IV P.U.M.P.: Challenges and Successes of Putting Health Care-Associated Infection Public Reporting Laws Into Practice
Gloria Craven BSN, MSN
Stacey Ober BSN, JD

$3.95 		Journal of Infusion Nursing
June 2010 
Volume 33  Number 6
Pages 343 - 344
 
  PDF Version Available!

ABSTRACT
Health care-associated infections (HAIs) exact a significant toll on human suffering and public tax dollars. These are among the leading causes of death in the United States, accounting for an estimated 1.7 million infections and 99,000 deaths annually. In an effort to improve patient care, increase accountability, and reduce costs resulting from HAIs, more than half of states now require health care facilities to publicly report infections. In fact, since 2005, the number of states with these laws has grown from 6 to 27 as of May 2010. This policy-making activity is perhaps the result of $50 million authorized in federal funding for states to engage in HAI planning and activities, such as public reporting, through the 2009 American Recovery and Reinvestment Act.1Since 2008, the Centers for Medicare & Medicaid Services reduced its reimbursement to facilities for services associated with treating HAIs, including vascular catheter-associated infections, and the Patient Protection and Affordable Care Act signed into law in March 2010 extended this provision to the states by prohibiting federal payments for some Medicaid services associated with HAIs.The National Conference of State Legislatures is a bipartisan organization that serves the legislators and staffs of the nation's 50 states and its commonwealths and territories, providing research, technical assistance, and opportunities for policy makers to exchange ideas on the most pressing state issues. It is a terrific policy resource. The National Conference of State Legislatures examined state HAI public reporting legislation passed between 2005 and 2009 and interviewed state legislators, health care providers, and other stakeholders in Alabama, Colorado, Delaware, Illinois, Massachusetts, New Hampshire, Oregon, Pennsylvania, and Washington. In July 2010, they issued a formal report outlining lessons learned on reporting HAI data from 9 of the first states to require health care facilities to report HAIs. The effect

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