eBulletin October 2008 Edition 34
In this Edition:
Reminders:
| |
Data Due |
Reports posted |
|
| Type 1 |
7th November |
mid-December* |
|
| Type 2 |
31st October |
mid-December* |
|
| *From 1st July 2008 VICNISS Quarterly and Year to Date (YTD) reports
will reflect the financial year calendar. For example, reports due to be posted in December for data collected in
July/Aug/Sept 2008 will be referred to as Q1, 2008/2009. This will mean that reports will look different to
previous reports. |
New Operations Director for the VICNISS Coordinating Centre
The Coordinating Centre is delighted to welcome Clinton Dunkley to the position of Operations Director. Clinton moved from his position as
Senior Program Advisor Infection Control in the Quality and Safety Branch, Victorian Department of Human Services and commenced at
the VICNISS Coordinating Centre on 22nd September. He brings considerable project management experience from his previous role, and enthusiasm to
contribute to the expanding activities of the VICNISS program.

VICNISS Annual Report Launch
The Hon Daniel Andrews MP, Minister for health launched the VICNISS annual report on 5 September 2008 at the Royal Melbourne hospital. Over 50
people attended the launch, where the Coordinating Centre staff presented on the SHIINe software, Type 2 program, future directions of
VICNISS surveillance and an overview of the past 12 months.

2008-09 Statement of Priorities and Performance Framework
Statements of Priorities (SoPs) are the key accountability agreements between Health Services and the Minister for Health. The annual
agreement ensures delivery or substantial progress towards the key shared objectives of financial stability, improves access and waiting times,
and quality of service provision.
There are four Quality and Safety key performance indicators in the 2008-09 Statement of Priorities that may involve infection control
teams; Cleaning, Hand Hygiene, VICNISS data and VICNISS performance.
Key Performance Indicator 8: VICNISS performance has been included in the SoPs for 2008-09. This measurement is based around a hospitals
performance and outlier status for:
- Hip Arthroplasty;
- Knee Arthroplasty;
- Caesarean section;
- Coronary Artery Graft Surgery; and
- Adult Intensive Care Unit patients with central lines.
A copy of the 2008-09 Statement of Priorities and Performance Framework Business Rules can be found at:
www.health.vic.gov.au/hospital-performance/index.htm.

Type 1 Surveillance Update - De-identified Report
The Type 1 Hospital Level De-identified Data Report for Quarter 2, 2008 will not be available until later in the year. You will be
informed as soon as you can access these reports using your hospital username and password on the
Type
1 Reports login page and for those few Type 2 participating hospitals, from the
Type
2 Reports login page.

Type 2 Surveillance Update
| As of 1st January 2008, the process indicator surveillance module reports highlight those Type 2 hospitals that did NOT achieve
the following thresholds: |
| Surgical antibiotic prophylaxis – choice |
Inadequate or unknown |
<25% |
| Surgical antibiotic prophylaxis – timing |
Inadequate or unknown |
<40% |
| Surgical Antibiotic Prophylaxis – Duration |
Inadequate or unknown |
<20% |
| HCW Measles Vaccination |
Susceptible staff |
<20% |
| HCW Hepatitis B Vaccination |
Susceptible staff |
<20% |
| Peripheral Venous Catheter Use |
PVC removed /replaced within <96 hrs |
>90% |
The Chief Executive Officer and Infection Control Consultant at these hospitals are notified via letter by the VICNISS Coordinating
Centre. The DHS Quality and Safety Branch ask that these hospitals respond to the notification by letter.
The letter is to outline an action plan for investigating and addressing the threshold ‘failure’. The letter is to be returned to the
VICNISS Coordinating Centre within three weeks of the notification. Once received, this information is passed onto the DHS.

Influenza Vaccination Data
This year, the staff influenza vaccination data collection form due date for submission was 30th September. The rates for each
hospital/health service are to be calculated according to one or more categories - the number of categories will be dependent on the
level of data that was provided. There are four possible categories - 1. Total (Category A+B staff) vaccinated, 2. Category A staff
vaccinated 3. Category B staff vaccinated and 4. Each category A staff group (Medical, nursing, allied health, laboratory and other) vaccinated.

SHIINe Software Update
The SHIINe software has been successfully piloted at St Vincent’s and Barwon Health. The next stage is the roll out to all Type 1 hospitals.
Health IQ Pty Ltd has been contracted to execute the roll out in conjunction with the VICNISS Coordinating Centre. Most hospitals have been
contacted by Simon Burrell or Judy Brett to organise a meeting with hospital executive sponsors, IT and ICP’s, to discuss the roll out project.

VICPA / VICNISS Journal Club
A special end of year Christmas journal club session will be held in December. When available, the final details of the Journal Club
will be posted on both the VICNISS and VICPA websites:
| Time: | 8.00-10.00am |
| Venue: | The Melbourne Zoo (TBC) |
| Presenters: | TBA |
More information and registration brochure is available on the VICPA website: www.vicpa.org.au/Default.aspx?c=373&ct=3
Final details of venue and articles for review will be forwarded closer to the date but please contact
Judy Brett if you have any queries
in the interim.

Infection Control Literature Review, October 2008
Our most recent
literature review, for October, compiled by Dr Leon Worth, ID Physician,
discusses current research on the following selected topics:
- Hydrogen Peroxide Vapour for Clostridium difficile Environmental Decontamination
- Detection of MRSA and VRE on Gowns and Gloves of Healthcare Workers