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Qualitative Assessment of a State Partner-Facilitated Health Care-Associated Infection Prevention National
Karen E Fowler1, Jane Forman1, Jessica M Ameling2
1Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan (K.E.F., J.F.).
Background:
The Centers for Disease Control and Prevention (CDC) funded a 3-year national collaborative focused on facilitating relationships between health care-associated infection (HAI) prevention stakeholders within states and improving HAI prevention activities within hospitals. This program-STRIVE (States Targeting Reduction in Infections via Engagement)-targeted hospitals with elevated rates of common HAIs.
Objective:
To use qualitative methods to better understand STRIVE's effect on state partner relationships and HAI prevention efforts by hospitals.
Design:
Qualitative case study, by U.S. state.
Setting:
7 of 22 eligible STRIVE state partnerships.
Participants:
Representatives from state hospital associations, state health departments, and other participating organizations (for example, Quality Innovation Networks-Quality Improvement Organizations), referred to as "state partners."
Measurements:
Phone interviews (n = 17) with each organization were conducted, recorded, and transcribed.
Results:
State partners reported that relationships with each other and with participating hospitals improved through STRIVE participation. The partners saw improvements in hospital-level HAI prevention activities, such as improved auditing and feedback practices and inclusion of environmental services in prevention efforts; however, some noted those improvements may not be reflected in HAI rates. Many partners outlined plans to sustain their partner relationships by working on future state-level initiatives, such as opioid abuse prevention and antimicrobial stewardship.
Limitation:
Only 7 participating states were included; direct feedback from participating hospitals was not available.
Conclusion:
Although there were no substantial changes in aggregate HAI rates, STRIVE achieved its goal of improving state partner relationships and coordination. This improved collaboration may lead to a more streamlined response to future HAI outbreaks and public health emergencies.
Primary Funding Source:
Centers for Disease Control and Prevention.
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