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Health Departments and Healthcare-Associated Infection Prevention Research: A New Land of Opportunity?. Matthew Wise, MPH, PhD Epidemiologist, Office of Prevention Research and Evaluation. CSTE Annual Conference June 3, 2012. National Center for Emerging and Zoonotic Infectious Diseases. - PowerPoint PPT Presentation
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Health Departments and Healthcare-Associated Infection Prevention
Research:A New Land of Opportunity?
Matthew Wise, MPH, PhDEpidemiologist, Office of Prevention Research and Evaluation
CSTE Annual ConferenceJune 3, 2012
National Center for Emerging and Zoonotic Infectious DiseasesDivision of Healthcare Quality Promotion
CDC’s Healthcare-Associated Infection (HAI) Prevention Research Program
Group of mechanisms to provide external partners and vendors funding to address research questions Grants Cooperative agreements Contracts
Objective: To foster research that advances prevention and control of: HAIs Antimicrobial resistance Other adverse healthcare events
CDC HAI Prevention Research Program
Prevention Epicenters• Cooperative
agreement mechanism
• Academic partners with HAI expertise
SHEPheRD* Program• Contract mechanism• Vendors and insurers
with access to large amounts of healthcare data
Health Department CoAg (Potential)• Cooperative
agreement mechanism
• State and local health departments
*Safety and Healthcare Epidemiology Prevention Research Development
Paradigm Shift in HAI Prevention: In the Past…
Healthcare facilities were at the center of HAI prevention efforts Research dominated by large academic centers Often conducted by single facilities in a “vacuum”
Led by infection control experts Little multidisciplinary involvement
HAIs primarily considered a clinical issue
Paradigm Shift in HAI Prevention: Today…
Growing public interest in HAIs Health departments are increasingly at the center of HAI
surveillance and prevention
Increasing collaborative regional and national interventions across facilities Health departments, hospital associations, and quality
improvement organizations expected to work together
Multidisciplinary approach
HAIs considered a public health issue
Prevention Research Areas: Regional Efforts to Prevent HAIs
Health departments can play a key role in assessing effectiveness of regional interventions
Prevention Research Areas: HAIs Across the Spectrum of Care
Robust epidemiologic data exist on prevention of many hospital-onset infections, but… Prevention of community-onset infections? Prevention of infections acquired at outpatient clinics,
hemodialysis centers, and ambulatory surgical centers? Less systematic evidence of intervention effectiveness
HAIs prevented through the use of vaccine may have their onset in a variety of settings Assessing vaccine impact may require a population-
based approach
Potential Benefits of a Health Department Cooperative Agreement
1. Mechanism to conduct HAI prevention research from a public health perspective Public health and academic research agenda not
always aligned
2. Support for the state/local health department role in HAI prevention Strengthen partnerships between public health and
healthcare institutions
3. Facilitation of research on issues exceeding the purview of healthcare facilities or academic centers
Conclusions / Moving Forward Evidence, evidence, evidence
Challenges exist in implementing state-based HAI prevention research But likely necessary to address some prevention
questions
Current TN pilot project examines impact of a long-term care intervention on outcomes in multiple settings Funded using the existing Emerging Infections Program
cooperative agreement If successful, potential expansion of health department
HAI prevention research funding