Virginia Healthcare-Associated Infections Advisory Group


The Virginia Healthcare-Associated Infections (HAI) Advisory Group is a voluntary, statewide, multidisciplinary group that coordinates the efforts of the Commonwealth’s HAI stakeholders to align strategies, share information and resources, and produce synergies that will accelerate statewide and individual institutional progress in preventing HAIs and antimicrobial resistance (AR).

The group is co-led by the 1) Virginia Department of Health, 2) Virginia Hospital and Healthcare Association, and 3) Health Quality Innovators, the Virginia Quality Innovation Network – Quality Improvement Organization.

2019 HAI Advisory Group Membership List

Purpose and Mission

Read about the 2017 Accomplishments and the 2018 Accomplishments of the Virginia HAI Advisory Group!



The HAI Advisory Group has three workgroups that collaboratively work on specific goals and topics:

Infection Prevention Education Workgroup:
This workgroup focuses on providing education and trainings for healthcare workers in order to provide tools and resources to help decrease HAIs. It also assists the other workgroups with educational support on current priority issues and healthcare concerns related to HAIs.

Antibiotic Stewardship Workgroup:
The Antibiotic Stewardship workgroup aims to ensure the appropriate use of antibiotics, improve patient outcomes, decrease adverse effects, reduce antimicrobial resistance, and decrease health care costs.

Annual Priority Workgroup:
Every year, this workgroup decides on a specific HAI topic of concern that has statewide implications. The annual priority for 2019 is standing up the Virginia Frontline Provider Infectious Disease Advisors group. The goal is to get feedback from frontline providers on the challenges of working with patients and staff on the prevention and control of multidrug-resistant organisms. Find out more information and see how to sign up here.


2019 - SIGoVA Antimicrobial Resistance Virtual Research Symposium

2019 - Nursing Education Campaign on Antimicrobial Stewardship

2019 - Bridge the Gap Long-Term Care Training Materials

2018 - Outpatient Acute Bronchitis for Adults Algorithm

2018 - Outpatient Acute Sinusitis for Adults and Pediatric Patients Algorithm

2018 - Outpatient Acute Pharyngitis for Adults and Pediatric Patients Algorithm

2017 - Antibiotic Stewardship Basics for Multi-Disciplinary Healthcare Professionals: On-demand education modules to introduce nurses, pharmacists, and practitioners to the basics of an appropriate Antibiotic Stewardship Program. Continuing education credits available upon successful completion of a module and post-test.

Resources for Healthcare Professionals:

Resources for CRE and CRPA Surveillance and Investigation

2017 Consensus Statement on the Annual Vaccination of Healthcare Workers for Influenza Prevention

2017 Virginia State and Regional Cumulative Antibiogram 

Virginia Antimicrobial Stewardship Honor Roll for Acute Care Hospitals

Page Last Updated June 2019


State and federal regulatory programs guard the health, safety, and welfare of the public by establishing and enforcing minimum standards to assure quality health care.

Different entities are responsible for licensure, certification, and/or accreditation of healthcare and residential facilities and healthcare professionals. Assessment of a facility’s infection control program and its policies and procedures is one small part of the inspection (or survey) process.

State Agencies

Virginia Department of Health - Office of Licensure and Certification

  • Administers state licensing programs for hospitals, outpatient surgical hospitals, nursing facilities,home care organizations, and hospice programs. Conducts inspections to ensure compliance with state requirements.  Investigates consumer complaints and evaluate compliance with state requirements.
  • For nursing homes – more information on working with the VDH Office of Licensure and Certification

Virginia Department of Health Professionals

  • Licenses personal physicians, nurses, dentists, and other healthcare professionals. Also responsible for enforcing standards of practice and providing information to healthcare practitioners and the public.

Virginia Department of Social Services – Division of Licensing Programs

  • Licenses assisted living facilities, which are residential settings that provide or coordinate personal and health care services, 24-hour supervision, and assistance for the care of four or more adults who are aged, infirm, or disabled.
    • To report a complaint, call the statewide toll-free number: 1-800-543-7545. In the Richmond area, call 804-692-2394.
  • For more information for assisted living facilities on working with VDSS, Division of Licensing Programs, see the VDSS DOLP FAQ.

National Agencies

Accreditation Association for Ambulatory Health Care (AAAHC) - Accredits organizations in a wide variety of ambulatory healthcare settings, including (but not limited to) ambulatory surgical centers, community health centers, medical and dental group practices, and student health centers.

  • Accredited facilities must demonstrate assessment and improvement of the quality of its services and provide services addressed by the AAAHC Standards

American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) – not-for-profit association that accredits ambulatory surgery facilities.

Centers for Medicare and Medicaid Services (CMS)

  • Contracts with state survey agencies (in Virginia, the Office of Licensure and Certification) to certify that providers (patient care institutions such as hospitals and nursing homes) and suppliers (agencies for diagnosis and therapy such as ambulatory surgery centers) participating in the Medicare and Medicaid programs meet minimum health and safety standards.
  • More information on setting-specific certification and compliance requirements can be found here

Joint Commission

  • Accreditation
    • Accredits healthcare facilities such as hospitals, long-term care facilities, and ambulatory health care settings.
    • Accredited facilities must demonstrate assessment and improvement of the quality of its services and provide services addressed by the Joint Commission’s standards.
    • Approximately 82% of hospitals in the United States are accredited by Joint Commission.
  • Certification
    • Joint Commission-accredited facilities can earn certification for programs devoted to chronic diseases and conditions, such as asthma, diabetes and heart failure.
    • Providers of health care staffing services can also earn Joint Commission certification

Model transfer form: Nursing facility to emergency department/hospital

Created in 2009 by a statewide multidisciplinary Task Force including the health department, licensing agencies, and long-term care organizations


  • Association for Professionals in Infection Control and Epidemiology, Virginia Chapter (APIC-VA)
    • The state chapter of APIC, a voluntary membership organization representing members of the infection prevention profession.
  • Medical Society of Virginia (MSV) Foundation
    • Nonprofit subsidiary of the Medical Society of Virginia, a professional association of more than 8,700 Virginia physicians.
    • From 2003 to 2011, coordinated Get Smart Virginia: Know When Antibiotics Work, a partnership of organizations that aims to reduce the problem of antibiotic resistance in Virginia by educating consumers about appropriate antibiotic use.
  • Mid-Atlantic Renal Coalition (MARC)
    • One of 18 Medicare-funded organizations dedicated to improving the quality of care delivered to patients with end-stage renal disease in the District of Columbia, Maryland, and Virginia.
  • Virginia Ambulatory Surgery Association (VASA)
    • A not-for-profit organization of ambulatory surgery providers dedicated to providing high quality, cost-effective care that is sensitive to the needs of ambulatory surgery patients.
  • Virginia Assisted Living Association (VALA)
    • A not-for-profit membership organization dedicated to providing advocacy, communication, education, and resources for Virginia's assisted living industry.
  • Virginia Association of Nonprofit Homes for the Aging (VANHA)
    • A membership organization that represents the interests of not-for-profit facilities serving older adults in Virginia.
  • Virginia Department for the Aging
    • A state agency that works with local area agencies on the aging to help older Virginians find the services and information they need.
    • Long-Term Care Ombudsman Program advocates for older persons receiving long-term care services by providing information, advocacy, and assistance to help resolve care problems.
  • Virginia Department of Behavioral Health and Developmental Services
    • A state agency that provides public mental health, intellectual disability, and substance abuse services to children and adults through 16 state-operated facilities and 40 locally-run community services boards.
  • Virginia Department of Social Services
    • A state agency that administers programs and provides services to help people triumph over poverty, abuse and neglect, and achieve self-sufficiency.
    • Division of Licensing Programs (DOLP) licenses assisted living facilities, which are residential settings that provide or coordinate personal and health care services, 24-hour supervision, and assistance for the care of four or more adults who are aged, infirm, or disabled.
    • For more information for assisted living facilities on working with VDSS, Division of Licensing Programs, click here.
  • Virginia Health Care Association (VHCA)
    • A voluntary membership organization of nearly 300 nursing and assisted living facilities dedicated to advocating for and representing the interests of these facilities, the residents they serve, and their staff.
    • The Virginia Center for Assisted Living (VCAL) is the assisted living arm of VHCA.
  • Virginia Hospital & Healthcare Association (VHHA)
    • A voluntary membership organization of 39 health systems and hospitals, representing 108 community, psychiatric, rehabilitation, and specialty hospitals throughout Virginia.
    • Publishes a Quality and Safety scorecard that includes one HAI measure currently (central line-associated bloodstream infections); another measure (catheter-associated urinary tract infections) will be added in the future.
  • Health Quality Innovators (HQI)
    • A healthcare consulting firm and the federally designated Quality Improvement Organization for Virginia that provides expertise in quality improvement, utilization management, analytic services, and health information technology support.
  • Virginia Occupational Safety and Health (VOSH) Program
    • Program run by the Virginia Department of Labor & Industry.
    • Serves as the Commonwealth of Virginia’s counterpart to the federal Occupational Safety and Health Administration (OSHA). The VOSH Program is responsible for enforcing occupational safety and health laws and regulations in the private and public sectors and also provides free consultative, outreach and training services to encourage and provide assistance to Virginia’s employers to enhance safety and health protections for their employees.


  • Safe Injection Practices Coalition (SIPC)
    • A partnership of healthcare-related organizations that was formed to promote safe injection practices in all US healthcare settings.
    • Leads a public health campaign with CDC called the One & Only Campaign to raise awareness among patients and healthcare providers about safe injection practices.
  • Society for Healthcare Epidemiology of America (SHEA)
    • A voluntary membership organization representing healthcare epidemiologists that is dedicated to advancing the science and practice of healthcare epidemiology and preventing and controlling morbidity, mortality, and the cost of care linked to HAIs.