Virginia Infection Prevention & Control Training Alliance (VIPTA)

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Image showing germs spreading from one person coughing to another person breathing.

Spread Knowledge, Not Germs: Cough Etiquette Tips

Respiratory season is still in full swing, with rising cases of seasonal influenza locally and H5 bird flu infections and human metapneumovirus globally. It’s the perfect time to revisit the basics of cough etiquette, a critical component of Standard Precautions to reduce the spread of infections. This month, we’re featuring the Pause for Prevention: Cough Etiquette resource developed by Health Quality Innovation Network, a VIPTA partner, to enhance infection prevention and control (IPC) practices across healthcare settings.

What to Expect

  • A three-page education package with an educational flyer and a facilitator guide designed to train on cough etiquette using workplace learning principles.
  • You can use everyday items like a spray bottle and personal protective equipment to create quick, interactive demonstrations that leave a lasting impression on participants.

Ways to Share this Resource

  • Use in team huddles, small group orientation, or one-on-one training sessions.
  • Adapt the scenarios to role-play situations involving your healthcare roles and facility.

Target Audience: Essential IPC Education Level


Guidance & Regulation Updates

VIPTA members track guidance and regulation resources to share 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.

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)

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...


UVA Health Cheers for Peers

Bug Busters!

This month, we are featuring the UVA Health Infection Prevention and Control (IP&C) team and their Bug Busters program!

Attending the IP Roadshow with Ginger Vanhoozer from the Virginia Department of Health (VDH) inspired Julianna Felsher, Jim Hovanec, Ann Sidebottom, and Fati Craighead to bring fun infection prevention and control education to acute care at UVA Health University Medical Center in Charlottesville, Virginia.

In August 2024, the IP&C team launched a mobile poster board initiative to deliver timely, engaging education across units. The cart (with candy, of course!) features rotating content on key topics like catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSIs), and other relevant infection prevention efforts. Each section is updated monthly, with educational materials attached via Velcro® for easy customization. The team spends about 30 minutes per unit, giving staff the flexibility to engage around their clinical duties. Creative themes–such as December’s festive “Grinch Busters”–help draw attention and boost participation.

Bug Busters has been very well received by the staff who have commented on how much they love the colorfulness of the board, the informal setting, and of course, the candy! The casual nature of education encourages staff to ask questions that they may not have realized they even had. They have even had departments such as wound care ask how they can create their own education programs just like this one.

Thank you to the UVA Health IP&C team for sharing your program with us and helping our readers find creative ways to bring education to the masses!


IPC Education & Training Library

Search the VIPTA library of curated infection prevention and control (IPC) education and training resources. The IPC Education & Training Resource Library includes state and national resources related to healthcare-associated infections, antimicrobial resistance and/or IPC. Visit the VIPTA FAQ page to learn more about VIPTA library content.

 

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