QIA Guidelines

The Network will:

  •  Assist facilities to implement and monitor all of the CDC recommended interventions for dialysis BSI prevention
  •  Educate target facilities on the CDC Core Interventions, and assist the facilities in implementing the CDC Core Interventions,
  • Assist Facilities in monitoring their own progress toward implementing the CDC Core Interventions and reduction of BSIs, and
  •  Monitor the progress of QIA facilities and assist the facilities that are unable to progress to goal.
  • Involve Patient SMEs and/or family members or care partners at the facility level in discussion about infection control practices and ways to feel more comfortable bring issues to the attention of staff members.


LTC Goal: Decrease rate by at least 2 percentage points by evaluation based on June 2017 baseline data.

BSI Goal:  Demonstrate a 20% or greater relative reduction in the semi-annual pooled mean in the cohort with the highest 50% of BSIs in the Network service area at re-measurement compared to 2017.

Graduation Requirements: A facility may be removed and replaced for 2019 in the QIA if it is no longer in the cohort of facilities with the highest 50% of BSIs in the Network service area or maintains a BSI rate of zero for at least six (6) months of the QIA.

CMS Recommended Learning Activity:
Prevention of intravascular infections, blood-borne pathogen transmission (e.g., hepatitis B), and influenza and pneumococcal disease are priorities identified in the National Action Plan to Prevent Healthcare-Associated Infections: Roadmap to Elimination

Tools and Resources

Quality Improvement Webinars:

  • BSI - LTC QIA Mid-Point Webinar (6/25/19) Slides; Recording
  • BSI QIA Kick-Off & Continuation Webinar (12//17/18) Slides; Recording; Survey
  • HAI BSI - LTC QIA Kick-Off Webinar (2/7/2018) Slides
  • Vascular Access Planning Strategies to Reduce LTC Rates (5/3/2018) Slides 
  • BSI Midpoint Webinar (7/20/2018) Slides 
  • BSI - LTC Touch Point Webinar (10/23/2018) Slides 

Facility Resources: CDC Core Interventions 

National Healthcare Safety Network (NHSN)

Tools for Facility: CDC Resource Center


HAI Blood Stream Infection (BSI) QIA

For more information:

Loretta Ezell
Quality Improvement Director

Lobby Education Intervention