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 – 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 – 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. 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