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