Pediatrics

30/30 Education Session - 30 minutes

1501 - Using the APIC Competency Model to Build an Infection Prevention and Control Department that Supports Organizational Growth

Wednesday, June 14
5:00 PM - 5:30 PM
Location: Oregon Convention Center, D 137-140

The Children’s Hospital of Philadelphia (CHOP) is a 535-bed academic tertiary acute care hospital serving regional, national, and international patients with more than 1 million outpatient visits and inpatient admissions each year. In addition, the CHOP care network is the largest pediatric network in the country, with more than 50 primary care offices, specialty care centers, and surgical centers in Pennsylvania and New Jersey. There are 11.6 full-time employees of dedicated infection prevention and control (IPC) resources to support this vast pediatric network. Guidelines for staffing ratios have varied in the literature from one infection preventionist per 100 to 250 acute care beds; however, a more recent report by Gage and Babcock has proposed an alternate staffing model that considers additional inpatient and outpatient services as acute care bed equivalents. We adjusted this model to support our pediatric network with the mandatory state reporting laws of Pennsylvania and considered infection prevention staffing to include both infection preventionists and support staff. Using the APIC competencies, we created three levels of infection preventionists to reflect the novice, proficient, and expert levels in the field, allowing infection preventionists to have clear career ladders and growth opportunities. In addition, role-specific positions were formed that created space for infection preventionists to focus on education and consultation. The support roles include infection prevention associates who manage data and perform supervised surveillance, a hand hygiene coordinator to manage the enterprise hand hygiene program, a clinical practice analyst to perform audits of healthcare-associated infection prevention practices, and an office administrator. The diversity of roles allows the IPC department to support patient care through increased rounding, which drives improvement at the bedside and ultimately impacts patient outcomes.

Learning Objectives:


Sarah Smathers

Manager Infection Prevention and Control
Department of Infection Prevention and Control, Children's Hospital of Philadelphia
Philadelphia, Pennsylvania

Sarah Smathers, MPH, CIC, FAPIC is the Manager of Infection Prevention and Control at the Children’s Hospital of Philadelphia (CHOP). Sarah has conducted research in infectious diseases and infection prevention and control in the areas of Clostrium difficile, multidrug-resistant organisms, and healthcare-associated infection prevention. She has worked in infection prevention at CHOP since 2009, was CIC certified in 2010, and became an APIC Fellow in 2016. She is the vice chair of the Infection Prevention and Control Committee at CHOP and serves on the Awards and Nominating Committee for the APIC Delaware Valley chapter and the Public Policy Committee for national APIC. She has presented abstracts at national conferences, including SHEA and IDWeek, and has published on the epidemiology and prevention of infectious diseases. Sarah earned a bachelor's degree in biology from Kalamazoo College and master of public health in hospital and molecular epidemiology from the University of Michigan.

Presentation(s):

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Timothy Bowers

Infection Preventionist
Penn Presbyterian Medical Center
Philadelphia, PA

Timothy Bowers is currently an Infection Preventionist at Penn Presbyterian Medical Center in Philadelphia, PA focusing on educating his assigned units, CDI (CDAD) reduction, MRSA Screening program and the NHSN MDRO Module compliance. Previously he worked

Presentation(s):

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1501 - Using the APIC Competency Model to Build an Infection Prevention and Control Department that Supports Organizational Growth

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