Health Department HAI/AR Programs | HAIs

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<a data-post-id="2564" href="/healthcare-associated-infections/bd-bactec-availability/index.html" tabindex="0"> Disruptions in Availability of BD BACTEC Blood Culture Bottles Situation Summary </a> <a data-post-id="141" href="/healthcare-associated-infections/about/index.html" tabindex="0"> HAIs </a> <a data-post-id="2823" href="/healthcare-associated-infections/bulletins/index.html" tabindex="0"> Updates </a> <a data-post-id="169" href="/healthcare-associated-infections/programs/index.html" tabindex="0"> Health Department HAI/AR Programs </a> <a class="view-all" href="/healthcare-associated-infections/site.html"> View All </a> </div> </div> </header> <main class="container cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-08-02 04:00:00"> August 2, 2024 </time> </section> <div class="cdc-page-title cdc-page-offset syndicate "> <ul class="breadcrumbs"> </ul> <h1>Health Department HAI/AR Programs</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-list" data-section="cdc_program_profile_page_summary"> <div class="dfe-section__header"> <h2>Key points</h2> </div> <div class="dfe-section__content"> <ul class="nested-list"> <li class="level-1">CDC funds a network of 64 health department Healthcare-associated Infections and Antimicrobial Resistance (HAI/AR) Programs to detect, prevent and respond to HAI/AR.<ul> </ul> </li> <li class="level-1">Programs improve and protect healthcare safety and promote quality of care for all.<ul> </ul> </li> </ul> <div class="dfe-section__nav hide" id="dfe-section__nav"> <div class="dfe-section__nav__header" id="dfe-section__nav__header"> </div> <div class="dfe-section__nav-links" id="dfe-section__nav-links"> </div> </div> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_program_profile_overview"> <a class="onThisPageAnchor" id="cdc_program_profile_overview-overview" name="Overview" title="Overview"></a><h2>Overview</h2> <p>CDC provides technical expertise and funding to HAI/AR Programs in 64 state, local and territorial health departments. </p> <p>HAI/AR Program goals are to: </p> <ul class="nested-list"> <li class="level-1">Prevent the emergence of and control the spread of HAIs and related AR threats.<ul> </ul> </li> <li class="level-1">Advance the detection, response and containment of antimicrobial resistance (AR) within healthcare settings.<ul> </ul> </li> <li class="level-1">Promote antibiotic stewardship (AS), the practice of measuring and improving how providers prescribe antibiotics and patients use them.<ul> </ul> </li> <li class="level-1">Protect patients and healthcare personnel.<ul> </ul> </li> <li class="level-1">Improve healthcare safety and quality.<ul> </ul> </li> </ul> <div class="dfe-block dfe-callout dfe-callout--facts"><div class="cdc-icon-chart-04"></div> <h3>Why it matters&lrm;</h3> <div class="dfe-callout__body"><div class="callout-desc">On any given day, about one in 31 hospital patients has at least one HAI. <br><br>Each year, more than 2.8 million antimicrobial-resistant infections occur in the U.S. More than 35,000 people die as a result.<br><br>It costs more than $4.6 billion a year to treat infections caused by antimicrobial-resistant germs.<br><br>CDC estimates that U.S. doctors' offices and emergency departments prescribe about 47 million antibiotic courses each year for infections that don't need antibiotics.<span class="cdc-references-cite"><a class="cdc-references-cite__link" href="#cdcreference_1" aria-label="Reference link 1">1</a></span></div> </div></div> </div> <div class="dfe-section" data-section="cdc_program_profile_program_pri"> <a class="onThisPageAnchor" id="cdc_program_profile_program_pri-program-priorities" name="Program%20priorities" title="Program priorities"></a><h2>Program priorities</h2> <p>CDC-funded HAI/AR Programs conduct activities in five important areas. Examples include:</p> <h3>HAI/AR response and prevention</h3> <ul class="nested-list"> <li class="level-1">Prevent the emergence and contain the spread of novel and targeted healthcare-related multidrug-resistant organisms (MDROs).<ul> </ul> </li> <li class="level-1">Respond to HAI outbreaks, including COVID-19.<ul> </ul> </li> <li class="level-1">Assess healthcare facility infection prevention and control (IPC) practices, recommend solutions and address gaps.<ul> </ul> </li> <li class="level-1">Use data-driven prevention strategies to improve IPC in healthcare settings.<ul> </ul> </li> <li class="level-1">Improve response and prevention coordination between partners like labs, local health departments, licensing entities, healthcare facilities and academic institutions.<ul> </ul> </li> </ul> <h3>Antibiotic stewardship</h3> <ul class="nested-list"> <li class="level-1">Help healthcare facilities launch and improve antibiotic stewardship.<ul> </ul> </li> <li class="level-1">Track and report antibiotic use, including equity-related gaps.<ul> </ul> </li> <li class="level-1">Coordinate stewardship with academic institutions, regulatory agencies, payors, healthcare systems, health departments and more.<ul> </ul> </li> <li class="level-1">Improve stewardship in newer healthcare services, like telehealth.<ul> </ul> </li> </ul> <h3>Participation in and support of CDC's Antimicrobial Resistance Laboratory Network (AR Lab Network)</h3> <ul class="nested-list"> <li class="level-1">Support comprehensive AR testing for HAIs as part of the AR Lab Network.<ul> </ul> </li> <li class="level-1">Submit isolates (samples) of interest to AR Lab Network regional labs or CDC for testing as required.<ul> </ul> </li> <li class="level-1">Train and guide laboratory personnel testing for AR among HAIs.<ul> </ul> </li> </ul> <div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="/antimicrobial-resistance-laboratory-networks/php/about/domestic.html">Antimicrobial Resistance Laboratory Network</a></div><h3>Infection prevention and control education and training</h3> <ul class="nested-list"> <li class="level-1">Improve healthcare workers' knowledge of current IPC best practices and strategies through programs like Project Firstline.<ul> </ul> </li> <li class="level-1">Coordinate IPC education for local health departments, academic institutions and healthcare organizations.<ul> </ul> </li> <li class="level-1">Conduct, analyze and leverage healthcare facility needs assessments to provide training that addresses knowledge gaps.<ul> </ul> </li> </ul> <div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="/project-firstline/programs/index.html">About Project Firstline</a></div><h3>Increased participation in and use of the National Healthcare Safety Network (NHSN)</h3> <ul class="nested-list"> <li class="level-1">Help healthcare facilities enroll and report into NHSN.<ul> </ul> </li> <li class="level-1">Monitor and use data to inform public health efforts and interventions.<ul> </ul> </li> <li class="level-1">Establish data use agreements with local health departments to enable their use of NHSN.<ul> </ul> </li> <li class="level-1">Partner with academic institutions to validate studies of patient HAI data and improve prevention efforts with their findings.<ul> </ul> </li> </ul> <div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="https://www.cdc.gov/nhsn/index.html">NHSN</a></div> </div> <div class="dfe-section" data-section="cdc_program_profile_accomplishments"> <a class="onThisPageAnchor" id="cdc_program_profile_accomplishments-accomplishments" name="Accomplishments" title="Accomplishments"></a><h2>Accomplishments</h2> <p>Since August 2019, recipient health departments used CDC funding to:</p> <ul class="nested-list"> <li class="level-1">Engage more than 15,000 healthcare workers in antibiotic stewardship.<ul> </ul> </li> <li class="level-1">Train more than 100,000 healthcare workers in infection prevention and control (IPC).<ul> </ul> </li> <li class="level-1">Conduct more than 65,000 IPC assessments in healthcare facilities.<ul> </ul> </li> <li class="level-1">Support more than 120,000 outbreak responses in healthcare facilities.<ul> </ul> </li> </ul> <div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="/healthcare-associated-infections/media/pdfs/Health-Departments-HAI-Successes-508.pdf" target="_blank">Improving Patient Safety<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></div> </div> <div class="dfe-section" data-section="cdc_program_profile_success"> <a class="onThisPageAnchor" id="cdc_program_profile_success-recipient-spotlight" name="Recipient%20spotlight" title="Recipient spotlight"></a><h2>Recipient spotlight</h2> <h3>Kansas addresses staffing shortages with CDC support</h3> <p>Kansas' Department of Health and Environment (KDHE) HAI/AR Program has become a nationally recognized model for other health departments. Within the past few years, they have been able to:</p> <ul class="nested-list"> <li class="level-1">Grow from a team of three to 24 highly trained members.<ul> </ul> </li> <li class="level-1">Conduct five times more IPC assessments in 2022 versus 2019.<ul> </ul> </li> <li class="level-1">Foster stronger relationships with healthcare partners.<ul> </ul> </li> <li class="level-1">Improve infection prevention in healthcare facilities.<ul> </ul> </li> <li class="level-1">Increase staff HAI/AR specialization.<ul> </ul> </li> <li class="level-1">Receive recognition from Council of State and Territorial Epidemiologists (CSTE), Pew Charitable Trust, the Association of State and Territorial Health Officials (<a href="https://www.astho.org/communications/blog/how-can-health-agencies-support-hai-ar-staff-recruitment-retention/" class="tp-link-policy" rel="noreferrer" data-domain-ext="org">ASTHO<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>), and more.<ul> </ul> </li> </ul> <p>Health departments like KDHE use CDC funding to better serve their communities, creating a safer healthcare system for all.</p> </div> <div class="dfe-section" data-section="cdc_program_profile_policy"> <a class="onThisPageAnchor" id="cdc_program_profile_policy-policy" name="Policy" title="Policy"></a><h2>Policy</h2> <p>In 2009, the United States Department of Health and Human Services (HHS) Steering Committee for the Prevention of Healthcare-Associated Infections published the <a href="http://www.health.gov/hai/prevent_hai.asp" class="tp-link-policy" rel="noreferrer" data-domain-ext="gov">HHS Action Plan to Prevent Healthcare-Associated Infections<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>. It is a roadmap for HAI prevention in acute care hospitals. The plan outlined expanded roles for health departments including coordinating, assisting, monitoring HAI/AR tracking, and prevention and response activities. CDC manages funding to health departments to help expand their contributions in these key areas as well as support implementation of the <a href="https://aspe.hhs.gov/reports/national-action-plan-combating-antibiotic-resistant-bacteria-2020-2025" class="tp-link-policy" rel="noreferrer" data-domain-ext="gov">National Action Plan to Combat Antibiotic-resistant Bacteria, 2020-2025<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>.</p> </div> <div class="dfe-section" data-section="cdc_program_profile_funding"> <a class="onThisPageAnchor" id="cdc_program_profile_funding-funding-sources" name="Funding%20sources" title="Funding sources"></a><h2>Funding sources</h2> <p>CDC administers HAI/AR Program funding through the CDC's <a href="/epidemiology-laboratory-capacity/php/about/index.html">Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases Cooperative Agreement (ELC)</a>. The HAI/AR Program is one of the largest ELC Core Area Programs. </p> <p>Between 2020 and 2022, CDC distributed more than $1 billion of COVID-19 supplemental appropriations to strengthen and equip health departments to prevent and fight infections like COVID-19 in healthcare facilities. </p> </div> <div class="dfe-section" data-section="cdc_program_profile_fund_part"> <a class="onThisPageAnchor" id="cdc_program_profile_fund_part-funding-recipients" name="Funding%20recipients" title="Funding recipients"></a><h2>Funding recipients</h2> <p>Recipients include: </p> <ul class="nested-list"> <li class="level-1">All 50 state health departments.<ul> </ul> </li> <li class="level-1">Six local health departments: Chicago, the District of Columbia, Houston, Los Angeles, New York City and Philadelphia.<ul> </ul> </li> <li class="level-1">Eight U.S. territory or affiliate health departments: American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Palau, Puerto Rico, Republic of the Marshall Islands and the U.S. Virgin Islands.<ul> </ul> </li> </ul> <p>To learn more about a recipient health department's HAI/AR Program or to contact their HAI/AR Program Manager, visit their website by clicking the map below.</p> <div class="dfe-block dfe-block--cdcmodule dfe-block--width-wide"><div class="dfe-block__inner"><div class="mb-3"><div data-language="en" data-host="www.cdc.gov" class="wcms-viz-container" data-config-url="/healthcare-associated-infections/modules/HAI-AR-Programs-Map-DataVisModule.json" data-sid=""></div></div></div></div> </div> <div class="dfe-section" data-section="cdc_program_profile_contacts"> <a class="onThisPageAnchor" id="cdc_program_profile_contacts-contacts" name="Contacts" title="Contacts"></a><h2>Contacts</h2> <p><a href="mailto:HAIAR@cdc.gov" class="ce-selection">HAIAR@cdc.gov </a></p> </div> <div class="dfe-section" data-section="cdc_program_profile_resources"> <a class="onThisPageAnchor" id="cdc_program_profile_resources-recipient-resources" name="Recipient%20resources" title="Recipient resources"></a><h2>Recipient resources</h2> <div class="dfe-links-layout--list"><div class="dfe-curated-link dfe-curated-link--list" data-post="1409_91"><div class="dfe-curated-link__content list"><div class="dfe-curated-link__title"><a class="cdc-block-link" href="/healthcare-associated-infections/php/toolkit/index.html">HAI Prevention, Control and Outbreak Response for Public Health and Healthcare</a></div> <div class="dfe-curated-link__desc">Resources for public health and healthcare professionals to prevent and control HAI.</div> <time class="dfe-curated-link__date">Mar. 6, 2024</time> <div class="featured download"></div></div> <div class="dfe-curated-link__download"></div></div> <div class="dfe-curated-link dfe-curated-link--list" data-post="1409_234"><div class="dfe-curated-link__content list"><div class="dfe-curated-link__title"><a class="cdc-block-link" href="/healthcare-associated-infections/php/lab-resources/index.html">Laboratory Resources for HAIs</a></div> <div class="dfe-curated-link__desc">Laboratory resources to detect HAIs and antimicrobial resistance.</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time> <div class="featured download"></div></div> <div class="dfe-curated-link__download"></div></div></div> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_program_profile_overview-overview">Overview</a></li> <li><a href="#cdc_program_profile_program_pri-program-priorities">Program priorities</a></li> <li><a href="#cdc_program_profile_accomplishments-accomplishments">Accomplishments</a></li> <li><a href="#cdc_program_profile_success-recipient-spotlight">Recipient spotlight</a></li> <li><a href="#cdc_program_profile_policy-policy">Policy</a></li> <li><a href="#cdc_program_profile_funding-funding-sources">Funding sources</a></li> <li><a href="#cdc_program_profile_fund_part-funding-recipients">Funding recipients</a></li> <li><a href="#cdc_program_profile_contacts-contacts">Contacts</a></li> <li><a href="#cdc_program_profile_resources-recipient-resources">Recipient resources</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-08-02 00:00:00"> August 2, 2024 </time> </section> <div class="page-content-sources noindex"> <div class="page-content-sources__header"> <a data-action="summary" class="collapsed" href="#content-sources" role="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="content-sources" 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Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2019.</li></ol></div> </div> </div> <section class="container related-pages related-pages__mobile"> <div data-related-nav-mobile></div> </section> </div> </main> <section class="site-footer container noindex"> <div class="row cdc-footer__inner"> <div class="col-lg-3 site-footer__heading"> <h2> <a href="/healthcare-associated-infections/index.html"> <i class="cdc-icon cdc-fa-solid cdc-fa-house"></i> <span class="cdc-footer__super-title" aria-label="Healthcare-Associated Infections (HAIs)"> <a href="/healthcare-associated-infections/index.html"> HAIs </a> <i class="cdc-icon cdc-fa-light cdc-fa-angle-right"></i> </span> </a> </h2> <p>HAIs are associated with medical devices, complications following surgery, transmission between patients and healthcare workers, antibiotic overuse, and more.</p> <a href="/healthcare-associated-infections/site.html" class="btn-outline__half btn btn-outline-white btn-arrow"> View All </a> </div> 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