NACCHO Healthcare-Associated Infections, Antibiotic Resistance, and Emerging Infectious Disease Response Projects
NACCHO supports local health departments (LHDs), which serve as chief community health strategists, to advocate and promote the growing role of LHDs in Healthcare-associated infections (HAIs) and Antimicrobial resistance (AR) prevention and response and strengthen their capacity to prevent and control HAI/ARs.
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| Name | Description | Resource Type | Year of Publication |
|---|---|---|---|
| Local Health Department Engagement in Health Care–Associated Infection and Antibiotic Resistance Work | Published in the Journal of Public Health Management and Practice, this article highlights results from NACCHO's Local Health Department Healthcare-Associated Infections and Antibiotic Stewardship Assessment. | Journal Article | 2020 |
| Informing Local Health Department and Health Center Partnerships: Creative Collaborations Strengthen Tuberculosis Care in Three Communities | NACCHO, through support from the Health Resources and Services Administration’s Bureau of Primary Health Care, explored how community health centers and local health departments are collaborating to address TB. NACCHO conducted key informant interviews with health department and health center representatives to inform case studies highlighting innovative examples of health centers and health departments coordinating TB services and programs to improve screening, testing, treatment, and care. | Report | 2019 |
| NACCHO HAI Initiatives | Learn about NACCHO’s healthcare-associated infection projects and initiatives. | Fact Sheet | 2018 |
| Antimicrobial Resistance & Stewardship: Local Efforts on a Global Issue | Learn how NACCHO and its members are working to address antimicrobial resistance and promote antibiotic stewardship. | Fact Sheet | 2018 |
| Lessons in Infection Control: The Role of Local Health Departments in Prevention, Preparedness, and Response | Published in the Journal of Public Health Management and Practice, this article summarizes the findings from NACCHO's LINC Initiative, which funded demonstration sites to enhance coordination in health care and community settings to improve infection control preparedness and response efforts across the nation. | Journal Article | 2018 |
| One Health: Local Health Department Approaches for Addressing the Interconnectivity of Human, Animal, and Environmental Health Zika Resources for Local Health Departments | NACCHO has worked closely with its members for years on various aspects of One Health to support efforts at local health departments (LHDs). This fact sheet helps give more information on NACCHO projects related to One Health. | Fact Sheet | 2017 |
| Name | Date | Description |
|---|---|---|
| Leveraging Lessons Learned from the SHIELD OC Program to Inform LHD Implementation of a Universal Decolonization Strategy | 3/16/2023 | Dr. Susan Huang from the University of California, Irvine (UCI) discussed the UCI team’s experience working with 38 healthcare facilities, including 17 hospitals, 18 nursing homes, and 3 long-term acute care facilities that adopted the decolonization strategy. Dr. Huang provided a brief overview of their work, previously discussed on the October 26, 2022 webinar and then focused on strategies and lessons learned. This webinar explored a potential future opportunity for LHD’s to work with Dr. Huang’s team to implement this type of intervention. |
| The Role of Local Public Health Workforce in Healthcare IPC | 2023 | |
| NHSN Data Utilization for Local Health Departments | 2023 | |
| Multi-drug Resistant Organisms: A Primer on CRE/CP-CRE, C.Auris, ESBL & CRAB | 2023 | |
| Building Local Operational Capacity Video Series | 6/3/2022 | The playlist focuses on building local operational capacity for infection prevention and control (IPC) in various community and healthcare settings. |
| Implementation of a Universal Decolonization Strategy through the SHIELD OC Program to Combat MDROs | 10/26/2022 | The Shared Healthcare Intervention to Eliminate Life-Threatening Dissemination of multidrug-resistant organisms (MDROs) in Orange County (SHIELD OC) Program, was a CDC-funded public health regional decolonization collaborative to combat the spread of endemic and emerging MDROs across healthcare facilities in Orange County, California. In this webinar, Dr. Susan Huang from the University of California, Irvine (UCI) discusses the UCI team’s experience working with 38 healthcare facilities, including 17 hospitals, 18 nursing homes, and 3 long-term acute care facilities that adopted the decolonization strategy. This program significantly reduced MDROs and resulted in large reductions in the proportion of nursing home residents hospitalized for infection. NACCHO is supporting UCI’s dissemination efforts to train other nursing homes to adopt this effective strategy through its Healthcare-Associated Infection and Antibiotic Resistance (HAI/AR) demonstration site program. |
| Strategies for Building and Maintaining Relationships with Nursing Homes to Reduce MDROs and COVID-19 Case Burden | 7/20/21 | Dr. Susan Huang from the University of California, Irvine (UCI) discusses the UCI team’s experience working with 27 nursing homes in Orange County, California to implement the Shared Healthcare Intervention to Eliminate Life-Threatening Dissemination of multidrug-resistant organisms in Orange County (SHIELD OC) Program. NACCHO is supporting UCI through its Healthcare-Associated Infection and Antibiotic Resistance (HAI/AR) demonstration site project. |
| Regional Approach to Infection Prevention and Control | 2021 | |
| Antibiotic Stewardship and Sepsis: A Balancing Act | 1/15/2020 | Hosted in December 2019 by Sepsis Alliance, this webinar presented an overview of antibiotic stewardship and recent research regarding antibiotic treatments and sepsis care. Speakers discussed strategies to prevent antibiotic resistance and provide optimal care for sepsis patients; presented the latest CDC guidance and new research on antibiotic stewardship, and shared antibiotic stewardship program experience in hospital settings. |
| Clinical and Public Health Partnerships for Antibiotic Stewardship | 8/15/19 | As conveners and chief health strategists in their communities, local health departments (LHDs) can be a valuable partner in supporting the adoption of antimicrobial stewardship practices in these and other settings. This webinar showcased a partnership between Los Angeles County + USC Medical Center (LAC+USC) and Los Angeles County Department of Public Health. Speakers discussed how the partnership was established and maintained, how it has improved stewardship efforts, challenges and lessons learned, and recommendations for other local health departments and essential hospitals interested in pursuing a similar partnership. |
| Local Health Department Role in Containment of Novel Resistance | 6/20/2019 | As issues with drug resistant pathogens have emerged across the country, local health departments (LHDs) have been called on to lead and support the containment of novel or targeted multidrug-resistant organisms (MDROs). To explore this role, NACCHO hosted a webinar to share the experiences of three LHDs who have been affected by containment events. |
| Introduction to Social Network Analysis: Broad Overview and a Demonstration of a Novice’s Guide Using R Statnet | 6/28/2018 | NACCHO hosted a webinar on conducting social network analyses, including what they look like and how they can be applied. Webinar participants were also led through an explanation and live demonstration of a recently developed toolkit from the Florida Department of Health in Orange County, A Novice’s Guide: Social Network Analysis Using R Statnet, which includes basic terminology and steps for conducting a social network analysis using free data analysis software. |
| Local Health Department Access to the National Healthcare Safety Network | 1/24/2018 | NACCHO hosted a webinar to discuss the National Healthcare Safety Network (NHSN) —the nation’s most widely used healthcare-associated infection (HAI) tracking system— and upcoming changes to data use agreements that may impact how local health departments can more easily access NHSN data. Speakers included CDC representatives, and staff from the Los Angeles County Department of Public Health and the Philadelphia Department of Public Health, both of whom shared the process they used to gain access to NHSN data, lessons learned, strategies for success, and current and future uses for the data. |
NACCHO developed several tools and resources to help local health departments prevent and control HAIs, including:
NACCHO projects support and build workforce capacity for Local Health Departments (LHDs) and recognize that opportunities and challenges in rural, frontier, and small settings may be unique. If you are a Rural, Frontier or Small LHD, please join the Rural Café, Rural-Frontier LHD Projects or NACCHO’s Small LHD Virtual Community to receive information specific to your unique needs and to share knowledge and collaborate. LHD’s may sign up directly for the Rural Café with Victoria Freire at [email protected].
The resources below are specific to help Rural, Frontier, and Small LHDs prevent HAIs, AMRs, and/or AMSs.
The resources below have been developed by the NACCHO team to help your local health department prevent healthcare-associated infections.