Healthcare-Associated Infections Learning and Action Network (HAI LAN)

This Learning and Action Network (LAN) is an innovative initiative that will bring together like-minded professionals to achieve rapid, wide-scale improvement. This model will be put into practice through collaborative projects and online peer-to-peer interactions to facilitate shared commitment, energy and knowledge while focusing on spread and sustainability.

Infection is the most common cause of morbidity and the second most common cause of death among patients on hemodialysis. Infections are both numerous and costly. The cost to treat one bloodstream infection was estimated several years ago to be over $24,000. [1]  In 2011, more than 395,000 patients were treated with maintenance hemodialysis in the United States. [2]  With this knowledge, the Network will facilitate a LAN with a focus on improving patient safety by reducing healthcare-associated infections in the dialysis setting. Participants will collaborate to identify tools that can be implemented as best practices to promote and eliminate infections in the dialysis population.


Network 3 shared its experience with both the Puerto Rico HAI LAN and NJ HAI LAN with Improving Communication between Dialysis and Hospitals during the APIC Annual Conference in Charlotte, NC on June 12th. Christi Lines MPH of the CDC co-presented on the importance of information transfer between dialysis centers and hospitals. Gemma Downham MPH CIC co-presented on the role of hospital infection preventionists in bridging the communication gap.

Bridging the Communication Gap Between Outpatient Dialysis and Acute Care
Coming Soon! Resource Toolkit for Hospital Personnel who care for Hemodialysis Patients


Improving Communication Pilot

The Puerto Rico HAI LAN conducted a pilot project that aimed to improve reporting in NHSN by educating stakeholders on the reporting requirements and improving communication and infection related information sharing between them. The poster below was featured in the Gallery Walk at the CMS Quality Conference held in Baltimore, MD in December 2015.

The NJ HAI LAN was convened and members collaborated on the development of communication forms for dialysis facilities and Hospital Infection Prevention Professionals. The tools include the information pertinent to each discipline during transitions of care.


The HAI LAN members identified the need for consistency in the appropriate application of the antiseptics used for vascular access care in dialysis facilities and collaborated on the development of a reference poster. This poster provides nurses with a quick reference to the appropriate application method and contact time for the three antiseptics recommended by the CDC. It serves as a visual reminder for nurses to use during care of the dialysis vascular access and reinforces the recommended application techniques and contact times for Chlorhexidine with alcohol, Povidone Iodine, and Alcohol.

Dialysis Antiseptic Contact Time (Spanish)
Dialysis Antiseptic Contact Time Card (Spanish)
Dialysis Antiseptic Contact Time (English)
Dialysis Antiseptic Contact Time Card (English)


Iza la VELA; Puerto Rico Navega!

To raise awareness and promote the use of its tools, the Puerto Rico Learning and Action Network (LAN)Advisory Committee has organized a contest to promote the campaign, "Iza la VELA; Puerto Rico Navega!", a Spanish version adaption of the WAVE campaign.

Atlantis San Sebastian was selected as the winner of the contest and was awarded a plaque to display on November 2013.

The HAI LAN collaborated on a catheter educational poster titled, “Mantenga Su Cat├ęter Libre de Infecciones. ¡Proteja Su Linea de Vida! The poster was distributed to all of the facilities in Puerto Rico on November 2013. View the poster here.
[1] Lindberg, Curt, et al. "Embracing collaboration: A novel strategy for reducing blood stream infections in outpatient hemodialysis centers." American Journal of Infection Control (2012 ): 1-7.
[2] Dialysis Event Protocol. January 2014. Centers for Disease Control and Prevention.