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.
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".
CDC: Updated 2026 National Healthcare Safety Network (NHSN) Surveillance Protocols (January 2026)
CDC
Any Practice Setting
Department of Health
Surveillance
CDC updated the NHSN Patient Safety Component Manual, including Antimicrobial Use and Resistance (AUR) Module protocols and data definitions used for facility reporting. These updates include new documentation and reporting guidance, effective for 2026 surveillance. A summary of updates is available on the CDC website.
APIC: New White Paper on Centralized Health-Associated Infection Surveillance Programs and Micro-Credential to Advance Centralized HAI Surveillance and Patient Safety (1/20/2026)
APIC
Any Practice Setting
Department of Health
Surveillance
This paper offers guidance and expert perspectives on implementing centralized surveillance programs for healthcare-associated infections (HAI) data within health systems, a key step toward more standardized HAI measurement and prevention. It emphasizes improving surveillance accuracy, data use, and patient safety.
VDH: Clinician Letter: Respiratory Illness and Measles Updates for Virginia (1/21/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Outbreak Investigation
Standard Precautions
Vaccination
The clinician letter reports that respiratory illness activity in Virginia has declined but influenza-related hospitalizations remain elevated, and clinicians should continue vaccination, testing, and prompt antiviral treatment for high-risk patients. The letter also warns of ongoing measles cases and exposures in Virginia, urging clinicians to maintain a high index of suspicion, immediately isolate suspected cases, notify public health, and ensure staff and patients have documented MMR immunity.
APIC: Updated Monkeypox Playbook (11/07/2025)
APIC
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Mobile Clinic
Outbreak Investigation
Patient and Family Engagement
Surveillance
Recent updates to the Monkeypox Playbook include the CDC’s Traveler Health Notice advising enhanced precautions and an updated Risk/Triage Scale recommending increased awareness. Additional information covers the current global situation of monkeypox and the latest outbreak reports.
SHEA: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/20/2025)
SHEA
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
The guidance offers recommendations for infection prevention and control (IPC) in nursing homes to address challenges including medical acuity and the rise of multidrug-resistant organisms. It emphasizes the importance of IPC leadership, training, and adherence to precautions while also considering the balance between maintaining a home-like environment and ensuring effective infection prevention measures.
SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)
APIC
SHEA
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Cleaning and Disinfection
Employee/Occupational Health
Hand Hygiene
High Level Disinfection
Outbreak Investigation
Physical Environment / Environment of Care (EOC)
This guidance document updates the 2008 SHEA/Association for Professionals in Infection Control and Epidemiology (APIC) guideline: Infection Prevention and Control in the Long-Term Care Facility and is intended to assist nursing homes in the United States in defining and implementing their infection prevention and control (IPC) programs and practices. Recommendations and implementation suggestions address IPC leadership, staffing, and resources, healthcare personnel and residents‘ adherence to precautions and effective hand hygiene, outbreak preparedness, training, occupational health, cleaning and disinfection in the care environment, and the involvement of IPC in the facility.
VDH Clinician Letter: Updates to CDC Immunization Schedule (10/10/2025)
CDC
VDH
Ambulatory (Outpatient) Care
Department of Health
Pediatric / NICU
Vaccination
This clinician letter outlines updates to immunization schedules for MMRV (measles, mumps, rubella, and varicella) and COVID-19 vaccines, emphasizing their essential role in community health and safety in Virginia. It discusses the new guidelines, including the separate administration of the MMR and varicella vaccines for children under 4 years, the COVID-19 vaccine's availability for individuals aged 6 months and older, and the importance of verifying insurance coverage prior to vaccination.
VDH Clinician Letter: COVID-19 Vaccine Update (09/11/2025)
VDH
Any Practice Setting
Department of Health
Vaccination
This letter provides important updates about the 2025-2026 COVID-19 vaccine. The State Health Commissioner issued a Statewide Standing Order authorizing pharmacists to administer the COVID-19 vaccine to adults consistent with FDA indication.
VDH Clinician Letter: Changes to the Reportable Disease Regulations in Virginia (09/24/2025)
VDH
Any Practice Setting
Department of Health
Regulatory Compliance
This communication describes recent updates to the Virginia Regulations for Disease Reporting and Control. These regulations were brought into compliance with changes in the field of communicable disease detection and control. The regulations were modified to conform to Chapter 375 of the 2024 Virginia Acts of Assembly.
VDH Clinician Letter: Interim Recommendations for the Management of Healthcare Personnel Exposed to or Infected with COVID-19 or Seasonal Influenza (09/30/2025)
VDH
Any Practice Setting
Department of Health
Employee/Occupational Health
Physical Environment / Environment of Care (EOC)
VDH is providing updated recommendations for the management of healthcare personnel (HCP) exposed to or infected with COVID-19 or seasonal influenza. Healthcare facilities should evaluate VDH recommendations and consider updating HCP return to work and management guidance. These recommendations are not regulatory requirements or mandates.
Last Updated: March 14, 2024