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Following a year-and-a-half of advocacy by CHA, the California Department of Public Health (CDPH) on June 8 announced that it has discontinued Central Line Insertion Practices (CLIP) reporting by hospitals, effective immediately.
Hospitals no longer need to submit that they have followed the CLIP checklist for each patient for whom a central line is inserted. Outcome reporting by hospitals on Central Line Associated Bloodstream Infections (CLABSI) will continue.
This change was released in All Facilities Letter (AFL) 21-18. It informs general acute care hospitals (GACHs) of the discontinuation of the process measure reporting requirements for CLIP via the National Healthcare Safety Network (NHSN). As a result, hospitals are no longer are required to submit CLIP data. The AFL notes that GACHs should continue to adhere to CLIP for each central line insertion and review adherence to CLIP checklist elements when CLABSI occur.
CHA proposed to the CDPH Healthcare Associated Infections Advisory (HAI) Committee that it recommend to CDPH to discontinue this measure. At its Dec. 3, 2020, meeting, the HAI Committee made such a recommendation. It determined that the elements included in CLIP have become the standard of care, and the time and resources required to report CLIP data into NHSN can be redirected to other activities. CDPH then adopted that recommendation with the release of this AFL.
The AFL also formally discontinues the reporting of Surgical Antimicrobial Prophylaxis Measures, which were retired in 2014 but were included in a prior AFL that this AFL rescinds.