Overview of PPS activities and meeting objectives

Carl Suetens

Surveillance section, surveillance and response support unit European Centre for Disease Prevention and Control (ECDC)

ECDC PPS 2016-2017: timeline

Sep 2013: evaluation meeting of PPS 2011-2012, discussion protocol changes

Feb 2014: first review hospital-wide structure-and process indicators (SPIs) based on SIGHT project and TATFAR

May 2014: second SPI review, HAI-Net coordination committee meeting

Jul 2014-Jan 2015: 7 teleconferences ECDC PPS expert group

February 2015: discussion PPS II protocol at joint ARHAI meeting

April 2015: HAI-Net Coordination Committee meeting

April-Aug 2015: SPI pilot

May-Sep 2015: Adaptation PPS module in HelicsWin.Net

October 2015: PPS II meeting / training workshop (incl. validation), 2 participants per country

November 2015 - March 2016: start national training courses

April-June 2016: first wave ECDC PPS II

Following PPS waves: Sep-Nov 2016, Apr-June 2017, Sep-Nov 2017, 2018?

Objectives HAI-Net PPS meeting, 12-13 February 2015

To review and discuss proposed changes to the ECDC PPS protocol

To agree planning for piloting new structure and process indicators

To review national plans for the second PPS in all EU/EEA MS

To discuss national and international validation during the second PPS

National and international validation

National validation:

– Required for interpretation of HAI prevalence + burden estimates

– At the same time as the primary PPS

– Recommended: re-examine 750 patients in 25 hospitals

– Minimum: 250 patients in 5 hospitals

– Support contracts with ECDC (10 000 EUR / country), budget to be spread over (at least) 2 years (2016-2017)

International validation:

– Validation of national validation teams (VT)

– Accompany national VTs in 1-2 hospitals/country

– Who?: Part of HAI-Net support call for tender (published soon): contractors + ECDC experts

Hospital-wide indicators for second ECDC PPS: based on SIGHT project

Source: W. Zingg et al. Lancet Infectious Diseases, Published online Nov 11 2014.

Systematic review & expert opinion => 10 Key Components and proposed indicators

HAI-Net experts: further define indicators for implementation in PPS II protocol (meeting and teleconferences)

Infection prevention and control indicators: objectives Increase awareness for HAI/AMR prevention through

surveillance/repeated PPS

Add local value to surveillance by inter-hospital comparison and follow-up of key preventive measures (=> increase participation to surveillance networks?)

Inter-country comparison and follow-up of implementation of key preventive measures in EU/EEA countries

Follow-up of implementation of ECDC guidance and Council Recommendation 2009/C 151/01

At the longer term: linking evolution of prevention indicators with outcome indicators trends

Indicators: criteria

Should measure:

- Capacity/Preparedness

AND

- Behaviour/Practices

Evidence-based

Feasible

Valid & reproducible

Sufficient variability

Allow change over time

Limited number, best selection for EU-level surveillance

Infection Prevention and Control

Surveillance process

Antimicrobial Stewardship

Hospital denominator data

Common indicators for ARHAI surveillance networks

EARS-Net

HAI-Net

Lab001

Lab002

ESAC-Net

Hospital-based

antimicrobial

consumption

PPS

ICU

SSI

CDI

Hosp12

Hosp34

Hosp56

Hosp78

Standardised

hospital

codes

Specific

indicators

Hospital indicators

and denominator data (1 record per hospital and per

surveillande period/ year)

Antimicrobial Stewardship indicators

ECDC PPS in acute care hospitals, 2011-2012: structure and process indicators

Infection prevention and control indicators in 2011-2012: single bed rooms, alcohol hand rub consumption

Mapping leads to action: e.g. measures to improve AHR data availability in UK-Scotland

Percentage of beds in single rooms Alcohol hand rub consumption

*Poor data representativeness; Source: ECDC PPS, 2011-2012. Report available from http://www.ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf

ECDC PPS in acute care hospitals, 2011-2012: structure and process indicators

Two indicators of infection prevention and control staffing

Mapping leads to action: e.g. Czech Republic: National HAI Reference Centre (2012), new IPC guidance (2013)

IPC nurses (FTE/250 beds) IPC doctors (FTE/250 beds)

Overview of changes to the ECDC PPS protocol

ECDC Point prevalence survey of healthcare-

associated infections and antimicrobial use in

acute care hospitals, 2016-2017

Forms V5.0

08:30 – 10:30

Session 11: HAI-Net

Point prevalence survey (PPS) in acute care hospitals* Moderators: Carl Suetens (ECDC), Walter Zingg (UK)

08:30 – 09:00 Welcome; Overview of PPS activities and meeting objectives

Carl Suetens (ECDC)

09:00 – 09:30 Second PPS in the US Shelley Magill (CDC, Atlanta)

09:30 – 10:30

Hospital organisation, management, and

structure for prevention of HAI: key components and indicators for PPS

protocol – part I

Discussion

Carl Suetens (ECDC),

Walter Zingg (UK)

All

10:30 – 11:00 Coffee break

11:00 – 12:30

Session 12: HAI-Net

Point prevalence survey (PPS) in acute care hospitals* Moderators: Carl Suetens (ECDC), Walter Zingg (UK)

11:00 – 12:30

Hospital organisation, management, and structure for prevention of HAI: key

components and indicators for PPS protocol – part II

Indicators of antimicrobial stewardship

Discussion

Carl Suetens (ECDC), Walter Zingg (UK)

All

12:30 – 14:00 Lunch break

Friday 13/2

09:00 – 11:00

Session 17: HAI-Net

Point Prevalence Survey (PPS)* Moderators:

Pete Kinross (ECDC), Jacqui Reilly (UK)

09:00 – 10:00 Other changes to PPS protocol

Discussion

Carl Suetens (ECDC)

All

10:00 – 10:20 National and international PPS validation Carl Suetens (ECDC),

Jacqui Reilly (UK-Scotland)

10:20 – 10:45 Roundtable discussion:

National PPS planning All

10:45 – 11:00 PPS training and further planning Carl Suetens (ECDC)

11:00 – 11:30 Coffee break

Friday 13/2

11:30 – 13:30

Session 18: EARS-Net, ESAC-Net, HAI-Net

ARHAI networks: Moderators: Mike Catchpole & Dominique L. Monnet (ECDC)

11:30 – 11:45 Report from EARS-Net sessions Discussion

Rapporteur (tbd)

11:45 – 12:00 Report from ESAC-Net sessions

Discussion Peter Zarb (Malta)

12:00 – 12:15 Report from HAI-Net sessions

Discussion Rapporteur (tbd)

12:15 – 12:30

EARS-Net, ESAC-Net and HAI-Net:

keeping specific objectives to achieve a common goal

Dominique L. Monnet (ECDC)

12:30 – 13:15 Roundtable discussion All

13:15 – 13:30 Conclusions Dominique L. Monnet (ECDC)

13:30 – 15:00 Lunch