Table 3.
Concepts, Actions and Knowledge Base for Infection Prevention, Quality, and Safety
| Variable | Infection Prevention | Quality | Safety |
|---|---|---|---|
| Surveillance and analysis | X | X | X |
| Benchmarking | X | X | X |
| Microbiology and infectious diseases | X | ||
| Use of molecular epidemiology tools | X | ||
| Hand hygiene, environmental hygiene, vaccination programs | X | ||
| Outbreak investigation and control | X | ||
| Contact tracing and postexposure management | X | ||
| Emerging infections and liaison with public health | X | ||
| Noninfection safety issues such as pressure ulcers, diagnostic errors, etc. | X | ||
| Root-cause analyses and failure modes and effects analyses | X | ||
| Culture of safety measurement and interventions | X | ||
| Plan-do-study-act, rapid cycle improvement and lean methods | X | ||
| CMS core measure reporting | X | ||
| Value based payment programs | X | ||
| Quality incentive payment programs and interface with finance | X | ||
| Culture of high reliability | X | X | |
| Interface with corporate suite and the health system board | X |
Note. CMS, Centers for Medicare and Medicaid Services.