HAI in California Hospitals, 2015
Public reporting of healthcare-associated infections (HAI) data allows California consumers to assess the quality of care in hospitals and make more informed health care choices. The annual statewide report provides performance data to hospital executives and healthcare providers for the control and prevention of HAI. All acute care hospitals must report to the California Department of Public Health (CDPH) all cases of Clostridium difficile diarrheal infections (CDI), central line-associated bloodstream infections (CLABSI), bloodstream infections due to methicillin-resistant Staphylococcus aureus (MRSA BSI) and vancomycin-resistant Enterococci (VRE BSI), and surgical site infections (SSI) following 29 types of surgical procedures (California Health and Safety Code 1288.55).
Healthcare-Associated Infections in California Hospitals Annual Report, 2015:
In 2015, 393 acute care hospitals reported 19,847 HAI. CDPH presents HAI data from California hospitals compared with national baseline data for CLABSI, CDI, MRSA BSI, and SSI, and statewide average rates for VRE BSI, and CLABSI in each type of hospital unit/ward. We present the 2015 key findings and recommended actions for preventing HAI.
Key Findings and Public Health Actions
CDI Data Tables
Clostridium difficile infection (CDI) is now the most commonly reported HAI by California hospitals. Clostridium difficile diarrheal infection may develop due to exposure to Clostridium difficile bacteria and use of antibiotics during healthcare treatment. Four CDI data tables accompany this 2015 HAI data report.
CDI Table 1 presents hospital-onset CDI incidence (standardized infection ratios, SIR) for general acute care hospitals.
CDI Table 2 presents CDI rates in long-term acute care (LTAC) hospitals.
CDI Table 3 presents CDI rates in acute care rehabilitation hospitals.
CDI Table 4 lists 25 hospitals that reported incomplete CDI data in 2015.
For details on CDI data analysis and risk adjustment methods, see CDI Technical Notes.
CLABSI Data Tables
Central line-associated bloodstream infections (CLABSI) are important markers for patient safety because most can be prevented with sustained and consistent adherence to infection control recommendations. California hospitals report CLABSI and adherence to central line insertion practices (CLIP) for central lines inserted in intensive care units. Forty-seven CLABSI and CLIP data tables accompany this 2015 HAI data report.
CLABSI Table 1 presents CLABSI incidence (SIR) for each hospital, and identifies if the overall hospital result is s statistically higher, lower, or no different from the national baseline.
CLABSI Table 2 presents CLABSI incidence (SIR) for LTAC hospitals.
CLABSI Table 3 presents the percent change in statewide CLABSI rates for each hospital unit/ward type from 2014 to 2015
CLABSI Table 4 presents statewide CLABSI rates and CLIP adherence for each hospital unit/ward type.
CLABSI Table 5 presents CLABSI data from each ward/unit type in each California hospital- and indicates if rates were statistically higher (H), lower (L), or no different (N) from state average rates.
CLABSI Tables 6 to 46 presents detailed, hospital-specific CLABSI rates for each unit/ward type, and includes numbers of CLABSI and central line days, CLABSI rates and their interpretations and CLIP adherence percentages for ICUs.
CLABSI Table 47 lists hospitals and mixed acuity locations excluded from CLABSI analyses.
For details on CLABSI analysis and risk adjustment, see CLABSI Technical Notes.
MRSA BSI & VRE BSI Data Tables
Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) bloodstream infections are two serious antibiotic- resistant infections in hospital patients. Twelve MRSA and VRE BSI data tables accompany this 2015 HAI data report.
MRSA BSI Table 1 presents statewide MRSA BSI incidence (SIR) for general acute care, LTAC, and rehabilitation hospitals in 2015.
MRSA BSI Table 2 presents hospital-onset MRSA BSI incidence (SIR) for general acute care hospitals.
MRSA BSI Table 3 presents MRSA BSI rates in LTAC hospitals.
MRSA BSI Table 4 presents MRSA BSI rates in acute rehabilitation hospitals.
VRE BSI Tables 5 through 11 presents hospital-specific VRE BSI rates stratified by seven hospital categories.
MRSA/VRE BSI Table 12 lists the hospitals that reported fewer than 12 months of data in 2015.
For details on MRSA/VRE BSI data analysis and risk adjustment, see MRSA and VRE BSI Technical Notes.
SSI Data Tables
Surgical site infections (SSI) occur in the 30 (or 90) days after surgery due to contamination during the operation procedures. California hospitals report SSI following 29 types of surgical procedures.Thirty-one SSI data tables accompany this 2015 HAI data report.
SSI Tables 1 through 29 presents the 29 different reportable surgical procedures with data from 355 general acute care hospitals.
SSI Table 30 presents data from two LTAC hospitals.
SSI Table 31 lists 38 hospitals that did not perform any of the 29 reportable surgical procedures categories in 2015.
For details on the analysis and risk adjustment, see SSI Technical Notes.