Description
Strengthen your hospital’s infection prevention program with a combined governance policy and annual plan template that supports ACHC and CMS compliance requirements. This ready-to-use framework ensures clear leadership accountability, consistent monitoring, and measurable improvement in infection prevention practices across all departments.
This resource establishes governance structures while also providing an annual planning tool to assess risk, align goals, and integrate infection prevention into the hospital’s broader Quality Assessment and Performance Improvement (QAPI) program.
Key features include:
- Leadership Oversight & Accountability – Defines the roles of the governing body, infection control committee, and designated infection preventionists, ensuring responsibility and communication lines are clearly established.
- Standards Alignment – Ensures policies and annual objectives reflect nationally recognized infection prevention guidelines, regulatory requirements, and best practices.
- Risk-Based Goal Setting – Provides a structured framework for identifying hospital-specific infection risks and setting measurable annual prevention goals.
- Annual Objectives & Activities – Outlines surveillance priorities, staff training, hand hygiene initiatives, environmental monitoring, and interventions for high-risk areas.
- QAPI Integration – Links infection prevention outcomes to the hospital’s quality program, with built-in tools for monitoring, reporting, and governing body review.
- Customizable Format – Editable sections allow tailoring of both the policy framework and annual plan to fit the unique services, risks, and patient population of the facility.
