of protecting patients from outbreaks.</p><p>I feel passionate about addressing the issues of health care-associated infections and antimicrobial resistance and improving outbreak preparedness at all levels—national, state, community. I look forward to meeting and working with others who share these interests with CORHA!</p><figure class=\\\"image\\\"><img src=\\\"{asset:45446:url||/assets/images/headshots/Dr_Natsha_Bagdasarian-1-214x300.jpg}\\\" alt=\\\"Natasha Bagdasarian Headshot\\\" width=\\\"214\\\" height=\\\"300\\\" /></figure><p><i>                                                                   Natasha Bagdasarian</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Natasha Bagdasarian, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Dr. Natasha Bagdasarian - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Dr. Natasha Bagdasarian, ASTHO, discusses leadership in public health and strategies for effective pandemic response in her latest insights.\"}, \"facebook\": {\"title\": \"Leadership: Dr. Natasha Bagdasarian - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Dr. Natasha Bagdasarian, ASTHO, discusses leadership in public health and strategies for effective pandemic response in her latest insights.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"leadership\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"pandemic repsonse\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"ASTHO\"}], \"titleRaw\": {\"1\": \"Leadership: Dr. Natasha Bagdasarian\"}, \"descriptionRaw\": \"Dr. Natasha Bagdasarian, ASTHO, discusses leadership in public health and strategies for effective pandemic response in her latest insights.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:02:01','2024-12-03 20:02:01','f1355633-518d-4e10-86cd-c14af26acfc5'),(51006,50601,1,'November 2022 Fall Meeting Recap','november-2022-fall-meeting-recap','news/november-2022-fall-meeting-recap','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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 CORHA’s Strategic Map and reflected on their experiences leading the COVID-19 pandemic response, applying the successes and lessons learned from the response to CORHA’s goal of improving current and future HAI/AR outbreak response.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43873:url||/assets/images/Fall-2022-Meeting-scaled.jpg}\\\" alt=\\\"CORHA Fall 2022 Meeting Attendees\\\" width=\\\"1200\\\" height=\\\"1200\\\" /></figure><p><i>                                                                                     CORHA Fall 2022 Meeting Attendees</i></p><p>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 <i>Candida auris</i> and other common respiratory viruses were pathogens of concern that can similarly test our healthcare outbreak response capacities<i>. </i>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 <a href=\\\"https://corha.org/assets/documents/COVID-19-HC-Outbreak-Definition-Guidance_January-2024.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>Reporting Thresholds and Outbreak Definitions for COVID-19 in Healthcare Settings</i></a> document, as well as the CORHA Policy Workgroup’s <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>Framework for Healthcare-Associated Infection Outbreak Notification</i></a> document. CORHA is growing into a trusted resource by providing and packaging timely HAI/AR outbreak response guidance and recommendations. The Fall Meeting reinvigorated CORHA’s 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.</p><p>Meeting discussions highlighted many opportunities to expand the reach and increase visibility of the Council’s work. First, member organization representatives discussed improving bi-directional communication and coordination between local, state, federal, and private sectors to promote and share the Council’s 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.</p><p>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 <a href=\\\"https://naccho.realmagnet.land/corha-correspondence-newsletter\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Correspondence newsletter</a> and submit <a href=\\\"{entry:1915@1:url||https://corha.org/contact-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">feedback</a> on CORHA products.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Grace Lee, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"November 2022 Fall Meeting Recap - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Review of the November 2022 fall meeting, highlighting important updates and discussions on public health initiatives by CORHA.\"}, \"facebook\": {\"title\": \"November 2022 Fall Meeting Recap - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Review of the November 2022 fall meeting, highlighting important updates and discussions on public health initiatives by CORHA.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"Public health initiatives\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"health care system\"}, {\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"good\", \"keyword\": \"CORHA\"}], \"titleRaw\": {\"1\": \"November 2022 Fall Meeting Recap\"}, \"descriptionRaw\": \"Review of the November 2022 fall meeting, highlighting important updates and discussions on public health initiatives by CORHA.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:03:00','2024-12-03 20:03:00','4768b74a-2bd4-47b3-a16c-c5dc6869cc5c'),(51008,50603,1,'Introducing CORHA’s Principles and Practices for Healthcare Outbreak Response and its Importance','introducing-corhas-principles-and-practices-for-healthcare-outbreak-response-and-its-importance','news/introducing-corhas-principles-and-practices-for-healthcare-outbreak-response-and-its-importance','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Chapters 1-5</i> </p><p>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 <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Principles and Practices for Healthcare Outbreak Response</a> is a comprehensive reference that covers key concepts and topics related to HAI/AR outbreak detection, reporting, investigation, and control. </p><p>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.  </p><p>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.  </p><p>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. </p><p> 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. </p><p>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. </p><p>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. </p><p>With the publication of its <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles and Practices for Healthcare Outbreak</a>, 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. </p><p><a href=\\\"{entry:8613@1:url||https://corha.org/pathogens-diseases}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Click here</a> to learn more about additional Resources and Products developed by CORHA.  </p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Introducing CORHA’s Principles and Practices for Healthcare Outbreak Response and its Importance - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Introducing CORHA\'s principles and practices for healthcare outbreak response and their critical importance in managing health crises.\"}, \"facebook\": {\"title\": \"Introducing CORHA’s Principles and Practices for Healthcare Outbreak Response and its Importance - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Introducing CORHA\'s principles and practices for healthcare outbreak response and their critical importance in managing health crises.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"principles and practices\"}, {\"rating\": \"poor\", \"keyword\": \"P&P\"}, {\"rating\": \"poor\", \"keyword\": \"healthcare outbreak response\"}, {\"rating\": \"poor\", \"keyword\": \"evidence-based practice\"}, {\"rating\": \"poor\", \"keyword\": \"intervention\"}, {\"rating\": \"good\", \"keyword\": \"CORHA\"}], \"titleRaw\": {\"1\": \"Introducing CORHA’s Principles and Practices for Healthcare Outbreak Response and its Importance\"}, \"descriptionRaw\": \"Introducing CORHA\'s principles and practices for healthcare outbreak response and their critical importance in managing health crises.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:04:22','2024-12-03 20:04:22','aa2d3ac5-fd9f-4aca-8e90-df25ffc31cae'),(51010,50605,1,'CORHA Governance Committee CSTE Roundtable Discussion','corha-governance-committee-cste-roundtable-discussion','news/corha-governance-committee-cste-roundtable-discussion','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>On June 21, CORHA Governance Committee members Drs. Erin Epson and Dawn Terashita convened 150 people for a virtual roundtable discussion at the annual <a href=\\\"https://www.csteconference.org/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CSTE Conference</a> where they provided an overview of CORHA’s <a href=\\\"{entry:2054@1:url||https://corha.org/about-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">mission and goals</a>, the current progress of the <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles and Practices for Outbreak Response</a> (P&amp;P), and other ongoing Council work. They highlighted CORHA’s P&amp;P 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.</p><p>Attendees and facilitators engaged in a robust conversation on their engagement with the Council’s 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.</p><p>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 CDC’s ICAR tools, while others used CORHA’s <a href=\\\"https://www.corha.org/tools\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">templates</a> 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 <i>before</i> an outbreak occurs. This ultimately creates the most collaborative space for public health agencies and healthcare facilities to work together to respond to outbreaks.</p><p>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 P&amp;P, 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.</p><p>To stay informed on new and updated CORHA products, please consider subscribing to the monthly <a href=\\\"https://naccho.realmagnet.land/corha-correspondence-newsletter\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Correspondence newsletter</a>. 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 <a href=\\\"{entry:1915@1:url||https://corha.org/contact-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">feedback</a> on CORHA products.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Grace Lee, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"CORHA Governance Committee CSTE Roundtable Discussion - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"CORHA governance committee engages in a roundtable discussion with CSTE, addressing key public health challenges and strategies.\"}, \"facebook\": {\"title\": \"CORHA Governance Committee CSTE Roundtable Discussion - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"CORHA governance committee engages in a roundtable discussion with CSTE, addressing key public health challenges and strategies.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"Health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"compliance\"}, {\"rating\": \"poor\", \"keyword\": \"regulation\"}, {\"rating\": \"poor\", \"keyword\": \"health care system\"}, {\"rating\": \"poor\", \"keyword\": \"governing entity\"}, {\"rating\": \"good\", \"keyword\": \"CORHA\"}, {\"rating\": \"good\", \"keyword\": \"CSTE\"}], \"titleRaw\": {\"1\": \"CORHA Governance Committee CSTE Roundtable Discussion\"}, \"descriptionRaw\": \"CORHA governance committee engages in a roundtable discussion with CSTE, addressing key public health challenges and strategies.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:10:28','2024-12-03 20:10:28','ba006b83-7b93-4e63-9458-e7f9c360dc76'),(51012,50607,1,'The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 2)','the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-2','news/the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-2','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Part Two: CORHA’s New HAI Outbreak Notification Framework </i></p><p>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 <a href=\\\"{entry:3400@1:url||https://corha.org/collaborative-workgroups}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Policy Workgroup</a> has been discussing both legal and policy considerations related to outbreaks of healthcare-associated infections (HAIs), including those caused by antimicrobial-resistant (AR) pathogens.  </p><p>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. <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA’s Framework for Healthcare-Associated Infection Outbreak Notification</a> is a prime example. The framework was created because standards for HAI outbreak patient notification and public disclosure were lacking.  </p><p>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.  </p><p>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.  </p><p>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.  </p><p>Notifications, like outbreaks, vary in size, scale and complexity. We anticipate CORHA’s new framework will be a valuable tool to assist our healthcare facility and public health partners with navigating these multifaceted and demanding situations.  </p><p>Please <a href=\\\"{entry:8613@1:url||https://corha.org/pathogens-diseases}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">click here </a>to learn more about additional Resources and Products developed by CORHA.  </p><figure class=\\\"image\\\"><img src=\\\"{asset:43895:transform:medium||/assets/images/transf/_medium/43895/Maureen-Tierney.webp}\\\" alt=\\\"Maureen Tierney Headshot\\\" width=\\\"300\\\" height=\\\"340\\\" /></figure><p><i>                                                                                 Maureen Tierney</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43896:transform:medium||/assets/images/transf/_medium/43896/Moon-Kim-232x300.webp}\\\" alt=\\\"Moon Kim Headshot\\\" width=\\\"300\\\" height=\\\"388\\\" /></figure><p><i>                                                                                         Moon Kim</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                              <i>     Dawn Terashita</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Maureen Tierney, MD, MSc., FIDSA, Moon Kim, MD, MPH, & Dawn Terashita, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"good\", \"social\": {\"twitter\": {\"title\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 2) - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Part 2 discusses the importance of patient notification and CORHA\'s HAI outbreak notification framework in improving health outcomes.\"}, \"facebook\": {\"title\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 2) - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Part 2 discusses the importance of patient notification and CORHA\'s HAI outbreak notification framework in improving health outcomes.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"health information exchange\"}, {\"rating\": \"poor\", \"keyword\": \"confidential information\"}, {\"rating\": \"good\", \"keyword\": \"CORHA\"}, {\"rating\": \"good\", \"keyword\": \"outbreak notification\"}, {\"rating\": \"good\", \"keyword\": \"patient notification\"}, {\"rating\": \"good\", \"keyword\": \"HAI\"}], \"titleRaw\": {\"1\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 2)\"}, \"descriptionRaw\": \"Part 2 discusses the importance of patient notification and CORHA\'s HAI outbreak notification framework in improving health outcomes.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:12:18','2024-12-03 20:12:18','a53d026c-1685-4a94-9ae6-5e94266f56c5'),(51014,50609,1,'The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 1)','the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-1','news/the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-1','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Part One: Truth and Transparency</i></p><p>Patient notification is at the forefront now more than ever due to the COVID-19 pandemic. The <a href=\\\"{entry:3400@1:url||https://corha.org/collaborative-workgroups}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Policy Workgroup</a> has been working to develop an <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">HAI Outbreak Notification Framework</a> 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.   </p><p>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.  </p><p>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. It’s 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.  </p><p>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. </p><figure class=\\\"image\\\"><img src=\\\"{asset:43895:transform:medium||/assets/images/transf/_medium/43895/Maureen-Tierney.webp}\\\" alt=\\\"Maureen Tierney Headshot\\\" width=\\\"300\\\" height=\\\"340\\\" /></figure><p>                                                                                     <i>Maureen Tierney</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43896:transform:medium||/assets/images/transf/_medium/43896/Moon-Kim-232x300.webp}\\\" alt=\\\"Moon Kim Headshot\\\" width=\\\"300\\\" height=\\\"388\\\" /></figure><p>                                                                                           <i>   Moon Kim</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita Headshot\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                                     <i> Dawn Terashita</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Maureen Tierney, MD, MSc., FIDSA, Moon Kim, MD, MPH, & Dawn Terashita, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 1) - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Part 1 emphasizes the significance of patient notification and the role of CORHA\'s HAI outbreak notification framework.\"}, \"facebook\": {\"title\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 1) - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Part 1 emphasizes the significance of patient notification and the role of CORHA\'s HAI outbreak notification framework.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"Health communication\"}, {\"rating\": \"poor\", \"keyword\": \"health information exchange\"}, {\"rating\": \"poor\", \"keyword\": \"confidential information\"}, {\"rating\": \"poor\", \"keyword\": \"CORHA\"}, {\"rating\": \"good\", \"keyword\": \"patient notification\"}, {\"rating\": \"poor\", \"keyword\": \"HAI\"}], \"titleRaw\": {\"1\": \"The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 1)\"}, \"descriptionRaw\": \"Part 1 emphasizes the significance of patient notification and the role of CORHA\'s HAI outbreak notification framework.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:13:41','2024-12-03 20:13:41','0e6141eb-ead1-48e6-bd65-da4c6fd2b5c8'),(51016,50611,1,'Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories','leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','news/leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>Public health laboratories are foundational to our nation’s 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.</p><figure class=\\\"image\\\"><a href=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\"><img src=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\" alt=\\\"Kelly Wroblewski\\\" width=\\\"300\\\" height=\\\"300\\\" /></a></figure><p>                                                                      <i>                Kelly Wroblewski</i></p><p>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.</p><p>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.</p><p>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.</p><p>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 Minnesota’s HAI/AR program and public health laboratories demonstrated the <a href=\\\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a3.htm\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">importance of serial screening in LTCFs to limit the spread of COVID-19</a>, and the utility of genomic sequencing to determine the source of transmission. In addition, the Michigan Department of Health developed a <a href=\\\"https://www.michigan.gov/coronavirus/0,9753,7-406-98178_100722---,00.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">COVID-19 webpage</a> specific to LTCFs with training materials and videos that public health laboratories helped develop to ensure that testing is conducted properly.</p><p>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 <i>Candida auris</i>. 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 CORHA’s product offerings and will continue to equip health departments and healthcare facilities with the tools to improve HAI/AR outbreak responses.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Kelly Wroblewski, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}, \"facebook\": {\"title\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"pandemic response\"}, {\"rating\": \"poor\", \"keyword\": \"public health laboratory\"}, {\"rating\": \"poor\", \"keyword\": \"regulation\"}, {\"rating\": \"poor\", \"keyword\": \"public health surveillance\"}, {\"rating\": \"poor\", \"keyword\": \"APHL\"}, {\"rating\": \"poor\", \"keyword\": \"leadership\"}], \"titleRaw\": {\"1\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories\"}, \"descriptionRaw\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:14:36','2024-12-03 20:14:36','11de96c5-e6bf-4561-8994-5f105ad521d5'),(51018,50613,1,'Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories','leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','news/leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>Public health laboratories are foundational to our nation’s 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.</p><figure class=\\\"image\\\"><a href=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\"><img src=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\" alt=\\\"Kelly Wroblewski Headshot\\\" width=\\\"300\\\" height=\\\"300\\\" /></a></figure><p>                                                                      <i>            Kelly Wroblewski</i></p><p>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.</p><p>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.</p><p>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.</p><p>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 Minnesota’s HAI/AR program and public health laboratories demonstrated the <a href=\\\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a3.htm\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">importance of serial screening in LTCFs to limit the spread of COVID-19</a>, and the utility of genomic sequencing to determine the source of transmission. In addition, the Michigan Department of Health developed a <a href=\\\"https://www.michigan.gov/coronavirus/0,9753,7-406-98178_100722---,00.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">COVID-19 webpage</a> specific to LTCFs with training materials and videos that public health laboratories helped develop to ensure that testing is conducted properly.</p><p>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 <i>Candida auris</i>. 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 CORHA’s product offerings and will continue to equip health departments and healthcare facilities with the tools to improve HAI/AR outbreak responses.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Kelly Wroblewski, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}, \"facebook\": {\"title\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"pandemic response\"}, {\"rating\": \"poor\", \"keyword\": \"public health laboratory\"}, {\"rating\": \"poor\", \"keyword\": \"regulation\"}, {\"rating\": \"poor\", \"keyword\": \"public health surveillance\"}, {\"rating\": \"poor\", \"keyword\": \"APHL\"}, {\"rating\": \"poor\", \"keyword\": \"leadership\"}], \"titleRaw\": {\"1\": \"Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories\"}, \"descriptionRaw\": \"Kelly Wroblewski, APHL shares insights on the rise of public health laboratories and their crucial role in pandemic response challenges.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:15:01','2024-12-03 20:15:01','ddff19f8-7a93-4d55-98eb-183c63691cf2'),(51020,50615,1,'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','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','news/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','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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 <i>Candida auris</i>, 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.  </p><p>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.  </p><p>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. </p><p>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 <a href=\\\"https://www.corha.org/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Council for Outbreak Response: Healthcare-Associated Infections and Antimicrobial-Resistant Pathogen (CORHA)</a> 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 CORHA’s 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. </p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita Headshot\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                              <i>      Dawn Terashita</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43921:transform:medium||/assets/images/transf/_medium/43921/Zachary-Rubin.webp}\\\" alt=\\\"Zachary Rubin Headshot\\\" width=\\\"300\\\" height=\\\"300\\\" /></figure><p>                                                                                  <i> Zachary Rubin</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Dawn Terashita, MD, MPH, FACPM & Zachary Rubin, MD\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Insights from Dawn Terashita and Zachary Rubin, Los Angeles County Department of Public Health (CA) on the future of HAI AR response amid COVID-19 challenges and evolving strategies.\"}, \"facebook\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Insights from Dawn Terashita and Zachary Rubin, Los Angeles County Department of Public Health (CA) on the future of HAI AR response amid COVID-19 challenges and evolving strategies.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"Evidence based practice\"}, {\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"public health infrastructure\"}, {\"rating\": \"poor\", \"keyword\": \"CA\"}, {\"rating\": \"poor\", \"keyword\": \"jurisdiction\"}, {\"rating\": \"poor\", \"keyword\": \"local health department\"}, {\"rating\": \"poor\", \"keyword\": \"leadership\"}, {\"rating\": \"poor\", \"keyword\": \"NACCHO\"}], \"titleRaw\": {\"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\"}, \"descriptionRaw\": \"Insights from Dawn Terashita and Zachary Rubin, Los Angeles County Department of Public Health (CA) on the future of HAI AR response amid COVID-19 challenges and evolving strategies.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:18:16','2024-12-03 20:18:16','1bd433e2-f548-4efd-888f-99342c31497d'),(51022,50617,1,'Leadership: New CDC Funding Recognizes Healthcare Outbreak Response Needs','leadership-new-cdc-funding-recognizes-healthcare-outbreak-response-needs','news/leadership-new-cdc-funding-recognizes-healthcare-outbreak-response-needs','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.</p><h2><i>What is the new funding we’ve been hearing about?</i></h2><p>The initial funding is divided between two projects that are managed under a <a href=\\\"https://www.cdc.gov/ncezid/dpei/epidemiology-laboratory-capacity.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CDC cooperative agreement with health departments</a>. One of these is the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-nursing-home-ltc-facility-strike-team-and-infastructure-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Nursing Home &amp; Long-term Care Facility Strike Team and Infrastructure Project</a> which totals $500 million. The other is the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-strengthening-haiar-program-capicity-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Strengthening HAI/AR Program (SHARP) Capacity Project</a> which totals $385 million.</p><h2><i>How is healthcare outbreak response reflected in the new funding?</i></h2><p>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.</p><h2><i>Can you unpack that a bit, in relation to the Nursing Home &amp; Long-term Care Project?</i></h2><p>Sure, the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-nursing-home-ltc-facility-strike-team-and-infastructure-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">LTC Project Guidance</a> includes a directive to support nursing homes – and other types of long-term care facilities – with COVID-19 outbreak response. That’s 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.</p><p>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.</p><p>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.</p><h2><i>And what about the SHARP Project?</i></h2><p>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 <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-strengthening-haiar-program-capicity-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">SHARP project guidance</a> 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.</p><p>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.</p><p>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.</p><h2><i>Advice for CORHA and its member organizations?</i></h2><p>Yes, let’s 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 CORHA’s member organizations to improve and expand our collective offerings.</p><p>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 CORHA’s workgroups and member organizations to take our work to the next level.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43928:transform:medium||/assets/images/transf/_medium/43928/Joseph-Perz-300x241-2.webp}\\\" alt=\\\"Joseph Perz Headshot\\\" width=\\\"300\\\" height=\\\"241\\\" /></figure><p><i>                                                                                      Joseph Perz</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Joseph Perz, DrPH, MA\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: New CDC Funding Recognizes Healthcare Outbreak Response Needs - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"New CDC funding recognizes the pressing needs for effective healthcare outbreak response in the wake of public health challenges.\"}, \"facebook\": {\"title\": \"Leadership: New CDC Funding Recognizes Healthcare Outbreak Response Needs - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"New CDC funding recognizes the pressing needs for effective healthcare outbreak response in the wake of public health challenges.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"Health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"compliance regulation\"}, {\"rating\": \"poor\", \"keyword\": \"health care system\"}, {\"rating\": \"poor\", \"keyword\": \"governing entity\"}, {\"rating\": \"good\", \"keyword\": \"CDC\"}, {\"rating\": \"poor\", \"keyword\": \"leadership\"}], \"titleRaw\": {\"1\": \"Leadership: New CDC Funding Recognizes Healthcare Outbreak Response Needs\"}, \"descriptionRaw\": \"New CDC funding recognizes the pressing needs for effective healthcare outbreak response in the wake of public health challenges.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:19:40','2024-12-03 20:19:40','7c76e017-f8d4-4a75-b492-c14eaf146580'),(51024,50619,1,'Leadership: Linda Greene, Director of Hospital Infection Prevention at the University of Rochester Highland Hospital','leadership-linda-greene-director-of-hospital-infection-prevention-at-the-university-of-rochester-highland-hospital','news/leadership-linda-greene-director-of-hospital-infection-prevention-at-the-university-of-rochester-highland-hospital','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.  </p><blockquote><p>\\\"…The greatest outbreak and infection prevention and control challenges I have witnessed were related to COVID-19.\\\"</p></blockquote><p>Our hospital’s 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.  </p><p>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 <a href=\\\"https://corha.org/assets/documents/COVID-19-HC-Outbreak-Definition-Guidance_January-2024.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>CORHA/CSTE Proposed Investigation/Reporting Thresholds and Outbreak Definitions for COVID-19</i> <i>in Healthcare</i> <i>Settings</i></a>, and more broadly to review <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>CORHA’s Principles and Practices for Outbreak Response</i></a>. </p><p>As a former APIC president, my perceptions and experiences have granted me the ability to contribute to CORHA in a distinctive way. APIC’s 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.  </p><figure class=\\\"image\\\"><img src=\\\"{asset:43932:transform:medium||/assets/images/transf/_medium/43932/Linda-Greene-200x300.webp}\\\" alt=\\\"Linda Greene Headshot\\\" width=\\\"300\\\" height=\\\"450\\\" /></figure><p><i>                                                                                    Linda Greene</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Linda Greene, RN, MPS, CIC, FAPIC\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Linda Greene, Director of Hospital Infection Prevention at the University of Rochester Highland Hospital - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Linda Greene, director of infection prevention at the University of Rochester Highland Hospital (NY), discusses leadership in public health.\"}, \"facebook\": {\"title\": \"Leadership: Linda Greene, Director of Hospital Infection Prevention at the University of Rochester Highland Hospital - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Linda Greene, director of infection prevention at the University of Rochester Highland Hospital (NY), discusses leadership in public health.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"leadership\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"NY\"}], \"titleRaw\": {\"1\": \"Leadership: Linda Greene, Director of Hospital Infection Prevention at the University of Rochester Highland Hospital\"}, \"descriptionRaw\": \"Linda Greene, director of infection prevention at the University of Rochester Highland Hospital (NY), discusses leadership in public health.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:20:43','2024-12-03 20:20:43','2bd07c30-32c4-4d95-acf6-bb679433ce8c'),(51026,50621,1,'Leadership: Kelley Garner, Arkansas Department of Health, on the Value of Mentorship in the HAI/AR Outbreak Response','leadership-kelley-garner-arkansas-department-of-health-on-the-value-of-mentorship-in-the-hai-ar-outbreak-response','news/leadership-kelley-garner-arkansas-department-of-health-on-the-value-of-mentorship-in-the-hai-ar-outbreak-response','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.</p><blockquote><p>\\\"Don’t be afraid of mentorship at every level of your career – constantly surround yourself with experts in the field.\\\"</p></blockquote><p>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 Arkansas’s 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.</p><p>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.</p><p>While I’ve continued to surround myself with experts in the field who continue to serve as my mentors, I’ve 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, we’ve invited states to participate in Infection Control Assessment and Responses, which has allowed us to get an outside perspective on Arkansas’s outbreak response and for other states to learn from our processes. Additionally, we’ve assisted states with analyzing complex data, which further expanded our state’s 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. I’m proud of the many success stories that have emerged from my mentorships.</p><p>Throughout my past and current mentorship experiences, I’ve gained insight into what makes a mentorship successful. Good mentors:</p><ul><li>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</li><li>Help their mentees learn through experience</li><li>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</li><li>Emphasize the broader impact of HAI/AR response</li><li>Serve as inspiration for their mentee to succeed</li></ul><p>Mentorship is a two-way street, and it’s 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.</p><p>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, don’t be afraid to embrace mentorship experiences at all levels and to continuously surround yourself with experts.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43943:transform:medium||/assets/images/transf/_medium/43943/Kelley-Garner-300v2.webp}\\\" alt=\\\"Kelly Garner Headshot\\\" width=\\\"300\\\" height=\\\"270\\\" /></figure><p><i>                                                                                    Kelly Garner</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Kelley Garner, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Kelley Garner, Arkansas Department of Health, on the Value of Mentorship in the HAI/AR Outbreak Response - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelley Garner (AR State Department of Health) emphasizes the value of mentorship in enhancing HAI AR outbreak response within public health frameworks.\"}, \"facebook\": {\"title\": \"Leadership: Kelley Garner, Arkansas Department of Health, on the Value of Mentorship in the HAI/AR Outbreak Response - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Kelley Garner (AR State Department of Health) emphasizes the value of mentorship in enhancing HAI AR outbreak response within public health frameworks.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"intervention\"}, {\"rating\": \"poor\", \"keyword\": \"technical assistance\"}, {\"rating\": \"poor\", \"keyword\": \"training\"}, {\"rating\": \"good\", \"keyword\": \"AR\"}, {\"rating\": \"poor\", \"keyword\": \"state health department\"}], \"titleRaw\": {\"1\": \"Leadership: Kelley Garner, Arkansas Department of Health, on the Value of Mentorship in the HAI/AR Outbreak Response\"}, \"descriptionRaw\": \"Kelley Garner (AR State Department of Health) emphasizes the value of mentorship in enhancing HAI AR outbreak response within public health frameworks.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:21:42','2024-12-03 20:21:42','b3e91932-08d2-45a7-a003-2b183162171a'),(51027,50622,1,NULL,'__temp_doabsgiflqswvauiugyrmothoobptzgehmqb',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-12-03 20:21:42','2024-12-03 20:21:42','96a85302-3f03-4845-ad66-9caa64ec7e27'),(51029,50624,1,'Leadership: Perspectives from Dr. David Gifford','leadership-leadership-perspectives-from-dr-david-gifford','news/leadership-leadership-perspectives-from-dr-david-gifford','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.</p><p>During my 6 years as Director of the Rhode Island State Department of Health, I led the state’s 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.</p><p>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 health’s 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.<br /><br />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 Council’s mission of protecting patients and preventing harm from HAI/AR outbreaks.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43950:transform:medium||/assets/images/transf/_medium/43950/David-Gifford-300x241-1.webp}\\\" alt=\\\"David Gifford Headshot\\\" width=\\\"300\\\" height=\\\"241\\\" /></figure><p><i>                                                                                    David Gifford</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"David Gifford, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Leadership: Perspectives from Dr. David Gifford - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Dr. David Gifford shares his leadership perspectives on effective public health strategies and outbreak management.\"}, \"facebook\": {\"title\": \"Leadership: Perspectives from Dr. David Gifford - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Dr. David Gifford shares his leadership perspectives on effective public health strategies and outbreak management.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"leadership\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"AHCA\"}, {\"rating\": \"poor\", \"keyword\": \"CMS\"}], \"titleRaw\": {\"1\": \"Leadership: Perspectives from Dr. David Gifford\"}, \"descriptionRaw\": \"Dr. David Gifford shares his leadership perspectives on effective public health strategies and outbreak management.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:22:45','2024-12-03 20:22:45','a42f5652-40ff-4685-881e-2a7a7a034e8b'),(51030,50625,1,NULL,'__temp_adrluhulfmnryhkjevtzbtbcmbvuwquwltcq',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-12-03 20:22:45','2024-12-03 20:22:45','09fdbf45-84e8-4905-8cf4-10c8c29320c0'),(51032,50627,1,'Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort','local-ltcf-vaccine-education-program-vital-to-chicagos-covid-19-outbreak-response-effort','news/local-ltcf-vaccine-education-program-vital-to-chicagos-covid-19-outbreak-response-effort','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The COVID-19 vaccine roll out in Chicago’s 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.</p><p>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.</p><p>We used the information shared and questions asked during the listening sessions to better tailor our vaccine education efforts in LTCFs. These efforts included:</p><ul><li>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.</li><li>The CDPH Commissioner hosting a Q&amp;A session for all facilities, which was advertised to all residents and their families.</li><li>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.</li></ul><p>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.</p><p>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 Chicago’s 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.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43960:transform:medium||/assets/images/transf/_medium/43960/Shannon-Xydis.webp}\\\" alt=\\\"Shannon Xydis Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Shannon Xydis, Projects Administrator, HAI Coordinator, Chicago Department of Public Health</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43959:transform:medium||/assets/images/transf/_medium/43959/Liz-Shane.webp}\\\" alt=\\\"Liz Shane Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Liz Shane, MPH, CIC. Infection Prevention Specialist, Chicago Department of Public Health</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43958:transform:medium||/assets/images/transf/_medium/43958/Christy-Zelinski.webp}\\\" alt=\\\"Christy Zelinski Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Christy Zelinski, MPH, Project Manager and Contractor, COVID-19 Response Bureau, Chicago Department of Public Health</i></p><p> </p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Shannon Xydis, Liz Shane, MPH, & Christy Zelinski, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}, \"facebook\": {\"title\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"training\"}, {\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"disease outbreak\"}, {\"rating\": \"good\", \"keyword\": \"LTCF\"}, {\"rating\": \"good\", \"keyword\": \"Chicago\"}], \"titleRaw\": {\"1\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort\"}, \"descriptionRaw\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:24:10','2024-12-03 20:24:10','97bdac82-c92e-4fcd-9945-4671a25ba62b'),(51033,50628,1,NULL,'__temp_sozuhstdiupdlrwxixaaustdalqrzkeiqgux',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-12-03 20:24:10','2024-12-03 20:24:10','858b1361-bda9-419d-a3b2-80a40c109c9b'),(51035,50630,1,'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','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','news/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','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.</p><p>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 &amp; 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 &amp; 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.</p><p>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.</p><p>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.</p><p>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.</p><p>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 Management’s State Operations Center (SOC), where all communication plans and guidance were developed for dissemination to facilities by HHSC.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43965:transform:medium||/assets/images/transf/_medium/43965/enyinnaya-merengwa.webp}\\\" alt=\\\"Enyinnaya Merengwa Headshot\\\" width=\\\"300\\\" height=\\\"275\\\" /></figure><p><i>Enyinnaya Merengwa, Healthcare Safety Investigations Group Manager and State HAI Coordinator at the Texas Department of State Health Services</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43964:transform:medium||/assets/images/transf/_medium/43964/thi-dang.webp}\\\" alt=\\\"Thi Dang Headshot\\\" width=\\\"300\\\" height=\\\"301\\\" /></figure><p><i>Thi Dang, HAI Epidemiologist at the Texas Department of State Health Services</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Enyinnaya Merengwa, MD, DrPH, MHA, MPH & Thi Dang\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"facebook\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"good\", \"keyword\": \"HAI\"}, {\"rating\": \"good\", \"keyword\": \"Texas\"}, {\"rating\": \"poor\", \"keyword\": \"state health department\"}], \"titleRaw\": {\"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\"}, \"descriptionRaw\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:26:13','2024-12-03 20:26:13','a535ca1a-e7c5-4734-b4c8-da819aba2734'),(51036,50631,1,NULL,'__temp_xvexlirlbrwikocwjvbesmzqtuudcktanfdg',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-12-03 20:26:13','2024-12-03 20:26:13','814c6ce4-024a-439e-899c-d7575632adeb'),(51038,50633,1,'Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort','local-ltcf-vaccine-education-program-vital-to-chicagos-covid-19-outbreak-response-effort','news/local-ltcf-vaccine-education-program-vital-to-chicagos-covid-19-outbreak-response-effort','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The COVID-19 vaccine roll out in Chicago’s 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.</p><p>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.</p><p>We used the information shared and questions asked during the listening sessions to better tailor our vaccine education efforts in LTCFs. These efforts included:</p><ul><li>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.</li><li>The CDPH Commissioner hosting a Q&amp;A session for all facilities, which was advertised to all residents and their families.</li><li>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.</li></ul><p>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.</p><p>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 Chicago’s 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.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43960:transform:medium||/assets/images/transf/_medium/43960/Shannon-Xydis.webp}\\\" alt=\\\"Shannon Xydis Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Shannon Xydis, Projects Administrator, HAI Coordinator, Chicago Department of Public Health</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43959:transform:medium||/assets/images/transf/_medium/43959/Liz-Shane.webp}\\\" alt=\\\"Liz Shane Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Liz Shane, MPH, CIC. Infection Prevention Specialist, Chicago Department of Public Health</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43958:transform:medium||/assets/images/transf/_medium/43958/Christy-Zelinski.webp}\\\" alt=\\\"Christy Zelinski Headshot\\\" width=\\\"300\\\" height=\\\"273\\\" /></figure><p><i>Christy Zelinski, MPH, Project Manager and Contractor, COVID-19 Response Bureau, Chicago Department of Public Health</i></p><p> </p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Shannon Xydis, Liz Shane, MPH, & Christy Zelinski, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}, \"facebook\": {\"title\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"training\"}, {\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"disease outbreak\"}, {\"rating\": \"good\", \"keyword\": \"LTCF\"}, {\"rating\": \"good\", \"keyword\": \"Chicago\"}, {\"rating\": \"poor\", \"keyword\": \"local health department\"}], \"titleRaw\": {\"1\": \"Local: LTCF Vaccine Education Program Vital to Chicago’s COVID-19 Outbreak Response Effort\"}, \"descriptionRaw\": \"Local LTCF vaccine education program from proves vital to Chicago (IL)\'s COVID-19 outbreak response efforts and community health outcomes.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:26:30','2024-12-03 20:26:30','1a536e52-5ab4-410a-8fab-477ac08b7b43'),(51040,50635,1,'State: Montana Leverages Partnerships to Manage COVID-19 Outbreaks in Long-Term Care Facilities','state-montana-leverages-partnerships-to-manage-covid-19-outbreaks-in-long-term-care-facilities','news/state-montana-leverages-partnerships-to-manage-covid-19-outbreaks-in-long-term-care-facilities','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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 state’s 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.</p><p>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 Montana’s 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.</p><p>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.</p><p>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 Governor’s 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.</p><p>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.</p><p>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.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43970:transform:medium||/assets/images/transf/_medium/43970/erika-baldry.webp}\\\" alt=\\\"Erika Baldry Headshot\\\" width=\\\"300\\\" height=\\\"401\\\" /></figure><p><i>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)</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Erika Baldry, MPH, CIC\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"State: Montana Leverages Partnerships to Manage COVID-19 Outbreaks in Long-Term Care Facilities - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Montana leverages partnerships to effectively manage COVID-19 outbreaks in long-term care facilities, ensuring better health outcomes.\"}, \"facebook\": {\"title\": \"State: Montana Leverages Partnerships to Manage COVID-19 Outbreaks in Long-Term Care Facilities - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Montana leverages partnerships to effectively manage COVID-19 outbreaks in long-term care facilities, ensuring better health outcomes.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"good\", \"keyword\": \"partnerships\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"poor\", \"keyword\": \"MT\"}, {\"rating\": \"poor\", \"keyword\": \"state health department\"}], \"titleRaw\": {\"1\": \"State: Montana Leverages Partnerships to Manage COVID-19 Outbreaks in Long-Term Care Facilities\"}, \"descriptionRaw\": \"Montana leverages partnerships to effectively manage COVID-19 outbreaks in long-term care facilities, ensuring better health outcomes.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-12-03 20:27:55','2024-12-03 20:27:55','9a4b8e36-672d-4942-a876-fc9a7d32b0ab'),(51041,50636,1,NULL,'__temp_dvsobebzouyzkcsnsecuqdvoricmwkavmsyk',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-12-03 20:27:55','2024-12-03 20:27:55','6f364839-e71c-411c-8b14-42aea95423c2'),(51043,50638,1,'Contact CORHA','contact-corha','contact-corha','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": [], \"cf3cab23-4a22-45c1-b705-d23f12c6eccf\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Contact CORHA - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Get in touch with CORHA for inquiries or support. 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However, data sharing between state, local and private health entities is not without challenges. </p><p>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. </p><p>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. </p><p>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. </p><p><a href=\\\"https://www.corha.org/collaborative-workgroups\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA’s Policy Workgroup</a> 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. </p><p>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: </p><ul style=\\\"list-style-type:disc;\\\"><li><a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for HAI Outbreak Notification</a> </li><li><a href=\\\"https://corha.org/assets/documents/HAI-Patient-Notification-Framework-one-pager_Oct-2023.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for HAI Outbreak Notification One-Pager </a></li><li><a href=\\\"{entry:9266@1:url||https://corha.org/chapters/detection-reporting}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles &amp; Practices Chapter 4: Outbreak Detection and Reporting</a> </li><li><a href=\\\"{entry:9513@1:url||https://corha.org/chapters/notification-communication}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles &amp; Practices Chapter 8: Notification and Communication</a> </li></ul>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Moon Kim, MD, MPH, Dawn Terashita, MD, MPH, & Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Importance of Data Sharing and Reporting: A Conversation with CORHA’s Policy Workgroup Co-Chairs - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"A conversation with CORHA\'s policy workgroup co-chairs highlights the importance of data sharing and reporting in public health.\"}, \"facebook\": {\"title\": \"Importance of Data Sharing and Reporting: A Conversation with CORHA’s Policy Workgroup Co-Chairs - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"A conversation with CORHA\'s policy workgroup co-chairs highlights the importance of data sharing and reporting in public health.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"good\", \"keyword\": \"data sharing\"}, {\"rating\": \"poor\", \"keyword\": \"policy workgroup\"}, {\"rating\": \"poor\", \"keyword\": \"healthcare reporting\"}, {\"rating\": \"poor\", \"keyword\": \"regulation\"}, {\"rating\": \"poor\", \"keyword\": \"reportable disease\"}, {\"rating\": \"poor\", \"keyword\": \"surveillance data\"}, {\"rating\": \"poor\", \"keyword\": \"CORHA\"}], \"titleRaw\": {\"1\": \"Importance of Data Sharing and Reporting: A Conversation with CORHA’s Policy Workgroup Co-Chairs\"}, \"descriptionRaw\": \"A conversation with CORHA\'s policy workgroup co-chairs highlights the importance of data sharing and reporting in public health.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2025-03-24 19:06:26','2025-03-24 19:06:27','17e672a6-87b8-44ea-a962-30b320470bd3'),(51438,51030,1,'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','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','news/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','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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.</p><p>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 &amp; 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 &amp; 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.</p><p>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.</p><p>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.</p><p>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.</p><p>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 Management’s State Operations Center (SOC), where all communication plans and guidance were developed for dissemination to facilities by HHSC.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43965:transform:medium||/assets/images/transf/_medium/43965/enyinnaya-merengwa.webp}\\\" alt=\\\"Enyinnaya Merengwa Headshot\\\" width=\\\"300\\\" height=\\\"275\\\" /></figure><p><i>Enyinnaya Merengwa, Healthcare Safety Investigations Group Manager and State HAI Coordinator at the Texas Department of State Health Services</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43964:transform:medium||/assets/images/transf/_medium/43964/thi-dang.webp}\\\" alt=\\\"Thi Dang Headshot\\\" width=\\\"300\\\" height=\\\"301\\\" /></figure><p><i>Thi Dang, HAI Epidemiologist at the Texas Department of State Health Services</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Enyinnaya Merengwa, MD, DrPH, MHA, MPH & Thi Dang\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"facebook\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"good\", \"keyword\": \"HAI\"}, {\"rating\": \"good\", \"keyword\": \"Texas\"}, {\"rating\": \"poor\", \"keyword\": \"state health department\"}], \"titleRaw\": {\"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\"}, \"descriptionRaw\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2025-03-24 19:07:08','2025-03-24 19:07:08','6aa251cb-538d-48ca-9c07-c9e645ed610e'),(51439,51031,1,NULL,'__temp_xvexlirlbrwikocwjvbesmzqtuudcktanfdg',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [49844]}',1,'2025-03-24 19:07:08','2025-03-24 19:07:08','21ae9587-9f0a-4a74-9aef-2914edf2c564'),(51442,51034,1,'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','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','news/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','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>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. 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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 &amp; 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.</p><p>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.</p><p>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.</p><p>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.</p><p>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 Management’s State Operations Center (SOC), where all communication plans and guidance were developed for dissemination to facilities by HHSC.</p><p>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.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43965:transform:medium||/assets/images/transf/_medium/43965/enyinnaya-merengwa.webp}\\\" alt=\\\"Enyinnaya Merengwa Headshot\\\" width=\\\"300\\\" height=\\\"275\\\" /></figure><p><i>Enyinnaya Merengwa, Healthcare Safety Investigations Group Manager and State HAI Coordinator at the Texas Department of State Health Services</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43964:transform:medium||/assets/images/transf/_medium/43964/thi-dang.webp}\\\" alt=\\\"Thi Dang Headshot\\\" width=\\\"300\\\" height=\\\"301\\\" /></figure><p><i>Thi Dang, HAI Epidemiologist at the Texas Department of State Health Services</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Enyinnaya Merengwa, MD, DrPH, MHA, MPH & Thi Dang\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"facebook\": {\"title\": \"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 - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}}, \"advanced\": {\"robots\": [], \"canonical\": \"\"}, \"keywords\": [{\"rating\": \"poor\", \"keyword\": \"best practices\"}, {\"rating\": \"poor\", \"keyword\": \"health communication\"}, {\"rating\": \"poor\", \"keyword\": \"infectious disease\"}, {\"rating\": \"poor\", \"keyword\": \"health challenges\"}, {\"rating\": \"good\", \"keyword\": \"HAI\"}, {\"rating\": \"good\", \"keyword\": \"Texas\"}, {\"rating\": \"poor\", \"keyword\": \"state health department\"}], \"titleRaw\": {\"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\"}, \"descriptionRaw\": \"Texas\'s HAI program enhances capacity in public health regions to support healthcare facilities during the COVID-19 response efforts.\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2025-03-24 19:07:53','2025-03-24 19:07:53','abc62d86-480a-4283-affd-b42a38fe6080'),(51443,51035,1,NULL,'__temp_xvexlirlbrwikocwjvbesmzqtuudcktanfdg',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [49827]}',1,'2025-03-24 19:07:53','2025-03-24 19:07:53','d01de6bb-f52e-4fc5-b976-f1d8854a462c'),(51444,51036,1,'Nontuberculous Mycobacteria','ntm','diseases-pathogens/ntm','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": false, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true, \"f9bb51ff-9dbb-464f-9bc4-ed50685e6e0b\": {\"score\": \"poor\", \"social\": {\"twitter\": {\"title\": \"Nontuberculous Mycobacteria - CORHA\", \"handle\": \"\", \"imageId\": \"\", \"description\": \"Discover nontuberculous mycobacteria (NTM), their sources, health risks, and treatment options for those affected. 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commit;

--
