Illinois Statewide Central Line-associated Blood Stream Infection Report (CLABSI) Neonatal and Pediatric Intensive Care

Similar documents
Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) Address City Zip Phone. Hospital Name

Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) Address City Zip Phone. Hospital Name

Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) ADDRESS City Zip Phone. Hospital Name

Medicare Supplement Insurance Plans. Apply with the recognized Illinois leader for your health care insurance needs.

AHK currently has two sites, one in Naperville and one in Downtown Chicago. A third site in Peoria is scheduled to open in 2018

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD

Health Care Associated Infections in 2015 Acute Care Hospitals

2010 Taxi Inspection Program (effective 02/10/2010)

EVERY DAY. we strive to change lives for the better by addressing our community needs. in community benefits SERVING MORE THAN 563,000

Delivering Quality with Distinction

ILPQC MNO Neonatal Workgroup & MNO Neonatal Wave 1 Teams Call. February 19, :00 2:00 pm

Illinois Licensure Testing System Test of Academic Proficiency (400) Pass Rates by Approved Program August 1, 2014 July 31, 2015

Mothers and Newborns affected by Opioids (MNO) Wave 1 Teams Launch Call

TECHNICAL REPORT FOR HEALTHCARE-ASSOCIATED INFECTIONS. New Jersey Department of Health Health Care Quality Assessment

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey

Cook County Health and Hospitals System

Delivering Quality with Distinction

Health Care Associated Infections in 2017 Acute Care Hospitals

Hospital-Acquired Infections Prevention is in Your Hands. Rachel L. Stricof

OB Teams Call: Maternal Hypertension Initiative January 22, :30 1:30 PM

Incentives and Penalties

Blue Medicare Advantage PPO Contracted Providers

Better to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM

Figure 1. Massachusetts Statewide Aggregate Hospital Acquired Infection Data Summary. Infection Rate* Denominator Count*

Nursing Caps Collection. College of Nursing University of Illinois at Chicago

Lifetime Achievement Award Clinical Excellence Award Community Service Award

INSIDE THIS ISSUE. April 2011 Volume 2, Issue 3. Contact Info: Mary Barton CNP, Region 2 Chair

Blue Medicare Advantage PPO Contracted Providers

Healthcare- Associated Infections in North Carolina

CURRICULUM VITAE AMANDA D. BENNETT, DNP, PNP, NNP-BC

NHSN: Information for Action

Delivering Quality with Distinction

BLUE CROSS AND BLUE SHIELD OF ILLINOIS FAQS

BANK OF AMERICA CHICAGO MARATHON EXTRA SERVICE SUNDAY, OCTOBER 8, 2017 (Wheelchair start 7:20 AM; Marathon start 7:30 AM)

ILPQC Golden Hour Teams Call. March 20, :00 3:00 pm

NOTE: New Hampshire rules, to

ILPQC Neonatal Abstinence Syndrome Initiative Workgroup. June 28, :00 3:00 pm

Healthcare- Associated Infections in North Carolina

Integrating Behavioral Health and Primary Care to Improve Quality and Reduce Costs

Scoring Methodology SPRING 2018

Illinois-Wisconsin HFMA Preparing Your Occupational Mix Survey

Annual Report. Healthcare-Associated Infections In Alabama

PRELIMINARY FALL 2017 ENROLLMENTS IN ILLINOIS HIGHER EDUCATION

QUALITY MANUAL. For Advocate Health Care Quality Management System (QMS) Approved: 07/17/2015 Revision: 4.0

State of California Health and Human Services Agency California Department of Public Health

DuPage County Community Services 421 N. County Farm Road Wheaton, IL (630)

What s next? Joint Commission Center for Transforming Healthcare Colorectal Surgical Site Infections (SSIs) Copyright, The Joint Commission

DuPage County Community Services 421 N. County Farm Road Wheaton IL (630) Income Tax Services 2013

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey

Hospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017

MS, RN, PEL-CSN, NCSN

Scoring Methodology FALL 2016

Scoring Methodology FALL 2017

Colgate University. Air Force ROTC at Illinois Institute of Tech. College of DuPage. Albion College. Allegheny College

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2

Healthcare-Associated Infections in North Carolina

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling

Building a Culture That Lasts

Reducing CAUTI by Decreasing Inappropriate Catheter Utilization

Troubleshooting Audio

NHSN: An Update on the Risk Adjustment of HAI Data

II. Approval of the March 22, 2012 Meeting Minutes (Attachment A) Action requested: Approval of minutes

Quality Advocacy Showcase

2018 ILLINOIS ALUMNI HOCKEY TOURNAMENT JUNE 1-2 OFFICIAL PROGRAM

Medicare Value Based Purchasing Overview

Troubleshooting Audio

Preparing GI ASCs for October 2012

Date Period College Sept. 27 th 3 rd College of St. Benedict and St. John s. *Updated 9/24/10* Sept. 27 th 4 th Rasmussen College

Appendix A: Encyclopedia of Measures (EOM)

Healthcare-Associated Infections in North Carolina

ILLINOIS INSTITUTE OF GOVERNMENT AND PUBLIC AFFAIRS. actual mechanisms for accomplishing them led to a great. deal of disagreement.

Infection Monitoring: National Healthcare Safety Network (NHSN) Bloodstream Infection in Hemodialysis Patients Clinical Measure

Preparing and Registering S.T.A.B.L.E. Support Instructors

DETAIL SPECIFICATION. Description. Numerator. Denominator. Exclusions. Minimum Data Reported to NHSN

Education and Related Spending per Completion

OHA HEN 2.0 Partnership for Patients Letter of Commitment

The Elimination of the Community Development Block Grant (CDBG) Program:

OREGON HEALTHCARE ACQUIRED INFECTIONS

Inspired to Run Fund List 2016

Healthcare Associated Infections (HAI) Texas Reporting Updates

CLABSI Prevention Hardwiring Improvement

All MCP Average Buckeye CareSource Molina Paramount United Total Initial Admits in Study. Pct of All Medicaid Admits. Actual to Expected

Chicago Department of Public Health Mental Health Services Transition Report

HCA Infection Control Surveillance Survey

2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction

Implementation Guide for Central Line Associated Blood Stream Infection

JAMES A. MUNZ, MHA, MT(ASCP)

OSF HealthCare. Patient Rights and Responsibilities (Illinois)

Present: Chairman Ada Mary Gugenheim and Directors Mary Driscoll, RN, MPH and Layla P. Suleiman Gonzalez, PhD, JD (3)

Performance Management in Maternal and Child Health

NOTICE OF PRIVACY PRACTICES

Hospital Quality Program

CenterPoint. Expanding services throughout Central Illinois. D E C A T U R M E M O R I A L H O S P I T A L l w w w. d m h c a r e s.

Cook County Health & Hospitals System Preliminary FY 2011 Budget. Cook County Finance Committee Public Hearing Monday, January 24, :00 AM

Hospital Value-Based Purchasing (VBP) Program

SCHOLARSHIP PACKET DEADLINE MARCH 15, 2018 ILLINOIS NURSES FOUNDATION

Hospital charges are not related to actual costs or other commonly suggested factors

Assessment of Appropriateness of ICU Antibiotics (Hospital Level Sheet) PQC, Revised 02/16/2017

2014 Inova Fairfax Medical Campus Quality Report

Patricia Church, MSN, RN, PCNS-BC, CPON Bernice Mowery, PhD, PNP, RN

Transcription:

Illinois Statewide Central Line-associated Blood Stream Infection Report (CLABSI) Neonatal and Pediatric Intensive Care Health Care Associated Infections s in Illinois are participating in programs to reduce the number of infections acquired during hospital stays. While it is difficult to reduce infections to zero, following specific protocols can greatly reduce the risk. The Report Card Act (Illinois Public Act 93-563) requires Illinois hospitals to report central line associated bloodstream infections() occurring in critical care units, also known as intensive care units (ICUs). Comparison summary data for, expressed as a Standardized Infection Ratio (SIR a ), are presented by hospital for each of Neonatal (Level II/III, Level III) and Pediatric (Cardiothoracic, Medical/Surgical, Medical, and Surgical) ICU types. SIRs for NICUs have been adjusted for NHSN birth weight category. of these summary measures is provided.

Central Line Associated Bloodstream Infection (CLABSI) Standardized Infection Ratio (SIR a ) Location: Neonatal Intensive Care Unit Level II/III Observed [O] of Central ly ADVOCATE LUTHERAN GENERAL HOSPITAL PARK RIDGE 2 4851 11.89 0.17 0.02 0.61 EDWARD HOSPITAL * NAPERVILLE 0 1474 4.21 0 0.88 ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CHICAGO 2 1767 5.04 0.4 0.05 1.43 Similar LOYOLA UNIVERSITY MEDICAL CENTER Maywood 4 2925 8.76 0.46 0.12 1.17 Similar MOUNT SINAI HOSPITAL CHICAGO 3 1863 4.31 0.7 0.14 2.04 Similar NORTHWEST COMMUNITY HOSPITAL ARLINGTON HEIGHTS 3 757 1.69 1.78 0.37 5.19 Similar ST ALEXIUS MEDICAL CENTER HOFFMAN ESTATES 3 1565 3.49 0.86 0.18 2.51 Similar ADVOCATE GOOD SAMARITAN HOSPITAL ** DOWNERS GROVE 0 566 1.39 0 2.65 Similar RUSH-COPLEY MEDICAL CENTER ** AURORA 0 854 2.22 0 1.66 Similar ALEXIAN BROTHERS MEDICAL CENTER ** ELK GROVE VILLAGE 0 198 0.3 SIR Not LITTLE COMPANY OF MARY HOSPITAL & HC CENTERS EVERGREEN PARK 0 47 0.05 SIR Not MEMORIAL HOSPITAL OF CARBONDALE ** CARBONDALE 0 102 0.16 SIR Not METROSOUTH MEDICAL CENTER ** BLUE ISLAND 0 56 0.07 SIR Not NORTHWESTERN LAKE FOREST HOSPITAL ** LAKE FOREST 0 60 0.08 SIR Not PRESENCE SAINT FRANCIS HOSPITAL ** EVANSTON 0 55 0.07 SIR Not PRESENCE SAINT JOSEPH MEDICAL CENTER ** JOLIET 0 87 0.14 SIR Not PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER ** CHICAGO 0 60 0.07 SIR Not SHERMAN HOSPITAL ** ELGIN 0 55 0.09 SIR Not f

Central Line Associated Bloodstream Infection (CLABSI) Standardized Infection Ratio (SIR a ) Location: Neonatal Intensive Care Unit Level III ly ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER OAK LAWN 4 6872 15.31 0.26 0.07 0.67 ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO CHICAGO 1 5794 8.83 0.11 0 0.63 JOHN H STROGER JR HOSPITAL OF COOK COUNTY CHICAGO 1 3567 7.73 0.13 0 0.72 ROCKFORD MEMORIAL HOSPITAL ROCKFORD 1 2825 6.59 0.15 0 0.85 RUSH UNIVERSITY MEDICAL CENTER CHICAGO 6 5386 13.15 0.46 0.17 0.99 UNIVERSITY OF CHICAGO MEDICAL CENTER CHICAGO 6 7117 15.92 0.38 0.14 0.82 ADVENTIST HINSDALE HOSPITAL HINSDALE 2 782 1.84 1.09 0.13 3.94 Similar CARLE FOUNDATION HOSPITAL URBANA 1 877 2.19 0.46 0.01 2.55 Similar NORTHSHORE UNIV HS EVANSTON HOSPITAL EVANSTON 4 3239 8.48 0.47 0.13 1.21 Similar NORTHWESTERN MEMORIAL HOSPITAL CHICAGO 3 2613 6.56 0.46 0.09 1.34 Similar OSF SAINT FRANCIS MEDICAL CENTER PEORIA 4 4166 9.96 0.4 0.11 1.03 Similar ST JOHN'S HOSPITAL SPRINGFIELD 1 1265 2.98 0.34 0.01 1.87 Similar CENTRAL DUPAGE HOSPITAL ** WINFIELD 0 794 1.9 0 1.94 Similar UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO CHICAGO 13 2750 6.78 1.92 1.02 3.28 Higher f

Central Line Associated Bloodstream Infection (CLABSI) Standardized Infection Ratio (SIR a ) Location: Pediatric Medical/Surgical Intensive Care Unit ly f OSF SAINT FRANCIS MEDICAL CENTER PEORIA 2 3707 11.12 0.18 0.02 0.65 ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO CHICAGO 5 5663 10.19 0.49 0.16 1.14 Similar ADVOCATE LUTHERAN GENERAL HOSPITAL PARK RIDGE 2 1232 3.7 0.54 0.07 1.96 Similar ROCKFORD MEMORIAL HOSPITAL ROCKFORD 1 393 1.18 0.85 0.02 4.73 Similar RUSH UNIVERSITY MEDICAL CENTER CHICAGO 3 1519 4.56 0.66 0.14 1.92 Similar ST JOHN'S HOSPITAL SPRINGFIELD 1 360 1.08 0.93 0.02 5.16 Similar UNIVERSITY OF CHICAGO MEDICAL CENTER CHICAGO 4 2548 7.64 0.52 0.14 1.34 Similar UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO CHICAGO 1 1164 3.49 0.29 0.01 1.6 Similar LOYOLA UNIVERSITY MEDICAL CENTER ** MAYWOOD 0 1080 3.24 0 1.14 Similar CENTRAL DUPAGE HOSPITAL ** SIR Not WINFIELD 0 298 0.89 JOHN H STROGER JR HOSPITAL OF COOK COUNTY ** SIR Not CHICAGO 0 197 0.59 MOUNT SINAI HOSPITAL ** SIR Not CHICAGO 0 160 0.48 ST ALEXIUS MEDICAL CENTER ** SIR Not HOFFMAN ESTATES 0 178 0.53

Central Line Associated Bloodstream Infection (CLABSI) Standardized Infection Ratio (SIR a ) Location: Pediatric Medical Intensive Care Unit ly f ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER OAK LAWN 1 1891 2.46 0.41 0.01 2.27 Similar Location: Pediatric Cardiothoracic Intensive Care Unit ly f ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER * OAK LAWN 0 1911 6.31 0 0.59 UNIVERSITY OF CHICAGO MEDICAL CENTER ** CHICAGO 0 374 1.23 0 2.99 Similar Location: Pediatric Surgical Intensive Care Unit ly SHRINER S HOSPITAL FOR CHILDREN ** CHICAGO 0 150 0 -- f SIR Not

a The Standardized Infection Ratio (SIR) is a summary measure used to compare the central line associated bloodstream infection (CLABSI) experience among a group of reported locations to that of a standard population. It is the observed number of infections divided by the predicted number of infections. b Too few central line days. Reporting on too few procedures is a risk to patient confidentiality. If there are fifty (50) or fewer central line days, the report for the number of infections will be deferred until there are more central line days. c Please note that the "predicted" number of infections does not mean that you expect to get an infection when you are hospitalized. d If the predicted number of infections is < 1.00, the SIR is not calculated because it does not meet the minimum requirement for precision. e The confidence interval for a hospital s standardized infection ratio (SIR) is the range of possible SIRs within which there is 95% confidence that the real SIR for that hospital lies, given the number of infections and procedures that were observed in that hospital in a specific time period. f The lower bound of the confidence interval is calculated only if the infection count > 0. * Zero Infections, significantly better than predicted. ** Zero Infections, but too few central line days to determine whether this is significantly better than predicted. of the SIR: If the 95% confidence interval includes 1.00, the hospital's infection rate is similar (not significantly different) from "predicted". If the SIR is greater than 1.00 and the 95% confidence interval does not include 1.00, the hospital's infection rate is significantly higher than "predicted". If the SIR is less than 1.00 and the 95% confidence interval does not include 1.00, the hospital's infection rate is significantly lower than "predicted". All conclusions are based on the assumption that the hospital's patient population is similar to the NHSN pooled patient population.