Methods: A cross-sectional survey of 2,550 randomly sampled US NH was conducted for one year, starting in December 2013, to assess: IP training, frequency of IC committee meetings, and the presence of policies or programs (7 for antibiotic use; 10 for outbreak control; 5 for contaminated materials/environment; 9 for urinary tract infection (UTI) prevention). Responses were linked to 2013 Certification and Survey Provider Enhanced Reporting data, which contains information about NH providers and citations. Descriptive statistics were computed and multivariable regression analyses conducted to account for NH characteristics (number of beds, percent occupancy, ownership status, urban setting, and US census region).
Results: Surveys were received from 990 NH (39% response); 941 had complete deficiency citation and IP training data. About 35% of NH received an IC citation. Weekly/monthly and quarterly IC committee meetings were held in 61% and 27% of NH, respectively. NH that received IC citations were more likely to have committees that met weekly/monthly versus quarterly (p<0.01). IPs in 39% of facilities had received specific IC training. NH with trained IPs were more likely to have 5 of the antibiotic use policies (prevalence ratios (PRs) = 1.14 - 3.33; p<0.05), 7 of the outbreak control policies (PRs = 1.11 – 1.68; p<0.01), 1 contaminated material policy (PR = 1.21; p=0.03), and 3 UTI prevention policies (PRs = 1.31 – 1.93; p<0.05). The presence of those policies was not associated with fewer IC citations.
Conclusion: Although IP training in IC was associated with policy implementation, such training was lacking. The presence of those policies was not associated with fewer IC deficiency citations and it is unclear whether policy implementation was related to practice; this should be addressed in future studies.
M. Pogorzelska-Maziarz, None
J. Engberg, None
A. Dick, None
E. Larson, None
P. Stone, None