Lessons learned from building IPAC surveillance

Transcription

1 IPAC-Canada Conference Banff 2018 Pearls of Wisdom Lessons learned from building IPAC surveillance Objectives to describe Context of total network surveillance Components of sustainable surveillance systems Considerations for excellence in data quality Systems Province whole network surveillance National CNISP partial networks National point prevalence Local needs Partners 1

2 Current state 1) Provincial program with reporting/accountability framework 2) Single data system 3) Standardized protocols 4) Provincial team and standardized data review Infection Prevention and Control (IPAC) Canada. Infection Prevention and Control (IPAC) Program Standard. Can J Infect Control December;30(Suppl):1 97. Offering our thoughts to you? What s the purpose? Address the population at risk How will you respond to the data? What s the intervention?! HA-MRSA any BSI vs. HA-BSI for any MRSA WHY?? 2

3 Trends over the long-term Perspective trends over time Acknowledge time for changes to take effect IPC baseline Flexibility in case-calling ICP Opinion category WHY?? Trends Healthcare Epidemiology Bush s Hierarchy - Any data errors? Any data changes? Any system changes? Epidemiological reason? Comparing the epidemiology of hospital acquired methicillin resistant Staphylococcus aureus clone groups in Alberta, Canada. Epidemiology and Infection The Epidemiology of Methicillin Resistant Staphylococcus aureus Bloodstream Infections in Alberta Canada. Journal of Hospital Infection (2); The molecular epidemiology of incident Methicillin Resistant Staphylococcus aureus cases among hospitalized patients in Alberta, Canada: a retrospective cohort study. Antimicrobial Resistance and Infection Control (35). Data quality framework Guide all your data quality activities through a validated framework How do you know what you know? System sensitivity testing Case-finding Data Measuring the performance of a surveillance system: validation of antimicrobial resistant organism incident infection cases in a complete infection prevention and control surveillance network. CJIC 2016 Summer. Improving surveillance for surgical site infections following total hip and knee arthroplasty using diagnosis and procedure codes in a provincial surveillance network. ICHE

4 Stick by your decisions! Consensus for interpretation decisions Standard education Create user guides Standardized reporting tools and templates Data Consistent Stakeholder engagement DQWG Data Quality Forum ProvSurv engagement Engage users to understand local issues Data The Consistent ICP voice Using Public Participation Techniques to Evaluate Alberta Health Services Clostridium difficile Surveillance Program. IPAC conference 2016, oral presentation. (conference winner, best oral presentation) Engaging with Infection Control Professionals (ICPs) to Evaluate a Provincial Surveillance Program. ID Week, SHEA/IDSA/HIVMA/PEDSID conjoint conference 2012, poster presentation. Summary of objectives - Levels of surveillance systems Provincial whole network; National CNISP; Local specific populations needs Sustainable surveillance systems Have a clear purpose, engagement is critical Excellence in data quality Data quality framework, data integrity, methodology, interpretation of data trends 4

5 Thank you to the wise voices. Kathryn Bush, AHS Director, Surveillance and Standards 5