Core Components For Hospital IPC Programs RAPID ASSESSMENT

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Core Components For Hospital IPC Programs RAPID ASSESSMENT WHO, 2011

Core Components For Hospital IPC Programs RAPID ASSESSMENT WHO, 2011

Organization of IPC Program �An IPC Team �An ICC or an equivalent �Responsibilities, goals

Organization of IPC Program �An IPC Team �An ICC or an equivalent �Responsibilities, goals and functions (Training in IPC) �An identified budget to guarantee : Ø essential functions of the IPC Team Ø activities related to implementation of the IPC program in HCF

Technical Guidelines �Guidelines for preventing and controlling HCAIs �Consistent with the national g. (if

Technical Guidelines �Guidelines for preventing and controlling HCAIs �Consistent with the national g. (if they exist) �Are updated �Are evidence-based �Are updated within last 5 years

Human Resources �Both initial and periodical basic training in IPC for all HCP is

Human Resources �Both initial and periodical basic training in IPC for all HCP is provided regularly �Both initial and periodical specialized training for IPC professionals is provided �The proper staffing ratio of IPC professionals and teams according to the national standards is maintained �Prevention and monitoring of occupational biological risks is organized �HCWs immunization program is implemented

Surveillance �Professional responsible for surveillance activities is trained in basic epidemiology, surveillance and IPC

Surveillance �Professional responsible for surveillance activities is trained in basic epidemiology, surveillance and IPC �IPC team has sufficient time (but no more than 30%) to perform surveillance activities �Objectives and priorities of surveillance are defined and aligned with national program � Surveillance is conducted with active data collection methods and standardized case definitions � Surveillance data is analyzed and disseminated to all interested parties

Microbiology Laboratory Support �Microbiological data on HAI agents are available for surveillance and IPC

Microbiology Laboratory Support �Microbiological data on HAI agents are available for surveillance and IPC activities �Data on antimicrobial susceptibility patterns of relevant etiologic agents available for IPC activities �Microbiology activities evaluated periodically by internal quality control �The lab participates in external quality control at least once a year �Laboratory biosafety standards implemented

Environment �Safe water for consumption is available �Permanent environmental ventilation in patient care areas

Environment �Safe water for consumption is available �Permanent environmental ventilation in patient care areas is available �Hand hygiene facilities are available �Policies for placement of patient under isolation precautions in health care settings are defined �Policies on medical waste management are defined

Monitoring & Evaluation �Well‐defined M&E plan with clear goals, targets and operational plans exists

Monitoring & Evaluation �Well‐defined M&E plan with clear goals, targets and operational plans exists �Tools to collect information needed for M&E in a systematic way developed �M&E indicators are defined �HCF regularly reports on the state of the IPC goals and strategies and the impact of the IPC activities �Evaluation of the performance of local IPC programs is performed in a blame free institutional culture

Links With Public Health & Other Services �Procedures for the links between HCF and

Links With Public Health & Other Services �Procedures for the links between HCF and public health services are defined �Links with other services providing health care (HC) are established �Links with other services not under Mo. H (but related to HC and response to emergencies) are established �IPC elements integrated into the national general emergencies preparedness plans �The IPC program is involved in coordination of response to public‐health emergencies

Links With Other Services Providing Health Care �TB, HIV program �Waste management �lab services

Links With Other Services Providing Health Care �TB, HIV program �Waste management �lab services and other environmental services �National initiative on rational use of drugs or equivalent �Other relevant programs �Occupational health quality of care and/or �Patient safety and/or �Patient rights