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STATEMENT OF BASIS AND PURPOSE
AND SPECIFIC STATUTORY AUTHORITY
For Rules Pertaining to the Standards for Hospitals and Health Facilities
6 CCR 1011, Chapter IV, General Hospitals
January 2, 2014
Basis and Purpose:
The Division is proposing an amendment to the above referenced rules in order to update them to
reflect standard industry practice. Current rules require that hospital infection control committee
meetings be held at least monthly. Since hospitals and their infection control committees have become
extremely efficient over the years regarding infection control, monthly meetings are no longer
necessary to maintain the health, safety and welfare of patients. Therefore, the Division is proposing
that the infection committee meeting frequency be changed to a quarterly requirement to reflect
standard industry practice.
These rules are promulgated pursuant to the following statutes:
Section 25-1.5-103, C.R.S. (2013).
Major Factual and Policy Issues Encountered:
No major factual or policy issues were encountered.
Alternative rules considered:
No other alternatives are deemed appropriate at this time.
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DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
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Health Facilities Regulation Division
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STANDARDS FOR HOSPITALS AND HEALTH FACILITIES
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CHAPTER IV - GENERAL HOSPITALS
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6 CCR 1011-1 Chap 04
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. .
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Part 9. INFECTION CONTROL SERVICES
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9.100
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9.101 ORGANIZATION AND STAFFING
. . . . .
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(1)
The facility shall have an infection control program responsible for reducing the risk of acquiring and
transmitting nosocomial infections and infectious diseases in the facility.
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(2)
There shall be a multi-disciplinary infection control committee charged with:
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(a)
developing written policies and procedures regarding prevention, surveillance and control of
nosocomial infections and infectious diseases.
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(b)
making findings and recommendations to prevent and control nosocomial infections and
infectious diseases.
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(3)
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9.102 PROGRAMMATIC FUNCTIONS
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(1)
Infection control officer(s) shall implement the policies and procedures and the recommendations of the
infection control committee.
There shall be written policies and procedures regarding infection control consistent with the following
guidelines of the Centers for Disease Control and Prevention (CDC): Guideline for Isolation Precautions:
Preventing Transmission of Infectious Agents in Healthcare Settings, 2007 and Guidelines for
Environmental Infection Control in Health-Care Facilities, 2003. Policies and procedures shall include,
but not be limited to:
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(a)
the admission and isolation of patients with specific infectious diseases;
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(b)
the control of routine use of antibiotics and adrenocorticosteroids;
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(c)
the inservice education programs on the control of nosocomial and infectious diseases,
including but not limited to universal precautions;
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(d)
standards for sterilization of equipment used for direct patient care;
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(e)
standards for cleaning and disinfecting all areas of the hospital;
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(f)
standards for linen and laundry services;
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(g)
the implementation of infection control measures during hospital renovations;
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(h)
the reporting of diseases as required by laws and regulations pertaining to disease control.
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(2)
The committee shall make findings and recommendations available promptly to the infection control
officer for action.
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(3)
The committee shall meet at least monthly QUARTERLY and maintain minutes of the meetings.
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. .
. . . .