Project 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,
Monitor the progress of QIA facilities and assist the facilities that are unable to progress to the goal
Involve Patient SMEs and/or family members or care partners at the facility level in discussions about infection control practices and ways to feel more comfortable bringing issues to the attention of staff members
Support facilities in completing annual NHSN dialysis event surveillance training: National Healthcare Safety Network (NHSN)

Baseline Data
The baseline data for dialysis facility inclusion was provided from your facility submitted information in the National Healthcare Safety Network (NHSN).

Demonstrate a 20% or greater relative reduction in the semi-annual pooled mean in the cohort with the highest 20% of BSIs in the Network service area at re-measurement compared to 2018.

Graduation Requirements
A facility may be removed and replaced for 2020 in the QIA if it is no longer in the cohort of facilities with the highest 20% 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

For more information:

Loretta Ezell
Quality Improvement Director
Contact Me

Project Outlines

Project Lead Outline
Infection Prevention Navigator Role
Infection Prevention Navigator Outline
Patient Facility Representative Outline

Patient Education Initiative: Lobby Education Winners


3rd Place - By: USRC South Aiken Dialysis (422604)

Tools & Resources


  2020 BSI Kick-off Webinar: Recording|Slides

Facility Resources

CDC Core Interventions
Surveillance and Feedback using NHSN (Data Report)
Hand Hygiene Observations 
Catheter/Vascular Access Care Observations 
Staff Education and Competency
Patient Education/Engagement 
Catheter Reduction
Catheter Hub Disinfection
Chlorhexidine for Skin Antisepsis
Antimicrobial Ointment

National Healthcare Safety Network (NHSN)
Infection Prevention in Dialysis Settings
CMS Resources for NHSN Users
Patient Safety Component Training 
Biovigilance Component Training
Resources for Users New to NHSN
Healthcare Personnel Safety Component
NHSN Educational Roadmap 
Dialysis Component Training 
NHSN Analysis
Continuing Education 
Request for CDC-Led Training

CDC Resource Center
Preventing Bloodstream Infections in Outpatient Hemodialysis Patients: Best Practices for Dialysis Staff 
Hemodialysis Central Venous Catheter Scrub the Hub Protocol 
Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers
Days Since Infection Poster: English|Spanish
Hand Hygiene Audit Tool 
AV Fistula & Graft Cannulation and Decannulation Audit Tool 
Arteriovenous Fistula & Graft Checklist: Cannulation|Decannulation
Catheter Connection and Disconnection Audit Tool
Hemodialysis Catheter Checklist: Connection|Disconnection
Dialysis Station Routine Disinfection Checklist 
Catheter Exit Site Audit Tool 
Hemodialysis Catheter Exit Site Care Checklist 
Injection Safety: Medication Preparation & Administration Audit Tool 
Hemodialysis Injection Safety: Medication Preparation Checklist
Hemodialysis Injection Safety: Medication Administration Checklist
Making Dialysis Safer Coalition Conversation Starter