Community Infectious Disease Emergency Response (CIDER) Welcome - - PowerPoint PPT Presentation

Community Infectious Disease Emergency Response (CIDER)

Welcome October 31, 2017

Agenda

8:30 a.m. Welcome & Introductions 8:45 a.m. Previous CIDER Work 9:00 a.m. Antibiotic Resistant Disease Annex/HAI Discussion 9:45 a.m. CLIP Grant & Long Term Care Outreach 10:00 a.m. Pandemic Influenza Planning 10:20 a.m. Next Steps & Outbreak Updates

Previous CIDER Work

Infectious Disease Emergency Response (IDER) Plan

• Provides a framework and standardized

approach to infectious disease planning

• Outlines the authority, processes, and

management structure of an infectious disease response in our community

• IDER is the toolbox which organizes the tools

available to public health

When is the IDER Plan Used?

“IDER Plan is intended to be used for any infectious disease emergency that requires a response that exceeds the normal disease control capacity of the CDEM Division, or presents a significant threat to the community. The IDER Plan is intended to be used for any infectious disease emergency that requires a response or planning initiative.”

CIDER Team

• Your Role:

– Input to the planning process – Participation in events and trainings – Serve as a conduit to your organizations and peers – Facilitate bidirectional communication

• Annual meeting

Community Infectious Disease Risk Assessment

IDER Plan Annexes

• Developed Quarantine Support Plan
• Updated Community Containment Protocols

and Public Health Orders

• Completed Respiratory Aerosolized

Transmission (RAT)

– RAT Disease Table

• Next:

– Antibiotic Resistance (AR) / Healthcare- Associated Infections (HAI)

Antibiotic Resistance/ Healthcare Associated Infections

Healthcare-associated infections (HAI) Outbreaks

Hospital Outbreak

• Infection Prevention leads
• Internal to healthcare

system

• Partner with CDPHE

– LPHA long term goal

• Surveillance and control

– Assist as needed

• Routine prevention and

response Community Outbreak

• LPHA leads
• External congregate

settings: – LTCF, schools, child care, home health,

• utpatient clinics,

shelters, jail, dorms, group homes

• Not routine

– Prevention and response

• Need CIDER technical

assistance

Infection Prevention

• What organisms are the biggest concerns for your facility?

– For the community?

• What clinical care areas are the greatest risks?
• What are some strategies that you do to mitigate

infections?

• What are some strategies that you do to prevent

infections?

– Any ongoing efforts of antibiotic stewardship?

• Have you ever experienced a HAI outbreak?

– What were some lessons learned?

Long Term Care Facilities (LTCF)

• How do you communicate with LTCF

about HAI for patient transfers?

– Do LTCF communicate to you?

• Are there any challenges with HAI in

LTCF that you think need addressed?

Antibiotic Resistant Disease Annex

• NACCHO HAI Toolkit

– HAI Outbreak Investigation Protocols – HAI Prevention & Reference Manual – HAI Outbreak table-top exercise

• Focus areas?
• Specific infections?
• Need input from hospitals and LTCF

CLIP Grant & Long Term Care Outreach

Colorado Local Public Health Agencies for Infection Prevention (CLIP)

Objectives:

• Improve HAI/AR infrastructure in CO
• Improve healthcare and community

infection control

• Enhance coordination of HAI and AR

prevention efforts

CLIP Initiative Goals

• Increase knowledge via training
• pportunities
• Increase collaboration among CDPHE and

LPHAs during investigations of HAI

• utbreaks
• Infection prevention assessments in

facilities within the LPHA jurisdiction

• Assist LPHAs in gaining an understanding
• f local HAI surveillance data to help

determine local prevention priorities

Boulder County CLIP Activities

• Attended APIC & CDPHE trainings
• Gathered information from LTCF

(qualitative assessment)

• Delivered HAI and infection control

trainings for LTCF

• Disseminated HAI aggregate data via

Epi-Connections newsletter

LTCF Infection Prevention Qualitative Assessment

• Leadership and policies are supportive
• CMS regulation changes
• CDPHE infection prevention assessments
• IP Challenges:

– Staff adherence to precautions, hand hygiene, patient communications, handling infectious waste, staff turnover, access to medical records

• Specific infections:

– Increasing post-surgical sites, wounds, prevention of UTIs

• LPHA support:

– Trainings, surveyor questions, surveillance systems

Pandemic Influenza Planning

Pandemic Preparedness Efforts

• Boulder County Pandemic Plan Review
• Recent BCH Pan Flu Tabletop Exercise
• Healthcare Coalition Medical Surge

Exercise in 2018

• Statewide Mass Vaccination Exercise in

2020

Next Steps

Next Steps

• Develop AR/HAI annex
• Solicit review and feedback from CIDER

Team

• Updates:

– Outbreaks – Seasonal flu

Thank you!