National Nursing Home
Quality Care Collaborative
Quality Improvement Organizations
FREE CEUs for online education sessions
Nursing homes across the country are working with the CMS National Nursing Home Quality Care Collaborative and their local Quality Improvement Organizations to implement
antibiotic stewardship and prevent and manage C. difficile infections. Nursing homes participating in this initiative submit data into the CDC’s National Healthcare Safety
Network (NHSN). Tracking C. difficile infections, implementing antibiotic stewardship, and effectively preventing and managing C. difficile infections will improve quality
of care and outcomes for nursing home residents.
Access the six training sessions here:
TeamSTEPPS® in LTC: Communication Strategies to Promote Quality and Safety
Exploring Antibiotics and their Role in Fighting Bacterial Infections
Antibiotic Resistance: How it Happens and Strategies to Decrease the Spread of Resistance
Clostridium difficile Part One: Clinical Overview
Clostridium difficile Part Two: Strategies to Prevent, Track, and Monitor C. difficile
Centers for Disease Control
& Prevention (CDC)
National Health Safety Network (NHSN)
C. difficile (CDI) Reporting
CDC’s National Healthcare Safety Network (NHSN) is the nation’s most widely used healthcare-associated infection tracking system. NHSN provides long-term care facilities with
a customized system to track infections in a streamlined and systematic way. When facilities track infections, like Clostridioides difficile,
they can identify problems and track progress toward stopping infections. On the national level, data entered into NHSN will gauge progress toward national healthcare-associated
NHSN’s long-term care component is ideal for use by: nursing homes, skilled nursing facilities, chronic care facilities, and assisted living and residential care facilities.
Visit the NHSN website to learn more and enroll:
Visit the NHSN website
Enroll in NHSN
More from the CDC
The Core Elements of Antibiotic Stewardship for Nursing Homes
Agency for Healthcare
Research & Quality
Antimicrobial stewardship can help you optimize your use of antibiotics. As reported by AHRQ, between 25 percent and 75 percent of antibiotics prescribed in nursing
homes are unnecessary.1 Antimicrobial stewardship protects the effectiveness of antibiotics and reduces the risk of complications associated with antibiotic use, such
as C. difficile. Antibiotic stewardship saves money too – up to $1,098 per resident.
Antimicrobial Stewardship Guide
Antimicrobial Stewardship Toolkits
1. Nicolle LE, Strausbaugh LJ, Garibaldi RA. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17. PMID: 8665472; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC172878/pdf/090001.pdf
National Nursing Home
Quality Improvement Campaign
Infections (C. difficile) Tracking Tool This Tracking Tool (Excel workbook) has been especially designed to support homes in tracking
patterns and processes related to CDI identification and containment. The tool automatically classifies the event and onset type, and indicates whether the case should be reported via NHSN (see above). Your data
will produce charts to help you identify patterns and track improvement.
Early Identification/Containment Assessment Checklist for identification and diagnosis of CDI and implementation of appropriate precautions to limit
spread of C. difficile.
Hand Hygiene Assessment Checklist for performing appropriate hand hygiene during resident care to reduce spread
of C. difficile and other germs.
Cleaning/Disinfection Assessment Checklist for performing appropriate cleaning/disinfection of equipment and rooms to reduce
spread of C. difficile and other germs.
Antibiotic Stewardship Assessment Checklist for improving antibiotic use to decrease residents’ risk
of C. difficile infection.
View more Campaign Infections Goal resources.