Association for Professionals in
Infection Control and Epidemiology
State of Association
June 2013
Vision & Mission
Vision:
Healthcare without infection
Mission:
Create a safer world through prevention
of infection
www.apic.org/About-APIC/Vision-and-Mission
Strategic Plan 2020
Goals:
Patient Safety Goal
Demonstrate and support effective infection prevention and control as a key component of
patient safety.
Implementation Science Goal
Promote and facilitate the development and implementation of scientific research to prevent
infection.
IP Competencies & Certification Goal
Define, develop, strengthen, and sustain competencies of the IP across the career span and
support board certification in infection prevention and control (CIC®) to obtain widespread
adoption.
Advocacy Goal
Influence and facilitate legislative, accreditation, and regulatory agenda for infection prevention
with consumers, policy makers, health care leaders, and personnel across the care continuum.
Data Standardization Goal
Promote and advocate for standardized, quality and comparable HAI data.
The Road Ahead
• Leading Strategic Plan 2020
• Focusing on Quality and
Value-added Member Services
• Elevating the Profession
• Developing the Role of Infection
Preventionists
• Building Organizational Leaders
Infection Preventionists
Who We Are
IPs
Nurses, medical technologists, public health, epidemiologists, microbiologists, physicians, and
other healthcare professionals
What We Do
Surveillance
Collect, analyze, and interpret health data in order to track infection trends, plan appropriate
interventions, measure success, and report relevant data to public health agencies.
Implement the Science and Enhance Clinical Practice
Establish scientifically based infection prevention practices and collaborate with healthcare
team to guide implementation
Identify Sources of Infection
Work to prevent HAIs in healthcare facilities by isolating sources of infections and limiting their
transmission.
Educate
Educate healthcare personnel and the public about infectious diseases and how to limit their
spread.
Core Programs
Education &
Professional
Development
Public
Affairs &
Advocacy
Foundational/
Infrastructure
Services
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•
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Membership
IT
Finance
HR
Practice
Guidance
& Research
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Governance
Communications
Marketing
Strategic Partnerships
2013 Membership Stats
Total members:
14,792
Retention rate: 75%
International: 2%
124 Chapter Network
(2 international)
Membership has
grown 40% over the
past 5 years.
Improving customer experience
• Easier web features and
resources
• Using automated messages
to ensure members receive
timely reminders about
benefits
• Organizational focus on
ways to improve customer
experience
• Reduction in number of
complaints
Strengthen component relations
• Developing stronger local chapters by
enhancing leader training and resources
• Created new reports and web tools to help local
leaders further engage members
• Revamping Sections’ focus, activities, and
leadership structure to add more value to
members
• Newly enhanced Section web pages
Mentoring Program
• Re-launching mentoring program to support efforts to
build stronger IP and leadership competencies
• Improved online functionality for easier sign up, easier
search, and easier connection
• Created additional tools to help mentors and mentees
identify objectives and plan out actions for effective
mentoring relationships
Elevating awards and recognition
• Introduced new awards in 2012/2013:
– APIC/SHEA/HHS Partnership in Prevention Award
– Distinguished Scientist Award
– Implementation Science Abstract Award
– Judene Bartley Advocacy in Action Scholarship
• Hosted 1st annual Science to Practice event showcasing
scientific excellence
• Revising award criteria
– Chapter Excellence Award
– Carole DeMille Award
Patient Safety
Patient Safety Goal
Demonstrate and support effective infection prevention
and control as a key component of patient safety.
1.Messaging IPC as key component of patient safety versus bottom line
cost savings
2.Competency model emphasizes patient safety as primary goal
3.Collaborative initiatives between IPs and other professionals
4.Reimagining IIPW as broad based, yearlong campaign with focus on
educating and engaging consumers
5.Media coverage expanding and reinforcing messaging
6.Expanding communications and messaging to long-term care and
critical access hospitals
Annual Conference
Registration: 4,103
Clinical Attendees: 2,464
Exhibitors: 1,515
CE Exhibitors: 98
Press: 26
Exhibit Hall Sq Footage Sold:
50,700
As of 6/09/13
Building Bridges
Between IPs and Key Stakeholders
 IP & Lab/Microbiology— Tools for IPs
& Lab professionals
- Partnership with American Society for
Microbiology (ASM)
 Clean Spaces, Healthy Patients—
Tools for IPs & EVS
- Partnership with Association for the
HealthCare Environment (AHE)
Consumer outreach
Press Coverage
Reinforces Key Messages
Jennie Mayfield, clinical epidemiologist, BarnesJewish Hospital/Washington University School of
Medicine, St. Louis, and president-elect, APIC, says
science about C. diff's multiple strains and how the
pathogen moves among populations remains a
mystery.
"I think until we answer some of those basic
questions, hospitals are going to continue to do what
seems to work in their individual facilities. It becomes
a case of my hospital is doing one thing and the
hospital next door may do something else to prevent
the spread," she says.
-- Health Facilities Management, May 2013
Study: Infection Preventionists Recognize
Evidence for IP Practices
-- Beckers, 2/4/13
“Hospitals are pushed to fight
superbugs”
-- Boston Globe, 4/30/13
“However, only 42 percent of
respondents said C. difficile
infection rates at their
facilities had declined, while
43 percent said there was
no decrease, according to
the findings presented
Monday at an APIC
conference on C. difficile,
held in Baltimore.”
-- HealthDay, 3/14/13
APIC in the News
Publications
Implementation Science
Implementation Science Goal:
Promote and facilitate the development and
implementation of scientific research to prevent
infection.
1.Funding research to support APIC priorities (Heroes Scholars)
2.Increasing visibility and recognition (Science to Practice event, abstract &
scientific awards, Heroes, new implementation science award)
3.Topic-focused symposia (C. difficile)
4.Collaborating with HRET/AHA (On the CUSP CAUTI)
5.Promoting graduate research studies in IPC
6.Defining IS and developing conceptual model
7.Increasing member engagement with AJIC
8.Elevating quality and expanding practice resources (Implementation
Guides, manuals, APIC Text)
Heroes Program
12 IP Heroes were selected and their contributions to increasing
patient safety and implementation science are being showcased in
a variety of ways.
The criteria for selection of Heroes
Major contributions in the areas of:
– education
–patient safety
–advocacy and influence
–process and systems improvement
–program development, and
–cost savings.
Winners were selected based on sustainability of a program, quantitative proof of
success of a program, & diversity of awardees
Two $50,000 scholarly awards for research aligned with APIC
strategic priorities were awarded and in progress
Expanded Scope of
Research Program Activities
• Continued support for the Infection Prevention in the ED research
project at Brigham and Women’s Hospital, funded by AHRQ.
Results will be presented June 9, 1:30 – 4:00 pm, Workshop 2300.
• In collaboration with the Practice Guidelines Committee, developing
new training and resource materials to help IPs better understand
and use research
• Developing a new funding mechanism to support graduate student
research on infection prevention
• Supporting new national study on Pseudomonas
Work in Progress
•Development of a new
conceptual model showing
•
How science moves into
practice
•
The expected role of the
IP in this process
•A collaborative project by
the PGC and RC
•Will be published in AJIC
Peer-reviewed Journal
American Journal of Infection Control (AJIC)
Issuing monthly press releases to promote research with focus on
clinical practice and implementation science
Highlighting relevant AJIC papers in Prevention Strategist
Featured more prominently on APIC website
Increased communications between APIC & editor
Increased communications between APIC & publisher
Expanded journal to monthly publication
Practice Guidelines
& Resources
• APIC Text: Full revision by year’s end; release at annual conference
2014
• Implementation guides: C. difficile (released), Emergency Medical
Services (released), CLABSI in progress, CAUTI, Hand Hygiene
• Resources for Review, Comment, &/or Endorsement:
– Healthcare Professionals Vaccination Toolkit
– Revised LTC HAI Surveillance Criteria
– CDC Single Dose Vial Position
– WHO novel coronavirus (nCoV) and HCW H7N9 exposure
reviews
Practice Guidelines
& Resources
Competency & Certification
IP Competencies & Certification Goal:
Define, develop, strengthen, and sustain competencies of
the IP across the career span and support board
certification in infection prevention and control (CIC®) to
obtain widespread adoption.
1.Publication and dissemination of IP Competency Model
2.Tools to promote application of the model and self-assessment of
competency level developed and introduced
3.Competency Advancement Awards funded and initiated
4.Education incorporating competency level and domain identifiers
5.Collaborative efforts with CBIC promote value of certification (published
papers, websites, CICs showcased in PS & Show Daily)
6.Number of CIC applications up 20% and recertification 30%
7.Recognition and celebration of CICs
8.Collaborative efforts with APIC chapters to collect data
IP Competency Model
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The model has been developed to illustrate current
and future practice along the infection preventionist’s
(IP) career path.
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The core of the model is based on the principles and
practices of safety science. Foundational elements
also include the CBIC® core competencies and
professional practice standards.
•
Baseline IP core competencies are defined by CBIC ®
and are derived from their evidence-based practice
analysis research.
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The four green “spokes” of the diagram indicate
priority areas of professional development for all IPs in
the near future (3-5 years) These areas expand on
the foundational components. While individual skills
will vary, the intent is that ongoing professional
development will lead to mastery across domains over
time.
•
CIC® certification represents the bridging point
between novice and proficient career levels and is the
hallmark of competency across the career continuum.
•
The advanced (expert) will have achieved a high level
of knowledge and skill in those domains most closely
aligned with the IP’s career goals.
The Competency Model: Next Phase
New Self Assessment Tool
focuses on proficient and
advanced career stages
Integration of CBIC ® core
competencies with the four
future oriented domains
described in the competency
model
An expanded version of the
tool can be downloaded from
the APIC web site
Competency Advancement Awards
are entering their second year
• Sponsored by APIC Strategic Partner Program
• Award includes:
– One year subscription to the APIC Text Online, copy of the Competency Review
book, and access to the APIC ANYWHERE ® certification review course
– Reimbursement of exam fee upon successfully passing CIC exam
Results, Year One (2012 – 2013)
81 awards granted
34 new CICs by April 20, 2013
77% pass rate
Advocacy
Advocacy Goal:
Influence and facilitate legislative, accreditation, and
regulatory agenda for infection prevention with
consumers, policy makers, health care leaders, and
personnel across the care continuum.
1.Advocating for infection prevention with federal regulatory agencies
2.Beginning to educate Congress on APIC and IPs
3.Promoting advocacy by APIC chapters to educate state legislatures
4.Collaborating/partnering with accreditation organizations to promote risk
assessment and certification
5.Developing campaign for consumer engagement
Patient Safety and Data
Standardization Advocacy
 ESRD PPS
 OPPS/ASC PPS
 EHR Incentive Program
– Stage 2
 Hospital IPPS/LTCH
PPS
 Physician Fee
Schedule
 Inpatient Rehab.
Facility PPS
 Expected: Infectious
Disease Standard
 Draft legislation: regulation of
compounding pharmacies
 Testimony: Federal HAI
programs
 Unique Device Identifiers
 Antiseptic Pre-op Skin
Prep. Products
 Antibiotic use in foodproducing animals
 Veterinary Feed Directive
 Support data standardization
and HAI research
 HIT Meaningful Use
Stage 3
 National Action Plan
to Prevent HAIs
Phase 3 LTC
 Report on unsafe injection
practices in ASCs
Data Standardization
Data Standardization Goal:
Promote and advocate for standardized, quality and
comparable HAI data.
1.Advocating gold standard for surveillance data and pay for performance
related to HAIs be NHSN
2.Advocacy campaign to increase budget for NHSN infrastructure
3.Collaborating with other professional associations, key stakeholders,
vendors, and CDC to develop compatible technology (EHR, e-surveillance)
Federal HAI Reporting
To NHSN
2011
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CLABSI – Acute Care ICUs (Jan.)
2012
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CAUTI – Acute Care ICUs (except NICUs) (Jan.)
CAUTI – LTCH, IRF, Cancer Hospitals (Oct)
SSI – Colon Surgeries and Abdominal Hyst. – Acute Care (Jan)
Dialysis Events – ESRD (Jan)
CLABSI – LTCH, Cancer Hospitals (Oct)
2013
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C. Diff LabID Events – Acute Care (Jan.)
MRSA Bacteremia LabID Events – Acute Care (Jan.)
HCP Influenza Vaccination – Acute Care (Jan.)
HCP Influenza Vaccination – LTCH (Jan.)
2014
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HCP Influenza Vaccination – ASCs (Oct.)
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CLABSI – Acute Care, Med, Surg, Med/Surg Units (Jan.)
CAUTI – Acute Care, Med, Surg, Med/Surg Units (Jan.)
MRSA Bacteremia LabID Events – LTCH (Jan.)
C. Diff LabID Events – LTCH (Jan.)
SSI – Cancer Hospitals (Jan.)
HCP Influenza Vaccination – IRF (Oct.)
2014
Proposed
Why Talk To Policymakers
About NHSN?
Federal Agencies use varied HAI data collection systems.
Patients and IPs benefit from the use of NHSN which:
•provides a clearly defined, scientifically sound system for reporting HAIs
•ensures fair comparisons between facilities.
Talking to legislators about NHSN allows us to discuss:
•who infection preventionists are and the important work they do to protect
patients;
•how the use of actionable data helps focus HAI prevention efforts;
•the need for research to address scientific gaps in HAI prevention.
We are not calling for more data collection, just adequate funding to support
the functionality of NHSN.
•In this budget climate, that won’t happen without advocacy.
Building a Coalition Around
Common Goals
HAI Focus
Patient
Advocacy of
Connecticut
Health Watch USA
Challenges
Challenges over next couple of years:
1.Serving a diverse membership (alternate practice settings, international)
2.Increasing member participation and engagement
3.Reducing dependency on corporate support
4.Increasing the perceived value of IPs in their practice setting
5.Increasing resources for IPC programs
6.Increasing resources to close certification and competency gaps