4013 - Infection Control Plan by compliancedoctor

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									    SUBJECT:         INFECTION CONTROL PLAN                                REFERENCE #4013
                                                                           PAGE: 1
    DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT                             OF: 9
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    APPROVED BY:                                                           REVISED:


PURPOSE:

        To minimize the risk of healthcare associated or transmitted infections among the
         company’s clients and staff through a formalized coordinated companywide process to
         reduce those risks.

        To comply with applicable laws, regulations, guidelines and standards.

        To improve client health outcomes by identifying and reducing the risks of infection in
         clients and company staff.

POLICY:

        The leaders of this company are committed to the implementation of a viable,
         well-designed effective infection prevention and control plan as one of its primary
         safety initiatives. To that end, appropriate resources are allocated to support that initiative.

        Client and staff safety from infection is a priority within this company.

        The company has established a comprehensive Infection Control Plan to ensure that there
         is a functioning coordinated process in place, to minimize the risks of healthcare
         associated and transmitted infections among clients and staff, and to optimize the use of
         resources.

        The company’s Infection Control Plan incorporates the following in a continuing cycle:

                 Surveillance, prevention and control of infections throughout the company

                 Development of alternative practices to address real and potential exposures

                 Selection and implementation of best practices to minimize adverse outcomes

                 Evaluation and monitoring results and revising prevention activities as needed




© The Compliance Doctor, LLC
    SUBJECT:         INFECTION CONTROL PLAN                                REFERENCE #4013
                                                                           PAGE: 2
    DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT                             OF: 9
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    APPROVED BY:                                                           REVISED:


        Company administration, with the approval of the Board of Directors, has designed and
         implemented an infection control plan that is reflective of:

                 The client population served by the company

                 Any special risks for infection within that population

                 The types of care, treatment and/or services provided by the company

        The company’s infection control plan is a systematic and coordinated process designed to
         incorporate the following information:

                 Current scientific methods and epidemiologic principles for infection surveillance and
                  prevention of adverse outcomes determined by a review of current literature

                 Recognized practice guidelines such as those published by the Centers for Disease
                  Control and Prevention (CDC), the Healthcare Infection Control Practices Advisory
                  Committee (HICPAC), the National Quality Forum (NQF), and the Agency for
                  Healthcare Research and Quality (AHRQ)

                 Current local, state and federal laws and regulations related to compliance with
                  prevention activities and legally mandated reporting requirements, such as OSHA
                  guidelines

                 Demographics of the client population served by the company including, but not
                  limited to, community studies to identify the prevalence of infections within the
                  company’s geographic service area, client census, distribution of diagnoses

                 Care, treatment and/or services provided by the company




© The Compliance Doctor, LLC
    SUBJECT:         INFECTION CONTROL PLAN                              REFERENCE #4013
                                                                         PAGE: 3
    DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT                           OF: 9
                                                                         EFFECTIVE:
    APPROVED BY:                                                         REVISED:


        The level of risk for the transmission and acquisition of infectious agents throughout the
         company is reviewed at least annually and whenever there are significant changes in:

                 The company’s geographic service area

                 The programs/services and/or the care, treatment, services provided by the
                  company

                 The characteristics of the population served by the company

                 The results of analysis of the company’s infection prevention and control data

        Each department within the company is responsible and held accountable for its role in the
         Infection Control Plan.

        To coordinate the infection control activities, infection control management functions are
         delegated to the Infection Control Committee to investigate and follow-up on identified
         infections.

        The company’s Risk Manager is responsible for implementation of the infection control
         plan and serves as a member of the Infection Control Committee.

        Infection control inservice education is provided to all company employees, including
         contracted personnel, during orientation and at least annually thereafter.

        Infection control data are an integral component of the company’s performance
         improvement plan.




© The Compliance Doctor, LLC
    SUBJECT:          INFECTION CONTROL PLAN                                 REFERENCE #4013
                                                                             PAGE: 4
    DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT                               OF: 9
                                                                             EFFECTIVE:
    APPROVED BY:                                                             REVISED:


ACTIVITIES:

        Infection control activities include, but are not limited to, the following that are identified
         after the client’s admission to the company.

                 Monitoring and evaluation of key performance aspects of infection control
                  surveillance, prevention and management:

                          Postoperative wound infections

                          Device-related infections

                          Antibiotic-resistant organisms

                          Tuberculosis

                          Other communicable diseases

                          Ventilator related pneumonia

                          Postpartum infections

                          Employee health trends

                 Continuously collecting and/or screening data to identify isolated incidents or
                  potential infectious outbreaks, as well as to determine if infections are company
                  acquired or community acquired.

                 Participation in an companywide proactive education program in an effort to reduce
                  and control the spread of infection.

                 Facilitating a multidisciplinary approach to the prevention and control of infections.

                 Utilizing sound epidemiologic principles and infection research from recognized
                  authoritative sources.




© The Compliance Doctor, LLC
    SUBJECT:         INFECTION CONTROL PLAN                                 REFERENCE #4013
                                                                            PAGE: 5
    DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT                              OF: 9
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    APPROVED BY:                                                            REVISED:


                 Integrating outcomes from surveillance and control activities into the Information
                  Management Program processes throughout the company to allow for inter
								
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