Section 1288.8 Of Article 3.5. Hospital Infectious Disease Control Program From California Health And Safety Code >> Division 2. >> Chapter 2. >> Article 3.5.
1288.8
. (a) By January 1, 2008, the department shall take all of
the following actions to protect against HAI in general acute care
hospitals statewide:
(1) Implement an HAI surveillance and prevention program designed
to assess the department's resource needs, educate health facility
evaluator nurses in HAI, and educate department staff on methods of
implementing recommendations for disease prevention.
(2) Revise existing and adopt new administrative regulations, as
necessary, to incorporate current federal Centers for Disease Control
and Prevention (CDC) guidelines and standards for HAI prevention.
(3) Require that general acute care hospitals develop a process
for evaluating the judicious use of antibiotics, the results of which
shall be monitored jointly by appropriate representatives and
committees involved in quality improvement activities.
(b) On and after January 1, 2008, each general acute care hospital
shall implement and annually report to the department on its
implementation of infection surveillance and infection prevention
process measures that have been recommended by the federal Centers
for Disease Control and Prevention Healthcare Infection Control
Practices Advisory Committee, as suitable for a mandatory public
reporting program. Initially, these process measures shall include
the CDC guidelines for central line insertion practices, surgical
antimicrobial prophylaxis, and influenza vaccination of patients and
healthcare personnel. In consultation with the advisory committee,
the department shall make this information public no later than six
months after receiving the data.
(c) The advisory committee shall make recommendations for phasing
in the implementation and public reporting of additional process
measures and outcome measures by January 1, 2008, and, in doing so,
shall consider the measures recommended by the CDC.
(d) Each general acute care hospital shall also submit data on
implemented process measures to the National Healthcare Safety
Network of the CDC, or to any other scientifically valid national HAI
reporting system based upon the recommendation of the federal
Centers for Disease Control and Prevention Healthcare Infection
Control Practices Advisory Committee or to another scientifically
valid reporting database, as determined by the department based on
the recommendations of the HAI-AC. Hospitals shall utilize the
federal Centers for Disease Control and Prevention definitions and
methodology for surveillance of HAI. Hospitals participating in the
California Hospital Assessment and Reporting Task Force (CHART) shall
publicly report those HAI measures as agreed to by all CHART
hospitals.
(e) In addition to the requirements in subdivision (a), the
department shall establish an infection surveillance, prevention, and
control program to do all of the following:
(1) Designate infection prevention professionals to serve as
consultants to the licensing and certification program.
(2) Provide education and training to department health facility
evaluator nurses and consultants to effectively survey hospitals for
compliance with infection surveillance, prevention, and control
recommendations, as well as state and federal statutes and
regulations.
(3) By January 1, 2011, in consultation with the HAI-AC, develop a
scientifically valid statewide electronic reporting system or
utilize an existing scientifically valid database system capable of
receiving electronically transmitted reports from hospitals related
to HAI.
(4) Provide current infection prevention and control information
to the public on the Internet.
(5) Beginning January 1, 2011, provide to the Governor, the
Legislature, and the Chairs of the Senate Committee on Health and
Assembly Committee on Health, and post on the department's Web site,
an annual report of publicly reported HAI infection information
received and reported pursuant to this article.