The 2007 amendment of the Medical Care Availability and Reduction of Error (MCARE) Act of March 20, 2002, requires Pennsylvania hospitals, ambulatory surgical facilities, and long-term care facilities to develop and implement a facility-specific infection control (IC) plan. Facility IC plans must be submitted to and approved by the Pennsylvania Department of Health. The Division of Healthcare Associated Infection Prevention’s IC Plan Review Team is responsible for reviewing and approving IC plan submissions. The IC Plan Review Team is available to support facilities through the IC plan submission and review process. The following resources have been created to help facilities develop or modify infection prevention and control (IPC) program documents (i.e., IC plan, IPC risk assessment, policies and procedures) and answer questions about the IC plan submission process. Resource content should be used as appropriate and edited to be facility-specific. For questions, please contact us at RA-DHHAI@pa.gov or join office hours.
Infection Control Plan Submission Toolbox and Resources
Infection Control Plan Submission Process
Infection Control Plan/Document Submission Requirements
- Infection Prevention and Control Plan Submission Checklist
- Common Mistakes Identified During Infection Control Plan Review
- Infection Control Plan Submission, Smart Moves & Common Missteps
- Infection Control Plan Submission Frequently Asked Questions
Infection Control Program Risk Assessment Resource
- Infection Control Risk Assessment Resource
- Instructions for Using the Infection Prevention and Control Risk Assessment Resource
- TRAIN PA course 1103300, PA-HAI: What's the Worst That Could Happen? Risk Management in Infection Prevention - Recorded Event
Infection Control Plan Development/Resources
- Infection Control Plan Toolkit
- Infection Control Plan Outline for Acute Care Hospitals
- Infection Control Plan Outline for Ambulatory Surgical Facilities
- Infection Control Plan Outline for Long-Term Care Facilities
Infection Control Plan in Practice
- Infection Control Plan in Practice - Infection Control Committee
- Infection Control Plan in Practice - Infection Control Education for Employees
- Infection Control Plan in Practice - Human and Fiscal Resources
Policy Development/Resources
Office Hours
PA Department of Health, Infection Control Plan Submission Q & A / "office hours"
If you have questions during the IC plan submission and screening process, please join the recurring, weekly "office hours" hosted by the HAIP/AS program reviewers, utilizing the web link or phone number listed below.
Frequency: Every Wednesday from 1 pm – 2 pm
Join on your computer or mobile app
Click here to join the meeting
Or call in (audio only)
+1 267-332-8737,,375837352#
Phone Conference ID: 375 837 352#
The "office hours" Teams meeting is an open hour designed to provide participants with the ability to dial in or join via videoconference anytime during the hour. The platform is designated for facility infection preventionists or interim POCs to ask DOH plans reviewers' specific questions and offers an opportunity to listen in for the full hour to hear what questions others are asking about the process. The meeting is offered weekly to ensure that facilities have access to reviewers throughout the submission experience.