Longitudinal Program Evaluation of HHS Healthcare Associated Infections (HAI) National Action Plan (NAP) – RAND – April 2011

Posted on April 27, 2011. Filed under: Infection Control | Tags: , |

Longitudinal Program Evaluation of HHS Healthcare Associated Infections (HAI) National Action Plan (NAP) – RAND – April 2011
Year 1 Report
by Peter Mendel, Daniel Weissbein, Daniel Weinberg, Rebecca Shaw, Donna O. Farley, David P. Baker, Katherine L. Kahn

“The widespread prevalence and enormous cost of healthcare-associated infections (HAIs) have been recognized as public and personal-level health problems. An estimated 1.7 million HAIs are diagnosed annually in hospitals and are associated with approximately 100,000 deaths. However, substantial opportunities exist for adopting evidence-based processes to reduce rates of HAIs. In June 2009 the Department of Health and Human Services (HHS) issued the Action Plan to Prevent Healthcare-Associated Infections, which established national goals for HAI prevention, including key actions for achieving identified short- and long-term objectives over the next five years. The National Evaluation of the HHS Action Plan to Prevent Healthcare-Associated Infections is a large-scale formative evaluation project conducted by IMPAQ International and the RAND Corporation. The evaluation seeks to establish baseline data and provide feedback on how to strengthen ongoing assessments of the scope of HAIs and interventions, how to reduce HAIs, and how to begin to understand the effectiveness of those interventions. This report presents the results of the first year of the team’s evaluation, which focused on a document and literature review and interviews with key stakeholders to gain information about the context in which the action plan was developed. Future years will assess processes associated with the action plan and resulting products. Recommendations include increasing the engagement of stakeholders both within and external to the federal government, acknowledging prevalent conceptual and implementation tensions between differing major perspectives on HAIs, and creating a supplementary document to outline the steps necessary to achieve each action plan goal.”

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