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Instructions - APIC

VIEWS: 8 PAGES: 13

									Instructions for Completion of the Infection Prevention
                Program Evaluation Tool
                           Please note: You will need Macros enabled to use this tool. Click here for more information.


                                                Section I: Facility Demographics
Section I focuses on the basic facility demographics, including facility affiliations with larger systems such as Integrated Delivery Networks, type of
facility, # of beds and specialty beds, average inpatient daily census, and annual admissions. These data should be readily available and will be
critical to identifying resource needs at the completion of the tool. Completion of this section provides an objective description of the role, scope,
and complexity of the infection prevention and control needs of a facility.


                                              Section II: Facility Services Offered
Section II focuses on the type of services offered within the facility, including intensive care, Emergency Department, specialty services which
could require additional resources, skilled nursing beds, and outpatient services. As you complete this section, pay special attention to both
inpatient census as well as the number of annual outpatient procedures being performed.


                                            Section III: Personnel Demographics
Section III focuses on the demographics of the Infection Prevention Department. As you complete this section, identify the make-up of your team,
and pay special attention to particular disciplines such as public health and/or microbiology that might be currently under-represented. Also
identify the current MD epidemiologist support and ancillary personnel, such as data entry personnel, that are necessary to achieve maximum
efficiency within the department. Identify monetary funding needs for continuing education and/or CBIC certification.



                              Section IV: Surveillance Tools/Electronic Data Mining
Section IV focuses on Surveillance Software Tools and/or Electronic Data Mining capabilities. List current infection prevention and control-specific
software utilized within the facility and the need for additional software, if any. Describe in detail the facility's focused surveillance program, as well
as relevant mandatory reporting requirements if applicable.


                            Section V: Quality/Performance Improvement Initiatives
Section V focuses on Quality and Performance Improvement Initiatives requiring infection prevention and control collaboration, including
Leapfrog, Child Health Corporation of America, Keystone Project, Surgical Care Improvement Project (SCIP), National Surgical Quality
Improvement Program (NSQIP), Institute for Healthcare Improvement, internal/external research projects, etc. Because each of these activities
requires manpower, it is critical to identify the resources necessary to successfully participate in these initiatives.


                                               Section VI: Job Functions Analysis
This section will review the major components of the Infection Prevention Program. Complete each component as thoroughly as possible, and
pay careful attention to identify those areas which are under-resourced. Identify the frequency of which the activity is conducted, the estimated
number of man-hours required per week during the last six months, and any additional detail that would be useful in identifying the need for
additional resources. For facilities with more than one infection preventionist (IP), you may choose to use the total number of hours per one IP or
for all IP personnel combined.


Upon completion of the tool, identify the top resources necessary to improve the efficiency of the Infection Prevention
team, as well as those needed to achieve the department's objectives.




                                                               Program Evaluation Tool                                                              Page 1
             Infection Prevention Program Evaluation Tool
This is a tool to help you assess the resource needs of your infection prevention and control program. The intent is to determine
where your resources are currently spent and areas needing more attention. The purpose is to provide an overview of the
responsibilities and needs of your program to administration. It is recommended that you complete the top portion to describe
your facility and then assess how resources are utilized by assigning the estimated number of hours per week on the various
job functions during the past 6 months. The job functions with an asterisk were considered significantly important by the
Infection Preventionists who responded to the 2009 Certification Board of Infection Control and Epidemiology, Inc (CBIC) Job
Task Analysis.




                                               SECTION I: FACILITY DEMOGRAPHICS
Hospital Name:                   (for
multi-hospital systems, indicate if
you are evaluating an individual
hospital or all hospitals in the
system)

Part of Integrated Delivery             Please select the appropriate choice from this drop down box.
Network (IDN)?

If yes, what IDN?

Facility Type:                          Please select the appropriate choice from this drop down box.

# licensed acute care beds:

# licensed long-term care beds:

# licensed SNF care beds:

Average daily inpatient census:

# admissions last calendar or
fiscal year:            (include
newborns)



                                            SECTION II: FACILITY SERVICES OFFERED
Emergency Department?                   Please select the appropriate choice from this drop down box.

# ER visits last calendar or
fiscal year:

Inpatient Operating Room?               Please select the appropriate choice from this drop down box.

Outpatient Operating Room?              Please select the appropriate choice from this drop down box.

# operative procedures last
calendar or fiscal year:
(include both inpatient and
outpatient procedures)
                                        Please select the appropriate choice from this drop down box.
Intensive Care Units?            (If
yes, then specify unit types below)

Medical Intensive Care Unit:            Please select the appropriate choice from this drop down box.

Surgical Intensive Care Unit:           Please select the appropriate choice from this drop down box.

Med/Surg Intensive Care Unit:           Please select the appropriate choice from this drop down box.

Pediatric Intensive Care Unit:          Please select the appropriate choice from this drop down box.

Neonatal Intensive Care Unit:           Please select the appropriate choice from this drop down box.

Cardiac Intensive Care Units:           Please select the appropriate choice from this drop down box.


                                                           Program Evaluation Tool                                           Page 2
                                       Please select the appropriate choice from this drop down box.

Other ICUs:

Total Number ICU beds:

Bone Marrow Transplant                 Please select the appropriate choice from this drop down box.
Program?

Solid Organ Transplant                 Please select the appropriate choice from this drop down box.
Program?

Burn Unit?                             Please select the appropriate choice from this drop down box.

Trauma Center:                         Please select the appropriate choice from this drop down box.

Other High Risk Services:

Outpatient Clinics?                    Please select the appropriate choice from this drop down box.


 # Outpatient Visits last calendar
or fiscal year: (include all
outpatient services such as
chemotherapy visits, visits to
community-based practices)

 # clinics utilizing a sterilizer or
conducting high-level
disinfection:
 # Clinics providing endoscopic
procedures:
On-site day care                       Please select the appropriate choice from this drop down box.
responsibilities?
Skilled Nursing Care?                  Please select the appropriate choice from this drop down box.

Inpatient Rehabilitation               Please select the appropriate choice from this drop down box.
Program?

Inpatient Psychiatric program?         Please select the appropriate choice from this drop down box.

Other:


                                           SECTION III: PERSONNEL DEMOGRAPHICS
# CIC certified Personnel:

# Non-certified Personnel:

# MT IP Personnel:

# RN IP Personnel:

# MPH IP Personnel:

# Other IP Personnel:

# IPs with masters degree or
higher:

MD/Epidemiologist Support?             Please select the appropriate choice from this drop down box.

Administrative Assistant?              Please select the appropriate choice from this drop down box.

Data Input and or Analyst?             Please select the appropriate choice from this drop down box.

                                       Please select the appropriate choice from this drop down box.
Practice auditors?            (i.e.,
personnel hired to observe hand
hygiene, catheter insertions)

Current number of unfilled
positions:




                                                          Program Evaluation Tool                      Page 3
                                    Please select the appropriate choice from this drop down box.
Funds budgeted for IP
continuing education       (e.g.,
attend APIC annual conference)

Employer paid CBIC certification    Please select the appropriate choice from this drop down box.
fees?

Funds budgeted for educational      Please select the appropriate choice from this drop down box.
materials used for required
employee education?


                             SECTION IV: SURVEILLANCE TOOLS/ELECTRONIC DATA MINING
In-House Developed Electronic       Please select the appropriate choice from this drop down box.
Tool for Surveillance:

Data Mining Program:                Please select the appropriate choice from this drop down box.

NHSN Member:                        Please select the appropriate choice from this drop down box.

Total House Surveillance? (List
specific HAIs monitored)

Focused Surveillance?
(List specific HAIs monitored)

Include any additional
information needed to explain
surveillance methods/tools:

Mandatory Reporting?                Please select the appropriate choice from this drop down box.

Mandatory reporting of process      Please select the appropriate choice from this drop down box.
measures?

If yes, list process measures:

Mandatory reporting of outcome      Please select the appropriate choice from this drop down box.
measures?

If yes, list measures:


                          SECTION V: QUALITY/PERFORMANCE IMPROVEMENT INITIATIVES
  Leapfrog?                         Please select the appropriate choice from this drop down box.

  Child Health Corp. of America     Please select the appropriate choice from this drop down box.
  (CHCA)?

  Keystone Project?                 Please select the appropriate choice from this drop down box.

  SCIP?                             Please select the appropriate choice from this drop down box.

  NSQIP?                            Please select the appropriate choice from this drop down box.

  Institute for Healthcare          Please select the appropriate choice from this drop down box.
  Improvement?

  Studer Group?                     Please select the appropriate choice from this drop down box.

  Other Quality/Performance
  Improvement Initiatives:

  In-House Research Activities?     Please select the appropriate choice from this drop down box.

  External Research Activities?     Please select the appropriate choice from this drop down box.

  If you have research              Please select the appropriate choice from this drop down box.
  activities, are they invitro or
  invivo?
  If yes, briefly describe
  activities:



                                                       Program Evaluation Tool                      Page 4
                                                SECTION VI: JOB FUNCTION ANALYSIS
1. Surveillance: Data Collection and Analysis*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Identify        Select         Select                                      Select
   surveillance plan for facility
   (focused or whole house;
   manual or technology based),
   implement surveillance, review
   and collect data, analyze data,
   calculate rates, prepare reports
   for feedback to clinical staff,
   committees and leadership
   Example Deliverables:
   Surveillance reports with trend
   analysis
2. Outbreak Investigation and Management*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Develop         Select         Select                                      Select
   case definition, monitor
   laboratory reports and
   surveillance data to identify new
   cases, conduct chart review and
   observe clinical practices to
   identify risk factors for cross-
   transmission, implement control
   measures and evaluate
   effectiveness.
   Example Deliverables: Case
   definition, case finding, action
   plan, implementation of action
   plan and resolution




                                                        Program Evaluation Tool                                                     Page 5
3. Communicable Disease Reporting*

                                                                                                                     For all job functions
                                                       Frequency of
                                                                                                                     answered No in
                                                       activity:                   Estimated       Do you think
                                                                                                                     column E, provide the
                                        Job            (if variable, provide an    number of       you have an
                                                                                                                     estimated number of
                                        Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                               additional hours or
                                        Performed      number of times             per week        resources
                                                                                                                     type of resource
                                        by IP Staff?   performed each year         during the      devoted to this
                                                                                                                     needed to adequately
                                                       by typing directly in       last 6 months   job function?
                                                                                                                     perform this job
                                                       the drop down area.)
                                                                                                                     function

                A                            B                   C                     D                    E                F
                                        Select         Select                                      Select
   Example Activities: Identification
   and notification of public health.
   Example Deliverables: Case
   finding, reporting, plan of action
   if required

4. Isolation Precautions Management*

                                                                                                                     For all job functions
                                                       Frequency of
                                                                                                                     answered No in
                                                       activity:                   Estimated       Do you think
                                                                                                                     column E, provide the
                                        Job            (if variable, provide an    number of       you have an
                                                                                                                     estimated number of
                                        Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                               additional hours or
                                        Performed      number of times             per week        resources
                                                                                                                     type of resource
                                        by IP Staff?   performed each year         during the      devoted to this
                                                                                                                     needed to adequately
                                                       by typing directly in       last 6 months   job function?
                                                                                                                     perform this job
                                                       the drop down area.)
                                                                                                                     function

                A                            B                   C                     D                    E                F
   Example Activities: Review           Select         Select                                      Select
   microbiology reports to identify
   patients that may need isolation.
   Provide information to clinical
   staff regarding type and length
   of isolation. Implement facility
   plan for management of
   MDROs; this may include active
   surveillance cultures and
   compliance observations.
   Example Deliverable:
   Identification of patients needing
   isolation with correct
   implementation, trend analysis
   of MDROs




                                                         Program Evaluation Tool                                                     Page 6
5. Policy Review and Development *

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F

   Example Activities: Review and      Select         Select                                      Select
   update policies based upon new
   guidelines, regulations, and
   scientific publications. Ensure
   all policies are reviewed a
   minimum of every 3 years. Write
   new policies when indicated.
   Example Deliverables:
   Evidenced-based policies and
   procedures
6. Compliance with Infection Control Policies, CMS Conditions of Participation, and Regulatory or Accreditation
Standards*
                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
                                       Select         Select                                      Select
   Example Activities:
   Communicate new regulations
   and guidelines. Survey clinical
   facilities by conducting walking-
   rounds and mock IC tracers to
   ensure understanding and
   compliance with infection
   control policies and JC standard
   including those related to
   cleaning, disinfection and
   sterilization.
   Example Deliverables: Identify
   issues for correction and ensure
   constant readiness.




                                                        Program Evaluation Tool                                                     Page 7
7. Mandatory State Reporting

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Data            Select         Select                                      Select
   collection, input, analysis, and
   submission as defined by
   regulations
   Example Deliverables: Infection
   data: process and/or outcome

8. Sentinel Event Identification with Root Cause Analysis*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Process to      Select         Select                                      Select
   identify possible sentinel
   events. Review event,
   participate in root cause
   analysis and follow-up action
   plan.
   Example Deliverables: track
   record of cases reviewed and
   root cause analysis on cases of
   concern.
9. Education*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
                                       Select         Select                                      Select
   Activities: Orientation, annual
   updates, classes, inservices, on-
   the-spot training, consultation,
   formal lectures outside the
   organization. Prepare training
   materials for Patient education
   Deliverables:
   Information/knowledge for staff,
   patients and professionals




                                                        Program Evaluation Tool                                                     Page 8
10. Facilities Management, Hospital Design , Construction, Renovation, and Repair*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
                                       Select         Select                                      Select
   Example Activities: Construction
   rounds. Collaborate on design
   and construction/work phases to
   ensure infection prevention.
   Example Deliverables: Infection
   Control Risk Assessments,
   construction designs related to
   infection prevent consistent with
   recommendations from the
   American Institute of Architects
   for Health Care Facilities


11. OSHA BBP and TB regulations

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
                                       Select         Select                                      Select
   Example Activities: Review and
   monitor policies and procedures
   to ensure compliance with
   OSHA regulations, review
   exposure data, implement
   prevention strategies, (e.g.,
   evaluation and implementation
   of sharp safety devices,
   respirator fit testing)
   Example Deliverables: annual
   control plans, exposure trending




                                                        Program Evaluation Tool                                                     Page 9
12. Consultation*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F

   Example Activities: Problem-        Select         Select                                      Select
   solving with administration and
   clinical staff, committee
   participation
   Example Deliverable: resolution
   of problems or input relevant to
   committee needs

13. Administrative Tasks*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F

   Example Activities: Annual IC       Select         Select                                      Select
   program evaluation, ongoing
   risk assessment and annual IC
   plan, committees, office space
   issues, professional
   organizational involvement,
   communication of findings to
   appropriate committees and
   individuals.
   Example Deliverables: staff,
   input on key committees,
   professional growth
                                       Select
                                       Select         Select
                                                      Select                                      Select
                                                                                                  Select
   Example Activities: Budget,
   performance evaluations,
   payroll, organizational strategic
   planning, staff development




                                                        Program Evaluation Tool                                                    Page 10
14. All Hazards Emergency Preparedness: Planning for Natural Disasters, Pandemic Flu, Bioterrorism, Emerging
Diseases (e.g., SARS)*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Emergency       Select         Select                                      Select
   planning and policy
   development, hazard
   vulnerability analysis,
   participation on committees,
   participation in drills
   Example Deliverables: tested
   plans for emergency response
   for issues prioritized by
   organization or required by law.

15. Performance Improvement Initiatives*

                                                                                                                    For all job functions
                                                      Frequency of
                                                                                                                    answered No in
                                                      activity:                   Estimated       Do you think
                                                                                                                    column E, provide the
                                       Job            (if variable, provide an    number of       you have an
                                                                                                                    estimated number of
                                       Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                              additional hours or
                                       Performed      number of times             per week        resources
                                                                                                                    type of resource
                                       by IP Staff?   performed each year         during the      devoted to this
                                                                                                                    needed to adequately
                                                      by typing directly in       last 6 months   job function?
                                                                                                                    perform this job
                                                      the drop down area.)
                                                                                                                    function

                A                           B                   C                     D                    E                F
   Example Activities: Leading or      Select         Select                                      Select
   participating in performance
   improvement projects (e.g., IHI).
   Basic activities include problem
   identification, assessment,
   intervention design and
   implementation, evaluating
   results, and refinements as
   indicated
   Example Deliverables: Process
   and outcome data trends




                                                        Program Evaluation Tool                                                    Page 11
16. Occupational/ Employee Health *

                                                                                                                   For all job functions
                                                     Frequency of
                                                                                                                   answered No in
                                                     activity:                   Estimated       Do you think
                                                                                                                   column E, provide the
                                      Job            (if variable, provide an    number of       you have an
                                                                                                                   estimated number of
                                      Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                             additional hours or
                                      Performed      number of times             per week        resources
                                                                                                                   type of resource
                                      by IP Staff?   performed each year         during the      devoted to this
                                                                                                                   needed to adequately
                                                     by typing directly in       last 6 months   job function?
                                                                                                                   perform this job
                                                     the drop down area.)
                                                                                                                   function

                A                          B                   C                     D                    E                F
                                      Select         Select                                      Select
   Example Activities: Oversee,
   participate, or consult to
   Employee Health program.
   Example Deliverables: Policies
   and procedures for infectious
   events, compliance with
   regulations, annual influenza
   immunization program, new hire
   health evaluation and
   immunization program, injury
   prevention and treatment, trend
   analysis of communicable
   disease exposure, employee
   injuries

17. Other Assigned Job Functions (List function(s) below and provide time estimates)

                                                                                                                   For all job functions
                                                     Frequency of
                                                                                                                   answered No in
                                                     activity:                   Estimated       Do you think
                                                                                                                   column E, provide the
                                      Job            (if variable, provide an    number of       you have an
                                                                                                                   estimated number of
                                      Function       estimate of the             hours spent     adequate
 Program/Job Functions                                                                                             additional hours or
                                      Performed      number of times             per week        resources
                                                                                                                   type of resource
                                      by IP Staff?   performed each year         during the      devoted to this
                                                                                                                   needed to adequately
                                                     by typing directly in       last 6 months   job function?
                                                                                                                   perform this job
                                                     the drop down area.)
                                                                                                                   function

                A                          B                   C                     D                    E                F
                                      Select         Select                                      Select
   Activities: describe
   Deliverables: describe

   If your organization consists of
   multiple facilities and/or
   community-based practices,
   estimate the amount of travel
   time spent per week between
   facilities.




                                                       Program Evaluation Tool                                                    Page 12
                                                          RESOURCE NEEDS
Review your responses in column E and F. Total any additional time or resources listed in column F. Carefully consider any additional
resources indicated and examine how best to address those needs. An example is below to help guide you with your next steps.
Example:
If you indicated you needed 20 more hours per week to conduct surveillance activities, data analysis, and reporting, you should evaluate the
pros and cons of surveillance technology. After determining if you need additional human or technological support, present a cost/benefit
analysis to your administrator. If you request software, the cost/benefit analysis should include dollars needed for purchase and annual
maintenance fees, software functions and an estimate of time savings (FTE hours/wk) and any new deliverables. If the job function is best
performed or can only be performed by additional personnel (e.g., mandated influenza vaccinations for employees) determine the FTE(s)
hours needed based upon your estimated number of additional hours needed to adequately perform the job function(s). Develop a job
description along with your rationale for the position(s) request. Include benchmarking data from similar facilities and recommendations for
staffing levels in the published literature (e.g., Delphi Study)




                                                               References
Stone P., et al. Staffing and structure of infection prevention and control programs. Am J Infect Control . 2009. Jun; 37(5): 349-350.

Curchoe R, Fabrey L, LeBlanc M. The changing role of infection prevention practice as documented by the Certification Board of Infection
Control and Epidemiology practice analysis survey. Am J Infect Control. 2008, May; 36(4):241-9.

Hass J. Measurement of infection control department performance: state of the science. Am J Infect Control . 2006. Nov; 34(9): 543-549.

O’Boyle, CO, Jackson, M, Henly, SJ. Staffing requirements for infection control programs in US health care facilities: Delphi project. Am J Infect
Control . 2002, 30(6): 321-333.

Friedman C, et al. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a
consensus panel report. Am J Infect Control . 1999, Oct; 20:418-430..

Scheckler W, et al. Requirements for infrastructure and essential activities in hospitals: a consensus panel report. Am J Infect Control. Feb.
1998; 26(1): 47-60.




                        Association for Professionals in Infection Control and Epidemiology, Inc.
                                             1275 K. Street NW, Suite 1000
                                              Washington, DC 20005-4006
                                       Phone: 202.789.1890 Fax: 202.789.1899




                                                        Program Evaluation Tool                                                              Page 13

								
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