Guidance & Regulation Updates

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VIPTA members track guidance and regulation updates to create a one-stop-shop for users.  The updates include source documents that guide infection prevention and control practices for public health staff and clinical and non-clinical healthcare personnel.

The date of the regulation or guidance update is included in each post.  Please check linked content to be sure it is the most up to date and recommended practice.


 

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Search and/or filter the guidance and regulation updates posted on the VIPTA website.  Below, you can view all guidance and regulation updates sorted by most recent publication.

Not finding resources for a specific setting of care?  Try selecting "Any Practice Setting".


 

CMS Fiscal Year 2027 Acute Care Hospital and Long-Term Care Hospital (LTCH) Prospective Payment System Final Rule: CMS-1849-F (8/04/2026)
CMS
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Quality Improvement
CMS updated Medicare payment and quality requirements for hospitals and LTCHs. The Hospital-Acquired Condition Reduction Program (HACRP) will continue. Hospitals with the poorest performance on hospital-acquired conditions may lose 1% of Medicare fee-for-service payment.
CMS Fiscal Year 2027 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule: (7/31/2026)
CMS
Nursing Home / Skilled Nursing Facility (SNF)
Quality Improvement
CMS will remove two COVID-19 vaccination measures from the SNF Quality Reporting Program beginning in FY 2028.SNFs will no longer report COVID-19 vaccination coverage for healthcare workers or whether residents are up to date through this program. Facilities should still follow current CDC vaccination guidance and CMS infection control requirements.
Surveillance for Candida auris — United States, 2022–2024 (07/02/2026)
CDC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Department of Health
Nursing Home / Skilled Nursing Facility (SNF)
Surveillance
CDC reported continued growth of Candida auris in U.S. healthcare settings from 2022–2024. Clinical cases increased from 2,882 to 6,197, and screening cases increased from 6,226 to 12,432. CDC emphasizes continued C. auris screening of high-risk patients, appropriate Transmission-Based Precautions, use of disinfectants effective against C. auris, communication of C. auris status during transfers, antifungal susceptibility testing, and strong coordination between healthcare facilities and public health to limit further transmission.
Society for Healthcare Epidemiology of America (SHEA)
SHEA
Acute Care Hospital
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Infection Prevention and Control of Candida auris in Pediatric Settings (6/23/2026) The guidance recommends identifying at-risk pediatric patients through targeted screening, using appropriate isolation and room-placement precautions, and coordinating closely with infection prevention and public health partners when Candida auris is suspected or confirmed. It also emphasizes prevention through meticulous hand hygiene, effective environmental cleaning and disinfection, and careful management of shared medical equipment, toys, common spaces, visitors, breastfeeding, skin-to-skin contact, and caregiver-child interactions.
Centers for Medicare and Medicaid Services (CMS) 
CMS
Nursing Home / Skilled Nursing Facility (SNF)
Regulatory Compliance
CMS QSO-26-14-NH Memo: Nursing Home Risk-Based Survey National Implementation (7/16/2026) CMS will implement a nationwide risk-based survey process beginning September 8, 2026. Qualifying high-performing nursing homes may receive streamlined recertification surveys, allowing survey resources to be focused on facilities and complaints that present greater risks to resident health and safety.
VDH: Clinician Letter – Measles Outbreak Expansion and Back-to-School Immunizations (6/26/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Pediatric / NICU
Emergency Preparedness & Operations
Vaccination
Clinician Letter: Measles Outbreak Expansion and Back-to-School Immunizations (6/26/2026) The Virginia Department of Health announced that the Buckingham County measles outbreak has expanded to Cumberland County. Review the expanded outbreak vaccination recommendations, encourage patients to stay up to date on immunizations before the school year, and immediately report suspected or confirmed measles cases to your local health department.
VDH: Clinician Letter – Public Health Updates on Measles, Ebola Preparedness, and Travel-Associated Illnesses (6/03/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Pediatric / NICU
Emergency Preparedness & Operations
Vaccination
Clinician Letter: Public Health Updates on Measles, Ebola Preparedness, and Travel-Associated Illnesses (6/03/2026) This clinician letter provides updates on rising measles activity, Ebola preparedness, and travel-associated illnesses. Protect patients and staff by maintaining a high index of suspicion, assessing travel history, following infection control guidance, ensuring vaccination coverage, and promptly reporting suspected cases to your local health department.
APIC: New Toolkit to Address Problematic Manufacturer Instructions for Use for Non‑Critical Devices (5/08/2026)
APIC
Any Practice Setting
Department of Health
Quality Improvement
Regulatory Compliance
New Toolkit to Address Problematic Manufacturer Instructions for Use for Non‑Critical Devices: This toolkit provides practical strategies and resources to help healthcare professionals address problems with manufacturer instructions for use (IFUs) for non-critical medical devices. It supports infection preventionists in safely reprocessing devices when IFUs are unclear, incomplete, or difficult to follow.  *Access this resource with a free APIC account.
VDH Clinician Letter: Measles Outbreak in Buckingham County (5/13/2026)
VDH
Any Practice Setting
Department of Health
Outbreak Investigation
Measles Outbreak in Buckingham County: Outlines key case details, emphasizes prompt public health notification, reminds healthcare workers to watch for measles symptoms to prevent spread, and encourages providers to promote MMR vaccination and check immunization status.
CDC: Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026)
CDC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Department of Health
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026) The Diagnostic excellence (DxEx) provides guidance to implement actionable strategies within hospitals to enhance diagnostic accuracy through improved diagnostic reasoning, testing methodologies, and communication processes, ultimately elevating patient safety standards. It encourages the implementation of systematic approaches and evidence-based practices for improving diagnostic processes, ultimately aiming to reduce errors and increase patient safety across healthcare settings.
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