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.
  • 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).


BSI Goal:  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 2019 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

Tools and Resources

Quality Improvement Webinars

Facility Resources: CDC Core Interventions 

National Healthcare Safety Network (NHSN)

Tools for Facility: CDC Resource Center


For more information:

Loretta Ezell
Quality Improvement Director
Contact Me

2020 Bloodstream Infection QIA Project Outlines

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