APIC 2011 Onsite Program
Transcription
APIC 2011 Onsite Program
www.apic.org/ac2011 Onsite Program and Abstracts Book 3 8 T H A N N UA L E D U C AT I O N A L C O N F E R E N C E & I N T E R N AT I O N A L M E E T I N G APIC gratefully acknowledges the following companies for their generous support of the Annual Conference educational programs and courses Platinum Sponsors Gold Sponsors Silver Sponsors Bronze Sponsors Contributors Advantage Medical Cables Bemis Manufacturing Smiths Medical North America APIC Consulting Georgia Pacific Steris Bard Gilero Ultraclenz BD SHEA Xinsurance Welcome from the Chair On behalf of the APIC Annual Conference Committee, welcome to Baltimore and the 38th Annual Educational Conference and International Meeting. This conference offers you the opportunity to learn from leading experts in the field of infection prevention and healthcare epidemiology. You will have the opportunity to attend a variety of educational sessions and workshops as well as network with colleagues from across the U.S. and abroad. I hope you support your colleagues by reviewing their posters and attending the oral abstract presentations. These sessions often provide take-home practical information that you can put to work in your organizations. Don’t forget to go to the movies! For the first time at an APIC conference, you can relax, eat some popcorn, and watch movies made by people just like you. I hope that, as you go out and about to enjoy the many wonderful restaurants along the Baltimore Harbor, you will be talking with your friends about who you met that day and what you learned at the conference. So have a good time and, if you see me in the Convention Center, feel free to say hello and tell me how the meeting is going for you. Best regards, Vickie Brown, RN, MPH, CIC Chair, 2011 Annual Conference Committee 2011 ANNUAL CONFERENCE COMMITTEE Chair Vickie Brown, RN, MPH, CIC Vice-Chair Barbara DeBaun, RN, MSN, CIC Members Karen Anderson, MT, CLS, MPHc, CIC Judie Bringhurst, RN, MSN, CIC Titus Daniels, MD, MPH Kate Ellingson, PhD Teresa Fulton, RN, MSN, CIC, CNLCP Karen Hoffmann, RN, MS, CIC, FSHEA Lynne Karanfil, RN, MA, CIC Russell Olmsted, MPH, CIC Ann Marie Pettis, RN, BSN, CIC Mary Post, RN, MS, CNS, CIC Nancy Zanotti, RN, BSN, MPH, CIC TABLE OF CONTENTS What’s New 4 Meetings-at-a-Glance 7 Schedule-at-a-Glance 9 General Conference Information 13 Conference Program Goals 17 Speaker Spotlight 18 Education Program Details 21 Speaker Disclosures 52 Acknowledgements 53 Stay Up To Date on Critical Infection Prevention Information to Benefit Your Facility Visit the APIC Store (in the Pratt St. Lobby) for a variety of educational resources This year, the APIC Store is offering Conference Specials Sunday-Wednesday on new and popular products. Stop by the store or check the APIC Daily News to find out about these specials. As always, attendees receive free shipping on all orders placed onsite. You can also shop online at www.apic.org/store W H AT ’ S N E W You Spoke. We Listened. For 2011, APIC has added even more opportunities for you to network with colleagues, to customize your learning objectives, and to maximize your experience while reducing costs. Greater Networking From idea sharing with peers to gaining access to prominent healthcare leaders, networking at the Annual Conference can play an important role in advancing your professional development. We have added a fun Welcome Reception, casual lunches, and intimate one-on-one meetings. Annual Conference Committee Welcome Reception Don’t miss out on the Welcome Reception, held Sunday, June 26 at the Baltimore Hilton! Enjoy complimentary drinks and hors d’oeuvres with Baltimore flavors while listening to spectacular musical entertainment in a comfortable setting with great views. Meet new colleagues and reconnect with old friends to strengthen collegial ties. (We look forward to welcoming all conference attendees with the white wallet badges. Exhibitors, we look forward to seeing you on Monday at the grand opening of the Exhibit Hall.) Find a Mentor with APIContacts Are you a new member? You can find a willing and experienced infection preventionist to serve as your mentor. In Baltimore, APIC will host a lounge dedicated to fostering introductions between new participants in the program. 30/30 Sessions Two great topics. One convenient hour. 4 Customize Your Learning We have arranged concurrent sessions according to learning tracks, concentrating on specific knowledge areas that align with infection prevention responsibilities, including: 䡲 䡲 䡲 䡲 䡲 Surveillance and Technology Emerging Science, Research, and Application Leadership and Professional Development Public Policy/Public Reporting Alternate Care Settings (e.g., Ambulatory, LTC, LTAC) Complimentary Lunch Monday-Wednesday APIC provides complimentary lunch at the APIC Café in the Exhibit Hall for each of the three days of the conference. APIC Village Be sure to visit the APIC Village – your go-to place for all things APIC! This new and exciting area in the exhibit hall is exclusively dedicated to all APIC-related activities. Not only will lunch be provided each day in the APIC Village Cafe, but there are so many other great opportunities of which to take advantage, including: 䡲 APIC ANYWHERE™ - Test drive demos and 䡲 䡲 䡲 䡲 䡲 䡲 see all of the brand new content that this Online Education Center has to offer. IIPW - International Infection Prevention Week (October 16-22) will be here before you know it. Be sure to take advantage of the free shipping offer and order all of your official logo merchandise onsite at the APIC Village! APIC Café - offers you and your colleagues the option to network and learn from one another while enjoying your lunch. Take part in small moderated discussions, facilitated by APIC section leaders. APIC Research Raffle - Don’t forget to buy tickets for the APIC Research Raffle for a chance to win a free registration to APIC 2012, including hotel and limo service; a 32 GB AppleTM iPad 2; or a Flip MinoHD™ Video Camera! APIC Film Festival - Join us for the inaugural event! Come see what your colleagues have been doing to help promote best practices in infection prevention and control. Don’t forget to stop by to view these creative videos and vote for your favorite for the People’s Choice Award! Internet Lounge - With so much to offer, you may want to just relax on a comfortable couch or check your email. Luckily, you can do both in the APIC Village! APIC Photo Booth - “Ham it up” for the camera and take home your photo as a souvenir! Sponsored by 5 VISIT THE APIC VILLAGE A brand-new addition to the Exhibit Hall. LOOKING FOR SOMEWHERE TO RELAX AND CONNECT WITH OTHER ATTENDEES? Stop by the APIC Village! • IIPW • READING NOOK Browse new APIC products and services. • APIC ANYWHERE ™ Try a hands-on demonstration of the Online Education Center. • FILM FESTIVAL Screen original infection prevention videos at the inaugural APIC Film Festival…and vote for your favorite. • PHOTO BOOTH Ham it up at the APIC Photo Booth for a unique, fun, and free conference souvenir! Shop for International Infection Prevention Week (IIPW) merchandise. • RESEARCH RAFFLE Support APIC Research, buy raffle tickets! Great prizes this year! • APIC CAFÉ NETWORKING Have lunch with people just like you! Participate in interactive discussions led by APIC Section Leaders. • INTERNET LOUNGE Check out the new interactive HHS HAI Resources video Partnering To Heal or catch up on your email. Open during e exhibit xhibit hours. 6 M E E T I N G S - AT- A - G L A N C E FRIDAY SATURDAY JUNE 24 APIC Board Meeting 8 am - 5 pm Hilton Hotel Johnson AB JUNE 25 APIC Board Meeting CBIC Board Meeting Nominating & Awards Committee 8 am - 12 pm 8 am - 5 pm 1 - 5 pm Hilton Hotel Hilton Hotel Hilton Hotel Johnson AB Latrobe Johnson AB 10 am - 12 pm 8 am - 5 pm 11:30 am - 2:45 pm 12 - 4:30 pm 1 - 5 pm 2 - 4 pm 3 - 5 pm 3 - 5 pm 3 - 4 pm 3:30 - 4:30 pm 3:30 - 4:30 pm 4:00 - 4:30 pm 4:30 - 5:30 pm 4:30 - 5:30 pm 4:40 - 5:30 pm 5:30 - 7 pm Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Convention Center Convention Center Hilton Hotel Hilton Hotel Hilton Hotel Convention Center Hilton Hotel Carroll A Latrobe Holiday Ballroom 6 Johnson AB Peale C Peale A Carroll A Carroll B Peale B 349-350 347-348 Calloway AB Holiday Ballroom 2-3 Holiday Ballroom 1 343-344 Key Ballroom & Foyer JUNE 27 Awards Luncheon IFIC Strategic Partners Partners in Leadership Reception 12 - 1:30 pm 2 - 3:30 pm 5:30 - 7 pm Hilton Hotel Hilton Hotel Hilton Hotel Holiday Ballroom 6 Peale A Paca JUNE 28 Past Presidents’ Luncheon Chapter Legislative Reps Section Meeting - Minority Health & Safety Section Meeting - Behavioral Health Section Meeting - International Section Meeting - EMS & Public Safety Member Services Committee APIC Business Meeting Focus Group - Consultants Focus Group - Air Force Focus Group - Long-Term Acute Care Focus Group - Army & Navy Section Meeting - Ambulatory Care Section Meeting - LTC APIC ANYWHERE Reception * Baseball Game (OPTIONAL–ticket required) 12 - 1:30 pm 12 - 2:30 pm 11:45 am - 1:15 pm 11:45 am - 1:15 pm 11:45 am - 1:15 pm 11:45 am - 1:15 pm 1:30 - 2:30 pm 4 - 5:30 pm 6 - 7:30 pm 6 - 7:30 pm 6 - 7:30 pm 6 - 7:30 pm 6 - 7:30 pm 6 - 7:30 pm 6:30 - 8 pm 7 pm Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Convention Center Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Oriole Park Paca Key Ballroom 3-4 Key Ballroom 12 Key Ballroom 9 Key Ballroom 10 Johnson A Calloway B 309-310 Johnson AB Peale C Calloway A Peale AB Key Ballroom 3-4 Key Ballroom 11-12 Holiday Ballroom 1-3 12 - 1:30 pm 11:45 am - 1:15 pm 11:45 am - 1:15 pm 11:45 am - 1:15 pm Hilton Hotel Hilton Hotel Hilton Hotel Hilton Hotel Blake Peale A Key Ballroom 11-12 Key Ballroom 9-10 SUNDAY JUNE 26 APIC’s Science, Knowledge, and Implementation Network CBIC Board Meeting Chapter Officers’ Lunch & Meeting AJIC Editorial Meetings Public Policy Committee Practice Guidelines Committee Communications Committee Emergency Preparedness Committee Chapter Treasurers All Welcome International Orientation All Welcome First-Time Attendees Orientation Monitor Training New Member Reception International Attendees’ Reception NHSN Hospital System Annual Conference Committee Welcome Reception MONDAY TUESDAY All Welcome All Welcome All Welcome All Welcome WEDNESDAY JUNE 29 Education Committee Section Meeting - Home Care Section Meeting - VA Section Meeting - Pediatrics 7 S C H E D U L E - AT- A - G L A N C E All events are located at the Baltimore Convention Center unless otherwise specified. Sunday, June 26 3:30 - 4:30 pm 5:30 - 7:30 pm Orientation Programs First-Time Attendees Orientation International Orientation Room 341-342 Room 343-344 Annual Conference Committee Welcome Reception Eutaw Street at the Hilton Monday, June 27 8 - 10 am Opening Plenary Opening Ceremony/President's Address/Carol DeMille Award Presentation 10 - 10:30 am COFFEE BREAK Hall D (Access via Sharp St. Lobby) 10:30 - 11:30 am Concurrent Sessions Surveillance Software: Using Technology for Surveillance and Data Analysis Disinfection and Sterilization: Current Issues and New Technologies Case Studies in Culture Change Standardized Infection Ratio (SIR) for Infection Rate Analysis Novel and Atypical Infection Case Studies: Lessons Learned Top 10 Publications Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 10:30 - 11:30 am Oral Abstracts Antisepsis/Disinfection/Sterilization & Environment of Care/ Construction/Remediation Device-Related Infections and/or Site Specific Infections Infection Prevention and Control Programs Quality Management Systems/Process Improvement/Adverse Outcomes Room Room Room Room 309 310 307 308 11:30 am - 1 pm APIC Section Moderated Table Discussions APIC Village 11:30 am - 3 pm Exhibit Hall Open (Lunch served until 1 pm) Hall E 12:30 - 1:30 pm Richard Wenzel Book Signing APIC Store 2 - 3 pm Poster Presentations Level 400 Ballroom Foyer " 3 - 4 pm Concurrent Sessions Pertussis: Whooping It Up Antibiotic Management Pharmacy Tools Novel Approaches for Staff Education Semi-Private Rooms and the Transmission of MDROs CMS Tool for ASCs & Model for Infection Control in Ambulatory Care For Your Inspiration (FYI) Session Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 Professional Development Workshops NHSN – Surgical Site Infections Speak Up and Stand Out: How to Project Your Presence & Power Disinfection and Sterilization Boot Camp for IPs Risk Assessment Ballroom I Room 345-346 Room 347-348 Ballroom II 3 - 5:30 pm 4 - 4:30 pm COFFEE BREAK 4:30 - 5:30 pm Concurrent Sessions Hand Hygiene Monitoring Technology Environmental Cleaning: Assessing and Sustaining Improvement to Prevent HAIs 30/30 Sessions: Managing Outbreaks in Pediatric Settings Haiti Outbreak Disinfection & Sterilization in Ambulatory Care Molecular Microbiology: Uses and Pitfalls Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 9 SCHEDULE-AT-A-GLANCE continued All events are located at the Baltimore Convention Center unless otherwise specified. Tuesday, June 28 7:30 - 8:45 am 7:30 - 10 am 9 - 10 am Professional Development Workshops NHSN – Central Line-Associated Bloodstream Infections Speak Up and Stand Out: How to Project Your Presence & Power (Repeat) Evaluating Scientific Data to Drive Product Selection Healthcare Design & Construction: Implementing Evidence-Based Solutions to Build for Patient Safety and Sustainability Concurrent Sessions C. difficile Environmental Services Technology Behaviorial Science and Hand Hygiene Administrative Data vs. NHSN Data Infection Prevention and Control for LTACs Role and Successes of Emerging Infection Program (EIP) Activities Room 307 Room 308 Room 309 Ballroom I Room 345-346 Ballroom II Room 347-348 Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 10 - 10:30 am COFFEE BREAK 10:30 - 11:30 am Concurrent Sessions CDC Outbreak Session Epidemiology of MDR GNR's Designing a Norovirus Prevention and Rapid Response Program: An Evidence- Based Approach Show Us the Numbers: A New Approach to Using Administrative and Clinical Data Infection Prevention in Acute Care Dialysis Sustainable Change: State HAI Coordinators Share Success Stories Room 341-342 Room 343-344 Room 349-350 11:30 am - 2:30 pm Exhibit Hall Open (Lunch served until 1 pm) Hall E 1:30 - 2:30 pm Poster Presentations Level 400 Ballroom Foyer 2:30 - 3:30 pm Concurrent Sessions Electronic Algorithms for CLABSI's and Beyond Changing Epidemiology of MRSA The Independent Infection Prevention Consultant Role of Public Health in HAI Prevention The Nuts and Bolts of Safe Injection and Infusion Practices Celebrating Excellence in Infection Prevention – Achieving Certification (CBIC Session) 2:30 - 3:30 pm 10 Thought Leader Sessions High-Level Disinfection & Sterilization Failures Preventing SSIs Occupational Health Issues Oral Abstracts Infection Prevention and Control Programs Outbreak Investigation Quality Management Systems/Process Improvement/Adverse Outcomes Surveillance 3:30 - 4 pm COFFEE BREAK 4 - 5:30 pm APIC Annual Business Meeting Ballroom III Ballroom IV Room 339-340 Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 Room 307 Room 345-346 Room 348 Room 347-348 Room 309-310 Wednesday, June 29 7:30 - 8:45 am 7:30 - 10 am 9 - 10 am 10 - 10:30 am Thought Leader Sessions Management of MDR GNRs Advances in Hand Hygiene and Hand Hygiene Monitoring C. difficile Life at the Edge: Learning Team Accountability Professional Development Workshops NHSN – Surveillance System Operations Using Data to Drive and Sustain Improvement: Focusing on Analyzing, Displaying, and Presenting Data Effectively How to Write an Abstract Risk Assessment (Repeat) Concurrent Sessions Healthcare Information Technology: Electronic Records, Surveillance, and Infection Prevention How Bacteria Develop Antibiotic Resistance Evidence Behind Interventions? How Strong, How to Assess? Active Surveillance as a Case Study Factors Influencing Decisions for Influenza Vaccination Antimicrobial Stewardship in Long-Term Care Facilities: The Value of Collaboration and Acute Care Hospital Partnerships International Recall: Contaminated Alcohol Wipes Room Room Room Room 307 308 309 310 Ballroom I Room 345-346 Room 347-348 Ballroom II Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 COFFEE BREAK 10:30 - 11:30 am Concurrent Sessions 30/30 Sessions: Standardization of Clinical Processes IDSA Antibiotic Stewardship Guidelines Thinking Outside the Box: A Creative Approach to Redesigning Your Infection Prevention Program Ensuring Accurate Surgical Site Infection Rates for New York State-Wide Mandate Applying the Bundles in the Pediatric Population SSI Prevention Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 11:30 am - 2 pm Exhibit Hall Open (Lunch served until 1 pm) Hall E 1 - 2 pm Laurie Garrett (Closing Plenary Keynote) Book Signing APIC Store 2 - 3 pm Concurrent Sessions New HICPAC Guidelines for CLABSIs Ventilator-Associated Pneumonia: Current Efforts to Clarify and Streamline Definitions Transforming Culture: Adding People Bundles to Clinical Bundles to Eliminate Preventable Harm Legislation and Public Policies Impacting Infection Prevention Mandatory Reporting of Healthcare-Associated Infections in Pennsylvania Nursing Homes Prevention of MRSA HAIs: Compare & Contrast 3 - 3:30 pm COFFEE BREAK 3:30 - 4: 30 pm Closing Plenary Ballroom III Ballroom IV Room 339-340 Room 341-342 Room 343-344 Room 349-350 Hall D 11 12 GENERAL CONFERENCE INFORMATION Annual Business Meeting The APIC Annual Business Meeting is on Tuesday, June 28, from 4 – 5:30 pm in the Convention Center, Rooms 309-310. This meeting is open only to APIC members. Associate members may attend, but may not vote. All questions and items for discussion at the Business Meeting may be submitted in writing by 12 pm, Monday, June 27, at the APIC Store. APIC Member Services The APIC Member Services Desk is located in the Pratt St. Lobby of the Convention Center, as part of APIC Central. The Member Services Desk is an area dedicated to APIC program teams, committees, task forces, and affiliated organizations to display information about their programs. APIC staff members are available to answer APIC membership questions, troubleshoot problems and concerns, print membership cards, and answer general questions regarding APIC programs and services. The Member Services Desk is open at the following days/times: Sunday, June 26 12 – 5 pm Monday, June 27 7 am – 4 pm Tuesday, June 28 7 am – 4 pm Wednesday, June 29 7 am – 3:30 pm Stop by APIC Central and enjoy some popcorn as an afternoon snack on Monday and Tuesday, courtesy of Stericycle. APIC Store The APIC Store is located in the Pratt St. Lobby of the Convention Center. The APIC Store features conference souvenirs, logo merchandise, APIC publications, and educational products. APIC staff members are available to assist attendees and answer questions regarding APIC products and services. APIC Store Hours: Sunday, June 26 Monday, June 27 Tuesday, June 28 Wednesday, June 29 12 – 5 pm 7 am – 4 pm 7 am – 4 pm 7 am – 3:30 pm APIC Research Raffle APIC is excited to announce a return of this popular program. Proceeds from the raffle will go toward APIC’s ongoing research efforts. Visit the APIC Village located at the back of the Exhibit Hall during exhibit hall hours to purchase raffle tickets for the chance to win some great prizes and help the Research Foundation at the same time! Attendance Verification For those attendees who do not require continuing education contact hours, but wish to verify their attendance, a Verification of Attendance Card can be printed out online at https://www.mylibralounge.com/regeng/apic2011/apic2011/ For verification of attendance for continuing education contact hours, see Continuing Education Credits on page 54. Audio/Video Recording Devices The use of personal tape recorders, video cameras, and flash photography are not permitted during sessions. Most lectures will be recorded and available for purchase at the Cadmium CD Conference Proceedings booth located next to the APIC Store in the Pratt St. Lobby of the Convention Center. APIC Conference Proceedings Pratt St. Lobby of the Convention Center (next to the APIC Store) Order your Standard Conference Proceedings and listen to hours of educational sessions synched with all the presentation slides, and view all the poster presentations from APIC 2011. The slides automatically advance as the audio plays and you can pause, rewind, and fast forward. Catch all the sessions you missed or share the experience with colleagues. Upgrade to the Premium Conference Proceedings to access all videos from the conference, including the opening keynote address. You can play the Premium Conference Proceedings on your computer, or you can transfer them to a portable device such as an iPod, tablet, or smartphone. Standard Conference Proceedings: $99 Attendee; $199 Non-Attendee Premium Conference Proceedings: $159 Attendee; $259 Non-Attendee 13 GENERAL CONFERENCE INFORMATION Audio recordings are available for purchase at the Cadmium CD Conference Proceedings booth. For post-conference orders, please visit www.conferenceproceedings.com/APIC.htm or 1-877-426-6323. Note: Not all sessions will be recorded as they either do not lend themselves to audiotape presentation or the speaker contract does not permit it. Children Due to the professional nature of this conference, children under age 12 are not permitted in the educational sessions or the Exhibit Hall. Call your hotel operator for information on available baby-sitters/daycare in the area. Awards The Carole DeMille Award will be presented during the Opening Plenary Session and Presidential Address on Monday, June 27, 8 – 10 am in Exhibit Hall D of the Convention Center. Disability Assistance If you have a disability and require assistance in order to fully participate in conference activities, please see the Conference Manager at the APIC 2011 Registration Desk to discuss your specific needs. The Awards Luncheon (invitation only) will be held on Monday, June 27, from 12 – 1:30 pm at the Hilton Baltimore Convention Center Hotel. Exhibits Baltimore Convention Center EXHIBIT HALL E-G Badges Official APIC Conference Badges must be worn to access the Exhibit Hall, educational sessions, and social events. Breakfast Inexpensive, portable breakfast items are available for purchase each morning at the Convention Center. Coffee, decaffeinated coffee, and hot tea will be provided. Business Center A full-service business center is open daily in the Pratt St. Lobby of the Convention Center. Conference Tools and Resources CD Please stop by the Covidien booth in the Exhibit Hall to pick up a complimentary copy of the APIC 2011 Conference Tools and Resources CD. The CD features include the 2011 schedule of events, meetings at a glance, abstracts booklet, faculty tools and resources, exhibitor information, and general information about upcoming APIC educational programs. Conference Tote Bags Sponsored by Ecolab. APIC Show Daily This free publication contains daily news from the convention floor, product announcements, educational sessions, photographs, social events, and much more. The Show Daily is available Monday through Wednesday at conveniently placed news stands located near APIC Central, session rooms, 14 and the Exhibit Hall. Be sure to grab your copy early – they go fast! Visit the exhibits daily, talk to the representatives to become familiar with the products available, and discuss your needs. Answer the Trivia Questions located on carpet signs in the Exhibit Hall to win fun prizes! Exhibits are open during the following hours: Monday, June 26 11:30 am – 3 pm Tuesday, June 27 11:30 am – 2:30 pm Wednesday, June 28 11:30 am – 2 pm Internet Stations Check emails, browse the Internet, or complete the session evaluation process online at the Internet Stations sponsored by , located in the Pratt St. Lobby of the Convention Center and the APIC Village in the Exhibit Hall. Internet Station keyboards are sponsored by , and keyboard cleansers are sponsored by . The Internet Stations are open from Sunday, June 26 through Wednesday, June 29. Access is limited to 10-minute intervals per person. Job Notices Job notices will be posted on notice boards in Pratt St. Lobby of the Convention Center. Lost and Found Lost and found articles should be reported or taken to the APIC 2011 Registration Desk (Convention Center). At the end of each day, unclaimed items will be turned over to Convention Center security. Phone Numbers APIC 2011 Conference Office APIC 2011 Registration/Message Desk 410-649-6183 410-649-6174 APIC 2011 Hotels Hilton Baltimore - Downtown Marriott Inner Harbor Camden Yards Holiday Inn Inner Harbor Baltimore Sheraton Baltimore City Center Sheraton Baltimore Inner Harbor Hyatt Regency Baltimore Inner Harbor Renaissance Baltimore Harborplace Days Inn Baltimore Inner Harbor 443-573-8700 410-962-0202 410-685-3500 410-752-1100 410-962-8300 410-605-2835 410-547-1200 410-576-1000 Additional Phone Numbers Physician Referral – University of MD Dental Referral Downtown Baltimore Urgent Care (Concentra) (3 blocks from Convention Center) Baltimore Convention & Visitors Bureau Convention Center Main/Security 800-492-5538 or call hotel operator 1-800-DENTIST 410-752-3010 1-877-BALTIMORE 410-649-7000 Poster Presentations Level 400 Ballroom Foyer of the Convention Center. Posters will be displayed Monday, June 27 – Wednesday, June 29. Presenters will be in attendance to answer questions Monday, June 27 from 2 – 3 pm and Tuesday, June 28 from 1:30 – 2:30 pm. Refer to the abstract section of the onsite program for more detailed information regarding each presentation. Questions for Speakers Conference participants may ask questions from microphones in the aisle during the question and answer portion of the sessions. Written questions are also accepted and should be given to the session moderator. Registration The APIC 2011 Registration Desk will be located in the Pratt St. Lobby of the Baltimore Convention Center. Onsite Registration Hours: Sunday, June 26 10 am - 7 pm Monday, June 27 7 am - 4 pm Tuesday, June 28 7 am - 4 pm Wednesday, June 29 7 am - 3:30 pm Restaurant Reservations & City Information This desk at the Convention Center provides city and tour information, restaurant menus, restaurant recommendations, and a reservations service. Sunday, June 26 2 – 6 pm Monday, June 27 10 am – 6 pm Tuesday, June 28 10 am – 4 pm Wednesday, June 29 9 am – 3 pm Ribbons All Badge Ribbons will be distributed on a table next to the Conference Tote Bag pickup station in the Pratt St. Lobby of the Convention Center. CIC ribbons will be distributed at the CIBIC booth in the Exhibit Hall (Booth #954) and at APIC Central. Smoking Policy Smoking is prohibited throughout the entire exhibit and meeting area. This policy is strictly enforced. Speaker Ready Room (Check in required for all presenters) Checking in to the Speaker Ready Room, Room 336, is the single most important action you will take to ensure your presentation is a success. All speakers are required to check into the Speaker Ready Room preferably 24 hours before their presentations, where they will have the opportunity to review their presentations or make any last minute changes. The Speaker Ready Room will be open daily during the meeting. All meeting rooms will have presentation computers and will be networked to a central computer located in the Speaker Ready Room. Presentations will be downloaded from it and sent to the respective meeting room on a secured intranet circuit approximately 45 minutes prior to the start of each session. Hours of Operation: (Please make it a priority to visit one day prior to your presentation.) Sunday, June 26 12 – 4 pm Monday, June 27 7 am – 5 pm Tuesday, June 28 7 am – 5 pm Wednesday, June 29 7 am – 2 pm 15 Conference Program Goals 1. To provide a forum for learning and networking through sessions, exhibits, workshops, social events, posters, and meetings, which increases knowledge, skills, and motivation for infection preventionists 2. To enhance awareness of new technologies and innovative concepts that are key to the skills needed by the infection preventionist in various settings to prevent infections and infection-associated adverse events 3. To increase understanding of new and updated information and research in the fields of epidemiology, infection prevention and control, disaster/emergency preparedness, and disinfection and sterilization 4. To facilitate awareness of the global perspective and practices in the field of infection prevention After attending this annual conference, participants will be able to: 1. Recognize how the infection preventionists’ role is changing and describe the impact that the changes have made on practices. 2. Define the impact infection prevention has on the cost of health care. 3. Apply proactive and innovative mechanisms to prevent the proliferation of emerging and reemerging infectious diseases. 4. Describe the current evidence-based practices and regulations that will impact the practice of infection prevention. 5. Identify areas of interest for further study, networking, or investigation within topical areas presented at the conference. Continuing Education Credit The Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). Contact Hours One contact hour = 60 minutes. APIC is approved for providing continuing nursing education by the California Board of Nursing, provider number CEP 7146. The maximum number of nursing contact hours that can be earned for this conference is 20.0. Continuing Medical Laboratory Education (CMLE) This educational activity is recognized by the American Society for Clinical Pathology as meeting the criteria for 20.00 hours of CMLE credit. ASCP CMLE credit hours are acceptable to meet the continuing education requirement for the ASCP Board of Registry Certification Maintenance Program. ACCENT® Continuing Education Credit The American Association for Clinical Chemistry, Inc. (AACC) designates this activity for a maximum of 20.00 ACCENT® credit hours. AACC is an approved provider of continuing education for clinical laboratory scientists licensed in, but not limited to, the states of California, Florida, Louisiana, Montana, Nevada, Noth Dakota, Rhode Island, and West Virginia. ACCENT® Activity No. will be provided; ACCENT® Activity California No. will be provided and Florida category ACCENT® Continuing Education Credit in Clinical Chemistry/Toxicology; Supervisory/ QA/Administration/ QA/QC/Safety; Medical Errors; Microbiology/Mycology/ Parasitology; Serology/Immunology. Requirements to Receive CE Contact Hours: 1. Go to https://www.mylibralounge.com/regeng/ apic2011/apic2011/ and log in using the following information, as provided with your registration: 䡲 First Name 䡲 Last Name 䡲 Email Address 2. Complete the overall conference evaluation and individual session evaluations for each of the sessions that you attended. 3. Download your certificate and VOA transcript once complete. (Please note that you must self-submit your contact hours to your professional organization.) 17 SPEAKER SPOTLIGHT Richard P. Wenzel, MD, MSc 2011 Elaine Larson Lectureship Award Recipient Monday, June 27, 9 – 10 am Dr. Wenzel is one of the leading infectious diseases epidemiologists in the world, having established his reputation in the field of infection control in hospitals. His work has focused on the epidemiology of hospital-associated infections, especially bloodstream infections (BSIs) and sepsis. Dr. Wenzel is a nationally recognized expert on antibiotic resistance and its impact and was named one of the 10 “Great Teachers” in the category of Clinical Medicine Service by the National Institutes of Health in 2001. Dr. Wenzel will sign copies of is new book, Labyrinth of Terror, Monday, June 27 from 12:30 – 1:30 pm in the APIC Store. Laurie Garrett Closing Keynote Wednesday, June 29, 3:30 – 4:30 pm Laurie Garrett is one of America’s most eloquent and forceful speakers on global healthcare, infectious disease, and disease prevention. The only person to win the three “Ps” of journalism–the Pulitzer, the Polk, and the Peabody–Garrett makes plain the science behind new threats to public health, both natural and man made. She is particularly adept at navigating the politics that help, and hinder, how we prepare, how we treat, and how we respond to these threats. A Senior Fellow for Global Health at the Council on Foreign Relations, Garrett is the bestselling author of three books; the latest, I Heard the Sirens Scream, will be released this year. She has written for Foreign Affairs, Esquire, and The Washington Post, and appears frequently on television shows, such as Nightline, Charlie Rose, and Oprah. Laurie Garrett will sign copies of her book, Betrayal of Trust, Wednesday, June 29 from 1 – 2 pm in the APIC Store. Kathleen Meehan Arias, MS, MT (ASCP), SM (AAM), CIC 2011 Carole DeMille Award Kathy Arias, Director, Arias Infection Control Consulting, LLC, has been selected as the 2011 Carole DeMille Award recipient. A past president of APIC, Arias has worked in infection prevention for more than 30 years, with experience spanning the healthcare spectrum, including acute, ambulatory, and long-term care settings. A recognized expert in the field, Arias has authored a number of publications, including the textbook, Outbreak Investigation, Prevention, and Control in Healthcare Settings, the APIC Tool Kit, Surveillance Programs in Healthcare Settings, and the Surveillance chapter in the APIC Text. She is also editor of the APIC/Joint Commission Infection Prevention and Control Workbook. Please join APIC in honoring Kathy Arias at APIC 2011 in Baltimore, just miles from her “home base.” 18 Orientation Programs SUNDAY, JUNE 26 3:30 – 4:30 pm | Session #900 First-Time Attendees Orientation Room 347-348 This session is for those who are attending the annual conference for the first time and for those attendees seeking to learn about the latest conference enhancements. During this interactive presentation, the faculty will help you learn how to navigate the educational programs, balance networking opportunities, and develop a plan to demonstrate to your administrators the value of funding future conference attendance. OBJECTIVES: 䡲 Describe the difference between the following types of sessions: Plenary, Concurrent, Professional Development Workshops, Thought Leaders, Oral Abstract Presentations, and Poster Presentations. 䡲 Discuss methods to achieve a networking and educational balance to maximize your conference experience. 䡲 Identify two strategies to implement at your workplace which demonstrate to others the value of funding APIC conference attendance. PRESENTER: Mary Post, RN, MS, CNS, CIC Infection Prevention Specialist Oregon Patient Safety Commission Nancy Zanotti, RN, BSN, MPH, CIC Director of Infection Control Westside Regional Medical Center 3:30 – 4:30 pm | Session #901 International Attendees Orientation Room 349-350 This session is designed to review conference activities from which international attendees will benefit the most. The presenter will guide attendees through the program schedule, abstracts, and exhibits directory. At the conclusion of this session, participants will be prepared to take advantage of all relevant conference activities. OBJECTIVES: 䡲 To provide the international attendees with the most current information in an informal way 䡲 Enable participants to choose topics that meet their educational and practice requirements. 䡲 Identify where and how to meet international colleagues. 䡲 Describe the various educational opportunities available throughout the conference. 䡲 Illustrate suggestions for achieving a networking and educational balance throughout the conference. 䡲 Identify key practical suggestions to utilize and implement in the workplace. PRESENTER: Gertie van Knippenberg-Gordebeke, RN, ICP Consultant Infection Prevention KNIP Consultancy Infection Prevention 19 CUSTOMIZE YOUR LEARNING We have arranged concurrent sessions according to learning tracks, concentrating on specific knowledge areas that align with infection prevention responsibilities. Educational Track Surveillance and Technology Emerging Science, Research, and Application Leadership and Professional Development Public Policy/Public Reporting Alternate Care Settings (e.g. Ambulatory, LTC, LTAC) Hot Topics Symbol Education Program Details 8 - 9 am Halls C&D Opening Ceremony with President’s Address Russell N. Olmsted, MPH, CIC Infection Prevention & Control Services Hear opening remarks from APIC’s 2011 President, followed by the presentation of the Carole DeMille Award to APIC Past President, Kathy Arias. 9 - 10 am | Session #1000 2011 Elaine Larson Lectureship Halls C&D Richard P. Wenzel, MD, MSc Dr. Wenzel is one of the leading infectious diseases epidemiologists in the world, having established his reputation in the field of infection control in hospitals. His work has focused on the epidemiology of hospital-associated infections, especially bloodstream infections (BSIs) and sepsis. Dr. Wenzel is a nationally recognized expert on antibiotic resistance and its impact and was named one of the 10 “Great Teachers” in the category of Clinical Medicine Service by National Institutes of Health in 2001. This session is sponsored by an unrestricted educational grant from Daniels Sharpsmart. The speaker is not sponsored. Posters on Display 10 am - 5:30 pm Level 400 Ballroom Foyer Concurrent Sessions 10:30 - 11:30 am | Session #1200 Ballroom III Surveillance Software: Using Technology for Surveillance and Data Analysis This session will discuss the use of surveillance technology to collect, analyze, and report infection prevention data, and will describe how such technology can be used to drive organizational improvements. OBJECTIVES: 䡲 Describe automated surveillance and its application to infection prevention. 䡲 Explain how automated surveillance for infection prevention can be utilized to drive performance improvement. 䡲 Discuss the advantages and disadvantages of automated systems as well as future opportunities and challenges. PRESENTER: Linda Greene, RN, MPS, CIC Director of Infection Prevention Rochester General Health System MODERATOR: Ann Marie Pettis, RN, BSN, CIC This session is sponsored by an unrestricted educational grant from Thomson Reuters. The speaker is not sponsored. 10:30 - 11:30 am | Session #1201 Disinfection and Sterilization: Current Issues and New Technologies Ballroom IV This session will examine new technologies and discuss current issues in the area of disinfection and sterilization. The advantages and disadvantages of the new technologies will be presented and the ramifications of current issues on infection prevention practices will be reviewed. OBJECTIVES: 䡲 Review current issues associated with environmental hygiene and room decontamination. 䡲 Evaluate new technologies for room decontamination and the advantages and disadvantages. 䡲 Discuss two “hot topics” associated with disinfection and sterilization. PRESENTER: Bill Rutala, PhD, MPH Director Hospital Epidemiology, Occupational Health & Safety Program University of North Carolina Hospitals M O N D A Y, J U N E 2 7 MONDAY, JUNE 27 MODERATOR: Karen Hoffmann, RN, MS, CIC, FSHEA 10:30 - 11:30 am | Session #1202 Case Studies in Culture Change Room 339-340 Based on his experience in improving clinical performance as the Under Secretary for Health, CEO of the Veterans Health Administration, and as the current President of Clinical Services for HCA, Dr. Perlin will discuss how to align administrative, financial, and clinical partners, including senior-most leadership to create the “constructive tension” that compels organizational action. OBJECTIVES: 䡲 Participants will be able to describe how clinical and business interests align to create receptivity toward organizational change among financial colleagues. 䡲 Participants will understand how to create “constructive tension” through the use of measurement and performance data to compel action among both clinical and financial colleagues motivate improvement. 䡲 Participants will be able to prepare a business case for quality and to compare risks of maintaining status quo with risks of change. PRESENTER: Jonathan Perlin, MD, PhD, MSHA, FACP, FACMI President, Clinical Services and Chief Medical Officer Hospital Corporation of America (HCA) MODERATOR: Cathryn L. Murphy, RN, PhD, CIC 21 M O N D A Y, J U N E 2 7 Education Program Details 10:30 - 11:30 am | Session #1203 Standardized Infection Ratio (SIR) for Infection Rate Analysis Room 341-342 In this session, the speaker will review the standardized incidence/infection ratio (SIR), starting with simple definitions of the SIR. It will then proceed to discuss strengths and some potential weaknesses of the SIR. Examples will be given demonstrating how the SIR is used by NHSN for calculating central-line associated bloodstream infection rates (CLABSI) and surgical site infection (SSI) SIRs. Room 349-350 Review 10 recent publications that are of importance to infection preventionists in the areas of healthcare delivery, the expanding role of infection preventionists, and implementation science of infection control. OBJECTIVES: 䡲 Highlight the importance of value-based healthcare and effects on infection preventionists and the need for funding for infection control. 䡲 Highlight the burden of surveillance activities for the infection preventionist and the need for innovation in infection control. OBJECTIVES: 䡲 Describe the standardized infection ratio (SIR). 䡲 Discuss the strengths and weaknesses of this data analysis 䡲 Highlight the increasing spectrum of infection preventionist activities in methodology and the use of the SIR for public reporting. 䡲 Explain how the SIR is calculated for central line-associated bloodstream infections and how risk model methodology is used for surgical site infection SIRs. PRESENTER: Steven Gordon, MD, FIDSA, FACP 2011 SHEA President Chairman, Department of Infectious Disease Cleveland Clinic Foundation PRESENTER: Anthony Harris, MD, MPH Professor University of Maryland 10:30 - 11:30 am | Session #1204 Novel and Atypical Infection Case Studies: Lessons Learned the spectrum of healthcare delivery. MODERATOR: Carolyn Jackson, RN, MA, CIC Oral Abstract Presentations 10:30 -11:30 am MODERATOR: Lynne Karanfil, RN, MA, CIC Room 343-344 Long-term care residents live in care communities where their complex medical needs are addressed in a homelike environment. Through case presentations, the participant will glean a greater awareness of atypical and novel infections that can occur in this setting. Etiology, diagnosis, and infection management will be discussed. OBJECTIVES: 䡲 Identify atypical organisms that have been involved in long-term care infections and outbreaks. 䡲 Understand the need for development of a system for novel and atypical pathogen control that can be implemented by front-line care givers. 䡲 Apply strategies for infection prevention and control as they apply to novel and atypical organisms. 22 10:30 - 11:30 am | Session #1205 Top 10 Publications Thirty-two abstract presentations will be presented in four sessions. Each presentation will be 10 minutes in length and five minutes for Q&A. Session #1300 Room 309 Antisepsis/Disinfection/Sterilization/Environment of Care 10 - 10:15 am Publication # 100. Comparison of Two Kinds of Humidifier on Microorganism Transmission via Aerosol of Different Size and Quantity Hongchao Wang, MD Chief of Disease Control Department R&D Center 10:15 - 10:30 am Publication # 101. Comparison of Rayon-Tip Swabs and Film Plates for Use in Collecting and Quantifying Bacteria on Hospital Bed Mattresses PRESENTERS: Deb Burdsall, MSN, RN-BC, CIC Corporate Infection Preventionist: Doctoral Student Lutheran Life Communities: Hartford BAGNC Scholar, University of Iowa College of Nursing Edmond Hooker, MD, DrPH Associate Professor Xavier University Steven Schweon, RN, MPH, MSN, CIC, HEM Infection Preventionist Pleasant Valley Manor Nursing Home Publication # 102. Money Talks, When Nothing Else Works MODERATOR: Sally Hess, MPH, CIC 10:30 - 10:45 am Diann Boyette, RN, CIC Director of Infection Prevention Novant Health Publication # 103. Multidrug Resistant Organism (MRO) Biofilm Infection of Equipment and Surfaces in an Intensive Care Unit - Implications for Infection Transmission Karen Vickery, BVSc, MVSc, PhD Scientific Director, Surgical Infection Research Group Macquarie University Session #1301 Room 310 Device-Related Infections and/or Site Specific Infections Session #1302 Room 307 Infection Prevention and Control Programs 10 - 10:15 am Publication # 108. Prevalence and Risk Factors of MRSA Colonization on Admission to Inpatient Psychiatry: A Neglected Population with an Important Milieu Jason Farley, PhD, MPH, CRN Assistant Professor Johns Hopkins University School of Nursing 10:15 - 10:30 am Publication # 104. Peripheral IV Securement Device Implementation to Reduce Phlebitis and Associated Infections Publication # 109. Preemptive Isolation for Methicillin-Resistant Staphylococcus aureus: Development of a Predictive Model in a VA Hospital Debra Runyan, MT (ASCP), CIC Director, Infection Prevention Pennsylvania Hospital Katelyn Klein, MPH Infection Prevention and Control Professional Meriter Hospital Inc 10:15 - 10:30 am 10:30 - 10:45 am Publication # 105. Reduction of Ventilator Associated Pneumonia (VAP) in a Level II Adult Neuro/Trauma Unit through Improved Use of Ventilator Bundles and Focused Nursing-Driven Interventions. Publication # 110. Rapid Cycle Process Improvement Can Decrease Central Line Associated Bloodstream Infections (CLABSI) in a Bone Marrow Transplant Unit (BMTU) 10 - 10:15 am Rennae Houle-Burns, RN, CIC Infection Prevention Specialist Essentia Health East Region 10:30 - 10:45 am Publication # 106. Checklists and Bundles Not Just for Central Lines Anymore: Using a Standardized Insertion and Maintenance Approach to Eliminate External Ventricular Drain Infections Lita Jo Henman, MLT (ASCP), MPH, CIC Infection Prevention Program Supervisor Riverside Methodist Hospital M O N D A Y, J U N E 2 7 10:45 - 11 am Sylvia Pegg, RN, BSN, CIC Infection Preventionist Wake Forest University Baptist Medical Center 10:45 - 11 am Publication # 111. Healthcare Worker Pertussis Cases in a Pediatric Hospital Lilly Guardia-LaBar, RN, CIC Director of Patient Safety and Infection Prevention Children’s Hospital & Research Center Oakland Session #1303 Quality Management Systems/Process Improvement/Adverse Outcomes Room 308 10:45 - 11 am Publication # 107. Critical Care LEADS the way in the prevention of Central line Associated Bloodstream infections Vicky Ferris, RN, CIC Interventional Epidemiology and Infection Prevention Consultant Barnes Jewish Hospital 10 - 10:15 am Publication # 120. Reducing Colon Surgical Site Infections: A Performance Improvement Project at Two Hospitals Angela Gabasan, RN, MSN, CIC Nurse Epidemiologist St. Luke’s-Roosevelt Hospital Center 23 M O N D A Y, J U N E 2 7 Education Program Details Session #1303 Quality Management Systems/Process Improvement/Adverse Outcomes Room 308 10:15 - 10:30 am Publication # 121. An Interdisciplinary Team Approach is Key to a Successful Plan for Decreasing Catheter Associated Urinary Tract Infection (CAUTI) in a Free Standing Rehabilitation and Long Term Acute Care Hospital Kristina Felix, BA, RN, CRRN, CIC Infection Prevention Coordinator Madonna Rehabilitation Hospital 10:30 - 10:45 am Publication # 122. Economic Impact of a Dedicated Nurse Champion in Reducing Catheter Associated Bloodstream Infections (CLABSIs) Michael Anne Preas, RN, BSN, CIC Sr. Infection Preventionist University Of Maryland Medical Center 10:45 - 11 am Publication # 123. The Red Box Strategy: An Innovative Method to Improve Isolation Precaution Compliance and Reduce Costs Janet Nau Franck, RN, MBA, CIC Infection Preventionist / Consultant Consulting Professionals, Inc. / Trinity Regional Health System Exhibit Hall Open 11:30 am - 3 pm Hall E Complimentary lunch will be served in the Exhibit Hall from 11:30 am - 1 pm. 11:30 am - 12:30 pm APIC Village, Hall E APIC Section Moderated Table Discussions These roundtable discussions are highly interactive, open, creative conversations to share collective knowledge, ideas and insights and to gain a deeper understanding of the subjects and the issues involved. A range of broad topics are offered for you to explore with colleagues facing similar challenges. EMS/Public Safety PROPOSED TOPICS: Biggest Challenge in Your Practice Setting; Community Collaborations; Use of Volunteers; Having Health Professional Students Do Shadows or Clinical Rotations at Your Practice Setting. Ryan White Act and How the Hospitals Can Best Work with Us. PEP and or Testing in the Field. LTC PROPOSED TOPICS: Managing the Resident with MDROs, Antibiotic Stewardship, Mandatory Resident/Employee Influenza Vaccination, and Membership Concerns. Ambulatory Care PROPOSED TOPIC: Sterile Processing Disinfection/Sterilization; Staff Competencies; Safe Injection Practices; Hand Hygiene; Infection Control Plan; Cleaning of Equipment Cleaning of Environment; Laundry; Regulatory Agencies; Quality Improvement/Performance Improvement Poster Presentations with Presenters 2-3 pm Level 400 Ballroom Foyer Posters are arranged by topic number, listed below, and then numerically by publication number within each category. Antisepsis/Disinfection/Sterilization 2-005 to 2-019 Device-Related Infections and/ or Site-Specific Infections 13-130 to 13-180 Environment of Care/Construction/Remediation 11-109 to 11-117 Healthcare Worker Safety/Occupational Health 12-118 to 12-129 Product Evaluation/Cost-Effectiveness/ Cost Benefit Analysis 4-023 to 4-024 Special Populations (Infections in the Immunocompromised Host, Pediatrics) 7-059 to 7-070 Specialized Settings (Ambulatory Care, Behavioral Health, Long -Term Care, Home Care) 8-071 to 8-078 Staff Training/Competency/Compliance 9-079 to 9-097 24 3 - 4 pm | Session #1400 Pertussis: Whooping It Up Ballroom III This session will review the epidemiology, pathophysiology, clinical findings, diagnosis, and treatment of pertussis. It will also address the control and prevention of outbreaks and will review the ACIP recommendations for Tdap vaccine for healthcare personnel. OBJECTIVES: 䡲 Understand the microbiology, epidemiology, transmission, clinical findings, diagnosis, and treatment of Bordetella pertussis. 䡲 Learn how to recognize and manage pertussis outbreaks occurring in a healthcare facility. 䡲 Review the ACIP recommendations for Tdap vaccine use in healthcare personnel. 3 - 4 pm | Session #1402 Room 339-340 Novel Approaches for Staff Education This session will help you add interest and pizzaz to your presentations and teach you how to make critical concepts “sticky” so your audience leaves your session convinced they can apply them in their own situations. Strategies to help your CEO and your new hires embody the importance of hand hygiene and to help staff successfully identify their unit infection prevention goals to surveyors will be discussed. OBJECTIVES: 䡲 Describe three media choices to present your message. 䡲 Integrate one novel approach to “getting your message across” in your next presentation. 䡲 Locate three resources for expanding your repertoire of examples. PRESENTER: David Weber, MD, MPH Professor of Medicine University of North Carolina at Chapel Hill PRESENTER: Amy Nichols, RN, MBA, CIC Director, Hospital Epidemiology and Infection Control University of California at San Francisco Medical Center and Benioff Children’s Hospital MODERATOR: Jolynn Zeller, RN, BS, CIC MODERATOR: Sue Barnes, RN, CIC 3 - 4 pm | Session #1401 Ballroom IV Antibiotic Management Pharmacy Tools 3 - 4 pm | Session #1403 Semi-Private Rooms and the Transmission of MDROs This presentation will provide an overview of available technology to assist with activities of an antimicrobial stewardship program. A review of important features and points to consider in selecting a program will be discussed. OBJECTIVES: 䡲 Describe available tools to assist with antimicrobial stewardship activities. 䡲 List important features to be considered when selecting an electronic tool to support the activities of antimicrobial stewardship. 䡲 Compare various tools to determine what will best meet the needs of individual stewardship programs. M O N D A Y, J U N E 2 7 Concurrent Sessions Room 341-342 This session will present results about transmission of bacteria among ICU patients from a series of studies in two Montreal university hospitals. A study of the impact of ICU single rooms on infection transmission rates and findings on the impact of private rooms on different routes of bacterial transmission (which focused on the acquisition of MRSA and C.difficile) will be discussed. Available sources of data, their advantages and limitations will also be covered. OBJECTIVES: 䡲 Summarize findings on the role of single rooms in reducing the rates of infection acquisition in ICU patients. PRESENTER: Libby Dodds, PharmD, MHS Associate Director of Clinical Pharmacy Services and Antimicrobial Stewardship Pharmacist University of Rochester Medical Center, Strong Memorial Hospital MODERATOR: Ann Marie Pettis, RN, BSN, CIC This session is sponsored by an unrestricted educational grant from Thomson Reuters. The speaker is not sponsored. 䡲 Discuss the impact of single ICU rooms on different routes of bacteria transmission. 䡲 Information and approaches to the study of bacteria transmission in hospitals. PRESENTER: Dana Teltsch, PhD Department of Epidemiology and Biostatistics McGill University MODERATOR: Nancy Zanotti, RN, BSN, MPH, CIC 25 M O N D A Y, J U N E 2 7 Education Program Details 3 - 4 pm | Session #1404 CMS Tool for ASCs & Model for Infection Control in Ambulatory Care Room 343-344 The Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) collaborated to develop an infection control worksheet (ICWS) to assess infection control practices within ambulatory surgical centers (ASCs). This session will review the ICWS development and how ICWS identified deficiencies are being used to guide prevention activities. OBJECTIVES: 䡲 Describe history and development of the infection control worksheet Professional Development Workshops 3 - 5:30 pm | Session #1500 NHSN – Surgical Site Infections Ballroom I In 2012, the Center for Medicare and Medicaid Services’ (CMS) Hospital Inpatient Quality Reporting Program will expand to include surgical site infections (SSIs) for selected operative procedures. Reporting will be accomplished using CDC’s National Healthcare Safety Network (NHSN). This session will include a detailed overview of NHSN’s protocols and definitions for SSI surveillance, technical information about system use, and SSI case studies. Additionally, information about the CMS reporting program and methods for reporting and analyzing data will be presented. used in ASC inspections. 䡲 Describe infection control findings and citations resulting from use of the infection control worksheet. 䡲 Discuss current prevention activities targeting infection control deficiencies identified during ASC inspections. definitions and link SSI to Denominator for Procedure. PRESENTERS: Mary Andrus, BA, RN, CIC President, Infection Preventionist Consultant Surveillance Solutions MODERATOR: Judie Bringhurst, RN, MSN, CIC Room 349-350 This session will explore the impact of HAIs for both patients with an HAI and their family members. Through case presentations and discussion, IPs will share and hear inspirational stories that will renew their committment to infection prevention. OBJECTIVES: 䡲 Recognize the psychological and emotional impact of HAIs for patients and their families. 䡲 Recognize the power of the personal story to influence the behavior of others. 䡲 Identify how true stories about severe HAIs can support and motivate IPs in their everyday work. PRESENTERS: Vickie Brown, RN, MPH, CIC Chair, APIC 2011 Annual Conference Committee Associate Director UNC Health Care Barbara DeBaun, MSN, RN, CIC Vice-Chair, APIC 2011 Annual Conference Committee Improvement Advisor BEACON (Bay Area Patient Safety Collaborative) 26 MODERATOR: Linda Greene, RN, MPS, CIC operative procedures. 䡲 Complete Denominator for Procedure record and SSI form using CDC PRESENTER: Melissa Schaefer, MD Medical Officer Centers for Disease Control and Prevention 3 - 4 pm | Session #1405 For Your Inspiration (FYI) Session OBJECTIVES: 䡲 Identify the methodology used for data collection for SSIs in NHSN. 䡲 Create a Monthly Reporting Plan to include SSIs for one or more Teresa Horan, MPH Leader, NHSN Training and User Support Team Centers for Disease Control and Prevention Gloria Morrell, RN, MS, MSN, CIC Nurse Consultant Centers for Disease Control and Prevention MODERATOR: Mary Post, RN, MS, CNS, CIC 3 - 5:30 pm | Session #1503 Risk Assessment Ballroom II In this session, you will be inspired to take every opportunity to assert your style, establish a winning presence, and present your ideas both in front of a group and one on one. Special attention will be given to vocal, language, influence, and image awareness. An organizational infection prevention and control risk assessment can assist in setting priorities and in energizing teams within an organization to implement a highly effective infection prevention plan. This workshop will take participants through the process of conducting an infection control risk assessment. OBJECTIVES: 䡲 Use assertive, positive presentation and influence skills one on one, in OBJECTIVES: 䡲 Use a risk assessment tool to evaluate an organization for infection the Boardroom, the monthly department meeting, the conference presentation, and more. 䡲 Develop ways to enhance flexibility and “get unstuck” from bad habits women have when presenting ideas to decision makers. 䡲 Design a plan to use vocal awareness and language to build an effective, credible presence when presenting ideas to others. potential. Discuss three strategies to ensure a successful risk assessment process. 䡲 Develop an infection prevention/control plan from risk assessment results. 䡲 Create a progress report to track accomplishments of the infection prevention program. PRESENTER: Cyndi Maxey, MA, CSP President Maxey Creative Inc. PRESENTERS: Terrie Lee, RN, MS, MPH, CIC Director, Infection Prevention & Employee Health Charleston Area Medical Center MODERATOR: Diane Spicer, RN, BS, CIC 3 - 5:30 pm | Session #1502 Room 347-348 Disinfection and Sterilization Boot Camp for IPs This two-part presentation will cover the recommended practices from the Association for the Advancement of Medical Instrumentation (AAMI), the Association of periOperative Registered Nurses (AORN), Centers for Disease Control and Prevention (CDC), The Joint Commission (TJC), and the Centers for Medicare and Medicaid Services (CMS). Part one will cover design and personnel considerations, cleaning/disinfection, packaging/ sterilization. Part two will cover quality control measures. M O N D A Y, J U N E 2 7 3 - 5:30 pm | Session #1501 Room 345-346 Speak Up and Stand Out: How to Project Your Presence & Power Karen Anderson, MT, MPHc, CIC Infection Control Manager California Pacific Medical Center Amy Richmond, RN, BSN, MHS, CIC Co-founder and Consultant P3 Healthcare Consulting, LLC Barbara Russell, MPH, RN, CIC, ACRN Director of Infection Control Baptist Hospital of Miami OBJECTIVES: 䡲 Discuss the most current recommendations and standards for best practices in reprocessing surgical instruments and equipment. 䡲 Explain the importance of following evidence-based published standards and how it relates to patient safety. 䡲 Discuss the most current recommendations and standards for quality assurance, monitoring, and documentation of the sterilization process. PRESENTERS: Rose Seavey, RN, BS, MBA, CNOR, CRCST President/CEO Seavey Healthcare Consulting, Inc. Martha Young, MS, BS, CSPDT President Martha L Young, LLC MODERATOR: Connie Steed, RN, MSN, CIC 27 M O N D A Y, J U N E 2 7 Education Program Details Concurrent Sessions 4:30 - 5:30 pm | Session #1600 Hand Hygiene Monitoring Technology Ballroom III Currently, hand hygiene compliance is measured almost exclusively via direct observation of healthcare workers by human observers. This is labor-intensive and susceptible to observer effects, and reliability can be adversely affected by sporadic or inconsistent sampling. In this session, new technological approaches for measuring hand hygiene compliance will be reviewed. OBJECTIVES: 䡲 Understand the differences in the types of technologies for automatically monitoring hand hygiene. 䡲 Understand the limitations of technological approaches for monitoring hand hygiene. 䡲 Describe the range of perceptions from healthcare workers and administrators regarding automated hand hygiene approaches. PRESENTER: Phil Polgreen, MD, MPH Assistant Professor University of Iowa MODERATOR: Elaine Larson, PhD, FAAN,RN, CIC 4:30 - 5:30 pm | Session #1601 Ballroom IV Environmental Cleaning: Assessing and Sustaining Improvement to Prevent HAIs It takes a village to keep a hospital clean. This session will provide critical information and strategies that can be used to design and implement a comprehensive program that engages “the villagers,” promotes environmental cleaning, and supports the goal of infection prevention. OBJECTIVES: 䡲 Identify key partnerships that should be in place to ensure the safest environment for healthcare workers and patients. 䡲 Describe successful practices that staff can implement to prevent transmitting MRSA, C diff, and VRE infections. 䡲 Describe mechansims to identify principles for successful transfer to key learnings and sustaining change. PRESENTER: Enid Eck, RN, MPH Regional Director Kaiser Permanente MODERATOR: Karen Hoffmann, RN, MS, CIC, FSHEA 28 30/30 Sessions Two great topics. One convenient hour. 4:30 - 5:30 pm | Session #1602 Room 339-340 Managing Outbreaks in Pediatric Settings Rouett Abouzelof will start the session discussing managing winter respiratory viruses in a children’s hospital or unit. The presentation will review epidemiologic data associated with viral respiratory illnesses, and provide tools to help front-line staff manage isolation and cohort groups. Coretha Weaver will then present on an outbreak of multi-drug resistant Acinetobacter Baumanni and Stenotrophomonas Maltophilia in a neonatal ICU. The presentation will provide an overview of the recent outbreak in a level 3 neonatal ICU and the unique challenges involved with prompt identification and steps taken to bring the outbreak under control over the course of 25 days. OBJECTIVES: 䡲 Participants will be able to identify seven viral respiratory diseases associated with winter respiratory season and to discuss the importance of prompt identification of an outbreak of Acinetobacter Baumannii in the NICU setting with prompt communication to and engagement of all disciplines. 䡲 Examine viral epidemiologic data and review how local data can impact your facility. Participants will also be able to summarize contributing factors in this outbreak of Acinetobacter and Stenotrophomonas and some of the strategies used to stop transmission of these organisms. 䡲 Provide tools for infection preventionists to share with front-line staff. Participants will also be able to discuss the benefits of using infection prevention data mining technology in an outbreak. PRESENTERS: Rouett Abouzelof, RN, MSN, CIC Infection Preventionist, Infection Control Manager Primary Children’s Medical Center Coretha Weaver, BSN, CIC Coordinator, Infection Prevention Erlanger Health System MODERATOR: Teresa Fulton, RN, MSN, CIC, CNLCP Room 341-342 This session will be provided by a practitioner who has experienced the devastation and subsequent infectious disease challenges in Haiti since the massive earthquake of 2010. This discussion will focus on the diseases that have significantly impacted morbidity and mortality in addition to challenges related to the social and environmental infrastructure. The discussion will also show the some practices during the cholera outbreak. OBJECTIVES: 䡲 To describe the challenges faced by Haiti in terms of infectious diseases after the earthquake. 䡲 To explain interventions experienced when dealing with HIV positive patients on ARV in order to avoid higher mortality in this cohort. 4:30 - 5:30 pm | Session #1605 Room 349-350 Molecular Microbiology: Uses and Pitfalls In this session we will review the prominent molecular assays used in the diagnosis of infectious diseases, including those used for respiratory tract infections and healthcare-associated infections. The discussion will include the technical and interpretive challenges associated with these tests as well as their benefits to the clinical management team and infection preventionists. There will be opportunity for questions and discussion through the use of case presentations. OBJECTIVES: 䡲 Appreciate the benefits of molecular technology in diagnosing infectious diseases. 䡲 Acknowledge the limitations of molecular tests for respiratory tract and healthcare-associated infections. PRESENTER: Charles Almazor, MD, MPH Zanmi Lasante, Partners In Health MODERATOR: Barbara DeBaun, RN, MSN, CIC 4:30 - 5:30 pm | Session #1604 Room 343-344 Disinfection & Sterilization in Ambulatory Care 䡲 Apply knowledge learned in the discussion of case examples. PRESENTER: Melissa Miller, PhD, D(ABMM) Associate Professor UNC School of Medicine M O N D A Y, J U N E 2 7 4:30 - 5:30 pm | Session #1603 Haiti Outbreak MODERATOR: Vickie Brown, RN, MPH, CIC One of the greatest risk areas for patient safety is the disinfection and sterilization of endoscopes and surgical instruments in the ambulatory setting. This session will review the key elements necessary to ensure safe and effective reprocessing. Information to meet CMS Standards will be included. OBJECTIVES: 䡲 Understand the correct reprocessing methods for endoscopes and surgical instruments. 䡲 Know the quality assurance elements required to ensure proper reprocessing. 䡲 Identify practice gaps in your own setting and develop a plan to fix them. PRESENTER: Marcia Patrick, RN, MSN, CIC Director of Infection Prevention & Control MultiCare Health System MODERATOR: Linda Burton, RN, BSN, CIC 29 T U E S D A Y, J U N E 2 8 Education Program Details 7:30 - 8:45 am | Session #2002 Occupational Health Issues TUESDAY, JUNE 28 Posters on Display 7:30 am - 5:30 pm Level 400 Ballroom Foyer Thought Leader Sessions 7:30 - 8:45 am | Session #2000 Room 307 High Level Disinfection & Sterilization Failures Adherence to occupational health recommendations reduces patient morbidity and mortality, and personnel morbidity. Occupational health guidelines with a focus on screening (TB), pre-exposure prophylaxis (vaccines), and post-exposure evaluation/prophylaxis (sharp injuries; meningococcal, pertussis, tuberculosis exposures) will be discussed. Laws (ADA, FMLA, OSHA) affecting an occupational health service will also be covered. Description not available at the time of printing. Please see the addendum for full details. OBJECTIVES: 䡲 Understand the activities of an occupational health service (OHS) in a PRESENTER: William Rutala, PhD, MPH Director Hospital Epidemiology, Occupational Health & Safety Program University of North Carolina Hospitals 䡲 Be able to list the vaccines recommended by the ACIP/HICPAC for healthcare facility. healthcare personnel (HCP). 䡲 Be able to list the infectious diseases relevant to HCP for which post-exposure prophylaxis is available. MODERATOR: Barbara Russell, MPH, RN, CIC 7:30 - 8:45 am | Session #2001 Preventing SSIs Room 308 This session will review effective methods to minimize surgical site infections. Pathogens commonly associated with SSIs, the pathophysiology of surgical wound infection, current recommendations, and as well as areas of controversy will be presented. OBJECTIVES: 䡲 The audience will understand the rationale and studies supporting current recommendations for minimizing surgical site infections (SSIs). 䡲 Areas of controversy will be highlighted. 䡲 The audience will understand some of the key organisms causing SSIs and pathophysiology. PRESENTER: Richard Wenzel, MD, MSc Professor & Chairman Department of Internal Medicine Medical College of Virginia MODERATOR: Teresa Fulton, RN, MSN, CIC, CNLCP 30 Room 309 PRESENTER: David Weber, MD, MPH Professor of Medicine Pediatrics, Epidemiology University of North Carolina at Chapel Hill MODERATOR: Marcia Patrick, RN, MSN, CIC 7:30 - 10 am | Session #2100 NHSN – Central Line-Associated Bloodstream Infections Ballroom I This interactive session is designed for those conducting surveillance for the identification of central lineassociated bloodstream infections (CLABSIs) by applying the CDC/NHSN Surveillance Definition and Criteria of Healthcare-Associated Infection. We will provide practical examples of how to apply the criteria. Discussion will include an overview of the CMS IPPS rule and the use of NHSN, chart review tips, review of CLABSI definition and criteria, and application of the CLABSI criteria in case studies. OBJECTIVES: 䡲 Identify the Centers for Disease Control and Prevention (CDC)/National Healthcare Safety Network’s (NHSN) Laboratory-confirmed Bloodstream Infection (LCBI) Criteria and definition of a Central Line-associated Bloodstream Infection (CLABSI). 䡲 Apply the CDC/NHSN definitions and criteria for CLABSI to casestudies presented. 䡲 Recognize the method to identify summary data for CLABSI incidence analysis. 7:30 - 10 am | Session #2101 Room 345-346 Speak Up and Stand Out: How to Project Your Presence & Power (Repeat) In this session, you will be inspired to take every opportunity to assert your style, establish a winning presence, and present your ideas both in front of a group and one on one. Special attention will be given to vocal, language, influence, and image awareness. OBJECTIVES: 䡲 Use assertive, positive presentation and influence skills one on one, in the Boardroom, the monthly department meeting, the conference presentation, and more. 䡲 Develop ways to enhance flexibility and “get unstuck” from bad habits women have when presenting ideas to decision makers. 䡲 Design a plan to use vocal awareness and language to build an effective, credible presence when presenting ideas to others. PRESENTER: Cyndi Maxey, MA, CSP President Maxey Creative Inc. MODERATOR: Neil Pascoe, RN, BSN, CIC T U E S D A Y, J U N E 2 8 Professional Development Workshops PRESENTERS: Katherine Allen-Bridson, RN, BSN, CIC Nurse Consultant Centers for Disease Control and Prevention Henrietta Smith, RN, MS, CIC Nurse Consultant Centers for Disease Control and Prevention Connie Steed, RN, CIC, MSN Director of Infection Control Greenville Hospital Systems MODERATOR: Nancy Zanotti, RN, BSN, MPH, CIC 31 T U E S D A Y, J U N E 2 8 Education Program Details 7:30 - 10 am | Session #2102 Evaluating Scientific Data to Drive Product Selection Ballroom II Healthcare is awash with new suggested products and practices that, when used or applied, promise lower infection rates and corresponding improvements in patient safety. Often times, manufacturer or researcher claims appear to be contradictory, and the Infection Preventionist is asked to make recommendations regarding product selection based on the available data. This session will present a practical, scientific framework for making evidence-based decisions about product selection and implementation of suggested practices. Faculty will describe the fundamental principles of research design and analysis and methods for critical evaluation of published data and data sources. Finally, using case studies, participants have the opportunity to practice translating research findings into product selection or practice adoption. Participants will leave with a checklist to guide the IP in evaluating new scientific data or products proposed for use in their practice setting. OBJECTIVES: 䡲 List the prerequisites for the design, execution, and analysis of clinical research that yield valid, usable findings. 䡲 Identify ways to translate research findings into day-to-day practice in healthcare settings. 䡲 Describe at least three examples of how scientific data relates to 7:30 - 10 am | Session #2103 Room 347-348 Healthcare Design & Construction: Implementing Evidence-Based Solutions to Build for Patient Safety and Sustainability Despite an economic downturn, spending for construction of U.S. hospitals and clinics topped $33 billion in fourth quarter 2009. With the heightened public awareness and concern for eliminating HAIs, it is vital that IPs use the latest evidence and understand best practices to provide optimal consultation during design, construction, and commissioning of newly constructed healthcare facilities. This session will showcase the evidence that continues to emerge in this field, shaping guidelines and regulations, new products and services, and best practices. OBJECTIVES: 䡲 Identify at least three best practices for healthcare design and construction based on the 2010 Edition of the Facility Guidelines Institute (FGI) Guidelines. 䡲 Describe examples of how building sustainability and infection prevention can both be achieved. 䡲 Recognize two patient safety hazards that can be avoided with optimal construction practices for infection prevention. PRESENTERS: Linda Dickey, RN, MPH, CIC Director, Epidemiology & Infection Prevention University of California, Irvine Healthcare product selection. PRESENTERS: Kate Ellingson, PhD Epidemiologist Centers for Disease Control and Prevention Stephen Streed, MS, CIC System Director of Epidemiology/Infection Prevention Lee Memorial Health System MODERATOR: Christine Nutty, RN, MSN, CIC 32 Tim Adams, CHFM, SASHE Director of Member Professional Development American Society for Healthcare Engineering (ASHE) Steve Spaanbroek, MBA, SASHE, CHFM, CHC Managing Director MSL Healthcare Consulting, Inc. MODERATOR: Janet Frain, RN, CIC, CPHQ, CPHRM 9 - 10 am | Session #2200 C. difficile Ballroom III The presenter will showcase the efforts and successes that Kaiser Permanente has made to reduce the incidence of Clostridium difficile infections. The impact of a collaborative effort will demonstrate the reduction of morbidity and mortality related to C. difficile. OBJECTIVES: 䡲 Describe the reasons for increasing C. difficile incidence, prevalance, and mortality. Appreciate the significance of these trends on individual patient safety and overall hospital care. 䡲 Understand the mechanisms of transmission of C.difficle in the hospital setting and identify members of a multidisciplinary team required to reduce transmission. 䡲 Utilize strategies to reduce C. difficile infections through improved environmental cleaning, efficient isolation, antimicrobial stewardship, and hand hygiene. PRESENTER: Stephen Parodi, MD Chair, Department of Infectious Disease Kaiser Permanente Northern California MODERATOR: Barbara DeBaun, RN, MSN, CIC 9 - 10 am | Session #2201 Environmental Services Technology Ballroom IV Studies have shown that routine housekeeping procedures are less than optimal in many healthcare settings. This session will showcase innovative technologies that are designed to decontaminate clinical patient care areas in order to control the spread of microorganims. This presentation will highlight the use of a fluorescent targeting method to objectively evaluate the thoroughness of room disinfection cleaning on targeted frequently touched surfaces and the subsequent reduction in the rate of C.difficile acquisition and infection. OBJECTIVES: 䡲 Describe the revised surveillance definitions for Clostridium difficile infection (CDI). 䡲 Identify a model for analyzing CDI surveillance data. 䡲 Describe two environmental room decontamination units that can be used on nursing units and in the operating room to eliminate Clostridium difficile spores. PRESENTERS: Ann Marie Pettis, RN, BSN, CIC Director of Infection Prevention University of Rochester Medical Center T U E S D A Y, J U N E 2 8 Concurrent Sessions Maureen Spencer, MEd, RN, CIC Infection Preventionist Consultant Universal Health Services MODERATOR: Denise Murphy, MPH,BSN, RN, CIC 33 T U E S D A Y, J U N E 2 8 Education Program Details 9 - 10 am | Session #2202 Room 339-340 Behaviorial Science and Hand Hygiene 9 - 10 am | Session #2203 Administrative Data vs. NHSN Data Despite availability of hand hygiene products that are increasingly effective and milder to the skin, ensuring adherence to hand hygiene standards and guidelines is an ongoing challenge. Interventions to improve practice have included education, behavioral feedback, environmental changes (e.g., more sinks, providing waterless products), and administrative sanctions. Until recently, studies have used simplistic, atheoretical approaches to behavior change, such as providing an educational intervention, rather than applying principles from behavioral psychology or organizational and systems thinking to this problem. Not surprisingly, there are few long-term changes in behavior associated with these interventions. More recently, several investigators have demonstrated success with improving hand hygiene using long-term, system-wide interventions that help to change institutional culture and expectations. Interventions that show promise in effecting sustainable changes in hand hygiene will be discussed. The increased availability of electronic data has brought the hope for improved and wider use of electronic surveillance for healthcare-associated infections (HAIs). NHSN methods remain the current HAI surveillance standard. This session compares the most recent data on the validity of administrative data, including ICD-9-CM coding, compared to standard NHSN surveillance for the detection and reporting of HAIs. OBJECTIVES: 䡲 Describe current rates of hand hygiene adherence among healthcare professionals across settings. 䡲 Review the impact of multi-faceted interventions to effect sustainable changes in hand hygiene adherence. 䡲 Examine the potential impact of reporting and other mandated monitoring strategies for hand hygiene adherence. PRESENTER: Elaine Larson, PhD, FAAN, RN, CIC Associate Dean Columbia University School of Nursing MODERATOR: Kathy Arias, MS, MT, SM, CIC Room 341-342 OBJECTIVES: 䡲 Understand the differences in methods for HAI surveillance using both systems. 䡲 Review the independent validity of each surveillance system and compare the validity of administrative data to NHSN data for HAI surveillance. 䡲 Discuss methods to enhance both approaches and review the potential future of automated surveillance approaches. PRESENTER: Kurt Stevenson, MD, MPH Associate Professor The Ohio State University College of Medicine MODERATOR: Sue Sebazco, RN, BS, CIC 9 - 10 am | Session #2204 Room 343-344 Infection Prevention and Control for LTACHs This presentation provides an overview of the long-term acute care hospital (LTACH) setting and will provide context for the growing attention on infection prevention and control in these facilities. It will highlight examples of the challenges and opportunities for infection preventionists working in this setting. OBJECTIVES: 䡲 Define the long-term acute care hospital (LTACH) setting and patient population. 䡲 Discuss the unique infection prevention challenges in this population. 䡲 Describe strategies which have been employed in addressing HAI prevention in LTACHs. PRESENTER: Nimalie Stone, MD Medical Epidemiologist for Long-Term Care Prevention and Response Branch Centers for Disease Control and Prevention MODERATOR: Jeanne Pfeiffer, DNP, MPH, RN, CIC 34 Room 349-350 The Emerging Infections Programs (EIP), established in 1995, is a network of 10 state health departments (CA, CO, CT, GA, MD, MN, NM, NY, OR, TN) and their collaborators that comprise a catchment area of approximately 44 million people. The impact of the core activities of the EIP on public health assessments will include respiratory infection surveillance, influenza surveillance, and foodborne illness. The incredible impact of the more than 200 infection preventionists that have participated in EIP will be highlighted. OBJECTIVES: 䡲 Describe the core activities of the EIP. 䡲 Evaluate the utility and necessity of speacilized projects within EIP aimed at improved assessments of HAIs. 䡲 Recognize areas of NHSN surveillance methodology most amendable to simplified methodology changes. PRESENTER: Scott Fridkin, MD Deputy Chief, Surveillance Branch Centers for Disease Control and Prevention Ballroom IV This session will focus on the continued emergence of multidrug-resistant (MDR) gram negative (GNR) organisms in hospital and community settings. The epidemiology of such infections, their clinical and economic impact, and possible interventions to curb further emergence will be discussed. Practical solutions and strategies designed to limit spread of such organisms in healthcare settings will be showcased. OBJECTIVES: 䡲 Describe recent trends in the emergence and spread of MDR GNR organisms. 䡲 To characterize the clinical impact of infections due to MDR GNR organisms. 䡲 To identify possible strategies to limit transmission of MDR GNR organisms in healthcare facilities. PRESENTER: Ebbing Lautenbach, MD, MPH, MSCE Associate Professor of Medicine & Epidemiology University of Pennsylvania School of Medicine MODERATOR: Judith English, RN, MSN, CIC MODERATOR: Barbara Soule, RN, MPA, CIC 10:30 - 11:30 am | Session #2302 Room 339-340 Designing a Norovirus Prevention and Rapid Response Program: An Evidence-Based Approach Concurrent Sessions 10:30 - 11:30 am | Session #2300 CDC Outbreak Session 10:30 - 11:30 am | Session #2301 Epidemiology of MDR GNRs T U E S D A Y, J U N E 2 8 9 - 10 am | Session #2205 Role and Successes of Emerging Infection Program (EIP) Activities Ballroom III This session will review recent CDC outbreak investigations of healthcare-associated infections and will highlight the process of conducting an outbreak investigation. Lessons learned from prevention and control measures found to be successful in managing these outbreaks will provide useful and practical information for participants to use in their own infection prevention and control programs. OBJECTIVES: 䡲 Describe the lessons learned from recent CDC outbreak investigations. 䡲 Discuss potentially new, emerging, and re-emerging outbreak themes in the healthcare setting. 䡲 Review the process measures involved in investigating an outbreak. Recurring, annual attacks of norovirus in healthcare facilities often result in significant financial and operational burden, negatively impact patient and staff safety, and can cause severe and sometimes fatal illness. The presenter will describe approaches to translate evidence-based preventive strategies into actionable and sustainable facility practices to help prepare for norovirus season, identify an outbreak, implement basic outbreak control measures, enhance precautions and leadership, and post outbreak activities. OBJECTIVES: 䡲 Translate three evidence-based interventions into actionable facility practices shown to have significant impact on norovirus control. 䡲 Identify the key components of a standardized, multidisciplinary norovirus prevention and rapid response plan. 䡲 Assess the effect of three risk factors that increase the potential for a norovirus outbreak. PRESENTER: Taranisia MacCannell, PhD, MSc Healthcare Epidemiologist Centers for Disease Control and Prevention PRESENTER: Sharon Bradley, RN, CIC Infection Prevention Analyst Pennsylvania Patient Safety Authority MODERATOR: Teresa Fulton, RN, MSN, CIC, CNLCP MODERATOR: Susan Slavish, BSN, MPH, CIC 35 T U E S D A Y, J U N E 2 8 Education Program Details 10:30 - 11:30 am | Session #2303 Room 341-342 Show Us the Numbers: A New Approach to Using Administrative and Clinical Data Large, national databases are essential to identifying trends and tracking improvements. At this time, there are two types of databases used for infection prevention: administrative and clinical. These types use distinct data sets; often the statistical results of one do not correspond to similar analysis by the other. While clinical data provide maximum accuracy in measuring HAI initiatives, there is an increasingly urgent need for IPs to understand how both administrative and clinical data can be used, how to resolve potential data discrepancies and recognize situations when a combined use is necessary. OBJECTIVES: 䡲 Explain how and when administrative data can be used in combination with or as an adjunct to clinical data in IP reports and when making the case for IP programs – presenters will be from CDC and AHRQ. 䡲 Discuss optimum strategies the IP should consider when apparent data discrepancies arise; describe clinical and practical applications for the IP (we will be reaching out to an on the ground infection preventionist. 䡲 Explore future uses of data from different databases. PRESENTERS: Mary Ellen Bennett, RN, MPH, CIC Director Infection Prevention Hennepin County Medical Center L. Clifford McDonald, MD, FACP, FSHEA Senior Advisor for Science Integrity Division of Healthcare Quality Promotion Centers for Disease Control and Prevention William Munier, MD Director, Center for Quality Improvement and Patient Safety Agency for Healthcare Research and Quality Marc-Oliver Wright, MT(ASCP), MS, CIC Corporate Director of Infection Control NorthShore University HealthSystem MODERATOR: Janet Franck, RN, MBA, CIC 36 10:30 - 11:30 am | Session #2304 Room 343-344 Infection Prevention in Acute Care Dialysis The presenter will describe the epidemiology of key infections among hemodialysis patients, indicate factors unique to the hemodialysis setting that contribute to the transmission of infections, review current infection prevention recommendations, and describe new infection prevention initiatives. OBJECTIVES: 䡲 Describe current trends in hemodialysis treatment in the U.S. and the epidemiology of leading infections among hemodialysis patients. 䡲 List key factors that contribute to infection transmission in hemodialysis settings, and discuss current recommendations for preventing HAIs in hemodialysis patients. 䡲 Evaluate the risks for HAIs within hemodialysis settings and assess opportunities for infection transmission and prevention. PRESENTER: Nicola Thompson, PhD, MSc Epidemiologist Centers for Disease Control and Prevention MODERATOR: Nancy Zanotti, RN, BSN, MPH, CIC Room 349-350 This session features a panel of three State HAI Coordinators and health department staff from the states of Montana, Pennsylvania, and Illinois. Panelists will present their successes, challenges, best practices, and lessons learned from their American Recovery and Reinvestment Act (ARRA)-funded infection prevention projects/programs. The session will be moderated by the CDC’s Dr. Cliff McDonald, who will participate as a fourth panelist. Dr. McDonald will discuss CDCsponsored infection prevention efforts at the state level and address how states can maintain the momentum of their current prevention work. OBJECTIVES: 䡲 To share best practices of infection prevention efforts following ARRAfunded HAI prevention grants made to state health departments. 䡲 To understand the background of CDC-sponsored prevention programming, and receive recommendations on maintaining momentum of state-wide prevention efforts. 䡲 To better understand the relationship between state health departments and the CDC as it pertains to funding HAI prevention programs. PRESENTERS: Bonnie Barnard, MPH, CIC Montana HAI Prevention Initiative Coordinator Montana Department Public Health & Human Services Lauren Gallagher, MPH, CPH, CIC HAI Prevention Coordinator Illinois Department of Public Health Zeenat Rahman, MBBS, MPH Epidemiologist Pennsylvania Department of Health MODERATOR: Kate Ellingson, PhD Epidemiologist Centers for Disease Control and Prevention Exhibit Hall Open 11:30 am - 2:30 pm Hall E Complimentary lunch will be served in the Exhibit Hall from 11:30 am - 1 pm. Poster Presentations with Presenters 1:30 - 2:30 pm Level 400 Ballroom Foyer Posters are arranged by topic number, listed below, and then numerically by publication number within each category. Antimicrobial Resistance 1-001 to 1-004 Emerging and Reemerging Infectious Diseases 3-020 to 3-022 Infection Prevention and Control Programs 14-181 to 14-229 Outbreak Investigation 5-025 to 5-037 Public Reporting/Regulatory Compliance 10-098 to 10-108 Quality Management Systems/Process Improvement/Adverse Outcomes 6-038 to 6-058 Surveillance 15-230 to 15-249 Concurrent Sessions T U E S D A Y, J U N E 2 8 10:30 - 11:30 am | Session #2305 Sustainable Change: State HAI Coordinators Share Success Stories 2:30 - 3:30 pm | Session #2400 Ballroom III Electronic Algorithms for CLABSIs and Beyond This session will describe the current state of electronic algorithms to detect CLABSI. As the CDC strives to improve the reliability of infection detection, there is likely to be an increased emphasis on standardized case finding and interpretation. These standard methods are being evaluated with a priority of using automated capture of data stored in the electronic medical record. The presenter will describe the rationale for automating detection, the current status of automated infection detection, and the possible designs for future systems. OBJECTIVES: 䡲 To present the rationale behind transitioning from current methods to increased automation of infection detection. 䡲 To describe the state of the art for methods of automating infection detection. 䡲 To forecast how automated systems will be integrated into current methods of infection detection. PRESENTER: William Trick, MD Clinician Investigator John Stoger Hospital of Cook County MODERATOR: Vickie Brown, RN, MPH, CIC 37 T U E S D A Y, J U N E 2 8 Education Program Details 2:30 - 3:30 pm | Session #2401 Changing Epidemiology of MRSA Ballroom IV 2:30 - 3:30 pm | Session #2403 Room 341-342 Role of Public Health in HAI Prevention The epidemiology of MRSA is dynamic and constantly evolving. Over the last two decades, we have witnessed the rise of infections caused by unique clones of community-associated (CA) MRSA. CA-MRSA has actually replaced healthcare-associated (HA) MRSA as the dominant type of MRSA in some healthcare settings. The presenter will describe how the evolving epidemiology of MRSA has significant impact on the diagnosis, management, and control of this pathogen. This session will address the evolving role of public health in the prevention of HAIs, initiatives currently underway at the national and regional level, and why Infection Preventions need to support a stronger, more knowledgeable, and better coordinated state HAI prevention strategy. OBJECTIVES: 䡲 Discuss and explain the historic and recent epidemiology of 䡲 Understand some real or perceived differences in healthcare quality and Methicillin-Resistant S. aurues. 䡲 Distinguish CA-MRSA from HA-MRSA as unique clones of MRSA. 䡲 Appraise and assess new and ongoing challenges of controlling MRSA in heatlhcare and community settings. PRESENTER: Luke Chen, MBBS (Hons), MPH, CIC, FRACP Assistant Professor of Medicine Duke University Medical Center OBJECTIVES: 䡲 Understand major shifts in the leadership of HAI prevention efforts and reasons for this. patient safety perspectives and how HAI prevention is leading to bridge these perspectives. 䡲 Learn how to advocate for stronger, more knowledgeable, and more coordinated HAI prevention leadership in your state. PRESENTER: L. Clifford McDonald, MD, FACP, FSHEA Chief, Prevention and Response Branch Centers for Disease Control and Prevention MODERATOR: Titus Daniels, MD, MPH MODERATOR: Judie Bringhurst, RN, MSN, CIC 2:30 - 3:30 pm | Session #2402 Room 339-340 The Independent Infection Prevention Consultant 2:30 - 3:30 pm | Session #2404 The Nuts and Bolts of Safe Injection and Infusion Practices There are tremendous benefits of self-employment as an infection prevention consultant. The presenter will share knowledge gained from more than 25 years of experience and will provide information that will aid IPs interested in starting their own consultant businesses. Topics will include benefits of self-employment, types of consultation needed by clients, process for contracting and performing the functions of consultation, forms of business, and insurance and liability. The presenter will provide a summary of unsafe practices that have lead to viral hepatitis outbreaks and will highlight key issues from the APIC Position Paper, “Safe Injection, Infusion and Medication Vial Practices.” Important concepts and controversies regarding implementation of these practices by infection preventionists, as well as regulatory and accrediting challenges, will be discussed. OBJECTIVES: 䡲 Name five benefits of self-employment over working for an employer. 䡲 List three forms of business that you may consider for the structure of your business. 䡲 State four steps needed in conducting a consultation. PRESENTER: Gail Bennett, MSN, RN, CIC President ICP Associates MODERATOR: Frances Slater Feltovich, MBA, RN, CIC, CPHQ 38 Room 343-344 OBJECTIVES: 䡲 Discuss outbreaks related to unsafe injection and infusion practices. 䡲 Describe the content of the APIC Position Paper regarding the safe injection and infusion practices. 䡲 Identify current resources for safe injection practices. PRESENTER: Susan Dolan, RN, MS, CIC Hospital Epidemiologist The Children’s Hospital MODERATOR: Lynne Karanfil, RN, MA, CIC Infection Prevention experts have unique skills and knowledge, and provide critical services for patient safety programs in all types of healthcare settings. The professional method for an infection preventionist to demonstrate mastery of the knowledge required for competency is achieving certification in infection control (the CIC® designation). This session will review the requirements for certification, as well as the steps to accomplishing this goal. Ample time for answering questions and discussion of concerns with members of the Certification Board of Infection Control and Epidemiology (CBIC) will be included. OBJECTIVES: 䡲 Describe the two requirements for eligibility to take the CIC® examination. 䡲 Outline the six major content areas included in the CIC® examination. 䡲 Discuss successful methods of preparing to take the CIC® examination. PRESENTER: Terrie Lee, RN, MS, MPH, CIC Director, Infection Prevention & Employee Health Charleston Area Medical Center MODERATOR: Ava Deanie Lancaster, RN, BSN, MS, CIC Oral Abstract Presentations 2:30 - 3:30 pm 3 - 3:15 pm Publication # 114. Patient Factors Associated with Adverse Events of Hospitalized Veterans in Infection Control Isolation Patti Grota, PhD, RN, CNS-M-S, CIC Infection Prevention Specialist University of Texas Health Science Center at San Antonio, Texas 3:15 - 3:30 pm Publication # 115. Reduction in Use of Antiinfective Agents and Incidence of Infections After the Introduction of Antimicrobial Stewardship Program and Enhanced Infection Prevention Program Supported by a Newly Implemented Decision Support System Kimberly Simon, MD Infection Prevention Nurse Manager Riverview Medical Center Session #2501 Outbreak Investigation Room 345/346 2:30 - 2:45 pm Publication # 116. Neuroinvasive Salmonellosis in a Level III Neonatal Intensive Care Unit Holly Carter, MPH, CIC Manager, Infection Prevention and Control Inova Fairfax Hospital 2:45 - 3 pm Thirty-two abstract presentations will be presented in four sessions. Each presentation will be 10 minutes in length and five minutes for Q&A. Publication # 117. An Outbreak of Invasive Group A Streptococcus in Post-Partum Patients: Investigation, Intervention and Efforts to Change Behavior in a Obstetrics Unit Session #2500 Room 307 Infection Prevention and Control Programs Robert Geise, MD, MPH Chairman, Department of Medicine Evergreen Hospital Medical Center 2:30 - 2:45 pm Publication # 112. Determining Accuracy of Colon Data Submission for Public Reporting of Hospital-Acquired Infection (HAI) in New York State from 2007-2009 Diana Doughty, RN, MBA, CIC, CPHQ Research Scientist - HAI Reporting New York State Department of Health 2:45 - 3 pm Publication # 113. Sustained Improvement in Environmental Cleaning at an Academic Medical Center Susan Page, MT, MS, CIC Infection Preventionist Fletcher Allen Health Care T U E S D A Y, J U N E 2 8 2:30 - 3:30 pm | Session #2405 Room 349-350 Celebrating Excellence in Infection Prevention – Achieving Certification (CBIC Session) 3 - 3:15 pm Publication # 118. Investigation of an Outbreak of SSI Due to Mycobacterium immunogenum after Blepharoplasty Cheryl Flesner, RN, CIC Infection Preventionist Sequoia Hospital 3:15 - 3:30 pm Publication # 119. Hepatitis C in Cardiac Patients Investigation Leads to Opportunities for Improvement in Preventing the Transmission of Bloodborne Pathogens Lisa Sturm, MPH, CIC Supervisor, Infection control & Epidemiology University of Michigan Health System 39 T U E S D A Y, J U N E 2 8 Education Program Details Session #2502 Quality Management Systems/Process Improvement/Adverse Outcomes Room 308 2:30 - 2:45 pm Publication # 124. PREEMIE BASEBALL GAME Implementing an Innovative Strategy of Competition and Team Building to Reduce Bloodstream Infections Fran Kessler, BSN, CNP Neonatal Nurse Practitioner Program Coordinator Aultman Health Foundation 2:45 - 3 pm Publication # 125. Cost-Effectiveness Analysis of Active Surveillance Screening for MethicillinResistant Staphylococcus aureus in a Tertiary Hospital Setting JaHyun Kang, BSN, MPH, CIC Doctoral Student School of Nursing, University of North Carolina at Chapel Hill 3 - 3:15 pm Publication # 126. Pseudo-outbreak Highlights Value of Open Communication and Transparency Within a Four Hospital Healthcare System Cynthia Knoke, MT, BS, CIC Infection Preventionist Lee Memorial Health System 3:15 - 3:30 pm Publication # 127. Development of a Standardized Process for Conducting Large-Scale Epidemiologic Lookback Investigations Following Improper Reprocessing of Reusable Medical Equipment Gina Oda, MS, CIC Associate Director, Office of Public Health Surveillance and Research Department of Veterans Affairs 40 Session #2503 Surveillance Room 347/348 2:30 - 2:45 pm Publication # 128. Clostridium difficile Infection Surveillance in Long Term Acute Care Hospitals of a Single Healthcare System Perry Pate, MD President Dallas ID Associates 2:45 - 3 pm Publication # 129. A preliminary assessment of the national data quality collaboration: the case studies Marc-Oliver Wright, MT(ASCP), MS, CIC Corporate Director of Infection Control NorthShore University HealthSystem 3 - 3:15 pm Publication # 130. A Comparison of CAUTI Rates Using NNIS and NHSN Definitions Julie A. Jefferson, RN, MPH, CIC Director, Epidemiology & Infection Control Rhode Island Hospital 3:15 - 3:30 pm Publication # 131. Electronic Application Utilization for Attaining Reliable and Robust Post Discharge SSI Surveillance Carolina Espinoza, MPH, CIC Senior Infection Control Specialist Memorial Hermann Healthcare System 4 - 5:30 pm Room 309-310 APIC Business Meeting (Members Only) Not a member? Join now and take advantage of a wealth of valuable resources. Visit http://www.apic.org and access member benefits. Get involved with shaping the future of the profession. Posters on Display 7:30 am - 5:30 pm Level 400 Ballroom Foyer Thought Leader Sessions 7:30 - 8:45 am | Session #3000 Management of MDR GNRs Room 307 Approximately one-third of device- and procedureassociated healthcare-associated infections (HAI) are caused by gram-negative pathogens. An increasingly large proportion of these pathogens is resistant to multiple antibiotics. Infections caused by multidrug resistant (MDR) pathogens are associated with worse outcomes than those caused by susceptible strains of the same organism. A number of potentially modifiable healthcare-related factors have been associated with acquisition of and infection with these MDR pathogens. Thus, efforts to prevent propagation and transmission of MDR gram-negative pathogens within the healthcare setting are critical components of an infection prevention and patient safety program. OBJECTIVES: 䡲 To describe the increasingly important role of MDR gram-negative pathogens in HAI. 䡲 To review the epidemiology of MDR gram-negative pathogens in the healthcare setting. 䡲 To evaluate interventions that can be used to reduce the risk of transmission of MDR gram-negative pathogens within a healthcare facility. PRESENTER: David Calfee, MD, MS Chief Hospital Epidemiologist New York Presbyterian/Weill Cornell MODERATOR: Nancy Zanotti, RN, BSN, MPH, CIC 7:30 - 8:45 am | Session #3001 Room 308 Advances in Hand Hygiene and Hand Hygiene Monitoring Hand hygiene is considered one of the most important measures for reducing transmission of healthcareassociated pathogens. However, in many healthcare facilities, hand hygiene compliance rates among healthcare workers are still suboptimal. This session will discuss recent advances in hand hygiene and new methods for monitoring hand hygiene compliance. OBJECTIVES: 䡲 Be able to locate and use hand hygiene educational and motivational materials available. 䡲 Understand the major methods for monitoring hand hygiene activities among healthcare workers. 䡲 Become familiar with emerging electronic methods for monitoring hand hygiene activities among healthcare workers. PRESENTER: John Boyce, MD Chief, Section of Infectious Diseases and Hospital Epidemiologist The Hospital of Saint Raphael MODERATOR: Pam Isaacs, RN, BSN 7:30 - 8:45 am | Session #3002 C. difficile Room 309 W E D N E S D A Y, J U N E 2 9 WEDNESDAY, JUNE 29 Clostridium difficile infection has emerged as one of the biggest contributors to healthcare-acquired morbidity and mortality. This session will review the changing epidemiology and diagnostic challenges posed by this organism. Participants will be challenged to employ interventions used to prevent transmission, including hand hygiene, isolation, environmental cleaning, and antimicrobial stewardship. OBJECTIVES: 䡲 Review the changing epidemiology of healthcare-acquired Clostridium difficile infection. 䡲 Explain the challenges of Clostridium difficile diagnostics and their implications for infection control. 䡲 Utilize a comprehensive change package, which includes hand hygiene, isolation, environmental cleaning, and antimicrobial stewardship to reduce Clostridium difficile infections. PRESENTERS: Sue Barnes, RN, CIC National Program Leader Infection Prevention and Control Kaiser Permanente Stephen Parodi, MD Chair, Department of Infectious Disease Kaiser Permanente Northern California MODERATOR: Diann Boyette, RN, CIC 41 W E D N E S D A Y, J U N E 2 9 Education Program Details 7:30 - 8:45 am | Session #3003 Room 310 Life at the Edge: Learning Team Accountability In this session, a leader of the Michigan Keystone Project, will provide an overview of performance improvement from the perspective of team accountability. She will be joined by an IP/Nurse leader team that will describe how their understanding of team accountability is evolving because of CLABSI infection reduction efforts. The session will include time for active dialogue with attendees, and highlight ideas that may help local efforts to implement team-based accountability for reducing infections. OBJECTIVES: 䡲 Explore the concept of team accountability from the perspective of Johns Hopkins’ global efforts to reduce bloodstream infections using the CUSP/TRIP Framework. 䡲 Describe specific examples from hospitals with effective synergy and accountability for activities designed to reduce infections. 䡲 Differentiate between activities that foster team accountability versus those that entrench individual accountability. PRESENTER: Christine Goeschel, ScD, MPA, MPS, RN Director of Strategic Development and Research Initiatives The Johns Hopkins University MODERATOR: Debra Johnson, BSN, RN, CIC Professional Development Workshops 7:30 - 10 am | Session #3100 NHSN – Surveillance System Operations This moderated session will provide the attendee with a structured format for learning about available surveillance technologies. Selected vendors will provide a brief overview of their respective systems. The session will then focus on a question and answer session with audience participation. Questions will be based on topics outlined in the APIC Infection Control Surveillance Technology Assessment Tool. The audience is encouraged to download the tool prior to the session. OBJECTIVES: 䡲 Identify the various components of a surveillance system. 䡲 Assess a surveillance system for use in infection prevention. 䡲 Propose a system for purchase and implementation. PRESENTERS: Tom Jordan, RN, BS Director of Infection Prevention Sentri7 Stan McDuffie, MPH Sr. Consultant for Clinical Specialty CareFusion MedMined Services Susanne Miller, RN, MS Product Manager Hospira Steve Pennock Product Director Premier Inc. Keith St. John, MS, CIC Infection Prevention Consultant BD Diagnostics - BD Protect Software Solutions Bonnie Taggart, RN, BS, CIC Infection Preventionist, Nurse Epidemiologist, VP EpiQuestLive Inc. MODERATOR: Linda Goss, MSN, APRN, ANP-BC, CIC, COHN-S Director of Infection Prevention and VAST University of Louisville Hospital 42 Ballroom I In this session the process of transforming data into knowledge that can be used to drive and sustain improvements in patient care outcomes will be discussed. Visual presentation tools and their advantages and disadvantages will be presented. This session will be interactive and participants will be given the opportunity to design a meaningful report. OBJECTIVES: 䡲 To enhance the infection preventionist’s knowledge and application of PRESENTERS: Kate Ellingson, PhD Epidemiologist Centers for Disease Control and Prevention Teresa Fulton, RN, MSN, CIC Chief Quality Officer Whidbey General Hospital Karen Hoffmann, RN, MS, CIC, FSHEA Infection Control Specialist CMS Survey and Certification MODERATOR: Teresa Fulton, RN, MSN, CIC, CNLCP methodologies designed to present epidemiologically sound data. 䡲 To describe how to use graphs, charts, and other visual tools that can easily be understood by the target audience. 䡲 To discuss how validated data can drive performance improvement and motivate and empower staff. PRESENTERS: Deverick Anderson, MD, MPH Assistant Professor of Medicine Duke University Medical Center Ballroom II An organizational infection prevention and control risk assessment can assist in setting priorities and in energizing teams within an organization to implement a highly effective infection prevention plan. This workshop will take participants through the process of conducting an infection control risk assessment. OBJECTIVES: 䡲 Use a risk assessment tool to evaluate an organization for infection Evelyn Cook, RN Infection Control Professional Duke University Health System MODERATOR: Judie Bringhurst, RN, MSN, CIC 7:30 - 10 am | Session #3102 How to Write an Abstract 7:30 - 10 am | Session #3103 Risk Assessment (Repeat) Room 347-348 potential. Discuss three strategies to ensure a successful risk assessment process. 䡲 Develop an infection prevention/control plan from risk assessment results. 䡲 Create a progress report to track accomplishments of the infection prevention program. This workshop is designed to assist infection preventionists in developing their skills to successfully prepare abstracts for submission to international scientific conferences such as APIC. A hands-on mentoring approach will be used to guide the participants in effective technical writing through interactive discussions and constructive feedback on drafted abstracts. PRESENTERS: Terrie Lee, RN, MS, MPH, CIC Director, Infection Prevention & Employee Health Charleston Area Medical Center OBJECTIVES: 䡲 Describe how to conduct an electronic literature search. 䡲 Utlize real time peer review to generate submission ready abstracts. 䡲 Define the essential components of an abstract. Amy Richmond, RN, BSN, MHS, CIC Co-founder and Consultant P3 Healthcare Consulting, LLC W E D N E S D A Y, J U N E 2 9 7:30 - 10 am | Session #3101 Room 345-346 Using Data to Drive and Sustain Improvement: Focusing on Analyzing, Displaying, and Presenting Data Effectively Karen Anderson, MT, MPHc, CIC Infection Control Manager California Pacific Medical Center Barbara Russell, MPH, RN, CIC, ACRN Director of Infection Control Baptist Hospital of Miami 43 W E D N E S D A Y, J U N E 2 9 Education Program Details Concurrent Sessions 9 - 10 am | Session #3200 Ballroom III Healthcare Information Technology: Electronic Records, Surveillance, and Infection Prevention This session will provide an overview of how one healthcare system developed and uses a data repository based on a fully integrated Electronic Medical Record (EMR). Recent developments in using an EMR-based clinical decision support system for infectious disease management will also be demonstrated. OBJECTIVES: 䡲 Recognize the characteristics of an EMR that make it conducive to streamlining surveillance efforts and facilitating research opportunities. 䡲 List a minimum of four practical examples of how an EMR and EMRbased data repository can aid infection prevention programs. 䡲 Describe how an EMR-based clinical decision support system was developed to aid in assessing post-operative temperatures and risk of infectious diseases. PRESENTER: Marc-Oliver Wright, MT(ASCP), MS, CIC Corporate Director of Infection Control NorthShore University HealthSystem In this session, we will provide an overview of several recommended practices or bundles; present key principles for assessing the quality, strength, and relevance of the evidence; and examine the underlying evidence for selected strategies and bundles. Considerations and recommendations will be discussed regarding gaps in current knowledge and practice and possible next steps. OBJECTIVES: 䡲 Provide an overview of currently recommended practices or bundles. 䡲 Present key principles and domains for assessing the quality, strength, and relevance of the evidence. 䡲 Examine the underlying evidence supporting some infection prevention and control strategies and bundles. PRESENTER: Elaine Larson, PhD, FAAN, RN, CIC Associate Dean Columbia University School of Nursing MODERATOR: Judie Bringhurst, RN, MSN, CIC MODERATOR: Joan Hebden, RN, MS, CIC This session is sponsored by an unrestricted educational grant from Thomson Reuters. The speaker is not sponsored. 9 - 10 am | Session #3203 Room 341-342 Factors Influencing Decisions for Influenza Vaccination 9 - 10 am | Session #3201 Ballroom IV How Bacteria Develop Antibiotic Resistance This presentation will review and draw lessons from a series of nationally representative surveys fielded by investigators at the RAND Corporation. These surveys, conducted in 2007 and 2010, were designed to identify factors influencing adults 18 years and older and those working in healthcare to obtain influenza vaccination. Bacterial resistance is a major problem in the healthcare system, contributing to infections that are difficult to treat and often require isolation. In this lecture, we will discuss the basic mechanisms by which bacteria become resistant to antibiotics and how misuse of antibiotics leads to the development of resistant organisms. OBJECTIVES: 䡲 To discuss key concepts of antibiotic activity and their mechanisms of action. 䡲 To describe the basic mechanisms by which bacteria become resistant to antibiotics. 䡲 To review how the improper use of antibiotics leads to clinical failure. PRESENTER: Patty Wright, MD, FACP Assistant Professor of Medicine, Division of Infectious Diseases Vanderbilt University School of Medicine 44 9 - 10 am | Session #3202 Room 339-340 Evidence Behind Interventions? How Strong, How to Assess? Active Surveillance as a Case Study MODERATOR: Titus Daniels, MD, MPH OBJECTIVES: 䡲 To understand factors influencing, as well as the degree of variation in influenza vaccination coverage rates across subgroups of adults and healthcare personnel. 䡲 To compare attitudes and knowledge of influenza vaccination among the general public and the subgoup of healthcare personnel. 䡲 To understand potential strategies for increasing influenza vaccination. PRESENTER: Katherine Harris, PhD Senior Economist RAND Corporation MODERATOR: Mary Post, RN, MS, CNS, CIC Antimicrobial Stewardship Programs (ASPs) are largely absent in long-term care facilities (LTCFs) despite a high prevalence of multidrug-resistant organisms and frequent antibiotic use. In this session, we will describe a project that introduced sustainable ASP into LTCFs using existing personnel. The project included 3 LTCFs and their acute care hospital partners. OBJECTIVES: 䡲 To understand the role of antibiotic use and misuse in the epidemiology of antimicrobial resistance. 䡲 To be familiar with the principles and common strategies of antimicrobial stewardship programs. 䡲 To learn about a “tool kit” of resources that is available to assist healthcare facilities implement an antimicrobial stewardship program. PRESENTER: David Calfee, MD, MS Chief Hospital Epidemiologist New York Presbyterian/Weill Cornell MODERATOR: Sally Hess, MPH, CIC 9 - 10 am | Session #3205 Room 349-350 International Recall: Contaminated Alcohol Wipes This session will review a facility’s outbreak investigation of Bacillus cereus that resulted in an international recall of one manufacturer's alcohol prep pads. Outbreak investigation methods and results will be presented. Key concepts and issues pertaining to the specific organism and product will be highlighted. OBJECTIVES: 䡲 Review the key steps utilized in the B. cereus outbreak investigation. 䡲 Discuss laboratory techniques and results associated with product 30/30 Sessions Two great topics. One convenient hour. 10:30 - 11:30 am | Session #3300 Standardization of Clinical Processes Ballroom III Brian Koll will start the session discussing a successful collaborative model for control of C. difficile between 35 acute care hospitals in the New York metropolitan region that resulted in a 20% reduction in the combined rate. Kathleen McMullen will then discuss the establishment of standard work surrounding surgical site infection (SSI) feedback and operating room observations. The session will review ideas and tools for standardization and feedback mechanisms for operative procedure observations and surveillance data to the clinical staff. OBJECTIVES: 䡲 To standardize infection prevention and environmental cleaning practices with checklists and report infection data in a timely and meaningful manner. Utilize ideas offered to standardize feedback of SSI and OR observations. 䡲 To familiarize the audience with our collaborative model for infection reduction that can be implemented institutionally or region wide. Use the OR observation tool presented as a template. 䡲 To be able to show cost effectiveness of efforts. Explain the idea of a one-page dashboard and compose a similar document for healthcare facility administration. W E D N E S D A Y, J U N E 2 9 9 - 10 am | Session #3204 Room 343-344 Antimicrobial Stewardship in Long-Term Care Facilities: The Value of Collaboration and Acute Care Hospital Partnerships PRESENTERS: Brian Koll, MD, FACP, FIDSA Medical Director and Chief, Infection Prevention Beth Israel Medical Center Kathleen McMullen, MPH, CIC Infection Preventionist Barnes-Jewish Hospital MODERATOR: Amy Richmond, RN, BSN, MHS, CIC testing performed during the investigation. 䡲 Explore issues related to alcohol prep pads in healthcare. PRESENTER: Susan Dolan, RN, MS, CIC Hospital Epidemiologist The Children's Hospital MODERATOR: Ann Marie Pettis, RN, BSN, CIC 45 W E D N E S D A Y, J U N E 2 9 Education Program Details Concurrent Sessions 10:30 - 11:30 am | Session #3301 Successful Stewardship Programs: Tactics for Optimum Antibiotic Use Ballroom IV Description not available at the time of printing. Please see the addendum for full details. PRESENTER: Julia Moody, MS SM(ASCP) Clinical Director, Infection Prevention HCA - Clinical Services Group Chris Ohl, MD Associate Professor Wake Forest Bapist University Medical Center MODERATOR: Lynne Karanfil, RN, MA, CIC 10:30 - 11:30 am | Session #3302 Room 339-340 Thinking Outside the Box: A Creative Approach to Redesigning Your Infection Prevention Program This session will showcase several different ways to assess and request the resource needs for an infection prevention program. Included will be a description of the benefits of the APIC Program Evaluation Tool and the use of grant-supported positions to fill critical staffing gaps. In addition, an innovative mentoring program will be presented. OBJECTIVES: 䡲 Describe two benefits of using the APIC Program Evaluation Tool. 䡲 List three resources that can be utilized to expand the abilities of current programs. 䡲 Evaluate your own programs and identify two ways you may be able to use “out of the box” ideas to improve your outcomes. PRESENTER: Debbie Hurst, RN, BSN, CIC Manager Infection Prevention & Control Rogue Valley Medical Center MODERATOR: Mary Post, RN, MS, CNS, CIC 10:30 - 11:30 am | Session #3303 Room 341-342 Ensuring Accurate Surgical Site Infection Rates for New York State-Wide Mandate In this session we will describe the internal and external validation process, findings, and common data reporting errors that impact surgical site infection (SSI) rates. Lessons learned will be discussed to provide the infection preventionist with suggestions for integrating a validation process into their infection control program. OBJECTIVES: 䡲 Describe the process used to determine the reliability and consistency of reported SSI data. 䡲 Describe data errors identified by validation and audit that impact reporting of accurate SSI rates. 䡲 Identify strategies infection preventionists can enlist to ensure data integrity in preparation for public reporting mandate. PRESENTER: Carole Van Antwerpen, BSN, CIC NYS HAI Program Director New York State Department of Health MODERATOR: Debra Johnson, BSN, RN, CIC 10:30 - 11:30 am | Session #3304 Room 343-344 Applying the Bundles in the Pediatric Population This session will review the applicability of specific CLABSI and VAP bundle elements in pediatric populations, and the data supporting implementation in children and the potential lack of relevance of some elements. Furthermore, the complexities of the case definitions for CLABSI and VAP in infants and children will be discussed. OBJECTIVES: 䡲 Describe the elements of the central line-associated bloodstream infection (CLABSI) bundles and the ventilator-associated pneumonia (VAP) bundles that apply to pediatric populations. 䡲 Understand which elements in the CLABSI bundles and the VAP bundles may not be relevant for pediatric populations. 䡲 Appreciate the complexities of applying the case definitions for CLABSIs and VAPs in pediatric populations. PRESENTER: Lisa Saiman, MD, MPH Professor of Clinical Pediatrics Columbia University Department of Pediatrics MODERATOR: Lela Luper, RN, BS, CIC 46 Room 349-350 This session will describe the process that a facility pursued beginning in 2003 to reduce hospital-acquired infections (HAIs). They formed an interdisciplinary team, identified the problems, and then developed yearly action plans. Plans included OR, SPD, and Environmental Services Technology (EVS) issues, MRSA screening and elimination, innovative technologies, and creative hand hygiene programs. This is an approach that other IPs and surgical services can replicate. OBJECTIVES: 䡲 Describe two control measures implemented in the operating room to prevent exogenous contamination from staff during surgery. 䡲 Describe a system that can be used to clean and disinfect operating room equipment of visible debris and bioburden on an annual basis. 䡲 Describe three innovative approaches that can reduce exogenous contamination to the incision in the intraoperative and immediate postoperative period. PRESENTER: Maureen Spencer, MEd, RN, CIC Infection Preventionist Consultant Universal Health Services Ballroom III Highlights from the 2011 HICPAC “Guideline for Preventing Intravascular Catheter-Related Infections” will be presented. Emphasis will be placed on areas of strong recommendation, and on areas in which recommendations have been changed since 2002. OBJECTIVES: 䡲 Know the magnitude and scope of the problem of CLABSIs. 䡲 Appreciate the changing epidemiology of catheter-related infections. 䡲 Know the highlights from 2011 HICPAC guideline. PRESENTER: Naomi O'Grady, MD Staff Clinician and Medical Director National Institutes of Health Clinical Center MODERATOR: Barbara DeBaun, RN, MSN, CIC 2 - 3 pm | Session #3401 Ballroom IV Ventilator-Associated Pneumonia: Current Efforts to Clarify and Streamline Definitions Ventilator-associated pneumonia (VAP) is among the most common healthcare-associated infections (HAIs). It is also one of the most complex to define. This session will highlight efforts to streamline surveillance for VAP in CDC’s National Healthcare Safety Network (NHSN). MODERATOR: Ann Marie Pettis, RN, BSN, CIC Exhibit Hall Open 11:30 am - 2:30 pm 2 - 3 pm | Session #3400 New HIPAC Guidelines for CLABSIs W E D N E S D A Y, J U N E 2 9 10:30 - 11:30 am | Session #3305 SSI Prevention Hall E Complimentary lunch will be served in the Exhibit Hall from 11:30 am - 1 pm. OBJECTIVES: 䡲 To describe the strengths and weaknesses of the current NHSN surveillance definitions for pneumonia. 䡲 To identify challenges in accurately and reliably defining pneumonia 11:30 am - 12:30 pm APIC Village, Hall E APIC Section Moderated Table Discussions These roundtable discussions are highly interactive, open, creative conversations to share collective knowledge, ideas and insights and to gain a deeper understanding of the subjects and the issues involved. A range of broad topics are offered for you to explore with colleagues facing similar challenges. Behavioral Health PROPOSED TOPICS: Bed Bugs in Different Behavioral Health Settings; Managing a Psychotic Patient with Influenza Who will not/cannot Wear a Mask that inform efforts to modify existing surveillance definitions. 䡲 To discuss progress to date in efforts to refine and streamline VAP surveillance in NHSN. PRESENTER: Shelley Magill, MD, PhD Medical Epidemiologist Centers for Disease Control and Prevention MODERATOR: Russ Olmsted, MPH, CIC 47 W E D N E S D A Y, J U N E 2 9 Education Program Details 2 - 3 pm | Session #3402 Room 339-340 Transforming Culture: Adding People Bundles to Clinical Bundles to Eliminate Preventable Harm 2 - 3 pm | Session #3404 Room 343-344 Mandatory Reporting of Healthcare-Associated Infections in Pennsylvania Nursing Homes This session will share the experience, tools, and strategies involved in a large-scale organizational patient safety culture transformation. The integration of clinical bundles and checklists with “people bundles” or behavior-based expectations will be discussed. Pennsylvania became the first state to require reporting of healthcare-associated infections (HAIs) by hospitals and nursing homes. The presenter will describe the process of developing surveillance criteria for nursing homes, secure web-based reporting systems, and analytical reports for facility-specific data analysis. The first year of data and comparison to national rates will be reviewed. OBJECTIVES: 䡲 Discuss role of leadership in creating a culture that targets zero HAIs and other serious patient safety events and implementing methods that work. 䡲 Review the impact of evidence-based clinical bundles on elimination of HAIs and the value of integrating with people bundles. 䡲 Identify tools, methods, and behaviors that make up "people bundles" that can significantly reduce preventable harm. PRESENTER: Denise Murphy, MPH, BSN, RN, CIC Vice President, Quality and Patient Safety Main Line Health System nursing homes and the nationally recognized McGeer criteria. 䡲 Evaluate the benefits of a standardized HAI reporting system for nursing homes. 䡲 Interpret Pennsylvania data and compare it to national rates. PRESENTER: Phenelle Segal, RN, CIC Infection Preventionist Infection Control Consulting Services, LLC MODERATOR: Terrie Lee, RN, MS, MPH, CIC MODERATOR: Catherine Soumerai MT-ASCP, RN, BSN, CIC 2 - 3 pm | Session #3403 Legislation and Public Policies Impacting Infection Prevention Room 341-342 An overview of legislation and policies that impact infection prevention programs will be provided. Emerging evidence from two national studies on the intended and unintended consequences of these new policies on infection prevention and control and healthcareassociated infections (HAIs) will be presented. OBJECTIVES: 䡲 Identify the legislation and public policies affecting the IP’s role. 䡲 State two consequences of policies that reduce hospital payment for HAIs. 䡲 State two consequences of mandatory reporting. PRESENTERS: Denise Graham Executive Vice President APIC Grace Lee, MD, MPH Assistant Professor of Populaton Medicine & Pediatrics Department of Population Medicine Patricia Stone, PhD, RN Professor Columbia University 48 OBJECTIVES: 䡲 Differentiate between the unique criteria developed for Pennsylvania MODERATOR: Mary Post, RN, MS, CNS, CIC This session is sponsored by an unrestricted educational grant from Steris. The speaker is not sponsored. 2 - 3 pm | Session #3405 Prevention of MRSA HAIs: Compare & Contrast Room 349-350 Description not available at the time of printing. Please see the addendum for full details. PRESENTER: TBD MODERATOR: Titus Daniels, MD, MPH EXHIBITOR-SPONSORED SYMPOSIA/EVENTS Monday, June 27 5 - 7:30 am Baltimore Hilton Key Ballroom 7, 9, 10 Clean Hands, Clean Surfaces: A Discussion on the Interdependency of Hand and Environmental Hygiene. Janet Haas, DNSc, RN, CIC Director, Infection Prevention and Control Westchester Medical Center Michael Phillips, M.D. Hospital Epidemiologist NYU Langone Medical Center Mounting evidence shows that it is just as easy for hands to become contaminated by touching a surface in the patient’s environment as it is by touching the actual patient. It may be time to consider how your environmental hygiene program is affecting your hand hygiene program. A perfectly executed hand hygiene program can be compromised if hands touch a contaminated surface before they contact a patient. This symposium explores the interdependencies of hand and environmental hygiene through the discussion of direct and indirect transmission of pathogens via environmental surfaces. 5:30 - 7:30 am Baltimore Hilton Key Ballroom 1, 2, 5 6 - 7:30 am Baltimore Hilton Key Ballroom 8, 11, 12 Fresh Perspectives on the Role of the Environment in Infection Prevention: Innovations in Environmental Decontamination Russ Olmsted, MPH, CIC Linda R. Greene, RN, MPS, CIC Tim Boswell, BSc, MB BS, MRCPath, MD Hear from a global infection prevention faculty about the increasing role the environment plays in infection prevention and the inclusion of innovative interventions. The faculty will: describe the role of the hospital environment in infection prevention; discuss guidelines and policies regarding environmental decontamination; discuss inclusion of enhanced decontamination in infection prevention bundles; describe challenges in current practice for environmental decontamination, including the need for monitoring and improved thoroughness; and educate on new technologies, with particular focus on hydrogen peroxide. 5 - 7 pm Baltimore Hilton Key Ballroom 7, 9, 10 HAI Prevention: 21st Century Tools for Making a Difference Can an Interferon Gamma Release Assay (IGRA) Be A Cost-Effective Screening Strategy for Hospitals? Melissa Morgan, BSN, RN Infection Prevention Data Analyst Moses Cone Health System Edward Bernacki, M.D., M.P.H. Executive Director, Health, Safety and Environment The Johns Hopkins University and Hospital Jean Watson, MT (ASCP), MPH, CIC Infection Control Practitioner Advocate Christ Medical Center Routine screening of healthcare workers for tuberculosis infection has traditionally been performed by using the tuberculin skin test (TST). Recent CDC guidelines indicate that TB blood tests, also known as Interferon Gamma Release Assays (IGRAs) can be used in all situations where the TST is recommended. The advent of this new screening technology may improve compliance and potentially reduce costs. Edward Bernacki, MD, MPH, Executive Director of Health, Safety and Environment and Chair of the Joint Committee for Health, Safety and Environment at the Johns Hopkins Hospital and University, will present data from a comprehensive study that evaluated the costs and benefits of various screening strategies for healthcare workers Healthcare Associated Infections (HAIs) pose a significant challenge to hospital infection prevention programs throughout the US. Some of the more successful approaches to addressing HAIs enlist the help of the latest technology. Come learn how two hospital infection prevention programs utilize cutting edge diagnostic automation, information systems, and infection control technology to dramatically decrease the HAI threat to their patient population. 7 - 10 pm Baltimore Hilton Key Ballroom South Foyer 4th Annual New York Cheesecake Extravaganza Hosted by PDI with acclaimed illusionist Ryan Oaks. 49 EXHIBITOR-SPONSORED SYMPOSIA/EVENTS Tuesday, June 28 6 - 7:30 am Dr. Philip Carling Carney Hospital, Boston, MA Russ Olmsted Saint Joseph Mercy Health System, Ann Arbor, MI Dr. Curtis Donskey, Louis Stokes Cleveland VA Medical Center, Cleveland, OH Join us for breakfast and a discussion about environmental hygiene monitoring methods lead by a panel of experts in infection prevention. This symposium will provide an overview of the recommendations from the CDC toolkit: Options for Evaluating Environmental Cleaning, followed by a discussion of the strengths and limitations of current monitoring methods – including environmental culture, fluorescent marker, ATP and direct observation – and a review of recent research presented as a poster at the 2011 SHEA Annual Scientific Meeting. Baltimore Hilton Key Ballroom 8, 11, 12 2011 CDC Guidelines for the Prevention of Intravascular Catheter–Related Infections: “What’s New - What’s Changed” William R. Jarvis, MD President, Jason & Jarvis Associates, Former Director, Office of Extramural Research, National Center for Infectious Disease, Centers for Disease Control and Prevention Barbara M. Soule, RN, MPA, CIC Practice Leader, Infection Prevention Services, Joint Commission Resources, Inc. At this symposium, we will discuss major areas of emphasis within the new CDC guidelines. • Educating healthcare care personnel on new insertion and maintenance recommendations for catheters by the CDC. • Emphasize performance improvement by implementing bundled strategies • Provide insights to the changes within the new CDC guidelines regarding catheter related infections 50 Baltimore Hilton Key Ballroom 7, 9, 10 Baltimore Hilton Key Ballroom 1, 2 5 Shedding Light on the Patient Environment: Current Research and Best Practices in Environmental Monitoring 6 - 7:30 am 5 - 7:30 am Barbara M. Soule, RN, MPA, CIC to review new tools to assist on strategies for implementation of the HICPAC guidelines and Strategies for Meeting the Joint Commission’s National Patient Safety Goal 07.04.01 Innovative Strategies for Targeting Zero CLABSIs Lessons from Adults, Pediatrics and Neonates Cliff McDonald, MD Chief, Prevention and Response Branch, Division of Healthcare Quality Promotion, NCEZID Centers for Disease Control and Prevention Janet Pettit, MSN, NNP-BC, CNS, VA-BC Neonatal Nurse Practitioner Doctor’s Hospital Modesto Terri Baugher, RNC, VA-BC Vascular Access Clinician Teleflex Donna Peace, RN, CIC, CHPQ Epidemiologist Children’s Healthcare Of Atlanta Janice Schandel, BSN, RN Director Of Nursing Mountainview Specialty Center All nurses who attend will receive 1.0 CE Credit. Using evidence-based clinical studies, keynote speaker Cliff McDonald, MD, from the Centers for Disease Control and Prevention, along with Janet Pettit, MSN, NNP-BC, CNS, VA-BC, Terri Baugher, RNC, VA-BC, Donna Peace, RN, CIC, CHPQ, and Janice Schandel, BSN, RN, discuss strategies to reduce Central Line-Associated Bloodstream Infections (CLABSI’s) in adults, pediatrics and neonates. 6:30 - 9 pm Baltimore Hilton Key Ballroom 7, 9, 10 POST-INTUBATION PULMONARY COMPLICATIONS: VAP and Beyond Eric A. Toschlog, MD, FACS Associate Professor, Director, Surgical Critical Care, Department of Surgery, Division of Trauma & Surgical Critical Care The Brody School of Medicine at East Carolina University Dana Stephens, BS, MT, ASCP, CIC Director of Infection Prevention and Control Saint Joseph Health System This evidence-based symposium will update clinicians on the incidence of VAP and other post-intubation pulmonary complications, and the impact on economic and patient outcomes. In addition, VAP will be distinguished from other infectious pneumonia by the types of microorganisms responsible, antibiotics used in treatment, methods of diagnosis, prognosis and effective preventive measures. Prevention of VAP is a multidisciplinary effort in which infection control practitioners, physicians, nurses, respiratory therapists, and administrators play a vital role. Wednesday, June 29 5:30 - 7:30 am Baltimore Hilton Key Ballroom 8, 11, 12 5:30 - 7:30 am Baltimore Hilton Key Ballroom 7, 9, 10 a 3M Company Normothermia as a SSI Reduction Tool Darin M. Prescott, MSN, MBA, RN,BC, CNOR, CASC Maintenance of thermoregulation has been shown to reduce surgical complications such as surgical site infections and is a recognized Surgical Care Improvement Project (SCIP) initiative. Temperature is a key component of the widely known CATS (Clipping-Antibiotics-Temperature-Sugar) infection reduction interventions. We questioned the effectiveness of cotton blankets commonly used to warm patients in the pre, intra and post-operative settings. We also noted the emergence of active pre-warming as a means of preventing hypothermia. These practice questions evolved into a nurse-led, evidence-based practice project demonstrating significant reduction in hypothermia, infections, costs and supplies following trial, and subsequent implementation, of preoperative forced-air warming for all surgical patients. 7 - 9:30 pm Baltimore Hilton, South Foyer A Sweet Affair & Charity Event Achieving the Zero Zone: Patient-Focused Collaborations for Change Paul Zimnik, D.O. Executive Director Patient Medical Association Join us for a discussion on leading through change to achieve the goals of Targeting Zero. You will learn about communicating with industry to support your local chapters’ goals, review tools, resources and examples of implementing cross-functional change to achieve successful clinical paradigm shifts while managing compliance with the latest guidelines and best practices. 51 SPEAKER DISCLOSURES All speakers have been requested to provide financial disclosures or indicate that there is nothing to disclose. Susanne Miller Hospira, Inc. Employment Deverick Anderson Merck Pfizer Robert Wood Johnson Foundation Merck Research Grant Research Grant Other Research Support Speakers Bureau Stephen Parodi The Permanente Medical Group Employment Jonathan Perlin HCA HCA Employment Ownership Interest Mary Andrus Surveillance Solutions Worldwide, Inc Surveillance Solutions Worldwide, Inc APIC Consulting Services, Inc. Research Grant Ownership Interest Consultant/Advisory Board Philip Polgreen GoJo Industries Research Grant John Boyce 3M Corporation Ekahau Other GOJO Industries Advanced Sterilization Products 3M Corporation Cardinal Health GOJO Industries Saraya Clorox Company William Rutala 3M, ASP, and Clorox ASP and Clorox Honoraria Consultant/Advisory Board Research Grant Research Support Other Research Support Honoraria Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Luke Chen Merck Research Grant Rose Seavey 3M Healthcare Ultraclean Key Surgical Symmetary Bioseal Getinge 3M Healthcare Ultraclean Key Surgical Symmetary Bioseal Getinge Ultraclean Kimberly Clark Millnium Surgical Medline Speakers Bureau Speakers Bureau Speakers Bureau Speakers Bureau Speakers Bureau Speakers Bureau Honoraria Honoraria Honoraria Honoraria Honoraria Honoraria Ownership Interest Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Maureen Spencer Ethicon, Inc CareFusion Speakers Bureau Speakers Bureau Christine Goeschel Agency for Healthcare Research and Quality Nonprofit agencies and healthcare stakeholders 52 Other Research Support Honoraria Steven Gordon 3M Corporation Thoratec, Inc. Consultant/Advisory Board Consultant/Advisory Board Anthony Harris Hospira Consultant/Advisory Board Teresa Horan 3M stock Ownership Interest Debbie Hurst Cardinal Care Fusion Biopatch Employment Speakers Bureau Tom Jordan Sentri7 Employment Elaine Larson Columbia University Deb Healthcare Consultant, PDI Melissa Miller QIAGEN Abbott Molecular Connie Steed Teach Basic Course with ICP Assoicates Annually, Gail Bennett is President of this consulting firm. Honoraria Kurt Stevenson Ohio State University CDC, Ohio Department Public Safety Infectious Society of Ohio Editorial Boards: AJIC and AJMQ Employment Research Grant Honoraria Consultant/Advisory Board Employment Research Grant Consultant/Advisory Board Stephen Streed Lee Memorial Health System SAWC Conference Cepheid Sponsored Meeting Saljet Manufacturing Employment Honoraria Honoraria Consultant/Advisory Board Research Grant Honoraria Bonnie Taggart EpiQuest LLC EpiQuestLive Inc. Ownership Interest Ownership Interest ACKNOWLEDGEMENTS David Weber Merck Pfizer Sanofi Ortho-McNeil Merck Pfizer Sanofi Ortho-McNeil Merck Pfizer Clorox Sanofi Speakers Bureau Speakers Bureau Speakers Bureau Speakers Bureau Honoraria Honoraria Honoraria Honoraria Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Consultant/Advisory Board Richard Wenzel 3-M Pfizer Sanofi-Pasteur Honoraria Consultant/Advisory Board Consultant/Advisory Board Treasurer Jennie Mayfield, BSN, MPH, CIC Marc-Oliver Wright Epic Research Advisory Council-Unpaid Consultant/Advisory Board Immediate Past President Cathryn L. Murphy, RN, PhD, CIC Martha Young 3M Healthcare 3M Healthcare Speakers Bureau Honoraria The following speakers had nothing to disclose: Rouett Abouzelof Tim Adams Katherine Allen-Bridson Karen Anderson Sue Barnes Gail Bennett Sharon Bradley Vickie Brown David Calfee Evelyn Cook Barbara DeBaun Linda Dickey Elizabeth Dodds Susan Dolan Enid Eck Kate Ellingson Scott Fridkin Teresa Fulton Linda Goss Linda Greene Katherine Harris Karen Hoffmann Brian Koll Ebbing Lautenbach Grace Lee Terrie Lee Taranisia MacCannell Shelley Magill Cyndi Maxey L. Clifford McDonald Kathleen McMullen Gloria Morrell Denise Murphy Amy Nichols Naomi O'Grady Marcia Patrick Ann Marie Pettis Amy Richmond Barbara Russell Lisa Saiman Melissa Schaefer Phenelle Segal Henrietta Smith Steve Spaanbroek Nimalie Stone Patricia Stone Dana Teltsch Nicola Thompson William Trick Carole Van Antwerpen Coretha Weaver Patty Wright We wish to thank the following individuals for their contributions to APIC 2011! BOARD OF DIRECTORS President Russell Olmsted, MPH, CIC President-Elect Michelle Farber, RN, CIC Secretary Carolyn Jackson, RN, MA, CIC BOARD MEMBERS Sue Barnes, RN, CIC Linda Burton, RN, BSN, CIC Patti Grant, RN, BSN, MS, CIC Linda Greene, RN, MPS, CIC Clifton Orme, MBA Neil Pascoe, RN, BSN, CIC Marcia Patrick, RN, MSN, CIC Diane Spicer, RN, BS, CIC Connie Steed, RN, CIC, MSN Jolynn Zeller, RN, BS, CIC BOARD ADVISORS AJIC Editor Elaine Larson, PhD, FAAN, RN, CIC Auditor Leonard Pepe, CCR, LLP Legal Counsel Ralph Rivkind, JD, LLM EDUCATION DEPARTMENT STAFF Shawn Boynes, CAE, Senior Director of Education Sara Haywood, CMP, Associate Director of Education Marci Thompson, Associate Director of Online Education Marteniz Brown, Education Project Manager Samantha Fraiman, Education Project Coordinator Nicole Guy, Conference Manager Colleen Campbell, Exhibits Manager Jennifer Kerhin, Marketing and Sponsorship Manager The following speakers did not indicate whether or not there were financial disclosures: Charles Almazor Chris Ohl Steve Pennock 53 2011 Online Evaluation and Continuing Education Instructions Now that you are home and rested from APIC’s 38th Annual Educational Conference and International Meeting, don’t forget to log in and complete your evaluations to receive your contact hours. Simply complete the following three easy steps to receive your credits: 1 Go to https://www.mylibralounge.com/regeng/ apic2011/apic2011/ and log in using the following information, as provided with your registration: • First Name • Last Name • Email Address 2 Complete the overall conference evaluation and individual session evaluations for each of the sessions that you attended. 3 Download your certificate and VOA transcript once complete. (Please note that you must self-submit your contact hours to your professional organization.) The site will stay open until August 31, so be sure to log in and download your certificate of completion before that date. If you have questions please contact [email protected]. Session Tracking Form The Association of Professionals in Infection Control and Epidemiology, Inc. (APIC) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). The APIC 2011 educational content is also recognized by The American Association for Clinical Chemistry, Inc. (AACC) as meeting the criteria for ACCENT® credit hours. INSTRUCTIONS: Check each session attended. Keep this form for your records and reference it when you visit https://www.mylibralounge.com/ regeng/ apic2011/apic2011/ to complete the online sessions valuations and claim your contact hours. Session Time Session Number Credit Hours (per session) Monday, June 27, 2011 8 - 10 am 10:30 - 11:30 am 3 - 5:30 pm 3 - 4 pm 4: 30 - 5:30 pm n 1000* n 1200 n 1500 n 1400 n 1600 n 1201 n 1501 n 1401 n 1601 n 1202 n 1502 n 1402 n 1602 n 1203 n 1503 n 1403 n 1603 n 2101 n 2001 n 2201 n 2301 n 2401 n 2102 n 2002 n 2202 n 2302 n 2402 n 2103 n 2003 n 2203 n 2303 n 2403 n 3101 n 3001 n 3201 n 3301 n 3401 n 3102 n 3002 n 3202 n 3302 n 3402 n 3103 n 3003 n 3203 n 3303 n 3403 n 1204 n 1205 n 1404 n 1604 n 1405 n 1605 2 1 2.5 1 1 n 2205 n 2305 n 2405 2.5 1.25 1 1 1 Tuesday, June 28, 2011 7:30 - 10 am 7:30 - 8:45 am 9 - 10 am 10:30 - 11:30 am 2:30 - 3:30 pm n 2100 n 2000 n 2200 n 2300 n 2400 n 2204 n 2304 n 2404 Wednesday, June 29, 2011 7:30 - 10 am 7:30 - 8:45 am 9 - 10 am 10:30 - 11:30 am 2 - 3 pm 3:30 - 4:30 pm n 3100 n 3000 n 3200 n 3300 n 3400 n 3500* * ACCENT Credit Hours Only n 3204 n 3304 n 3404 n 3205 n 3305 n 3405 2.5 1.25 1 1 1 1 Abstracts Book NOTES .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. 56 Showcase your expertise at INFECTION PREVENTION: Improving Outcomes, Saving Lives SPREAD YOUR KNOWLEDGE ABOUT INFECTION PREVENTION AND CONTROL Call for Presentations Call for Abstracts APIC is seeking presentations that detail new scientific research in infection prevention and highlight the innovative successes and best practices of infection preventionists like you. Sample submission categories include: Don’t miss your opportunity to present research papers and educational presentations of scientific quality in the areas of infection prevention—submit your abstract for APIC 2012! 䡲 䡲 䡲 䡲 䡲 Site open October 17, 2011 through January 16, 2011 Surveillance and Technology Emerging Science, Research, and Application Leadership and Professional Development Public Policy/Public Reporting Alternate Care Settings (e.g., Ambulatory, Long-Term Care, Long-Term Acute Care) Site open June 6, 2011 through August 22, 2011 To learn more about how to submit a proposal or an abstract, please visit www.apic.org/ac2012. See you in San Antonio! 57 See you next year! INFECTION PREVENTION: Improving Outcomes, Saving Lives Visit www.apic.org/ac2012 for details and up-to-date information on next year’s conference.