Section 1288.6 Of Article 3.5. Hospital Infectious Disease Control Program From California Health And Safety Code >> Division 2. >> Chapter 2. >> Article 3.5.
1288.6
. (a) (1) Each general acute care hospital, in collaboration
with infection prevention and control professionals, and with the
participation of senior health care facility leadership shall, as a
component of its strategic plan, at least once every three years,
prepare a written report that examines the hospital's existing
resources and evaluates the quality and effectiveness of the hospital'
s infection surveillance and prevention program.
(2) The report shall evaluate and include information on all of
the following:
(A) The risk and cost of the number of invasive patient procedures
performed at the hospital.
(B) The number of intensive care beds.
(C) The number of emergency department visits to the hospital.
(D) The number of outpatient visits by departments.
(E) The number of licensed beds.
(F) Employee health and occupational health measures implemented
at the hospital.
(G) Changing demographics of the community being served by the
hospital.
(H) An estimate of the need and recommendations for additional
resources for infection prevention and control programs necessary to
address the findings of the plan.
(3) The report shall be updated annually, and shall be revised at
regular intervals, if necessary, to accommodate technological
advances and new information and findings contained in the triennial
strategic plan with respect to improving disease surveillance and the
prevention of HAI.
(b) Each general acute care hospital that uses central venous
catheters (CVCs) shall implement policies and procedures to prevent
occurrences of health care associated infection, as recommended by
the Centers for Disease Control and Prevention intravascular
bloodstream infection guidelines or other evidence-based national
guidelines, as recommended by the advisory committee. A general acute
care hospital that uses CVCs shall internally report CVC associated
blood stream infection rates in intensive care units, utilizing
device days to calculate the rate for each type of intensive care
unit, to the appropriate medical staff committee of the hospital on a
regular basis.