Agencies | Governor
Search Virginia.Gov
Protecting You and Your Environment Virginia Department of Health
Home | VDH Programs | Find It! A-Z Index | Newsroom | Administration | Jobs
Facebook LinkedIn Twitter YouTube

Resources For Ambulatory Care Settings

Click on any of the headings above to view the subheadings on that topic and get more information


Special Considerations | Reporting Requirements | General Resources | Ambulatory Surgical Centers | Dialysis Facilities | Other Settings

Ambulatory care settings provide healthcare on an outpatient basis. That is, patients do not stay overnight in the facility. The term "ambulatory care" encompasses a large variety of healthcare settings that include but are not limited to physician offices, urgent care centers, dialysis facilities, ambulatory surgical centers, cancer clinics, imaging centers, endoscopy clinics, public health clinics, and other types of outpatient clinics.

Special considerations for infection prevention in these settings:

  • This category covers a wide range of facilities, providing a variety of different medical care services and having a range of licensing requirements, staff training needs, and surveillance procedures.
    • For more information on licensure and certification, click here
  • The degree to which the infection prevention program is formalized may differ, but for each setting, infection prevention is a high priority. The infection prevention programs range, depending on the type of setting and licensing requirements, from policies established by the facility to accountability defined by the Centers for Medicare and Medicaid Services or another certifying organization.
  • Patients play an important role in preventing infections and in identifying any that might be associated with outpatient care. It is important to know the signs and symptoms of infection and contact your provider for follow up if any symptoms develop.
    • This is especially true for ambulatory care settings because the signs of an infection may not present until after the patient leaves the facility.

Back to top of page

Reporting requirements

  • Virginia Reportable Disease List
    • Outlines diseases and conditions (including outbreaks) that are reportable to the local health department by physicians, directors of medical care facilities, and directors of laboratories.
  • In January 2012, the Centers for Medicare and Medicaid Services (CMS) began requiring dialysis facilities participating in the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) to report certain infection events to the National Healthcare Safety Network (NHSN), including positive blood culture, I.V. antimicrobial start, and signs of vascular access infection. In January 2015, CMS added summary-level healthcare personnel influenza vaccination coverage rates to the ESRD reporting requirements.
  • In October 2014, CMS began requiring ambulatory surgery centers participating in the Ambulatory Surgery Centers Quality Reporting program to report summary-level influenza vaccination data for all healthcare personnel via NHSN.

Back to top of page


Back to top of page

Ambulatory surgical centers

Back to top of page

Dialysis facilities

Back to top of page

Other settings

Last Updated: 10-27-2015

Printable Version

E-mail This Page