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healthcare-associated infections (HAI) program

Sacramento Metropolitan Area Clostridium difficile Infection Prevention Collaborative

Region(s) served: El Dorado, Placer, Sacramento, San Joaquin, Solano, and Yolo Counties in California
Project dates: April 2016-April 2017

Together with local health departments, the HAI Program convened a Clostridium difficile infection (CDI) prevention collaborative among acute care hospitals and skilled nursing facilities in the Sacramento metropolitan area. Each facility participated in an onsite infection prevention assessment, committed to a facility-specific action plan, and engaged staff at quarterly in-person learning sessions.

Goals and Objectives
Decrease rates of healthcare facility onset CDI through the following objectives: 

  • Strengthen surveillance through rapid identification of patients with CDI
  • Improve implementation of evidence-based CDI prevention strategies, including antimicrobial stewardship and environmental cleaning and disinfection 
  • Improve care coordination to maintain appropriate infection prevention and control precautions for patients with CDI upon transfer to a receiving facility

Participating Facilities and Organizations

  • 17 hospitals
  • 1 long-term acute care hospital
  • 22 skilled nursing facilities
  • 6 local public health departments
  • Health Services Advisory Group (HSAG)


  • Participating facilities committed to prevention action plans to improve antibiotic stewardship, environmental cleaning and disinfection programs, and interfacility communication
  • Established forum for local partners to build relationships, and share and discuss best practices
  • CDPH is currently evaluating the effect of participation in the Sacramento Metropolitan Area CDI Prevention Collaborative on CDI incidence. The analysis will use CDI data reported by hospitals in the region.

For more information on the Sacramento Metropolitan Area CDI Prevention Collaborative, contact  ​​

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