政策调整，机构合作与协作在预防控制HAI中的作用
The Power of Policy Change, Federal Collaboration and State Coordination in HAIPrevention
Arjun Srinivasan1,*, Michael Craig2, Denise Cardo1
1Centers for Disease Control and Prevention, National Center for Emerging, Zoonotic, and
Infectious Diseases, Division of Healthcare Quality Promotion, Atlanta, GA
2Centers for Disease Control and Prevention, Office of the Associate Director for Policy,
Washington Office, Washington, D.C.
Abstract
Policymakers have prioritized the prevention of healthcare-associated infections (HAIs) as a
double-win that can both improve health outcomes and reduce healthcare costs. In the past few
years, state and federal policymakers have developed policies to improve coordination and
promote transparency and prevention. At the federal level, Congressional oversight, policy
directives, and targeted funding have helped focus national HAI prevention efforts through the
“Department of Health and Human Services (HHS) Action Plan to Prevent Healthcare-
Associated Infections.” The development of this Action Plan and the collaboration of its
implementing agencies -- the Centers for Disease Control and Prevention (CDC), the Centers for
Medicare and Medicaid Services (CMS), and the Agency for Healthcare Research and Quality
(AHRQ) – has heightened nationwide awareness of HAIs and their preventability, and provided
an infrastructure and tools to reduce HAIs. State policymakers have also acted to promote local
transparency and tailor prevention efforts to local needs. The collaboration and action generated
by these state and federal efforts have helped accelerate HAI prevention across the United States.
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