House File 2426 - Introduced



                                       HOUSE FILE       
                                       BY  H. MILLER, BERRY, GASKILL,
                                           BUKTA, and MASCHER


    Passed House,  Date               Passed Senate, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act providing for the detection and prevention of certain
  2    hospital=associated bloodstream infections.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 5690HH 82
  5 jr/nh/5

PAG LIN



  1  1    Section 1.  NEW SECTION.  135B.18B  METHICILLIN=RESISTANT
  1  2 STAPHYLOCOCCUS AUREUS CONTROL PROGRAM.
  1  3    1.  DEFINITION.  As used in this section, "MRSA" means
  1  4 methicillin=resistant staphylococcus aureus.
  1  5    2.  CONTROL PROGRAM.  In order to improve the prevention of
  1  6 hospital=associated bloodstream infections due to
  1  7 methicillin=resistant staphylococcus aureus, every hospital
  1  8 shall establish an MRSA control program that requires all of
  1  9 the following:
  1 10    a.  Identification of all MRSA=colonized patients in all
  1 11 intensive care units, and other at=risk patients identified by
  1 12 the hospital, through active surveillance testing.
  1 13    b.  Isolation of identified MRSA=colonized or MRSA=infected
  1 14 patients in an appropriate manner.
  1 15    c.  Monitoring and strict enforcement of hand hygiene
  1 16 requirements.
  1 17    d.  Maintenance of records and reporting of cases pursuant
  1 18 to subsection 3.
  1 19    3.  REPORTING BY DEPARTMENT OF PUBLIC HEALTH.
  1 20    a.  Commencing October 1, 2008, the department of public
  1 21 health shall compile aggregate data for all hospitals on the
  1 22 total number of infections due to MRSA that are present on
  1 23 admission to a hospital and that occurred during the hospital
  1 24 stay, reported separately, as compiled from diagnostic codes
  1 25 contained in the hospital discharge data sets provided to the
  1 26 department.  This reporting requirement shall apply only for
  1 27 patients in all intensive care units and other at=risk
  1 28 patients identified by hospitals for active surveillance
  1 29 testing for MRSA.  The department of public health may adopt
  1 30 rules, based on guidelines developed by the national center
  1 31 for health statistics, requiring hospitals, after October 1,
  1 32 2008, to submit data to the department relating to infections
  1 33 due to MRSA that is coded as "present on admission" and
  1 34 "occurred during the stay".
  1 35    b.  The department of public health shall make such data
  2  1 available on its web site and shall make an annual report to
  2  2 the general assembly.
  2  3                           EXPLANATION
  2  4    This bill requires every hospital to establish a
  2  5 methicillin=resistant staphylococcus aureus (MRSA) control
  2  6 program which identifies and isolates patients in intensive
  2  7 care units, and other at=risk patients, who are infected or
  2  8 colonized with MRSA and identifies at=risk patients through a
  2  9 surveillance program.  Commencing October 1, 2008, the
  2 10 department of public health is required to compile aggregate
  2 11 data for all hospitals on the total number of infections due
  2 12 to MRSA that are present on admission to a hospital and that
  2 13 occurred during the hospital stay and make that data available
  2 14 on its web site, and in an annual report to the general
  2 15 assembly.
  2 16    Methicillin=resistant staphylococcus aureus is a type of
  2 17 staph bacteria that has appeared in persons in hospitals and
  2 18 other health facilities.
  2 19 LSB 5690HH 82
  2 20 jr/nh/5