Clostridium Difficile (C.difficile) Infection Reporting and Reduction

Working to improve the quality of care delivery to nursing home residents.

Preventing clostridium difficile infection (CDI) and improving antibiotic prescribing could enhance the quality of care and life for residents in New York State (NYS) nursing homes and conceivably save lives from drug-resistant infections. Studies have shown that long term care (LTC) residents are at higher risk of acquiring C. difficile infection from referring hospitals and transitions of care. Hence, it is reasonable to assume that CDI manifestation in a LTCF is correlated with the CDI in hospitals where most residents receive care. According to a study released by the Centers for Disease Control and Prevention (CDC) more than 100,000 Clostridium difficile infections (CDI) develop among residents of U.S. nursing homes each year; 1 out of every three infections occurs in residents 65 years or older; and more than 80% of deaths associated with CDI occur among Americans aged 65 or older. As such, the significance of addressing CDI reporting and reduction has come to the forefront of the nursing home industry.

NHQCC CDI Reporting and Reduction Collaborative

The Federal Register, July 16, 2015 provided a proposed rule entitled Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities. This rule proposed to require facilities to have a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases. Participating in this CDI collaborative will help you network with and learn from other experts in the state and the country working together to establish a culture of resident safety through effective and sustainable infection control and prevention systems.

The collaborative aims to:

  1. Drive CDC National HealthCare Safety Network (NHSN) Long Term Care enrollment and consistent data reporting;
  2. Implement prevention through learning focused on CDI management, Antibiotic Stewardship principles and practices, and  AHRQ TeamSTEPPS Long Term Care Communications Module for uniform communication within and across NHs;
  3. Identify a QIO derived national baseline for CDI in nursing homes

For information and step-by-step instructions how to register/enroll your facility in CDC NHSN click this link

For additional CDI information, prevention strategies, and resources click here

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New York

Pauline Kinney, RN, MA, LNHA, RAC-CT
Senior Director, Health Care Quality Improvement
Tel: (516) 209-5402
Fax: (516) 326-0434
Pauline.Kinney@area-I.hcqis.org

Maureen Valvo, RN, BSN, RAC-CT
Senior Quality Improvement Specialist
Tel: (516) 209-5308
Maureen.Valvo@area.I-hcqis.org

David L. Johnson, NHA, RAC-CT
Senior Quality Improvement Specialist
Tel: (518) 320-3516
David.Johnson@area-i.hcqis.org

Dan Yuricic, MA
Senior Quality Improvement Specialist
Tel: (516) 209-5458
Danny.Yuricic@area-I.hcqis.org

IPRO Nursing Home Team
ipronursinghometeam@ipro.org