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Healthcare Associated Infections: Data Summary and Commonly Asked Questions. Shannon Millay, MPH Healthcare Associated Infections Epidemiologist October 12, 2012. Objectives. HAI Reporting Data from 1 st and 2 nd Quarter Commonly Asked Questions Upcoming Changes Available Resources

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healthcare associated infections data summary and commonly asked questions

Healthcare Associated Infections:Data Summary and Commonly Asked Questions

Shannon Millay, MPH

Healthcare Associated Infections Epidemiologist

October 12, 2012

objectives
Objectives
  • HAI Reporting
    • Data from 1st and 2nd Quarter
  • Commonly Asked Questions
    • Upcoming Changes
    • Available Resources
    • Contact Info
hai reporting data summary
HAI Reporting: Data Summary
  • Mandatory HAI Reporting
    • CAUTI
    • CLABSI
    • SSI (abdominal hysterectomy and colon surgery)
  • 129/131 facilities enrolled and reporting
    • Acute Care, LTAC, Rehab, Critical Access
    • Must have an ICU and/or perform abdominal hysterectomy or colon surgery
hai reporting data summary1
HAI Reporting: Data Summary
  • ISDH- Monthly reporting deadlines
    • Data should be in by end of following month
    • We understand that is not always possible
    • CMS deadlines are quarterly
    • Q1 was due August 15
    • Q2 is due November 15
standard infection ratio sir
Standard Infection Ratio (SIR)
  • The SIR is a summary measure used to track HAIs
    • Adjusts for patients of varying risk within each facility
    • Combine data from multiple locations into one single number that can be used for comparisons.
      • Can summarize data at any level: by unit, hospital, regional, state or national
  • SIR= observed # of infections

predicted # infections

    • Predicted number is based on national baseline data from 2006-2008.
    • If SIR >1, more infections than predicted
    • If SIR < 1, fewer infections than predicted.
cauti
CAUTI
  • Q1, we had 103 CAUTIs. Based on national baseline data, we were predicted to have 108. The SIR is .96, meaning Indiana saw 4% fewer infections than what would be predicted from the national data. The p-value is greater than .05, so this difference is not significant.
  • Q2- we had 123 CAUTIs and were predicted to have 96. The SIR is 1.28, or 28% higher than what would be predicted from the national data. This difference is significant.
clabsi
CLABSI
  • Q1- We had 59 CLABSIs and were predicted to have 105. Our SIR is .56, or 44% below what would be predicted from national data. This difference is significant.
  • Q2- We had 63 CLABSIs and were predicted to have 101. Our SIR is .62, or 38% below what would be predicted from the national data. This difference is significant.
ssi colon surgery
SSI: Colon Surgery
  • Q1- Indiana had 122 SSI from colon surgeries. We were predicted to have 111. The SIR is 1.10, meaning we saw 10% more infections that we were predicted to have. This difference is not significant.
  • Q2- Indiana had 75 SSI from colon surgeries. We were predicted to have 81. The SIR is .92, meaning we saw 8% fewer infections that we were predicted to have. This difference is not significant.
ssi abdominal hysterectomy
SSI: Abdominal Hysterectomy
  • Q1- Indiana had 27 SSI from abdominal hysterectomies. We were predicted to have 31. The SIR is 0.87, meaning we saw 13% fewer infections than we were predicted to have. This difference is not significant.
  • Q2- Indiana had 23 SSI from abdominal hysterectomies. We were predicted to have 28. The SIR is 0.82, meaning we saw 18% fewer infections than we were predicted to have. This difference is not significant.
commonly asked questions
Commonly Asked Questions
  • I sent a waiver in to CMS…do I still need to report to ISDH?
    • Yes. CMS waivers do not apply to ISDH reporting.
    • We require reporting on all of the required HAIs, regardless of the number of infections seen or number of procedures performed.
  • Is ISDH making any changes to its reporting requirements?
    • At this point, ISDH is not making any changes to reporting for 2013.
    • Will keep IPs informed of any revisions for 2014.
commonly asked questions1
Commonly Asked Questions
  • Now that the LTC component has been added in NHSN, do I need to re-accept the template of rights?
    • No. You will receive a notification in NHSN if ISDH changes its template of rights.
  • Is there any new NHSN training available?
    • NHSN 3-day web training “Protocol, Analysis, and Reporting: Getting the Most from NHSN”
      • http://www.cdc.gov/nhsn/Training/live-web-training.html
    • NHSN training for LTC component
      • http://www.cdc.gov/nhsn/Training/LTC/index.html
announcements
Announcements
  • I recently got married and will be changing my name
    • Shannon MillayShannon Arroyo
  • I will send my updated email/contact information when it becomes available.
    • Until then, I can be reached at smillay@isdh.in.gov or (317) 233-7036
thank you
Thank you!

Questions?