HAI/AR Basecamp

Proposal for state based projects

Assigned to
Michael Anderson, Program Analyst at CSTE Michael A. Nicole Bryan, Senior Research Analyst at CSTE Nicole B.
Due on
Notes
Brain-storming Ideas:
  • There is room for bandwidth surrounding CRE surveillance 
  • CP-CRE surveillance initiatives are gaining attention and recognized importance 
  • Instead of individual visits, we focus on larger facilities 
  • Need to develop mechanisms for detecting outbreaks 
  • Current numbers being published: There's an upward trend in certain kinds of facilities
  • May want to pilot methods in vulnerable facilities
  • Determine facilities that are connected
  • More of an ELC flavor
  • CSTE may have a role in strategizing and piloting 
  • May fit into the current state partnership models
  • One of the biggest challenges is to have deliverables from states by June 30th
  • We want to scale this appropriately based on the timeline available
  • The activities need to be completed by June 30th
  • We may provide a cost extension depending on the situation 
  • May continue into future years based on short term success. 
  • Stipulation: There may be opportunity for continuation. 
  • This year is a phase one of the project, which may continue based on success 
  • Less looking for a toolkit, that's a later stage aspect of this type of project 
  • If they're getting project money, perhaps they could review materials being provided by CDC
  • Long term acute care facilities, very programmatic focused
  • Not many observations of practice
  • Not required for ICAR visits
  • Incorporating observations of practice
  • Setting expectations of practice
  • Number of observations 
  • Implemented by the health department 
  • Observational/check-list type tools may work for this kind of interaction 
  • Sponsoring travel, meeting planning, writing up best practices
  • Consultants (APIC)
  • Next step, put some pens on paper in terms of what we come up with for a project 
  • Draft up a project proposal 
  • Preference given to Health Depts. not given K2 funding (exceptions for certain states, e.g. New Jersey)
  • There's some flexibility for what this project looks like 
  • Site selection and procurement take some time, need to account for that.  
  • States could:
    • Provide input to the CDC about current tools use and effectiveness
    • Write up best practices based on tool review and observation of practice
  • Focus on Candida auris & CRE
    • Perhaps give preference to states with higher burdens from these pathogens

Budget:
  • Currently the budget stands at $250,000, which could fund approximately 5 states
  • Within the timeline, fund states for approximately 50-75 thousand per state
  • May even re-purpose other funds up to $150,000, for a total of $400,000

Background:
  • No previous state projects through HAI previously
  • We fund states to do surveillance or project implementation 
  • Influenza: Youth and Agriculture program (Project based programs focused on improved awareness and capability)
  • Funding opportunity announcements where states can apply and propose what states would like to do. 
  • CSTE gives funding guidelines 
  • Influenza incidence surveillance project 
  • Expand activities for small providers
  • Contributing to current knowledge base
  • Funding announcements where states can apply
  • But continues to grow with each year
  • Report on surveillance methods, report on lessons learned to help improve surveillance activities
  • We work with the CDC to improve informatics infrastructure at state departments (CSTE informatics assignee to improve infrastructure)
  • We have the potential for pilot projects that may include future expansion given success 
  • Mechanisms are already in place to implement this sort of grant funding
  • Helps fill gaps where needed

Comments & Events

Michael Anderson, Program Analyst at CSTE
Michael Anderson completed this to-do.