1079. Changes in Healthcare-associated Infection Prevention Capacity at State Health Departments Relative to a Federal Funding Switch from the American Recovery and Reinvestment Act to the Prevention and Public Health Fund through the Affordable Care Act
Session: Poster Abstract Session: Surveillance of HAIs: Implementation and National Perspectives
Friday, October 4, 2013
Room: The Moscone Center: Poster Hall C
Background: Prevention and Public Health Fund (PPHF) funding was distributed to 52 state and territorial health departments (HDs) from 8/1/2011-7/31/2012 for healthcare-associated infection (HAI) prevention; 51 HDs were funded to support an HAI coordinator and 17 HDs to enhance prevention collaborative work. CDC awarded approximately $10 million in PPHF -HAI funds to continue to support capacity created through $36 million in American Recovery and Reinvestment Act (ARRA) funds, designated 9/1/2009–12/31/2011.

Objectives:  To compare changes in HAI program activities at HDs between the end of ARRA (12/31/2011) and the end of the first PPHF funding cycle (7/31/2012).

Methods: Data were collected via questionnaires administered to HDs at the end of ARRA and PPHF funding cycles. Five domains (staffing, partnerships, training, data validation and prevention) were selected to describe activities during both time periods. McNemar’s tests evaluated if the proportion of HDs conducting the activity was equivalent during the two time periods.

Results:  Most (n=50, 96%) HDs maintained the HAI coordinator position into the PPHF funding cycle, despite seven experiencing partial vacancy during this time. Fewer HDs convened their multidisciplinary advisory group (MAG), supported training, validated NHSN data, and/or supported prevention collaborative activities during this first cycle of PPHF funding (Table 1).  Compared to the ARRA funding period, statistically significant declines are noted in the proportion of HDs that supported training or partnerships during the PPHF funding cycle.

Conclusion: Key positions and HAI prevention activities were maintained with PPHF funding. Activity declines occurred in the 7 months following the termination of ARRA funding, most notably in domains not specifically funded by PPHF.

 Table 1

Domain

Key Activity Indicator

ARRA

(n=51)

PPHF (n=52)

McNemar’s Test

p-value

Staffing

HD had a HAI coordinator

51 (100%)

50 (96%)

0.33

Partnerships

MAG convened

51 (100%)

38 (73%)

0.036

Training

HD supported HAI-related training

51 (100%)

38 (73%)

0.001

Validation

HD validated NHSN data

28 (55%)

23 (44%)

0.20

Prevention

HD supported prevention collaboratives

40 (78%)

35 (67%)

0.28

Kelly Mccormick, MSPH, Leah Fischer, PhD, Ronda Sinkowitz-Cochran, MPH and Katherine Ellingson, PhD, Centers for Disease Control and Prevention, Atlanta, GA

Disclosures:

K. Mccormick, None

L. Fischer, None

R. Sinkowitz-Cochran, None

K. Ellingson, None

Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.