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SB 739 for Dummies – Updated 1/28/08



Legislated Requirements Deadline Who Leads Planning Considerations/Progress Made

HAI Advisory Committee (AC) July 1, 2007 K Delahanty  Committee recommended use of NHSN data base for reporting format at

 Methods of reporting cases (chair) Sept ’07 meeting

 Use of national GL S Chen  http://www.cdph.ca.gov/services/boards/Pages/HAI_AC.aspx for further

 Public reporting of process measures information and all meeting minutes, presentations, and handouts

Evaluation of facility resources & program No timeframe Not specified HAI committee need to inform and provide guidance to facilities in advance of

(prepare a report q 3 yrs; update annually, revise as specified for initial implementation date. Where data reported, who will manage not specified.

needed) report

Implement policies to prevent BSIs No time specified As mandated reporting of central line process measures will begin ~mid 2008,

hospitals should have this in place. Remember also cutoff of CMS funds 10/08.

Hospitals required to annually offer onsite flu July 1, 2007 L&C Considered self-implementing; L&C may evaluate during surveys. Most recent

vaccine to employees HAI-AC recommendation: hospitals to report this data for 2007-8 flu season.

Hospitals to have policies in place for respiratory July 1, 2007 L&C Considered self-implementing; L&C may evaluate during surveys

hygiene and cough etiquette

Hospitals to revise existing or develop a new July 1, 2007 EPO/CHA Contract w/ Price/Waterhouse/Cooper to upgrade hospital surge plans; CDPH IZ

disaster plan w/ pandemic influenza component Branch has been participating. Plan guidance and review has not yet been

clarified. Plans may be submitted to the EPO.

Implement CDPH HAI surveillance and prevention January 1, 2008 DCDC  Registration of CDPH into NHSN in progress

program  Request for funding for program is in FY 08-09 state budget.

Investigate the development of electronic reporting January 1, 2008 IDB  Per AFL 07-37, all CA facilities w/ licensed acute care beds must register,

database and designate CDPH as “group”, thus giving CDPH access to required data

 Process measures for BSI, employee immunizations developed by NHSN;

modules approved by CDC/anticipated to be released Feb 2008

Update Title 22 to incorporate CDC guidelines to January 1, 2008 L&C

protect against HAI

Require hospitals to develop a process to evaluate January 1, 2008 CDPH/AC/L&C HAI-AC recommended reporting of SCIP measures 1-3 through Lumetra/CMS.

judicious use of AB Hospitals must fill out SCIP survey and return to S Chen. Start date will be

announced within next few months.

Phasing in of public reporting: GAC must On and after Jan 1, AC/GAC/CDPH  HAI-AC subcommittees has made recommendations to CDPH; instructions

“implement and annually report to the dept” process 2008 will be forthcoming from CDPH. Recommendations will be posted on HAI-AC

measures on BSI, antimicrobial prophylaxis, website when available

seasonal influenza vaccination of pts and staff.  Report to CDPH; 6 months later data must be made public

GACs to develop, implement, and periodically January 1, 2009 AC  AC to set criteria, GAC as per column 1, L&C to survey for compliance

evaluate process measures to prevent GAC/L&C  No mention of outcome measures; this will be left up to AC to recommend.

 SSIs  A subcommittee recommended mandatory reporting of lab-confirmed MRSA

 VAPs bloodstream infections. CDPH is looking at how to implement; NHSN MDRO

 Policies to prevent HAIs module (not yet released) is being considered as reporting mechanism.

 Next HAI-AC meeting will be 3/3/08


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