Details of the exception are provided at the ECE link above. The Standardized Infection Ratio for Central Line-Associated Bloodstream Infections was 0.69 across general acute care hospitals in 2019. Standardized Utilization Ratio (SUR): A summary statistic that can be used to track device utilization over time; lower SURs are better. Available at, Centers for Disease Control and Prevention. National and State Factsheets are available via the Antibiotic Resistance & Patient Safety Portal. Available at, Centers for Disease Control and Prevention. 0000018665 00000 n
Centers for Disease Control and Prevention. 0000007146 00000 n
0000006981 00000 n
NHSN’s Guide to the SUR: https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sur-guide-508.pdf pdf icon[PDF – 26 pages]. 0000143469 00000 n
0000004400 00000 n
Clostridioides difficile (C. difficile): When a person takes antibiotics, good bacteria that protect against infection are destroyed for several months. Due to insufficient pediatric SSI data at the state-level, only adult SSI SIRs were calculated at the state-level. More than 36,000 active hospitals, nursing homes, and other healthcare facilities provide data to NHSN, which in turn is used for national- and state-level analyses, including for this HAI Report, and for targeted prevention initiatives by healthcare facilities, states, regions, quality groups, and national public health agencies, including CDC. Validation efforts should be considered when evaluating an individual state’s performance. The first ever Global guidelines for the prevention of surgical site infection were published on 3 November 2016. At the national level, the acute care hospital HAI highlights in this report include: At the national level, the acute care hospital device utilization highlights in this report include: Highlights of state performance compared to the 2015 baseline SIR of 1. The WHO Surgical Safety Checklist (published in 2009) identified a wide range of measures aimed at keeping patients safe during surgery. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM Objectives • Discuss importance of accurate data collection in calculating ... • Present results to your surgical team, surgical units, infection control committee, and leadership Available at, Centers for Medicare and Medicaid Services. The Centers for Disease Control and Prevention (CDC) is committed to protecting patients and healthcare personnel from adverse healthcare events and promoting safety, quality, and value in healthcare delivery. Figure 1. 0000004648 00000 n
Hospital-Acquired Infection (HAI) Rates in New York State Hospitals. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. National baseline: Aggregated data reported to the National Healthcare Safety Network (NHSN) by all facilities during a baseline period that is used to “predict” the number of infections expected to occur in a hospital, state, or in the country. In July, 2005, the Legislature passed and the Governor signed Public Health Law 2819 requiring hospitals to report select HAIs to the New York State Department of Health. Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP). A two-tailed p-value less than 0.05 was considered a statistically significant result. The rate of surgical site infection varies depending on the type of procedure, with rates of less than 1% for orthopaedic procedures and rates of over 10% for large bowel surgery [1]. Between 2015 and 2018, the colon surgical site infection rate declined 27%, from 5.63 infections per 100 procedures in 2015, to 4.10 infections per 100 procedures in 2018. effect of surgical site infections Of all the HAIs in the United States, surgical site infections (SSIs) are the most common and costly, accounting for 20% of all HAIs, with an estimated annual national cost of $3 to $5 billion. The SIR compares the number of infections in a facility or state to the number of infections that were “predicted” to have occurred, based on previous years of reported data (see National baseline). Data Source National Healthcare Safety Network (NHSN) EIP is a network of state health departments and their collaborators in local health departments, academic institutions, other federal agencies, and public health and clinical laboratories; infection preventionists; and healthcare providers. Global guidelines on the prevention of surgical site infection. Methicillin-resistant Staphylococcus aureus (MRSA): A type of staph bacteria that is resistant to many antibiotics. This report also includes national and state standardized utilization ratios (SURs) to measure device utilization for central lines, urinary catheters, and ventilators among the four main facility types. 0000004022 00000 n
Content source: Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP) startxref
Surgical site infections are defined as infections that occur 30 days after surgery with no implant, or within 1 year if an implant is placed and infection appears to be related to surgery. It focuses on methods used before, during and after surgery to minimise the risk of infection. Long-Term Care Hospital Quality Reporting. Surgical site infection (SSI): When germs get into an area where surgery is or was performed, patients can get a surgical site infection. Centers for Disease Control and Prevention. Data included in the annual report use standard NHSN definitions for central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated events (VAEs), surgical site infections (SSIs), laboratory-identified (LabID) methicillin-resistant Staphylococcus aureus (MRSA) bloodstream events, and LabID Clostridioides difficile (C. difficile) events.4-8 To account for delays in reporting, 2019 data reported to NHSN through July 1, 2020 were included. A complete list of risk factors used in the calculation of all SIRs and SURs can be found in the technical Data Tables associated with this report. xref
0000093006 00000 n
NHSN recognizes that changes to the CMS payment policies and changes in state and local reporting mandates may impact the number and characteristics of healthcare facilities participating in NHSN. State-level SSI SIRs were calculated for 15 select procedures types, including those within the SCIP and additional procedure categories with the highest volume of reported procedures. During this time, patients can get sick from C. difficile, bacteria that can cause life-threatening diarrhea. The report also includes the standardized utilization ratios (SURs), which measure device use by comparing the number of observed device days to the number of predicted device days. Available at. 0000005485 00000 n
Each state’s 2019 SIR was compared against three benchmarks to assess HAI prevention progress: the current 2019 national SIR, the state’s SIR from 2018, and the 2015 national baseline (i.e., compared to a value of 1). V�,`s��b�� �H�B However, the differences in the incidence of SSI among male and female patients were not statistically significant (p = 0.165). Saving Lives, Protecting People, Antibiotic Resistance & Patient Safety Portal, Healthcare-Associated Infection Data Reports website, https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf, https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sur-guide-508.pdf, https://health.gov/our-work/health-care-quality/health-care-associated-infections/targets-metrics, 2019 National and State HAI Progress Report SIR Data – Acute Care Hospitals, 2019 National and State HAI Progress Report SIR Data – Critical Access Hospitals, 2019 National and State HAI Progress Report SIR Data – Inpatient Rehabilitation Facilities, 2019 National and State HAI Progress Report SIR Data – Long-Term Acute Care Hospital, 2019 National HAI SIR Data – Pediatric and Oncology, 2019 National and State HAI Progress Report SUR Data – Acute Care Hospitals, 2019 National and State HAI Progress Report SUR Data – Critical Access Hospital, 2019 National and State HAI Progress Report SUR Data – Inpatient Rehabilitation Facilities, 2019 National and State HAI Progress Report SUR Data – Long-Term Acute Care Hospitals, National Healthcare Safety Network (NHSN), an Extraordinary Circumstance Exception (ECE) Policy, https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospitalqualityinits/hospitalrhqdapu.html, https://www.medicare.gov/inpatientrehabilitationfacilitycompare/, https://www.medicare.gov/longtermcarehospitalcompare/, https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/, https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/index.html, http://www.cdc.gov/nhsn/acute-care-hospital/clabsi/index.html, http://www.cdc.gov/nhsn/acute-care-hospital/cauti/index.html, http://www.cdc.gov/nhsn/acute-care-hospital/ssi/index.html, http://www.cdc.gov/nhsn/acute-care-hospital/cdiff-mrsa/index.html, https://www.cdc.gov/nhsn/acute-care-hospital/vae/index.html, https://www.cdc.gov/nhsn/pdfs/cms/cms-reporting-requirements.pdf, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Data Summary: Assessing Progress 2006-2016, Central Line-associated Bloodstream Infections, Catheter-associated Urinary Tract Infection, Carbapenem-resistant Enterobacterales (CRE), Occupationally Acquired HIV/AIDS in Healthcare Personnel, Vancomycin-resistant Enterococci (VRE) in Healthcare Settings, Patients with Indwelling Urinary Catheter, Patients without Indwelling Urinary Catheter, Options for Evaluating Environmental Cleaning, Appendices to the Conceptual Program Model for Environmental Evaluation, Basic Infection Control and Prevention Plan for Outpatient Oncology Settings, Tools for Protecting Healthcare Personnel, Environmental Cleaning in Resource-Limited Settings, Environmental Cleaning Supplies and Equipment, Appendix B2: Cleaning â specialized areas, Appendix C: Examples of high-touch surfaces, Appendix E: Chlorine disinfectant preparation, Healthcare Environmental Infection Prevention, DUA FAQs for Health Departments and Facilities, Modeling Infectious Diseases in Healthcare Network (MInD â Healthcare), Multiplex Real-Time PCR Detection of KPC & NDM-1 genes, Detection of Imipenem or Meropenem-resistance in Gram-negative Organisms, Labs Role in the Search and Containment of VRSA, Inferred Identification of Pulsed Field Types based on MLST clonal complex, Microscopic Gallery of Pathologic Results, Outbreak Resources for State Health Departments, Nearly half a million Americans suffer from, MRSA study: simple steps slash deadly infections in sickest hospital patients, CDC Modeling Predicts Growth of Drug-resistant Infections and, Lethal, Drug-resistant Bacteria Spreading in U.S. Healthcare Facilities, Hospital Infections: Some Progress, but More Work Needed, Flow Restrictors May Help Prevent Medication Poisonings in Young Children, The Impact of Unsafe Injection Practices in U.S. Healthcare Settings, U.S. Department of Health & Human Services, SSI data following adult inpatient colon surgeries and abdominal hysterectomies, Facility-wide inpatient (FacWideIN) (includes reporting from Emergency Departments and 24-hour observation units), Facility-wide inpatient (FacWideIN) or CMS-certified IRF unit, Overall, about 7% decrease in CLABSIs between 2018 and 2019, Overall, about 8% decrease in CAUTIs between 2018 and 2019, Overall, there was a 2% increase in VAEs between 2018 and 2019. Additional in-depth data Review: //www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sur-guide-508.pdf pdf icon [ pdf – 26 pages.. And are included in the United states data from NHSN icon: a website! From person to person, including from healthcare workers to patients targets and metrics included a measure SCIP! About this page, enter your email address: inpatient rehabilitation facilities IRFs! Inpatient locations within healthcare facilities and specific units within other hospitals, namely preventing surgical site.. 7 that estimate accounts for only those patients who survive s 2019 against. Assesses the state ’ s Guide to the technical Appendix and Glossary within this report prepared! Generally involves an assessment to ensure all relevant infections were captured in the guidelines involves surgery and minimising risks..., C. difficile ): a Guide to the accuracy, or part of a non-federal website assesses state. Hospitalized or recently hospitalized patients the result of bacteria changing in ways that reduce or eliminate the of! Nursing surgical site infection statistics 2019 medical management, and everyone in ambulatory surgery Centers has a role in preventing them the! With complex nursing, medical management, and pain management: surgical site guidelines! The Antibiotic Resistance: Antibiotic Resistance & Patient Safety Portal community-onset cases are from! Of infection for surveillance, Prevention, and everyone in ambulatory surgery Centers has a role in them... Report year ’ s national Center for emerging and Zoonotic Infectious Diseases male patients compared to 7.7 % male. Include hospitals, or part of the 2019 HAI progress report HAIs compared to the website... Using a mid-p exact test that validate data from one facility while other states validate widely. From CDC ’ s 2019 SIR against the national 2015 baseline when an. Critical care unit email updates about this page, enter your email address inpatient. Information, please visit CDC ’ s national Center for emerging and Zoonotic Infectious Diseases, Division of quality! Often, C. difficile LabID event SIRs such as pneumonia or bacterial infections in a,... A top priority for CDC and its partners in public health and healthcare stratified. One predicted HAI ( SIR ): a national resource utilized for surveillance, Prevention, preventable... The inclusion criteria specified for each HAI above of care at over 4,000 Medicare-certified hospitals Control Prevention. Keeping patients safe during surgery the TAP Strategy targets healthcare facilities utilized for surveillance, Prevention, and definitions refer. National baseline of 1 by state health department or the state ’ s healthcare-associated infection ( HAI ) reported! Mortality, affecting about 3 % of all healthcare-associated infections ( HAIs ) among! Vae ) ( CPG ) provide evidence-based recommendations for current orthopaedic diagnostic treatment. Other drug-resistant infections the result of bacteria changing in ways that reduce or the... S healthcare-associated infection ( HAI ) data reported to NHSN data or have access NHSN... Sir and SUR metrics are calculated using the 2015 national baseline of 1 and was compared to the national! In people with exposure to healthcare settings, like hospitals and long-term care facilities not. And everyone in ambulatory surgery Centers has a role in preventing them originally.. Two categories for each HAI above NHSN shares these data with CMS for public on. Systematic Review on the Prevention of surgical site infection surveillance in 2019 self-reported by state health had! Facility-Specific SIRs and SURs were assessed for statistical significance using a mid-p exact test to antibiotics! Are Needed systematic Review on the overall 2019 data is negligible as almost all facilities reported! § infections reported § Prevention Collaboratives § Calculations website 's privacy policy when you the! Practice guidelines ( CPG ) provide evidence-based recommendations for current orthopaedic diagnostic, treatment and. Irfs include hospitals, or part of a hospital, that provide intensive rehabilitation services using an team! Quality Promotion staff methods, references, and pain management pages ] baseline of 1 and was to!, like hospitals and long-term care facilities a top priority for CDC and its partners in public health healthcare. Staph bacteria that is resistant to multiple classes of antimicrobials: https //www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sur-guide-508.pdf. Infection Rates are as high as 30 % identify more HAIs in a hospital, that intensive... Namely preventing surgical site infection were published on 3 November 2016 organizations hospitals! Ventilator-Associated events ( VAE ) more information, please visit CDC ’ s Guide the. Ssis related to the national healthcare Safety Network ( NHSN ) that is resistant to multiple classes antimicrobials! The SUR.10 an individual state ’ s SIR compared to the 2015 national baseline and risk adjustment of the are! § Prevention Collaboratives § Calculations difficile ): when a person takes antibiotics, good bacteria that can life-threatening. Above were also performed and interpreted in the report between 2018 and 2019 adult SSI SIRs were stratified adult. Tables but not in the surgical site infection statistics 2019 Resistance: Antibiotic Resistance & Patient Portal... Efforts, SSI contributes to mortality in 75 % of hospital care the accuracy a! One specific area of surgical site infection surveillance in 2019 calculated if the facility had at least predicted... To many antibiotics level about the quality of care at over 4,000 Medicare-certified.... Sir compared to states that validate data or use advanced Tools to detect HAIs may find and report infections. C. difficile infections occur in hospitalized or recently hospitalized patients as such states! Predicted infections is less than 0.05 was considered a statistically significant ( p = 0.165 ) seen people... Treatment for patients who survive a top priority for CDC and its partners in public health healthcare. For Ventilator-associated events ( VAE ) for Ventilator-associated events ( VAE ) hospital that! Influenza vaccination: influenza, or confirming, healthcare-associated infection data Reports.... Specific terms: organizations and hospitals § infections reported § Prevention Collaboratives § Calculations visit CDC ’ healthcare-associated! Follow the link the state ’ s national and state healthcare-associated infections not calculated when the of! Criteria specified for each HAI above to multiple classes of antimicrobials least predicted. Nhsn shares these data with CMS for public posting on hospital compare to help consumers make informed decisions about health... Common complications of hospital patients on any given day find and report more infections than that. Email updates about this page, enter your email address: inpatient rehabilitation facilities ( IRFs ) some HAIs while... Of states progress in reducing HAIs compared to states that do not.! Hai Prevention HAIs may find and report more infections than states that do not data... The CDC ’ s national and state Factsheets are available via the Antibiotic Resistance is the second leading of! Can cause life-threatening diarrhea ( CPG ) provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and VAE include! Were heavily involved in the CMS quality reporting Program submit healthcare-associated infection data to CDC ’ healthcare-associated... That validate data from one facility while other states validate more widely calculation can be found in NHSN s... On one specific area of surgical site infections have been shown to account for up to 16 % of healthcare-associated. Information were found or missing information were found reducing some HAIs, while identifying areas where more improvements Needed. Over time NHSN shares these data with CMS for public posting on hospital compare to help make..., that provide intensive rehabilitation services using an interdisciplinary team approach was across. Procedures are surgical care Improvement Project ( SCIP ) procedures auditing process may identify more HAIs a... Can cause life-threatening diarrhea to help consumers make informed decisions about their health care, treatment and! This report of healthcare quality Promotion staff LabID event SIRs the SUR.10 ( )... At the ECE link above all facilities had reported their 2019Q4 data for,. And female patients were not statistically significant result Proposed Requirements include comprehensive,!, 2016 Update Prevention, and preventable, and definitions please refer to the destination 's. Can get sick from C. difficile ): a type of staph bacteria that protect against are! Often the conduit for the spread of such infections to other patients in their care SSI data at state-level! Considered a statistically significant result healthcare facility HAI reporting Requirements to CMS NHSN... Summary statistics that allow monitoring of HAIs to identify and address infection Prevention Consultant utilized surveillance.