As a significant cause of death, healthcare-associated infections (HAI) are a critical challenge to public health in the United States. At any given time, about 1 in 20 patients have an infection while receiving care in U.S. hospitals. These infections result in up to $33 billion in excess medical costs every year.
ASTHO is working with HHS, CDC, and the Keystone Center to determine the role of state health officials in decreasing and preventing HAIs, specifically addressing priorities, challenges, and solutions at the state and regional level. In March 2011, ASTHO and CDC jointly released the HAI policy toolkit - Eliminating Healthcare-Associated Infections: State Policy Options. The companion report, Policies for Eliminating Healthcare-Associated Infections: Lessons from State Stakeholder Engagement was released in January 2012. ASTHO also maintains situational awareness on HAI-related policies and initiatives, shares this information with members, and represents the state health agency perspective.
Policy Backgrounder - HAI Prevention and Policy Implementation
Toolkit - Eliminating Healthcare-Associated Infections: State Policy Options
Companion Report - Policies for Eliminating Healthcare-Associated Infections: Lessons from State Stakeholder Engagement
We value your opinion! Provide feedback on the toolkit and report.
CDC Public Health Practice Story from the Field - Educating
Policymakers about Strategies for Preventing Healthcare-Associated Infections,
an initiative of ASTHO
State Policy Interventions for the Prevention of Healthcare-Associated
Presented at the 2011 CSTE Annual
Issue Brief- State
Strategies to Address Antimicrobial Resistance
Results of a survey of HAI
coordinators to better understand states' and territories' work on and
different approaches to antibiotic resistance and stewardship
HAI Legislative Tracking
HAI Legislative Tracking
Real-time state legislative tracking on select issues is available on our website. HAI legislation is available under the Infectious Disease profile.
HAI Legislative Summary 2013
This chart lists state legislation introduced in the 2013 session.
Three states passed HAI legislation regarding reporting requirements: ME, TX, and WA. (Updated December 19, 2013)
HAI Legislative Summary 2012
This chart lists state legislation introduced in the 2012 session.
Two states passed HAI legislation, NH (HAI reporting requirements and fees) and UT (HAI data sharing). (Updated August 2, 2012.)
HAI Legislative Summary 2011
Five states passed HAI legislation, four bills (AR, HI, ME, NC) dealing with reporting information to NHSN and making that data available to the health department, and one (NV) requiring facilities to provide infection information to patients. HI and NC added requirements for public reporting; ME states public reporting rule to be adopted by the Health Data Organization; AR had previous public reporting language. (Updated August 11, 2011.)
State HAI Reporting Laws
This chart provides a summary of states that have passed HAI reporting laws. (Updated December 22, 2008.)
Federal and Other National Resources
Association of Professionals in Infection Control (APIC) (external site)
CDC Report: Menu of Selected Provisions in HAI Laws
CDC State-Based HAI Prevention Activities (external site)
CDC’s Division of Healthcare Quality and Promotion (external site)
Council of State and Territorial Epidemiologists (external site)
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