The Roadmap to Success: Prevention of Respiratory Infection
Improving Vaccination Rates in Long-Term Care
Virtual Infection Prevention
Train-the-Trainer Workshops
The CDPH HAI Program and HSAG encourage nursing homes to enhance their current IPC training programs by incorporating these workshops and materials into their curriculum.
Find webinars, checklists, reports, resources, data, and guidance for your facility on COVID-19 and infection control.
Statewide Webinars/Calls
Arizona Post-Acute Care Webinars
2–2:30 p.m., 2nd Tuesday every month
California COVID-19 Nursing Home (NH) Infection Prevention (IP) Wednesday Webinars
3–4 p.m., every other month (Wednesday, May 29, June 24, Sept. 25, Nov. 13, 2024)
Trainings
- Centers for Medicare & Medicaid Services (CMS) Targeted COVID-19 Training for Frontline NH Staff and Management
- 3 hours for frontline staff
- 4.5 hours for management
- California: CDPH Infection Preventionist Training for Skilled Nursing Facilities (SNFs) (More coursework to come later in 2023)
- 14-hour self-paced online course
- Project Firstline Infection Control Training
- HSAG―Infection Preventionist Orientation Checklist
- HSAG—Resident Diagnosis Tracking Tool (Infections and Sepsis)
- CDPH―California Skilled Nursing Facility Infection Prevention and Control (IPC) Training Resources
- HSAG―Facility IPC Champion Roles
- HSAG―Process Measure Tracker and Trend Chart
- CDPH―Adherence Monitoring IP Tools
- CDC―NH Infection Control Assessment and Response (ICAR) Tool
- HSAG―Quality Assurance & Performance Improvement (QAPI) Resources
- HSAG—NHSN Assistance
- CDC―Viral Respiratory Pathogens Toolkit for Nursing Homes
- AHRQ―TeamSTEPPS Program Situation, Background, Assessment, Recommendation (SBAR) Tool
Visitor Resources
Infections
COVID-19 Data Trackers
- Arizona COVID-19 Tracker
- California COVID-19 Tracker
- California SNF Data Dashboard
- CDC COVID-19 Data Tracker
- CDC NH COVID-19 Vaccination Dashboard
- CMS COVID-19 NH Data
Resources
- HSAG―Long COVID/Post-COVID Conditions Informational Handout
- Arizona State Guidance—Links to COVID-19 Data and Metrics
- California State Guidance—Links to State Public Health Officer Orders and FAQs
- CDPH—All Facilities Letters
- CDPH—COVID-19 Surge Readiness LTCF Fact Sheet
- Stay Home When Sick: Generic Symptom Checker Poster (Fillable)
Podcasts and On-Demand Quickinars
- CMS QI Voices—It Starts with Your Staff: Stopping the Spread of COVID-19
- CMS QI Voices—Best Practices for Cohorting and Infection Prevention
Treatments and Therapeutics
- COVID-19 Therapeutics Decision Aid
- FAQ Paxlovid for Treatment of COVID-19
- ASPR COVID-19 Treatments: Key Messages for Long-Term Care Facilities
- Therapeutics Myths and Facts
- FDA—COVID-19, Flu, and RSV
*CDPH no longer reports COVID-19 resident and healthcare worker (HCW) cases. This page is for historical purposes only.
Educational Resources
- CDPH―Preventing the Most Common Healthcare-Associated Infections (HAIs): UTI, Pneumonia, and C. difficile
- Quality Improvement Organization (QIO)—CDI and Antibiotic Stewardship NH Training Sessions
- CDC―Information for Healthcare Professionals about C. difficile
Tools, Posters, and Videos
HSAG Resources
- Prevent and Manage Infections Safely: C. difficile Probing Questions
- CDI Tracer and Assessment Tool (Post-Acute)
- CDI Stool Collection Algorithm
- Preventing CDIs (Video [4:25])
- Antibiotic Stewardship Implementation Skilled Nursing Facility Assessment
CDC Resource
Tools
- HSAG—Pneumonia Patient Zone Tool: English | Spanish
- HSAG—Pneumonia Audit Tool
- CDPH―PPT: Preventing Respiratory Infections in SNFs
Pneumonia Bundle
- Pneumonia Action Plan
- Pneumonia Bundle | Risk and Action Tool
- Pneumonia Signs and Symptoms Assessment
- Pneumonia Prevention Bundle
- Pneumonia Risk Factors
Educational Resources
- CDC—Pneumonia Causes, Risk Factors, Management, and Prevention
- CDC—Pneumococcal Vaccination Recommendations
Preventing Pneumonia in SNFs Training
- CDC Preventing Respiratory Syncytial Virus (RSV)
- CDC RSV in Older Adults and Adults with Chronic Medical Conditions
- CDC Health Action Network—Increased RSV Activity in Parts of the Southeastern United States: New Prevention Tools Available to Protect Patients
Research and Articles
- Melgar M, Britton A, Roper LE, et al. Use of Respiratory Syncytial Virus Vaccines in Older Adults: Recommendations of the Advisory Committee on Immunization Practices—United States, 2023. MMWR Morb Mortal Wkly Rep 2023;72:793–801.
- Branche AR, Saiman L, Walsh E, et al. Change in Functional Status Associated with Respiratory Syncytial Virus Infection in Hospitalized Older Adults, Influenza Other Respi Viruses. 2022;16:1151-1160.
- Falsey AR, Hennessey RN, Formica MA, et al. Respiratory Syncytial Virus Infection in Elderly and High-Risk Adults. New Engl J Med. 2005;352(17):1749-59.
- Falsey AR & Walsh EE. Respiratory Syncytial Virus Infection in Adults. Clin Microbiol Rev.2000;13(3):371-84.
- McLaughlin JM, Khan F, Begier E, et al. Rates of Medically Attended RSV among US Adults: A Systematic Review and Meta-analysis. Open Forum Infect Dis. 2022; 9(7): ofac300.
Educational Resources
Tools and Posters
HSAG Resources
- Sepsis Safety for Residents and Families
- Sepsis Risk Factors | Spanish
- Sepsis Bundle | Risk Factors and Action Tool | Spanish
- Sepsis Action Plan | Spanish
- Sepsis Prevention PPT
- Nursing Home Sepsis Toolkit | Spanish (care pathway, screening tool, SBAR, transfer form)
- Nursing Home Sepsis Gap Analysis
- Sepsis Patient Zone Tool (English) | Spanish
- Sepsis Discharge Plan (Patient Tool) | Spanish
- Sepsis Post-Syndrome Assessment
CDC Resources
- Poster: Protect Your Residents from Sepsis (for LTC CNAs)
- Poster: Protect Your Residents from Sepsis (for LTC nurses)
Betsy Lehman Center Resource
Tools and Posters
HSAG Tools
- UTI Patient Zone Tool: English | Spanish
- LTC CAUTI Audit Tool
- UTI Audit Tool
HSAG UTI Prevention Bundle
- UTI Bundle Risk and Action Tool
- UTI Nursing Signs and Symptoms Assessment
- UTI Prevention Bundle Poster
- UTI Risk Assessment
- UTI Action Plan
- Myths Diagnosis UTIs
APIC
Preventing UTIs in SNFs Training
- Part 1: Refresher of UTI pathophysiology, review UTI etiology, discuss pathogens, and review types of UTIs.
- Part 2: Review the evidence-based clinical practices shown to prevent UTIs and CAUTIs, discuss strategies to reduce healthcare-associated UTIs and treatment of UTIs.
- Part 3: Describe the risk of healthcare-associated UTIs in SNFs, discuss strategies to reduce healthcare-associated CAUTIs, and discuss adherence monitoring and feedback.
- Part 4: Review the HSAG UTI Prevention Bundle and Change Package and the HSAG CAUTI Audit Tool.
Prevention Interventions
CDC Resources
- Continuing Education Webinar: Implementation and Use of Enhanced Barrier Precautions in Nursing Homes (November 15, 2022)
- Pre-Implementation Tool: Enhanced Barrier Precautions
- Observations Tool: Enhanced Barrier Precautions Implementation
- Observations Tool Summary Spreadsheet
- Enhanced Barrier Precautions Letter to Nursing Home Leadership
Educational Resources
Tools, Posters, and Videos
Hand Hygiene
- HSAG―Hand Hygiene/Personal Protective Equipment (PPE) Monitoring Tool
- HSAG—Hand Hygiene/SBAR and Teach-Back Scenarios
- CDPH―Hand Hygiene Adherence Monitoring Tool
- CDC―Training: Hand Hygiene, Glove Use, and Preventing Transmission of C. difficile
- HSAG―Resident Pledge for Clean Hands: English | Spanish
PPE
- HSAG―Hand Hygiene/PPE Monitoring Tool
- CDPH―Source Control and Respiratory Hygiene Adherence Monitoring Tool
- CDC―PPE Guidance to Prevent Spread of Multidrug-resistant Organisms (MDROs)
- CDC―PPE Donning and Doffing Poster
Oral Care
- CDPH Project Firstline—Let’s Chew on This: IP Practices while Providing Oral Care and Feeding Residents
- CDPH Resources
- Environmental Cleaning Resources
- Environmental Cleaning and Disinfection Adherence Monitoring Tool
- Fluorescent Marker Adherence Monitoring Tool
- Environmental Cleaning and Disinfection Responsibility Assessment
- CDC―Environmental Checklist for Monitoring Terminal Cleaning
- HSAG―Environmental Services (EVS) Checklist for the Containment of CDI
- Environmental Protection Agency (EPA)―About List N: Disinfectants for Coronavirus (COVID-19)
Vaccines
HSAG Resources
- Fillable Vaccine Clinic Promotional Handout
- Fillable Symptom Checker Handout
- Template for email or letter to residents/families promoting upcoming vaccine clinic and vaccine education events
Arizona
- Arizona County Vaccine Information
- Arizona Department of Health Services (ADHS)
- Maricopa County Department of Health Services (MCDPH)
- Maricopa County COVID-19 Mobile Vaccine Providers
- Contact: LTCVaccination@maricopa.gov | 602.506.6767
- Pima County Department of Public Health (PCDPH) COVID-19 Vaccine Information & Registration
- Contact: CongregateVaccine@pima.gov
California
National Resources
National Resources
- CDC Strategies to Help Increase COVID-19-Vaccine Confidence and Uptake
- CDC Talking with Patients about COVID-19 Vaccination
- AHCA/NCAL Building Trust: A Strategy to Improve Patient Safety, Staff Wellbeing & Vaccine Uptake in Long Term Care
- COVID-19 Vaccination Communication
- Fact Sheet COVID Education Messaging
- AHCA/NCAL #GetVaccinated Toolkit: Key Messages/Talking Points for Providers/Staff and Residents/Family Members
HSAG Resources
- Fillable Vaccine Educational Event and Q&A Promotional Handout
- HSAG Motivational Interviewing Tip Sheet
- HSAG Motivational Interviewing Role Play Script
- Motivational Interviewing Flowchart for Residents and Staff Members
- COVID-19 mRNA Vaccines Are Not as New as You Think
- Q&A: Resistance to the Updated COVID-19 Vaccine
- Learn Facts About the COVID-19 Vaccine
Podcasts and On-Demand Quickinars
Resources
- The Roadmap to Success: Prevention of Respiratory Infection--Improving Vaccination Rates in Long-Term Care
- AHCA/NCAL Preparing for Fall Vaccinations in Long Term Care
- AHCA #GetVaccinated Website
- Vaccine Management
- EZIZ Resources for Long-Term Care Facilities
- LTCF COVID-19 Vaccine Toolkit
- CDC Safety of COVID-19 Vaccines
- Maricopa County Long Term Care Vaccination Guidance
QAPI
- HSAG 5 Why's—Path's to Covid-19 Vaccine Acceptance
- HSAG COVID-19 Vaccination Plan: Prioritized Risks, Goals, Strategies, and Implementation
- HSAG Root-Cause Analysis: Vaccination Compliance
- HSAG COVID-19 Vaccine Acceptance: Change Ideas
Respiratory Virus Posters and Flyers
- CDC Cover Your Cough
- CDC Wash Your Hands!
- Protect Against Flu, RSV, and COVID-19 Poster (updated August 2023) | Spanish (updated June 2023)
- Protect Yourself with Vaccines Poster
- HSAG Fall Vaccines—Don’t Wait Until it’s too Late to Vaccinate Poster
- HSAG Virus Prevention Habits
Template Letter for Families
Arizona Resources
HSAG and National Resources
- Vaccination Roadmap
- COVID-19 Vaccine Timing Chart (CDPH)
- HSAG COVID-19 Vaccine Effectiveness Infographic
- CDC Myths and Facts about COVID-19 Vaccines
- COVID-19 Vaccines for Long-term Care Residents
Posters and Flyers
- AHCA/NCAL #Get Vaccinated Toolkit
- Protect Your Loved Ones by Getting a COVID-19 Vaccine
- HSAG Am I Up to Date?
- HSAG Recharge Your Protection
- HSAG 2023-2024 Updated COVID-19 Fact Sheet
- San Diego County COVID-19 Educational Materials
- Protect Yourself from Long COVID or Post-COVID Conditions (PCC): Get Vaccinated
QIO Events
November 12, 2024
November 13, 2024
