Acute care, specialty hospitals and behavioral health hospitals continue to be closely regulated and under increased scrutiny. Federal, state and accreditation agencies are monitoring hospitals to ensure the requirements to implement and report several infection prevention core measures developed by the Centers for Medicare & Medicaid Services (CMS) are met. CMS also mandates surveillance and reporting of various infections requiring hospital infection preventionists to have sound knowledge of these processes.

Furthermore, each state has specific regulations for which hospitals are required to comply. Accreditation organizations such as The Joint Commission (TJC) and the Healthcare Facilities Accreditation Program (HFAP) survey hospitals at regular intervals to assess whether core measures are being followed. CMS requires that hospitals follow “nationally recognized guidelines and standards” developed by the Centers for Disease Control and Prevention (CDC), Association of periOperative Nurses (AORN), The Association for the Advancement of Medical Instrumentation (AAMI) and several additional organizations. 

A hospital infection prevention program includes a written plan, risk assessment, goals and objectives, tuberculosis (TB) risk assessment, exposure control plans (bloodborne pathogens and TB), policies and protocols. Maintaining an infection-free environment in a hospital setting is a growing challenge. Management of multi-drug resistant organisms (MDROs), including methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile infection (CDI) must be a high priority for infection prevention and control departments. More recently, the challenges of reprocessing medical devices, including endoscopes, has come into the spotlight . Potentially deadly organisms produce a thin, slimy film of bacteria that adheres to a device's surface. This biofilm, which can be difficult to detect and remove, has made reprocessing an even greater challenge.

Hospital Infection Prevention & Control Services

Infection Control Consulting Services (ICCS) specializes in infection prevention practices for acute care, specialty and behavioral health hospitals nationwide. The team of ICCS infection control and prevention consultants helps facilities prepare for and pass CMS and accreditation surveys through onsite visits and education, remote training and ongoing guidance and recommendations to improve processes. In addition, ICCS consultants provide hospitals with remediation steps and corrective action plans when hospital surveys result in deficiencies.

If you have concerns about your hospital's ability to meet the ever-growing challenges of infection control and prevention compliance or feel that you could benefit from assistance and would like to learn how ICCS can help, contact us for a complimentary initial consultation.