VICNISS Hospital Acquired Infection Surveillance Coordinating Centre
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eBulletin February/March 2010 Edition 41

In this Edition:

On the web: www.vicniss.org.au
Email: VICNISS @ mh.org.au

Reminders - Data:

  Data Due Reports Posted
Type 1 Q3, 2009/10 7th May 18th June
Type 2 Q3, 2009/10 30th April 18th June
Type 1 & 2 Q2, 2009/10 Submitted 19th March
Hand Hygiene 2nd April TBA
S. aureus Bacteraemia (SAB)
(SAB Data Period: 1.11.09-28.2.10)
2nd April TBA

Performance Indicators and Surveillance Plans 2010-11

Since the 2007-08 reporting period, an infection control data compliance Key Performance Indicator (KPI) was introduced into the Statement of Priorities. The Statement of Priorities is an agreement between the minister and hospital boards on key deliverables and performance priorities for the year, including KPI’s. Each month, performance against targets agreed in the Statement of Priorities is summarised in the Integrated Performance Report. This report, which is for limited distribution to the Chief Executive Officer and board chair, gives a summary of the health service performance.

The infection control data compliance KPI aims to improve the quality of infection control reporting by requiring health services to be fully compliant in their data submission to the VICNISS Coordinating Centre. Health services have been providing data to VICNISS for over seven years.

The VICNISS Performance Indicators are set out in the Type 1 and Type 2 Performance Indicators documents available on the VICNISS website. These outline the defined set of surveillance activities and data quality indicators that hospitals are required to perform and achieve. A public health service’s performance is analysed quarterly by the VICNISS Coordinating Centre (VCC) according to these indicators. The VCC provides a report to the Quality and Safety Programs Unit of the Department detailing each hospital’s performance.

If a hospital is unable to undertake the surveillance activities as listed in the Performance Indicator document for any period of time, formal notification to the VCC is required by completing the form Notice of Inability to Undertake VICNISS Surveillance Activities (Link removed - form updated on following web pages). This form is also available to download from the VICNISS website Type 1 Manual and Type 2 Manual pages on the VICNISS website. This notification needs to be signed by the Infection Control Coordinator and the Infection Control Executive Sponsor. This information will then be forwarded to the Department.

VICNISS Performance Indicators are reviewed annually by the VCC, the Department and are endorsed by the VICNISS Advisory Committee (VAC).

All VICNISS Surveillance Plans are due to be submitted to the VCC by 1st June 2009. When completing the Surveillance Plan, please refer to the Performance Indicators. Please contact the VCC if you have any inquiries regarding the Performance Indicators or the Surveillance Plans.

  • Type 1 Surveillance Plan - PDF version for completing manually and faxing or posting to VICNISS (Link removed - form updated on Manual page referenced below)
  • Type 1 Surveillance Plan - Word version for completing electonically and emailing to VICNISS (Link removed - form updated on Manual page referenced below)
  • Type 2 Surveillance Plan - PDF version for completing manually and faxing or posting to VICNISS (Link removed - form updated on Manual page referenced below)
  • Type 2 Surveillance Plan - Word version for completing electonically and emailing to VICNISS (Link removed - form updated on Manual page referenced below)

These Surveillance Plan forms are also available to download from the VICNISS website Type 1 Manual and Type 2 Manual pages on the VICNISS website.

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VICNISS Participant Staffing Updates

Remember if you have any changes to your infection control or hand hygiene staffing please notify the VICNISS Coordinating Centre. This ensures the VICNISS contacts database is kept up-to-date for distribution of relevant information including VICNISS eBulletin, education forums etc.

VICNISS requires the name, designation and contact details for any new staff. If you are unsure if you or others are included on the VICNISS database please contact VICNISS and we can easily check and update if necessary.

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Staphylococcus aureus Bacteraemia (SAB) & Hand Hygiene Reports

Reports on your hospital and Aggregate (State of Victoria) hand hygiene compliance have been distributed to ICPs on Friday 5th March. These reports were not be posted on the VICNISS website due to the interim nature of this reporting method. If you have not received your report by the time you read this please contact the Coordinating Centre.

Exact details of SAB reporting are still being worked out at the national level and these reports will be made available as soon as possible once a decision is made.

**Stop press** - Unfortunately Blood collectors were left off the HH reports – amended reports will be made available as soon as possible and apologies for the inconvenience.

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VICNISS Webforms for Data Entry

For the Hand hygiene project, as of Period 1, 2010 (commenced 1st November 2009) Staphylococcus aureus Bacteraemia (SAB) data must be submitted using the SAB web based data collection form (webform) . You must be a registered VICNISS web form user to use SAB (and other) webforms.

As of 1st April 2010, data must be submitted via webforms for the following modules:

  1. Type 2 Monthly data summary forms (Previously the fax cover)
  2. Type 2 Occupational exposures
  3. Haemodialysis incidents & denominator
  4. Influenza vaccinations

Up until 31st March 2010, it is optional to use either paper or webforms for these modules.

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VICPA/VICNISS Journal Club – Where’s the Evidence?

The Journal Club provides a forum for infection control professionals to widely engage with literature and published data in the field

The next VICPA/VICNISS Journal Club to be held on:

Date:Friday 23rd April 2010
Time:8.00am Breakfast; 8.30am start presentations
Venue:Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne
Speakers & Articles: TBA
RSVP:To assist with catering please RSVP by COB Tuesday 20th April 2010 to email: enquiries@vicpa.org.au, or for further information contact judy.brett @ mh.org.au, phone 9342 2605.

Note: Copies of articles will be forwarded to participants when RSVP received.

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Type 1 Surveillance Update - SHIINe Software

Fourteen health agencies, covering sixteen hospitals, have now signed on to have the SHIINe software installed. The following health agencies have agreed to be part of the SHIINe rollout and we are working with these to implement the software:

  • Peninsula Health; St Vincent’s; The Royal Children’s Hospital; Barwon Health; Gippsland Health Alliance; Northern Health; Albury Wodonga Health; Ballarat Health; Bendigo Health; Goulburn Valley Health; Eastern Health; The Women’s Hospital; North East Health Wangaratta; South West HealthCare.

If you require any further information about SHIINe and or your hospital's progress please contact the project manager at the VICNISS Coordinating Centre Simon.Burrell @ mh.org.au or mobile 0400 331 464.

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Type 2 Surveillance Update

Please note a 'Type 2 Staphylococcus aureus Bloodstream Infection (BSI) Report' will no longer be included in the quarterly reports. This is because as of November 2009, the 'Hand Hygiene S. aureus Bacteraemia (SAB) webform' has replaced the current 'Type 2 S. aureus Bloodstream Infection' form. The Type 2 hospitals, like the Type 1 hospitals, will eventually receive a 'Hand Hygiene SAB Report'.

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VICNISS Coordinating Centre Staffing Updates

Farewell to... Claire Boardman, who is currently sunning herself on various Torres Strait Islands, learning what to do when a helicopter crashes, and watching turtles laying eggs. Oh, and I believe catching the odd shark. Claire had been with VICNISS since its inception so she will be greatly missed, and an asset to her new employer up North.

Welcome to... Jennifer Bradford, who will be starting on 9th March to take up Claire’s position. Jen will also be coordinating hand hygiene compliance data and education and we are all eagerly looking forward to her arrival.

Welcome back to... Clinton, who will be returning to work part-time from early March. We wish him all the best with his continued recovery.

Welcome back to... Kylie, who has returned back from maternity leave this month... And Congratulations on the safe arrival of baby boy Addison on 30th December.

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Infection Control Literature Review, February/March 2010

Our most recent literature review, for February/March, compiled by Dr Leon Worth, ID Physician, discusses current research on the following selected topics:

  • Prevention of Surgical Site Infections in Nasal Carriers of Staphylococcus aureus
  • High Uptake of HCW Influenza Vaccination using a Mandatory Vaccination Program

Department of Human Services, Victoria, The Place To Be

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Department of Health, Victoria, The Place To Be