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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. 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

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  1. Healthcare Associated Infections:Data Summary and Commonly Asked Questions Shannon Millay, MPH Healthcare Associated Infections Epidemiologist October 12, 2012

  2. Objectives • HAI Reporting • Data from 1st and 2nd Quarter • Commonly Asked Questions • Upcoming Changes • Available Resources • Contact Info

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. Thank you! Questions?

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