Kathy Eklund, RDH, MHP

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1 1 Roles and Resources Infection Prevention & Safety OSAP Annual Symposium Presenter: Kathy Eklund keklund@forsyth.org Infection Control Safety Net in Dentistry Hospital-based practices Clinic-based practices Private practices Offices Mobile facilities and portable operations School and long-term care facilities health centers Infection Prevention and Safety Public Trust & Expectations Infection Prevention and Safety Breaches in the Trust Who ya gonna call? If there are allegations of possible infection control violations that may result in risk to the health and safety of dental professionals and/or patients: State Dental Board - for a compliance inspection, investigation, and appropriate follow-up, including closing the practice immediately, if need be. Consultation w/state and local health department and federal agencies, as required. Reactive : Infection Risk Reduction/Control and Ongoing Prevention Handling complaints of disease transmission or potential risk Board of Registration Local and State Health Authorities Request CDC Technical Assistance or Investigation Assistance Coordination with other stakeholders in response plan and public communications Specific details or the case Resources for patients and professionals Compliance Enhancement Proactive Infection Prevention and Safety Roles and Responsibilities OSAP 2013 SYMPOSIUM 1

2 State Oral Health Departments State Boards of Registration in Dentistry Professional Organizations Professional Education Programs Others Credible Resources Scientific Evidence CDC Evidence-Based Guidelines and Resources OSHA Regulations and Resources OSAP Resources and Toolkits ADA, ADHA, ADAA professional policies, resources and standards Proactive Infection Prevention and Safety Compliance Enhancement: Information and Guidance Provide or link to Credible Resources Educate Professional CE Content and Quality Regulated/ required by the state? Pre-Professional (Dental, Dental Hygiene, Dental Assisting Education Programs) Integrated curriculum State Compliance Enforcement: Rules, Regulations, Consequences Rules and Regulations? What is regulated in a specific state (e.g., CDC Guidelines), other Oversight, including consequential audits /inspect ions What agency does audit/ inspections? For-Cause or Lottery? Validated audit tools and calibrated inspectors? Consequences? KEY PARTNERS The Professional Schools and Programs State Dental Boards Oral Health Professional Associations State and Local Health Departments Federal Regulators Professional Education Cover epidemiology and routes of transmission of infectious disease Inform students re. federal/state guidance and regulations Offer case studies illustrating both acceptable and unacceptable infection control practices Inform students about the risks of lax infection control to their patients OSAP 2013 SYMPOSIUM 2

3 Inform students of sanctions against dental licenses for lack of adequate infection control Offer continuing education in infection prevention and safety to post-graduates 14 Professional Associations Publicize infection control and patient safety as Job #1 Offer continuing education in infection prevention and safety Recognize leadership in infection prevention and safety Advise the state dental board, state office of oral health, and federal and state public health agencies on emerging issues in infection prevention and safety Promote infection control and patient safety checklists and compliance resources State Dental Boards Promulgate infection control regulations in consultation w/all other regulators Involve experts in infection control and patient safety in dentistry in the development of regulations including professional associations, dental and allied dental educators Require full compliance w/cdc Guidelines Require full compliance w/osha Regulations Conduct compliance inspections when any complaint is filed and when issuing regulated permits Hold licensees accountable for infection control and patient safety compliance State/Local Health Departments Know who and how dentistry is regulated Develop a professional relationship w/all regulators Share infection control resources Advise and consult w/the state dental board Promote inter-agency cooperation in investigations of infection control matters in dental practices Engage stakeholders ( e.g., professional organizations, professional education, patient/public advocates, etc.) State Oral Health Departments and State-Supported Programs Develop policies and standard operating procedures Conduct education and training. Conduct audits/inspections of state-supported programs. Share education & training resources, models, and best practices with other stakeholders. portable and mobile oral health care programs Community health center dental programs OSAP 2013 SYMPOSIUM 3

4 18 19 Federal Agencies Promote cooperation between and among all applicable federal, state, and local authorities involved in the regulation of dentistry and protection of the health and safety of dental professionals and patients. Provide resources to state boards of dentistry and health departments that assist them in developing and enforcing infection control and patient safety practices in dental practices. What is your role in infection prevention and safety? Consultant Corporate/Sales Educational Institution Government Agency Oral Healthcare Provider (individual, institutional, corporate) Patient/Consumer Professional Organization Infection Control Regulations, Recommendations and Resources in Dentistry OSHA Regulations Federal/state hospital, clinic, lab regulations Federal/state disease reporting requirements Hospital/clinic/lab accreditation requirements County/municipal health department rules State dental board rules and regulations CDC Guidelines for Infection Control in Dental Offices Organization for Safety, Asepsis, and Prevention in Dentistry (OSAP), ADA, etc. OSAP Information Coordination Patient Resources Questions for your Dentist 5 questions patients should ask their dentist about infection control Travel Resources A traveler s guide to safe dentistry Overview of Dental Office Infection Control Practices Infection control resources for patients provided by American Dental Association 5 things to do at the dentist's office things/index.html CNN patient safety article OSAP Dental Team Resources Reassuring Patients: 7 Key Talking Points How to discuss infection prevention with your patients OSAP Infection Control Workbook From Policy to Practice: OSAP's Guide to the Guidelines. This 170-page workbook contains practical information to help healthcare professionals put the new recommendations into practice. OSAP 2013 SYMPOSIUM 4

5 OSAP Infection Control Interactive Guide to the CDC Guidelines Free interactive training program available 24-7 in English and Spanish. Organized around the principles of infection control the course addresses (1) the importance of infection control, (2) taking action to stay healthy, (3) avoiding contact with blood and other body fluids, (4) making objects safe for use, (5) limiting contamination, (6) program considerations and (7) program evaluation. Great for new employee orientation. OSAP Checklist for Incorporating CDC Guidelines OSAP converted the Centers for Disease Control and Prevention (CDC) Guidelines for Infection Control in Dental Health-Care Settings into a handy checklist for dental practice settings CDC Resources CDC Guidelines and Recommendations Oral Health resources including information on safe injection practices from the nation's leading public health agency. CDC Recommended Infection Control Practices for Dentistry Infection Control Resources including Fact Sheets, FAQ s, Glossary, a Slide Presentation (great for training) and Publications. Other. ADA Resources ADA Statement on Infection Control in Dentistry American Dental Association Statement on Infection Control ADA Policy Statement American Dental Association policy statement on Bloodborne Pathogens, Infection Control and The Practice Of Dentistry Other infection prevention and control resources from ADA ASTDD & OSAP WEBSITES In order to keep the Association of State and Territorial Dental Directors (ASTDD) information current, OSAP provides a quarterly update to post on the ASTDD infection control page. ASTDD and OSAP recognize the importance of having current infection control information available to all public health providers and as a result a public health portal was created on the OSAP website. Being Responsive During natural disasters, information on boil water advisories and OSAP infection and prevention resources were distributed to the many stakeholder groups. Boil Water Advisory. An online toolkit for areas experiencing a boil-water alert THANK YOU Because safety matters! OSAP 2013 SYMPOSIUM 5