Healthcare-Associated Infection (HAI) Road Map
The Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program provides evidence-based recommendations and standards for Minnesota hospitals to develop comprehensive HAI prevention programs. The road map reflects published literature and guidelines by relevant professional organizations and regulatory agencies, as well as identified best practices.
The road map's targeted infections:
- Catheter associated urinary tract infections (CAUTI)
- Central line associated blood stream infections (CLABSI)
- Surgical site infection (SSI)
- Clostridium difficile infection (CDI)
The road map helps your organization assess issues related to the following components of your HAI program:
- Safety teams and organizational structure
- Access to information
- Facility expectations
- Engagement of patient/client/resident and families
- Hand hygiene
- Transmission - transmission-based isolation precautions
- Antimicrobial stewardship program
- Injection practices
- System wide environmental cleaning and disinfection
Welcome to the CHAIN Website
Chain participants, please share your tools and resources to contribute to this site. Sharing knowledge will help us all provide better care to people in Minnesota. Send tool and resource suggestions to Bruce Johnson, Stratis Health. Together, we can reduce HAI rates.
Minnesota NHSN Monthly Users Group Conference Calls
The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system open to all types of health care facilities in the U.S. More information
News and Events
CHAIN Conference: Antimicrobial Stewardship across the Continuum of Care in Minnesota
October 16, Mall of America – “Great Room” Conference Room, Bloomington
This conference is targeted toward infectious disease physicians, hospitalists, emergency department physicians, pharmacists in healthcare settings, infection preventionists, microbiologists, and others interested in or involved in antimicrobial stewardship activities in their healthcare facility. Panel presentations will feature long-term-care and pharmacy practitioners. Presenters share real-life, practical experiences and innovative approaches for improving antimicrobial prescribing practices in inpatient hospital, emergency department, and long-term care settings. Speakers are David Hines, MD, FACP; Susan Kline MD, MPH; Gary Kravitz MD, FACP, FIDSA, FSHEA; Abinash Virk MD, DTM&H, FIDSA; and Ruth Lynfield, MD. There is no registration fee; lunch will be on your own. Register. Event Flier.
A System-Based Approach to Colorectal Surgery SSI Reduction: Interventions Across the Episode of Care
Presented on December 11, 2013 by Robert R. Cima, MD, Mayo Clinic, Rochester, MN. Hosted by Stratis Health. (54-minute webinar)
Webinar and slides
Required Infection Reporting for Critical Access Hospitals (CAH)
Presented by Stratis Health and the Minnesota Hospital Association. Parts one and two of this four-part webinar series, presented on October 14, and November 21, 2013, describe the new state requirement for reporting CAUTI in the CDC’s National Healthcare Safety Network (NHSN). The series is designed to help CAH understand the options and steps for NHSN enrollment, and prepare for submitting data into NHSN for January 1, 2014 discharges.
Webinar, slides and supporting documents
A collection of presentations from the October 24. 2013 CHAIN-sponsored Antimicrobial Stewardship Conference that provide examples of a variety of effective strategies for antimicrobial stewardship programs throughout Minnesota.
- A Critical Access Hospital’s ASP. Presented by Amy Dittmer, Pharm.D, Director of Pharmacy, Glencoe Regional Health Services. (10-page PDF)
- Antibiotic Resistance in Minnesota. Presented by Ruth Lynfield, MD, Minnesota Department of Health. (20-page PDF)
- Antibiotic Stewardship 360⁰: Optimizing Outcomes For Common Infectious Syndromes. Presented by Ayesha Rashid MD, and Gary Kravitz, MD, FACP, FIDSA, FSHEA, St. Paul Infectious Disease Associates. (68-page PDF)
- Antimicrobial Stewardship in Ambulatory Care at HCMC. Presented by Mary K Kuzel, PharmD, BCACP, Downtown Medicine Clinics, Hennepin County Medical Center. (7-page PDF)
- Pharmacist-Driven ASP. Presented by Jessica Holt, PharmD, BCPS (AQ-ID) Infectious Diseases Pharmacy Coordinator, Abbott Northwestern Hospital. (11-page PDF)
- Practical Pearls for Effective Sustainable Antimicrobial Stewardship Programs. Presented by Susan Kline, MD, MPH, Medical Director for Infection Control, University of Minnesota Medical Center, Fairview. (43-page PDF)
Handwashing Poster: Don’t Forget Your Thumbs. Poster reminds staff and visitors to wash their hands completely to avoid passing germs. (1-page PDF)
Stop Infections from Lethal CRE Germs Now
Read CDC’s Vital Signs for new information on carbapenem-resistant enterobacteriaceae (CRE), a lethal group of bacteria that are highly resistant to antimicrobials.
Also read recommendations for CRE prevention in acute care and long-term care settings from the Minnesota Department of Health: Minnesota Targets Carbapenem-resistant Enterobacteriaceae. Minnesota is one of the Emerging Infections Program (EIP) sites that has developed and carried out active CRE surveillance.